Major small and large bowel procedures without complications in California
What 40 hospitals in California charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.
Average charge
$132,746
Hospital list price billed
Average payment
$20,062
Medicare + patient + other payers
Medicare paid
$16,328
Average per stay
State rank
#40 of 42
1 = lowest average payment
Hospitals in California billed an average of $132,746 for major small and large bowel procedures without complications, about 6.6 times the average total payment of $20,062. That payment is 25% above the U.S. average of $16,035.
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 $20,062Billed $132,746
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 small and large bowel procedures 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 44 | $221,776 | $21,364 | $17,782 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 37 | $139,215 | $16,126 | $14,291 |
| Sutter General HospitalSacramento | 30 | $95,361 | $20,625 | $17,695 |
| Santa Barbara Cottage HospitalSanta Barbara | 30 | $94,199 | $17,474 | $16,014 |
| Eisenhower Memorial HospitalRancho Mirage | 30 | $125,606 | $19,496 | $16,229 |
| Stanford HospitalPalo Alto | 28 | $213,150 | $26,485 | $23,528 |
| UCI Health-OrangeOrange | 27 | $94,771 | $26,429 | $21,419 |
| University of California Davis Medical CenterSacramento | 26 | $175,769 | $25,381 | $18,375 |
| Scripps Green HospitalLa Jolla | 24 | $204,857 | $21,818 | $16,057 |
| Sharp Memorial HospitalSan Diego | 23 | $141,146 | $19,956 | $13,606 |
| UCSF Medical CenterSan Francisco | 23 | $150,224 | $30,907 | $22,411 |
| USC University HospitalLos Angeles | 23 | $81,297 | $23,959 | $18,758 |
| John Muir Medical Center - Concord CampusConcord | 22 | $217,577 | $19,454 | $17,857 |
| Marian Medical CenterSanta Maria | 21 | $106,554 | $19,423 | $14,645 |
| Sutter Roseville Medical CenterRoseville | 21 | $97,319 | $19,419 | $13,680 |
| Scripps Memorial Hospital la JollaLa Jolla | 21 | $191,601 | $16,060 | $14,506 |
| Mission Hospital Regional Med CenterMission Viejo | 21 | $114,750 | $17,608 | $13,817 |
| Enloe Medical CenterChico | 20 | $138,336 | $15,995 | $14,608 |
| Torrance Memorial Medical CenterTorrance | 20 | $111,229 | $16,132 | $14,129 |
| Huntington Memorial HospitalPasadena | 20 | $147,876 | $16,855 | $15,385 |
| Community Regional Medical CenterFresno | 19 | $119,096 | $19,627 | $15,406 |
| Saint Agnes Medical CenterFresno | 19 | $66,454 | $19,173 | $15,187 |
| El Camino HospitalMountain View | 19 | $162,078 | $20,893 | $15,200 |
| Memorial Medical CenterModesto | 19 | $92,212 | $17,745 | $14,139 |
| Community Hospital of the Monterey PeninsulaMonterey | 18 | $105,168 | $18,618 | $17,349 |
| Mercy Medical Center ReddingRedding | 16 | $111,958 | $23,299 | $14,706 |
| Mercy HospitalBakersfield | 16 | $106,164 | $18,211 | $13,388 |
| Marinhealth Medical CenterGreenbrae | 16 | $211,435 | $18,933 | $17,505 |
| St Johns Regional Medical CenterOxnard | 15 | $106,913 | $16,762 | $15,182 |
| St Jude Medical CenterFullerton | 13 | $75,035 | $18,938 | $12,567 |
| Providence Saint Joseph Medical CtrBurbank | 13 | $96,148 | $17,080 | $15,746 |
| UCLA Medical CenterLos Angeles | 13 | $103,274 | $26,260 | $20,314 |
| Washington HospitalFremont | 12 | $107,889 | $19,087 | $16,311 |
| Saint John's Health CenterSanta Monica | 12 | $89,419 | $15,767 | $13,896 |
| Mercy General HospitalSacramento | 11 | $137,439 | $17,841 | $16,316 |
| Kaweah Delta Medical CenterVisalia | 11 | $59,353 | $17,731 | $15,943 |
| St Joseph HospitalOrange | 11 | $84,246 | $19,751 | $13,957 |
| Dominican HospitalSanta Cruz | 11 | $118,008 | $17,689 | $16,057 |
| Clovis Community Medical CenterClovis | 11 | $117,237 | $16,030 | $12,900 |
| Orange Coast Memorial Medical CenterFountain Valley | 11 | $96,159 | $18,436 | $13,596 |
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
| Saint John's Health CenterSanta Monica, CA | $15,767 |
|---|---|
| Enloe Medical CenterChico, CA | $15,995 |
| Clovis Community Medical CenterClovis, CA | $16,030 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $16,060 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $16,126 |
Highest
| UCSF Medical CenterSan Francisco, CA | $30,907 |
|---|---|
| Stanford HospitalPalo Alto, CA | $26,485 |
| UCI Health-OrangeOrange, CA | $26,429 |
| UCLA Medical CenterLos Angeles, CA | $26,260 |
| University of California Davis Medical CenterSacramento, CA | $25,381 |
Major small and large bowel procedures without complications in other states
Questions
How much does major small and large bowel procedures without complications cost in California?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 40 hospitals in California was billed at $132,746 on average, while the average total payment was $20,062, of which Medicare paid $16,328. 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.