Major gastrointestinal disorders and peritoneal infections with major complications in California
What 33 hospitals in California charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371), from 2024 Medicare claims.
Average charge
$131,313
Hospital list price billed
Average payment
$19,909
Medicare + patient + other payers
Medicare paid
$17,104
Average per stay
State rank
#29 of 34
1 = lowest average payment
Hospitals in California billed an average of $131,313 for major gastrointestinal disorders and peritoneal infections with major complications, about 6.6 times the average total payment of $19,909. That payment is 15% above the U.S. average of $17,357.
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 $19,909Billed $131,313
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 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 |
|---|---|---|---|---|
| Enloe Medical CenterChico | 28 | $113,135 | $16,223 | $15,466 |
| Cedars-Sinai Medical CenterLos Angeles | 21 | $309,646 | $26,066 | $20,849 |
| University of California San Diego Medical CenterSan Diego | 18 | $93,487 | $27,674 | $19,266 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 18 | $110,536 | $25,433 | $17,259 |
| Memorial Medical CenterModesto | 17 | $120,432 | $22,154 | $21,648 |
| Eisenhower Memorial HospitalRancho Mirage | 17 | $108,889 | $19,031 | $17,486 |
| Kaweah Delta Medical CenterVisalia | 16 | $79,412 | $20,510 | $18,365 |
| St Joseph HospitalOrange | 16 | $75,927 | $20,130 | $11,293 |
| Santa Rosa Memorial HospitalSanta Rosa | 16 | $127,815 | $18,751 | $17,797 |
| Torrance Memorial Medical CenterTorrance | 16 | $167,934 | $16,150 | $13,702 |
| Stanford HospitalPalo Alto | 16 | $173,651 | $24,978 | $20,148 |
| John Muir Medical Center - Concord CampusConcord | 16 | $141,646 | $18,777 | $17,260 |
| Adventist Health BakersfieldBakersfield | 15 | $97,596 | $14,542 | $13,880 |
| Hollywood Community Hospital of HollywoodLos Angeles | 14 | $74,415 | $16,758 | $15,595 |
| Glendale Adventist Medical CtrGlendale | 14 | $111,159 | $17,903 | $16,685 |
| Dominican HospitalSanta Cruz | 14 | $175,579 | $17,342 | $16,643 |
| Sutter Roseville Medical CenterRoseville | 14 | $88,114 | $18,961 | $15,260 |
| Saint Agnes Medical CenterFresno | 13 | $79,716 | $19,132 | $16,866 |
| Mercy Medical Center ReddingRedding | 13 | $117,977 | $16,937 | $16,111 |
| Clovis Community Medical CenterClovis | 13 | $82,085 | $16,442 | $15,424 |
| University of California Davis Medical CenterSacramento | 13 | $149,267 | $24,987 | $19,630 |
| San Antonio Community HospitalUpland | 12 | $114,884 | $16,556 | $15,332 |
| Sharp Memorial HospitalSan Diego | 12 | $172,844 | $22,185 | $18,902 |
| Northridge Hospital Medical CenterNorthridge | 12 | $114,602 | $17,861 | $16,701 |
| Verdugo Hills HospitalGlendale | 12 | $114,981 | $15,524 | $15,218 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 12 | $236,723 | $18,605 | $17,909 |
| Providence Holy Cross Medical CenterMission Hills | 12 | $94,371 | $18,464 | $16,794 |
| UCSF Medical CenterSan Francisco | 12 | $204,762 | $33,929 | $26,672 |
| Sherman Oaks HospitalSherman Oaks | 12 | $33,846 | $17,054 | $16,238 |
| St Jude Medical CenterFullerton | 11 | $95,517 | $17,653 | $16,748 |
| El Camino HospitalMountain View | 11 | $181,012 | $18,721 | $17,456 |
| Los Robles Hospital & Medical CenterThousand Oaks | 11 | $248,347 | $19,511 | $14,075 |
| Mission Hospital Regional Med CenterMission Viejo | 11 | $101,390 | $17,652 | $14,335 |
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
| Adventist Health BakersfieldBakersfield, CA | $14,542 |
|---|---|
| Verdugo Hills HospitalGlendale, CA | $15,524 |
| Torrance Memorial Medical CenterTorrance, CA | $16,150 |
| Enloe Medical CenterChico, CA | $16,223 |
| Clovis Community Medical CenterClovis, CA | $16,442 |
Highest
| UCSF Medical CenterSan Francisco, CA | $33,929 |
|---|---|
| University of California San Diego Medical CenterSan Diego, CA | $27,674 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $26,066 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $25,433 |
| University of California Davis Medical CenterSacramento, CA | $24,987 |
Major gastrointestinal disorders and peritoneal infections with major complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with major complications cost in California?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371) at 33 hospitals in California was billed at $131,313 on average, while the average total payment was $19,909, of which Medicare paid $17,104. 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 6.6 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.