Malignancy of hepatobiliary system or pancreas with major complications in California
What 45 hospitals in California charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$171,424
Hospital list price billed
Average payment
$25,062
Medicare + patient + other payers
Medicare paid
$20,825
Average per stay
State rank
#30 of 32
1 = lowest average payment
Hospitals in California billed an average of $171,424 for malignancy of hepatobiliary system or pancreas with major complications, about 6.8 times the average total payment of $25,062. That payment is 29% above the U.S. average of $19,425.
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 $25,062Billed $171,424
About 15¢ 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: malignancy of hepatobiliary system or pancreas 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 73 | $318,110 | $27,158 | $21,410 |
| Stanford HospitalPalo Alto | 64 | $359,660 | $37,237 | $30,029 |
| UCSF Medical CenterSan Francisco | 39 | $157,066 | $31,368 | $26,694 |
| University of California San Diego Medical CenterSan Diego | 31 | $120,295 | $30,050 | $22,075 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 30 | $95,626 | $29,910 | $22,284 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 29 | $122,352 | $23,635 | $21,239 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 29 | $75,842 | $16,496 | $15,222 |
| Torrance Memorial Medical CenterTorrance | 28 | $222,369 | $21,790 | $17,778 |
| Santa Barbara Cottage HospitalSanta Barbara | 28 | $134,913 | $18,819 | $17,000 |
| UCI Health-OrangeOrange | 26 | $95,113 | $27,095 | $23,619 |
| University of California Davis Medical CenterSacramento | 26 | $303,239 | $44,453 | $36,066 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 24 | $194,701 | $24,788 | $17,016 |
| Eisenhower Memorial HospitalRancho Mirage | 23 | $117,811 | $21,062 | $16,991 |
| UCLA Medical CenterLos Angeles | 22 | $176,242 | $45,983 | $35,432 |
| USC University HospitalLos Angeles | 22 | $126,661 | $32,858 | $21,520 |
| El Camino HospitalMountain View | 21 | $179,968 | $21,704 | $20,423 |
| Scripps Green HospitalLa Jolla | 20 | $117,922 | $24,978 | $16,640 |
| Adventist Health BakersfieldBakersfield | 20 | $93,533 | $17,692 | $16,379 |
| Grossmont HospitalLa Mesa | 18 | $115,169 | $18,355 | $17,271 |
| Enloe Medical CenterChico | 18 | $122,129 | $17,104 | $15,834 |
| Santa Rosa Memorial HospitalSanta Rosa | 18 | $129,765 | $19,577 | $18,183 |
| Sutter Roseville Medical CenterRoseville | 18 | $75,472 | $18,575 | $17,408 |
| Clovis Community Medical CenterClovis | 18 | $113,667 | $16,926 | $15,327 |
| Community Hospital of the Monterey PeninsulaMonterey | 17 | $153,682 | $21,915 | $20,859 |
| Los Robles Hospital & Medical CenterThousand Oaks | 17 | $238,540 | $18,705 | $16,406 |
| Community Regional Medical CenterFresno | 16 | $122,893 | $19,638 | $17,483 |
| Saint Agnes Medical CenterFresno | 16 | $73,025 | $20,901 | $15,943 |
| Long Beach Memorial Medical CenterLong Beach | 16 | $203,038 | $23,348 | $18,339 |
| Scripps Memorial Hospital la JollaLa Jolla | 15 | $89,874 | $17,038 | $16,059 |
| Good Samaritan HospitalSan Jose | 15 | $373,999 | $20,390 | $17,322 |
| St Jude Medical CenterFullerton | 14 | $75,141 | $17,491 | $16,135 |
| Glendale Adventist Medical CtrGlendale | 14 | $137,604 | $19,675 | $18,574 |
| Mercy Medical Center ReddingRedding | 14 | $119,289 | $18,455 | $16,715 |
| Santa Clara Valley Medical CenterSan Jose | 13 | $183,773 | $33,666 | $31,599 |
| Scripps Mercy HospitalSan Diego | 13 | $187,301 | $19,341 | $17,801 |
| Sutter General HospitalSacramento | 13 | $68,982 | $22,230 | $17,009 |
| Washington HospitalFremont | 13 | $130,180 | $20,126 | $18,883 |
| Sharp Chula Vista Medical CenterChula Vista | 13 | $162,806 | $19,649 | $15,398 |
| Peninsula Medical CenterBurlingame | 12 | $78,930 | $20,122 | $18,814 |
| Providence Saint Joseph Medical CtrBurbank | 12 | $93,546 | $18,704 | $15,139 |
| Los Angeles General Medical CenterLos Angeles | 12 | $103,013 | $41,024 | $32,214 |
| Huntington Memorial HospitalPasadena | 12 | $211,591 | $20,381 | $19,125 |
| Marian Medical CenterSanta Maria | 11 | $95,100 | $18,967 | $17,923 |
| USC Arcadia HospitalArcadia | 11 | $173,273 | $15,730 | $13,183 |
| Stanford Health Care Tri-ValleyPleasanton | 11 | $170,244 | $19,979 | $18,792 |
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
| USC Arcadia HospitalArcadia, CA | $15,730 |
|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $16,496 |
| Clovis Community Medical CenterClovis, CA | $16,926 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $17,038 |
| Enloe Medical CenterChico, CA | $17,104 |
Highest
| UCLA Medical CenterLos Angeles, CA | $45,983 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $44,453 |
| Los Angeles General Medical CenterLos Angeles, CA | $41,024 |
| Stanford HospitalPalo Alto, CA | $37,237 |
| Santa Clara Valley Medical CenterSan Jose, CA | $33,666 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in California?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 45 hospitals in California was billed at $171,424 on average, while the average total payment was $25,062, of which Medicare paid $20,825. 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 6.8 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.