Lower extremity and humerus procedures except hip, foot and femur without complications in California
What 11 hospitals in California charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494), from 2024 Medicare claims.
Average charge
$145,379
Hospital list price billed
Average payment
$20,468
Medicare + patient + other payers
Medicare paid
$17,745
Average per stay
State rank
#11 of 13
1 = lowest average payment
Hospitals in California billed an average of $145,379 for lower extremity and humerus procedures except hip, foot and femur without complications, about 7.1 times the average total payment of $20,468. That payment is 13% above the U.S. average of $18,176.
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 $20,468Billed $145,379
About 14¢ 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 without 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 |
|---|---|---|---|---|
| Sutter Roseville Medical CenterRoseville | 17 | $82,584 | $19,307 | $17,628 |
| Cedars-Sinai Medical CenterLos Angeles | 15 | $298,632 | $27,479 | $17,675 |
| Scripps Memorial Hospital la JollaLa Jolla | 14 | $146,942 | $18,007 | $16,375 |
| Marian Medical CenterSanta Maria | 13 | $112,211 | $19,723 | $17,981 |
| Scripps Mercy HospitalSan Diego | 12 | $183,942 | $21,507 | $19,639 |
| Torrance Memorial Medical CenterTorrance | 12 | $107,898 | $18,100 | $16,604 |
| Santa Barbara Cottage HospitalSanta Barbara | 12 | $123,785 | $19,737 | $18,083 |
| Saint Agnes Medical CenterFresno | 11 | $88,272 | $20,930 | $18,876 |
| Palomar Medical CenterEscondido | 11 | $144,728 | $19,625 | $15,650 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 11 | $211,085 | $20,575 | $19,379 |
| Mercy Medical Center ReddingRedding | 11 | $85,077 | $19,229 | $17,625 |
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
| Scripps Memorial Hospital la JollaLa Jolla, CA | $18,007 |
|---|---|
| Torrance Memorial Medical CenterTorrance, CA | $18,100 |
| Mercy Medical Center ReddingRedding, CA | $19,229 |
| Sutter Roseville Medical CenterRoseville, CA | $19,307 |
| Palomar Medical CenterEscondido, CA | $19,625 |
Highest
| Cedars-Sinai Medical CenterLos Angeles, CA | $27,479 |
|---|---|
| Scripps Mercy HospitalSan Diego, CA | $21,507 |
| Saint Agnes Medical CenterFresno, CA | $20,930 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $20,575 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $19,737 |
Lower extremity and humerus procedures except hip, foot and femur without complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur without complications cost in California?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494) at 11 hospitals in California was billed at $145,379 on average, while the average total payment was $20,468, of which Medicare paid $17,745. 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 7.1 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.