Interstitial lung disease with major complications in California
What 20 hospitals in California charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.
Average charge
$235,904
Hospital list price billed
Average payment
$33,736
Medicare + patient + other payers
Medicare paid
$27,964
Average per stay
State rank
#29 of 29
1 = lowest average payment
Hospitals in California billed an average of $235,904 for interstitial lung disease with major complications, about 7.0 times the average total payment of $33,736. That payment is 60% above the U.S. average of $21,088.
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 $33,736Billed $235,904
About 14¢ 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: interstitial lung disease with major 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 | 32 | $293,166 | $27,034 | $20,928 |
| Stanford HospitalPalo Alto | 26 | $1,094,250 | $130,835 | $116,940 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 25 | $85,677 | $18,421 | $15,211 |
| University of California San Diego Medical CenterSan Diego | 22 | $176,363 | $38,155 | $23,989 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 21 | $208,333 | $20,721 | $20,008 |
| Scripps Memorial Hospital - EncinitasEncinitas | 20 | $97,031 | $17,814 | $16,801 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 17 | $206,593 | $40,333 | $33,910 |
| Sutter Roseville Medical CenterRoseville | 17 | $86,688 | $18,406 | $17,153 |
| Mission Hospital Regional Med CenterMission Viejo | 17 | $100,263 | $18,357 | $15,492 |
| UCLA Medical CenterLos Angeles | 16 | $128,081 | $39,636 | $29,416 |
| St Joseph HospitalOrange | 14 | $92,704 | $35,531 | $14,096 |
| El Camino HospitalMountain View | 14 | $232,232 | $21,613 | $20,521 |
| Good Samaritan HospitalSan Jose | 14 | $373,753 | $25,234 | $23,952 |
| USC Arcadia HospitalArcadia | 13 | $99,433 | $13,445 | $12,336 |
| Sutter Medical Center of Santa RosaSanta Rosa | 13 | $100,028 | $24,927 | $22,971 |
| St Josephs Med Center of StocktonStockton | 11 | $130,524 | $24,094 | $20,150 |
| Saint Agnes Medical CenterFresno | 11 | $82,913 | $24,033 | $17,551 |
| Scripps Memorial Hospital la JollaLa Jolla | 11 | $113,099 | $18,039 | $17,001 |
| Los Angeles General Medical CenterLos Angeles | 11 | $161,760 | $42,041 | $32,887 |
| West Hills Hospital & Medical CenterWest Hills | 11 | $237,165 | $17,271 | $16,084 |
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
| USC Arcadia HospitalArcadia, CA | $13,445 |
|---|---|
| West Hills Hospital & Medical CenterWest Hills, CA | $17,271 |
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $17,814 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $18,039 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $18,357 |
Highest
| Stanford HospitalPalo Alto, CA | $130,835 |
|---|---|
| Los Angeles General Medical CenterLos Angeles, CA | $42,041 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | $40,333 |
| UCLA Medical CenterLos Angeles, CA | $39,636 |
| University of California San Diego Medical CenterSan Diego, CA | $38,155 |
Interstitial lung disease with major complications in other states
Questions
How much does interstitial lung disease with major complications cost in California?
In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 20 hospitals in California was billed at $235,904 on average, while the average total payment was $33,736, of which Medicare paid $27,964. 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 7.0 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.