Other cardiothoracic procedures with major complications in California
What 20 hospitals in California charged and were paid for a Medicare hospital stay for other cardiothoracic procedures with major complications (DRG 228), from 2024 Medicare claims.
Average charge
$368,710
Hospital list price billed
Average payment
$63,458
Medicare + patient + other payers
Medicare paid
$59,587
Average per stay
State rank
#14 of 16
1 = lowest average payment
Hospitals in California billed an average of $368,710 for other cardiothoracic procedures with major complications, about 5.8 times the average total payment of $63,458. That payment is 19% above the U.S. average of $53,166.
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 $63,458Billed $368,710
About 17¢ 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: other cardiothoracic procedures 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 | 43 | $807,875 | $77,978 | $69,895 |
| Eisenhower Memorial HospitalRancho Mirage | 36 | $195,168 | $55,416 | $53,904 |
| St Josephs Med Center of StocktonStockton | 27 | $275,375 | $64,978 | $63,812 |
| Mercy General HospitalSacramento | 20 | $290,528 | $52,826 | $52,029 |
| Huntington Memorial HospitalPasadena | 20 | $324,941 | $54,601 | $53,113 |
| Community Hospital of the Monterey PeninsulaMonterey | 19 | $392,839 | $70,929 | $69,641 |
| St Jude Medical CenterFullerton | 19 | $205,111 | $50,227 | $48,944 |
| University of California San Diego Medical CenterSan Diego | 18 | $352,062 | $84,557 | $69,731 |
| Scripps Memorial Hospital la JollaLa Jolla | 18 | $345,267 | $49,515 | $45,724 |
| Santa Rosa Memorial HospitalSanta Rosa | 17 | $278,647 | $59,768 | $53,741 |
| St Joseph HospitalOrange | 15 | $246,102 | $62,655 | $52,776 |
| Loma Linda University Medical CenterLoma Linda | 15 | $306,249 | $75,727 | $69,742 |
| St Johns Regional Medical CenterOxnard | 13 | $327,185 | $60,827 | $59,335 |
| Scripps Mercy HospitalSan Diego | 12 | $286,751 | $55,905 | $54,430 |
| Saint Agnes Medical CenterFresno | 12 | $272,619 | $59,036 | $56,698 |
| USC Arcadia HospitalArcadia | 12 | $233,007 | $47,560 | $46,617 |
| Stanford HospitalPalo Alto | 12 | $810,902 | $91,269 | $84,388 |
| Alta Bates Summit Medical CenterOakland | 11 | $325,375 | $70,750 | $70,230 |
| Northridge Hospital Medical CenterNorthridge | 11 | $444,709 | $56,275 | $54,830 |
| St Bernardine Medical CenterSan Bernardino | 11 | $245,095 | $56,091 | $54,882 |
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 | $47,560 |
|---|---|
| Scripps Memorial Hospital la JollaLa Jolla, CA | $49,515 |
| St Jude Medical CenterFullerton, CA | $50,227 |
| Mercy General HospitalSacramento, CA | $52,826 |
| Huntington Memorial HospitalPasadena, CA | $54,601 |
Highest
| Stanford HospitalPalo Alto, CA | $91,269 |
|---|---|
| University of California San Diego Medical CenterSan Diego, CA | $84,557 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $77,978 |
| Loma Linda University Medical CenterLoma Linda, CA | $75,727 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $70,929 |
Other cardiothoracic procedures with major complications in other states
Questions
How much does other cardiothoracic procedures with major complications cost in California?
In 2024 Medicare data, a hospital stay for other cardiothoracic procedures with major complications (DRG 228) at 20 hospitals in California was billed at $368,710 on average, while the average total payment was $63,458, of which Medicare paid $59,587. 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 5.8 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.