facebook tracking Operating room procedures for obesity with complications cost in California: 3 hospitals compared (DRG 620)

Operating room procedures for obesity with complications in California

What 3 hospitals in California charged and were paid for a Medicare hospital stay for operating room procedures for obesity with complications (DRG 620), from 2024 Medicare claims.

DRG 620 Inpatient 2024 Medicare data
Average charge $117,375 Hospital list price billed
Average payment $18,307 Medicare + patient + other payers
Medicare paid $15,670 Average per stay
State rank #2 of 2 1 = lowest average payment

Hospitals in California billed an average of $117,375 for operating room procedures for obesity with complications, about 6.4 times the average total payment of $18,307. That payment is 9% above the U.S. average of $16,848.

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 $18,307Billed $117,375

About 16¢ 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: operating room procedures for obesity 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
Enloe Medical CenterChico 21 $84,089 $15,453 $13,302
Community Regional Medical CenterFresno 19 $59,462 $18,770 $15,722
University of California Davis Medical CenterSacramento 11 $280,953 $22,956 $20,103
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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.

Operating room procedures for obesity with complications in other states

Questions

How much does operating room procedures for obesity with complications cost in California?

In 2024 Medicare data, a hospital stay for operating room procedures for obesity with complications (DRG 620) at 3 hospitals in California was billed at $117,375 on average, while the average total payment was $18,307, of which Medicare paid $15,670. 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 6.4 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.