Major chest procedures with complications in California
What 33 hospitals in California charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$210,916
Hospital list price billed
Average payment
$33,391
Medicare + patient + other payers
Medicare paid
$28,810
Average per stay
State rank
#40 of 41
1 = lowest average payment
Hospitals in California billed an average of $210,916 for major chest procedures with complications, about 6.3 times the average total payment of $33,391. That payment is 31% above the U.S. average of $25,501.
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 $33,391Billed $210,916
About 16¢ 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: major chest 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 106 | $374,610 | $41,761 | $35,558 |
| University of California San Diego Medical CenterSan Diego | 68 | $142,173 | $36,683 | $30,359 |
| UCSF Medical CenterSan Francisco | 64 | $186,409 | $40,721 | $35,359 |
| UCLA Medical CenterLos Angeles | 61 | $146,291 | $45,763 | $36,855 |
| Cedars-Sinai Medical CenterLos Angeles | 59 | $322,205 | $30,680 | $27,276 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 50 | $132,544 | $23,195 | $21,404 |
| University of California Davis Medical CenterSacramento | 37 | $285,390 | $37,460 | $32,918 |
| Sutter Roseville Medical CenterRoseville | 35 | $111,776 | $27,129 | $23,998 |
| USC University HospitalLos Angeles | 31 | $144,817 | $34,605 | $28,922 |
| Eisenhower Memorial HospitalRancho Mirage | 27 | $127,883 | $28,377 | $25,237 |
| Mission Hospital Regional Med CenterMission Viejo | 21 | $159,270 | $26,531 | $20,163 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 18 | $242,748 | $28,399 | $27,030 |
| El Camino HospitalMountain View | 18 | $209,591 | $27,721 | $26,340 |
| Santa Barbara Cottage HospitalSanta Barbara | 18 | $177,170 | $26,592 | $24,752 |
| Providence Tarzana Medical CenterTarzana | 18 | $167,482 | $24,916 | $23,306 |
| UCI Health-OrangeOrange | 17 | $114,697 | $35,150 | $32,435 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 16 | $184,616 | $44,761 | $37,146 |
| Stanford Health Care Tri-ValleyPleasanton | 15 | $228,447 | $28,049 | $24,983 |
| Scripps Memorial Hospital la JollaLa Jolla | 15 | $282,269 | $24,477 | $23,065 |
| Loma Linda University Medical CenterLoma Linda | 15 | $244,985 | $38,540 | $33,622 |
| Scripps Memorial Hospital - EncinitasEncinitas | 15 | $233,755 | $27,261 | $21,513 |
| Torrance Memorial Medical CenterTorrance | 14 | $142,666 | $24,557 | $23,042 |
| Community Memorial Hospital - VenturaVentura | 14 | $105,014 | $29,533 | $24,493 |
| Clovis Community Medical CenterClovis | 13 | $181,921 | $26,667 | $21,362 |
| John Muir Medical Center - Concord CampusConcord | 13 | $264,428 | $27,479 | $25,800 |
| Saddleback Memorial Medical CenterLaguna Hills | 13 | $152,339 | $24,956 | $20,376 |
| St Helena HospitalDeer Park | 12 | $334,804 | $27,018 | $25,522 |
| Grossmont HospitalLa Mesa | 12 | $193,603 | $30,406 | $22,514 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 12 | $107,713 | $29,704 | $27,662 |
| Mercy San Juan Medical CenterCarmichael | 12 | $156,604 | $29,097 | $23,225 |
| Dominican HospitalSanta Cruz | 11 | $218,173 | $26,741 | $25,109 |
| Long Beach Memorial Medical CenterLong Beach | 11 | $186,785 | $27,436 | $25,846 |
| Shasta Regional Medical CenterRedding | 11 | $271,234 | $26,803 | $20,756 |
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
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $23,195 |
|---|---|
| Scripps Memorial Hospital la JollaLa Jolla, CA | $24,477 |
| Torrance Memorial Medical CenterTorrance, CA | $24,557 |
| Providence Tarzana Medical CenterTarzana, CA | $24,916 |
| Saddleback Memorial Medical CenterLaguna Hills, CA | $24,956 |
Highest
| UCLA Medical CenterLos Angeles, CA | $45,763 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $44,761 |
| Stanford HospitalPalo Alto, CA | $41,761 |
| UCSF Medical CenterSan Francisco, CA | $40,721 |
| Loma Linda University Medical CenterLoma Linda, CA | $38,540 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in California?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 33 hospitals in California was billed at $210,916 on average, while the average total payment was $33,391, of which Medicare paid $28,810. 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 6.3 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.