Major chest procedures with major complications in California
What 34 hospitals in California charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.
Average charge
$407,112
Hospital list price billed
Average payment
$64,033
Medicare + patient + other payers
Medicare paid
$56,179
Average per stay
State rank
#38 of 38
1 = lowest average payment
Hospitals in California billed an average of $407,112 for major chest procedures with major complications, about 6.4 times the average total payment of $64,033. That payment is 42% above the U.S. average of $45,128.
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 $64,033Billed $407,112
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 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 | 52 | $755,038 | $70,007 | $62,458 |
| University of California San Diego Medical CenterSan Diego | 43 | $432,560 | $93,200 | $76,451 |
| Stanford HospitalPalo Alto | 42 | $887,051 | $106,382 | $94,948 |
| Mission Hospital Regional Med CenterMission Viejo | 36 | $271,644 | $47,310 | $42,406 |
| UCLA Medical CenterLos Angeles | 30 | $248,495 | $81,959 | $66,466 |
| Desert Regional Medical CenterPalm Springs | 27 | $520,369 | $50,371 | $48,030 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 26 | $169,656 | $41,347 | $37,715 |
| Loma Linda University Medical CenterLoma Linda | 25 | $387,143 | $74,491 | $61,574 |
| USC University HospitalLos Angeles | 24 | $295,733 | $76,025 | $64,291 |
| St Joseph HospitalEureka | 23 | $251,164 | $52,272 | $45,354 |
| Torrance Memorial Medical CenterTorrance | 21 | $278,550 | $46,236 | $44,627 |
| Clovis Community Medical CenterClovis | 20 | $300,081 | $54,176 | $42,393 |
| University of California Davis Medical CenterSacramento | 20 | $456,531 | $83,476 | $73,162 |
| Grossmont HospitalLa Mesa | 17 | $362,668 | $52,761 | $44,853 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 17 | $564,143 | $72,505 | $71,215 |
| Scripps Memorial Hospital - EncinitasEncinitas | 17 | $301,186 | $48,666 | $40,646 |
| Saddleback Memorial Medical CenterLaguna Hills | 17 | $302,103 | $43,328 | $42,176 |
| Enloe Medical CenterChico | 16 | $448,489 | $43,692 | $42,876 |
| UCSF Medical CenterSan Francisco | 16 | $351,157 | $84,299 | $76,802 |
| Community Regional Medical CenterFresno | 15 | $323,267 | $55,996 | $53,774 |
| St Helena HospitalDeer Park | 14 | $252,720 | $49,752 | $48,353 |
| Good Samaritan HospitalSan Jose | 13 | $721,860 | $50,796 | $49,791 |
| Adventist Health BakersfieldBakersfield | 13 | $260,147 | $42,819 | $41,544 |
| Mercy San Juan Medical CenterCarmichael | 13 | $262,747 | $48,915 | $47,612 |
| Memorial Medical CenterModesto | 13 | $240,908 | $43,790 | $42,659 |
| Alta Bates Summit Medical CenterOakland | 12 | $266,492 | $52,566 | $51,316 |
| UCI Health-OrangeOrange | 12 | $352,697 | $80,700 | $61,854 |
| Eisenhower Memorial HospitalRancho Mirage | 12 | $238,367 | $51,877 | $49,504 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 11 | $140,048 | $48,874 | $46,964 |
| Community Hospital of the Monterey PeninsulaMonterey | 11 | $310,150 | $48,331 | $47,145 |
| Mercy Medical Center ReddingRedding | 11 | $282,861 | $50,479 | $49,277 |
| John Muir Medical Center - Concord CampusConcord | 11 | $460,155 | $93,900 | $38,528 |
| Los Robles Hospital & Medical CenterThousand Oaks | 11 | $533,293 | $48,258 | $46,281 |
| Providence Tarzana Medical CenterTarzana | 11 | $312,948 | $53,999 | $41,351 |
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 | $41,347 |
|---|---|
| Adventist Health BakersfieldBakersfield, CA | $42,819 |
| Saddleback Memorial Medical CenterLaguna Hills, CA | $43,328 |
| Enloe Medical CenterChico, CA | $43,692 |
| Memorial Medical CenterModesto, CA | $43,790 |
Highest
| Stanford HospitalPalo Alto, CA | $106,382 |
|---|---|
| John Muir Medical Center - Concord CampusConcord, CA | $93,900 |
| University of California San Diego Medical CenterSan Diego, CA | $93,200 |
| UCSF Medical CenterSan Francisco, CA | $84,299 |
| University of California Davis Medical CenterSacramento, CA | $83,476 |
Major chest procedures with major complications in other states
Questions
How much does major chest procedures with major complications cost in California?
In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 34 hospitals in California was billed at $407,112 on average, while the average total payment was $64,033, of which Medicare paid $56,179. 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 6.4 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.