facebook tracking Major chest trauma without complications cost in California: 1 hospitals compared (DRG 185)

Major chest trauma without complications in California

What 1 hospital in California charged and were paid for a Medicare hospital stay for major chest trauma without complications (DRG 185), from 2024 Medicare claims.

DRG 185 Inpatient 2024 Medicare data
Average charge $167,671 Hospital list price billed
Average payment $13,246 Medicare + patient + other payers
Medicare paid $10,302 Average per stay
Volume 11 Medicare hospital stays

Hospitals in California billed an average of $167,671 for major chest trauma without complications, about 12.7 times the average total payment of $13,246. That payment is 28% above the U.S. average of $10,345.

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 $13,246Billed $167,671

About 8¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: major chest trauma 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
Stanford HospitalPalo Alto 11 $167,671 $13,246 $10,302
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Major chest trauma without complications in other states

Questions

How much does major chest trauma without complications cost in California?

In 2024 Medicare data, a hospital stay for major chest trauma without complications (DRG 185) at 1 hospital in California was billed at $167,671 on average, while the average total payment was $13,246, of which Medicare paid $10,302. 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 12.7 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.