Lower extremity and humerus procedures except hip, foot and femur with complications in California
What 40 hospitals in California charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$199,960
Hospital list price billed
Average payment
$30,547
Medicare + patient + other payers
Medicare paid
$25,398
Average per stay
State rank
#39 of 40
1 = lowest average payment
Hospitals in California billed an average of $199,960 for lower extremity and humerus procedures except hip, foot and femur with complications, about 6.5 times the average total payment of $30,547. That payment is 34% above the U.S. average of $22,820.
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 $30,547Billed $199,960
About 15¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 49 | $334,706 | $42,079 | $34,499 |
| Cedars-Sinai Medical CenterLos Angeles | 49 | $365,418 | $29,870 | $26,173 |
| University of California Davis Medical CenterSacramento | 48 | $308,616 | $50,589 | $30,906 |
| Scripps Memorial Hospital la JollaLa Jolla | 31 | $182,608 | $22,623 | $20,991 |
| Palomar Medical CenterEscondido | 30 | $185,184 | $19,128 | $16,157 |
| Sutter Roseville Medical CenterRoseville | 25 | $113,569 | $24,852 | $23,250 |
| Mercy Medical Center ReddingRedding | 24 | $110,406 | $26,497 | $20,411 |
| Mission Hospital Regional Med CenterMission Viejo | 24 | $127,812 | $32,171 | $17,824 |
| Enloe Medical CenterChico | 23 | $205,741 | $22,409 | $20,990 |
| Marian Medical CenterSanta Maria | 23 | $122,836 | $24,902 | $23,175 |
| UCI Health-OrangeOrange | 23 | $204,419 | $42,819 | $37,485 |
| Desert Regional Medical CenterPalm Springs | 22 | $325,603 | $26,964 | $24,940 |
| Santa Rosa Memorial HospitalSanta Rosa | 21 | $229,852 | $26,727 | $23,971 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 19 | $328,510 | $30,451 | $28,627 |
| UCSF Medical CenterSan Francisco | 19 | $201,605 | $38,728 | $34,200 |
| University of California San Diego Medical CenterSan Diego | 18 | $167,489 | $36,209 | $29,277 |
| Huntington Memorial HospitalPasadena | 18 | $146,860 | $23,947 | $22,330 |
| Community Regional Medical CenterFresno | 16 | $140,626 | $27,088 | $25,367 |
| Memorial Medical CenterModesto | 16 | $184,347 | $56,854 | $22,618 |
| St Joseph HospitalEureka | 15 | $150,367 | $25,812 | $23,927 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 15 | $80,843 | $23,025 | $19,307 |
| Santa Barbara Cottage HospitalSanta Barbara | 15 | $138,051 | $25,056 | $23,572 |
| Mercy San Juan Medical CenterCarmichael | 14 | $157,377 | $24,828 | $22,951 |
| Eisenhower Memorial HospitalRancho Mirage | 14 | $123,557 | $24,989 | $23,135 |
| Henry Mayo Newhall Memorial HospitalValencia | 14 | $185,837 | $22,490 | $19,349 |
| Peninsula Medical CenterBurlingame | 13 | $100,174 | $27,764 | $22,766 |
| Santa Clara Valley Medical CenterSan Jose | 13 | $206,548 | $41,167 | $38,676 |
| Kaweah Delta Medical CenterVisalia | 13 | $80,549 | $27,158 | $24,947 |
| Rideout Memorial HospitalMarysville | 13 | $153,075 | $25,680 | $24,299 |
| El Camino HospitalMountain View | 13 | $189,466 | $26,198 | $24,792 |
| Loma Linda University Medical CenterLoma Linda | 13 | $227,823 | $34,719 | $29,918 |
| Torrance Memorial Medical CenterTorrance | 13 | $141,186 | $22,994 | $18,483 |
| Grossmont HospitalLa Mesa | 12 | $155,337 | $24,492 | $23,404 |
| Saint Agnes Medical CenterFresno | 12 | $105,475 | $25,462 | $22,640 |
| Sutter General HospitalSacramento | 12 | $94,451 | $27,626 | $26,021 |
| Community Hospital of the Monterey PeninsulaMonterey | 12 | $160,610 | $26,593 | $24,961 |
| Sutter Medical Center of Santa RosaSanta Rosa | 12 | $130,518 | $30,434 | $28,205 |
| Scripps Memorial Hospital - EncinitasEncinitas | 12 | $146,368 | $21,600 | $20,359 |
| Scripps Mercy HospitalSan Diego | 11 | $195,788 | $26,391 | $24,671 |
| Natividad Medical CenterSalinas | 11 | $170,242 | $30,547 | $28,954 |
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
| Palomar Medical CenterEscondido, CA | $19,128 |
|---|---|
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $21,600 |
| Enloe Medical CenterChico, CA | $22,409 |
| Henry Mayo Newhall Memorial HospitalValencia, CA | $22,490 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $22,623 |
Highest
| Memorial Medical CenterModesto, CA | $56,854 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $50,589 |
| UCI Health-OrangeOrange, CA | $42,819 |
| Stanford HospitalPalo Alto, CA | $42,079 |
| Santa Clara Valley Medical CenterSan Jose, CA | $41,167 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in California?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 40 hospitals in California was billed at $199,960 on average, while the average total payment was $30,547, of which Medicare paid $25,398. 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 6.5 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.