Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in California
What 14 hospitals in California charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.
Average charge
$137,212
Hospital list price billed
Average payment
$19,074
Medicare + patient + other payers
Medicare paid
$15,704
Average per stay
State rank
#21 of 25
1 = lowest average payment
Hospitals in California billed an average of $137,212 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 7.2 times the average total payment of $19,074. That payment is 25% above the U.S. average of $15,246.
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 $19,074Billed $137,212
About 14¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio
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 | 29 | $172,217 | $16,145 | $12,932 |
| Stanford HospitalPalo Alto | 26 | $301,717 | $31,896 | $25,656 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 17 | $61,112 | $11,765 | $10,559 |
| Sutter Roseville Medical CenterRoseville | 17 | $62,405 | $15,346 | $11,034 |
| UCSF Medical CenterSan Francisco | 16 | $248,179 | $48,446 | $37,353 |
| Eisenhower Memorial HospitalRancho Mirage | 16 | $55,296 | $13,624 | $12,095 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 14 | $108,306 | $13,182 | $12,123 |
| Los Robles Hospital & Medical CenterThousand Oaks | 14 | $119,929 | $12,528 | $11,517 |
| University of California Davis Medical CenterSacramento | 14 | $148,364 | $19,536 | $15,393 |
| El Camino HospitalMountain View | 13 | $128,685 | $13,608 | $12,387 |
| Scripps Green HospitalLa Jolla | 13 | $92,633 | $19,514 | $14,722 |
| Saint Agnes Medical CenterFresno | 11 | $51,788 | $13,928 | $12,522 |
| San Antonio Community HospitalUpland | 11 | $77,133 | $12,128 | $11,237 |
| Clovis Community Medical CenterClovis | 11 | $99,915 | $12,031 | $11,428 |
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 | $11,765 |
|---|---|
| Clovis Community Medical CenterClovis, CA | $12,031 |
| San Antonio Community HospitalUpland, CA | $12,128 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $12,528 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $13,182 |
Highest
| UCSF Medical CenterSan Francisco, CA | $48,446 |
|---|---|
| Stanford HospitalPalo Alto, CA | $31,896 |
| University of California Davis Medical CenterSacramento, CA | $19,536 |
| Scripps Green HospitalLa Jolla, CA | $19,514 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $16,145 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states
Questions
How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in California?
In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 14 hospitals in California was billed at $137,212 on average, while the average total payment was $19,074, of which Medicare paid $15,704. 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 7.2 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.