What 6 hospitals in California charged and were paid for a Medicare hospital stay for limb reattachment, hip and femur procedures for multiple significant trauma (DRG 956), from 2024 Medicare claims.
Hospitals in California billed an average of $372,002 for limb reattachment, hip and femur procedures for multiple significant trauma, about 7.0 times the average total payment of $52,994. That payment is 37% above the U.S. average of $38,596.
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.
About 14¢ was paid for every $1 hospitals in California billed for this stay.
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 |
|---|---|---|---|---|
| Sutter Roseville Medical CenterRoseville | 16 | $158,267 | $45,347 | $33,845 |
| Cedars-Sinai Medical CenterLos Angeles | 16 | $933,958 | $79,263 | $74,010 |
| Santa Clara Valley Medical CenterSan Jose | 12 | $376,980 | $86,790 | $83,618 |
| Huntington Memorial HospitalPasadena | 12 | $261,836 | $35,827 | $34,092 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $187,010 | $31,547 | $30,187 |
| Sharp Memorial HospitalSan Diego | 11 | $182,057 | $31,164 | $29,183 |
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.
| Sharp Memorial HospitalSan Diego, CA | $31,164 |
|---|---|
| Mission Hospital Regional Med CenterMission Viejo, CA | $31,547 |
| Huntington Memorial HospitalPasadena, CA | $35,827 |
| Sutter Roseville Medical CenterRoseville, CA | $45,347 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $79,263 |
| Santa Clara Valley Medical CenterSan Jose, CA | $86,790 |
|---|---|
| Cedars-Sinai Medical CenterLos Angeles, CA | $79,263 |
| Sutter Roseville Medical CenterRoseville, CA | $45,347 |
| Huntington Memorial HospitalPasadena, CA | $35,827 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $31,547 |
In 2024 Medicare data, a hospital stay for limb reattachment, hip and femur procedures for multiple significant trauma (DRG 956) at 6 hospitals in California was billed at $372,002 on average, while the average total payment was $52,994, of which Medicare paid $48,373. Your own cost depends on your insurance, deductible and the hospital.
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.