Major gastrointestinal disorders and peritoneal infections with complications in California
What 40 hospitals in California charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.
Average charge
$82,768
Hospital list price billed
Average payment
$12,776
Medicare + patient + other payers
Medicare paid
$10,177
Average per stay
State rank
#33 of 34
1 = lowest average payment
Hospitals in California billed an average of $82,768 for major gastrointestinal disorders and peritoneal infections with complications, about 6.5 times the average total payment of $12,776. That payment is 26% above the U.S. average of $10,109.
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 $12,776Billed $82,768
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: major gastrointestinal disorders and peritoneal infections 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 |
|---|---|---|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach | 51 | $51,605 | $10,344 | $8,646 |
| Eisenhower Memorial HospitalRancho Mirage | 33 | $59,583 | $11,951 | $9,614 |
| Enloe Medical CenterChico | 32 | $83,725 | $10,311 | $8,260 |
| Cedars-Sinai Medical CenterLos Angeles | 32 | $147,712 | $16,715 | $10,568 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 26 | $124,486 | $12,872 | $9,945 |
| Sutter Roseville Medical CenterRoseville | 24 | $59,322 | $13,552 | $9,079 |
| Scripps Memorial Hospital la JollaLa Jolla | 24 | $69,853 | $11,155 | $8,599 |
| Torrance Memorial Medical CenterTorrance | 24 | $118,262 | $11,281 | $8,929 |
| Santa Clara Valley Medical CenterSan Jose | 22 | $89,252 | $18,762 | $16,881 |
| Community Hospital of the Monterey PeninsulaMonterey | 22 | $72,708 | $11,659 | $10,620 |
| Huntington Memorial HospitalPasadena | 20 | $98,045 | $11,332 | $9,229 |
| Stanford HospitalPalo Alto | 19 | $238,236 | $22,756 | $15,408 |
| El Camino HospitalMountain View | 18 | $92,760 | $11,807 | $10,877 |
| Memorial Medical CenterModesto | 18 | $50,934 | $9,359 | $8,362 |
| University of California Davis Medical CenterSacramento | 18 | $129,654 | $22,230 | $17,793 |
| Los Robles Hospital & Medical CenterThousand Oaks | 17 | $150,588 | $10,658 | $9,256 |
| University of California San Diego Medical CenterSan Diego | 16 | $74,817 | $21,442 | $13,084 |
| Grossmont HospitalLa Mesa | 16 | $76,283 | $10,978 | $9,138 |
| San Antonio Community HospitalUpland | 15 | $79,551 | $10,217 | $8,993 |
| Clovis Community Medical CenterClovis | 15 | $59,216 | $9,944 | $9,063 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 14 | $48,445 | $16,217 | $12,521 |
| Saint Agnes Medical CenterFresno | 14 | $50,892 | $12,106 | $10,221 |
| PIH Health Hospital-WhittierWhittier | 14 | $78,860 | $9,896 | $8,939 |
| Providence Saint Joseph Medical CtrBurbank | 14 | $56,688 | $11,096 | $9,112 |
| Santa Barbara Cottage HospitalSanta Barbara | 14 | $50,024 | $11,091 | $9,641 |
| Saddleback Memorial Medical CenterLaguna Hills | 14 | $59,789 | $11,886 | $6,995 |
| St Joseph HospitalOrange | 13 | $34,412 | $10,482 | $8,605 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 13 | $68,640 | $12,039 | $10,732 |
| Rideout Memorial HospitalMarysville | 13 | $89,058 | $11,179 | $10,049 |
| Mercy Medical Center ReddingRedding | 13 | $71,742 | $10,229 | $9,186 |
| Saint John's Health CenterSanta Monica | 13 | $41,883 | $10,618 | $8,008 |
| Scripps Green HospitalLa Jolla | 13 | $68,810 | $15,060 | $10,662 |
| John Muir Medical Center - Concord CampusConcord | 13 | $102,375 | $12,474 | $11,307 |
| Scripps Memorial Hospital - EncinitasEncinitas | 13 | $47,499 | $9,921 | $7,816 |
| Community Regional Medical CenterFresno | 12 | $60,241 | $12,592 | $9,983 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $61,412 | $10,379 | $9,427 |
| Providence Tarzana Medical CenterTarzana | 12 | $63,806 | $10,718 | $9,824 |
| Scripps Mercy HospitalSan Diego | 11 | $72,321 | $12,252 | $11,344 |
| Loma Linda University Medical CenterLoma Linda | 11 | $72,576 | $18,245 | $13,927 |
| Long Beach Memorial Medical CenterLong Beach | 11 | $76,248 | $12,824 | $9,231 |
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
| Memorial Medical CenterModesto, CA | $9,359 |
|---|---|
| PIH Health Hospital-WhittierWhittier, CA | $9,896 |
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $9,921 |
| Clovis Community Medical CenterClovis, CA | $9,944 |
| San Antonio Community HospitalUpland, CA | $10,217 |
Highest
| Stanford HospitalPalo Alto, CA | $22,756 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $22,230 |
| University of California San Diego Medical CenterSan Diego, CA | $21,442 |
| Santa Clara Valley Medical CenterSan Jose, CA | $18,762 |
| Loma Linda University Medical CenterLoma Linda, CA | $18,245 |
Major gastrointestinal disorders and peritoneal infections with complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with complications cost in California?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 40 hospitals in California was billed at $82,768 on average, while the average total payment was $12,776, of which Medicare paid $10,177. 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.