facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in California: 80 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in California

What 80 hospitals in California charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $158,494 Hospital list price billed
Average payment $23,690 Medicare + patient + other payers
Medicare paid $20,249 Average per stay
State rank #42 of 44 1 = lowest average payment

Hospitals in California billed an average of $158,494 for infectious and parasitic diseases with operating room procedures with complications, about 6.7 times the average total payment of $23,690. That payment is 25% above the U.S. average of $19,011.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $23,690Billed $158,494

About 15¢ was paid for every $1 hospitals in California billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:

California hospitals: infectious and parasitic diseases with operating room procedures with complications

Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Cedars-Sinai Medical CenterLos Angeles 49 $329,289 $26,032 $21,343
Sutter Roseville Medical CenterRoseville 43 $84,763 $21,435 $16,796
Mercy Medical Center ReddingRedding 39 $97,454 $21,771 $18,480
Eisenhower Memorial HospitalRancho Mirage 39 $138,303 $22,185 $19,946
Hoag Memorial Hospital PresbyterianNewport Beach 34 $70,267 $21,186 $16,111
Memorial Medical CenterModesto 34 $122,951 $19,957 $18,321
Oroville HospitalOroville 33 $62,873 $19,475 $18,239
St Joseph HospitalOrange 30 $78,200 $21,956 $15,814
Marian Medical CenterSanta Maria 29 $102,624 $20,887 $19,267
Santa Clara Valley Medical CenterSan Jose 28 $193,347 $41,059 $35,880
Sutter General HospitalSacramento 28 $100,016 $24,432 $22,067
Dominican HospitalSanta Cruz 26 $220,479 $24,249 $22,869
Peninsula Medical CenterBurlingame 24 $89,152 $23,329 $19,106
Scripps Memorial Hospital la JollaLa Jolla 24 $198,404 $21,719 $19,043
Enloe Medical CenterChico 23 $149,316 $19,364 $18,158
Santa Barbara Cottage HospitalSanta Barbara 23 $99,951 $22,992 $17,998
Community Hospital of the Monterey PeninsulaMonterey 22 $180,645 $23,640 $22,454
St Josephs Med Center of StocktonStockton 21 $184,683 $30,314 $21,429
El Camino HospitalMountain View 21 $190,760 $22,529 $19,914
Scripps Memorial Hospital - EncinitasEncinitas 21 $137,167 $22,240 $16,444
Mission Hospital Regional Med CenterMission Viejo 20 $106,950 $18,752 $16,418
Providence Saint Joseph Medical CtrBurbank 19 $136,807 $21,117 $15,531
Glendale Adventist Medical CtrGlendale 19 $156,507 $20,641 $19,083
Stanford HospitalPalo Alto 19 $372,782 $36,534 $30,851
Bakersfield Memorial HospitalBakersfield 18 $180,439 $22,006 $20,906
Alta Bates Summit Medical CenterOakland 18 $112,709 $23,300 $21,977
Salinas Valley Memorial HospitalSalinas 18 $195,491 $25,928 $24,659
Lodi Memorial HospitalLodi 18 $290,652 $21,460 $20,009
University of California San Diego Medical CenterSan Diego 17 $133,489 $33,286 $23,846
Community Regional Medical CenterFresno 17 $141,550 $23,660 $19,722
Scripps Mercy HospitalSan Diego 17 $178,952 $24,870 $20,204
Mercy HospitalBakersfield 17 $91,919 $20,359 $19,015
Sonora Community HospitalSonora 17 $131,366 $22,110 $20,862
Emanate Health Inter-Community HospitalCovina 17 $125,588 $21,234 $18,961
UCSF Medical CenterSan Francisco 17 $209,114 $42,581 $36,451
Adventist Health BakersfieldBakersfield 17 $104,876 $18,598 $17,345
Clovis Community Medical CenterClovis 17 $131,791 $19,825 $18,460
Sutter Delta Medical CenterAntioch 17 $103,325 $22,955 $20,214
St Johns Regional Medical CenterOxnard 16 $121,063 $19,893 $18,193
Saint Agnes Medical CenterFresno 16 $69,811 $22,643 $20,765
Santa Rosa Memorial HospitalSanta Rosa 16 $173,042 $24,338 $20,442
Sutter Medical Center of Santa RosaSanta Rosa 16 $151,299 $38,246 $24,263
Huntington Memorial HospitalPasadena 16 $189,464 $25,296 $19,356
Long Beach Memorial Medical CenterLong Beach 16 $148,795 $25,260 $17,863
John Muir Medical Center - Concord CampusConcord 16 $281,447 $31,541 $19,864
Grossmont HospitalLa Mesa 15 $165,771 $28,365 $16,700
Sharp Memorial HospitalSan Diego 15 $156,473 $27,660 $16,291
Rideout Memorial HospitalMarysville 15 $166,074 $21,775 $20,360
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 15 $113,522 $24,654 $20,761
Eden Medical CenterCastro Valley 15 $91,091 $22,344 $20,930
Providence Tarzana Medical CenterTarzana 15 $141,346 $19,908 $18,501
Sutter Solano Medical CenterVallejo 14 $103,102 $23,588 $22,073
St Jude Medical CenterFullerton 14 $91,293 $15,307 $13,623
Natividad Medical CenterSalinas 14 $193,245 $25,915 $23,968
Loma Linda University Medical CenterLoma Linda 14 $214,355 $35,476 $28,928
Northbay Medical CenterFairfield 14 $310,290 $24,143 $22,834
Downey Regional Medical CenterDowney 14 $98,303 $19,736 $18,129
Mercy San Juan Medical CenterCarmichael 14 $131,265 $20,520 $19,437
Sutter Davis HospitalDavis 14 $89,309 $23,087 $18,053
John Muir Medical Center - Walnut Creek CampusWalnut Creek 13 $280,284 $22,595 $21,573
Pomona Valley Hospital Medical CenterPomona 13 $188,309 $21,905 $20,425
Good Samaritan HospitalSan Jose 13 $410,560 $25,642 $24,512
Doctors Medical CenterModesto 13 $345,570 $21,495 $19,824
Orange Coast Memorial Medical CenterFountain Valley 13 $134,040 $19,496 $15,375
St Joseph HospitalEureka 12 $159,144 $21,795 $20,146
White Memorial Medical CenterLos Angeles 12 $202,392 $23,745 $21,763
Palomar Medical CenterEscondido 12 $177,119 $15,766 $14,400
Hanford Community Medical CenterHanford 12 $81,020 $20,875 $19,411
Sharp Chula Vista Medical CenterChula Vista 12 $131,918 $21,091 $19,731
Torrance Memorial Medical CenterTorrance 12 $154,528 $21,002 $16,272
Community Memorial Hospital - VenturaVentura 12 $52,427 $20,000 $18,056
Mercy Medical Ctr MercedMerced 12 $150,287 $21,599 $19,578
Riverside Community HospitalRiverside 11 $201,333 $25,424 $22,793
Simi Valley Hospital & Health Care ServicesSimi Valley 11 $135,102 $18,554 $17,073
Saint John's Health CenterSanta Monica 11 $119,736 $23,085 $20,749
UCI Health-OrangeOrange 11 $119,305 $29,861 $25,710
Los Robles Hospital & Medical CenterThousand Oaks 11 $327,893 $20,375 $18,326
Fountain Valley Regional Hospital & Medical CenterFountain Valley 11 $251,572 $20,814 $19,292
Loma Linda University Medical Center-MurrietaMurrieta 11 $138,574 $23,027 $21,428
Martin Luther King, Jr. Community HospitalLos Angeles 11 $389,734 $26,039 $24,685
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Lowest and highest payments in California

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Jude Medical CenterFullerton, CA$15,307
Palomar Medical CenterEscondido, CA$15,766
Simi Valley Hospital & Health Care ServicesSimi Valley, CA$18,554
Adventist Health BakersfieldBakersfield, CA$18,598
Mission Hospital Regional Med CenterMission Viejo, CA$18,752

Highest

UCSF Medical CenterSan Francisco, CA$42,581
Santa Clara Valley Medical CenterSan Jose, CA$41,059
Sutter Medical Center of Santa RosaSanta Rosa, CA$38,246
Stanford HospitalPalo Alto, CA$36,534
Loma Linda University Medical CenterLoma Linda, CA$35,476

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in California?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 80 hospitals in California was billed at $158,494 on average, while the average total payment was $23,690, of which Medicare paid $20,249. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in California, average charges were 6.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.