facebook tracking Other cardiothoracic procedures without major complications cost in California: 26 hospitals compared (DRG 229)

Other cardiothoracic procedures without major complications in California

What 26 hospitals in California charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.

DRG 229 Inpatient 2024 Medicare data
Average charge $224,785 Hospital list price billed
Average payment $37,873 Medicare + patient + other payers
Medicare paid $34,477 Average per stay
State rank #25 of 26 1 = lowest average payment

Hospitals in California billed an average of $224,785 for other cardiothoracic procedures without major complications, about 5.9 times the average total payment of $37,873. That payment is 26% above the U.S. average of $29,975.

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 $37,873Billed $224,785

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 without 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
Eisenhower Memorial HospitalRancho Mirage 96 $133,147 $35,002 $33,148
St Helena HospitalDeer Park 39 $284,105 $33,755 $32,291
Mercy General HospitalSacramento 39 $240,200 $34,370 $31,899
Cedars-Sinai Medical CenterLos Angeles 37 $414,006 $40,199 $35,190
Stanford HospitalPalo Alto 34 $444,656 $54,495 $45,852
Loma Linda University Medical CenterLoma Linda 30 $200,086 $45,830 $40,905
Scripps Memorial Hospital la JollaLa Jolla 29 $243,262 $30,498 $29,205
Community Hospital of the Monterey PeninsulaMonterey 27 $222,841 $38,907 $37,699
Huntington Memorial HospitalPasadena 26 $186,855 $32,287 $28,958
St Johns Regional Medical CenterOxnard 23 $166,499 $32,491 $31,053
Peninsula Medical CenterBurlingame 22 $200,969 $50,126 $31,041
Alta Bates Summit Medical CenterOakland 22 $217,495 $39,434 $38,379
Hoag Memorial Hospital PresbyterianNewport Beach 22 $135,936 $30,749 $29,466
University of California San Diego Medical CenterSan Diego 19 $157,727 $46,357 $40,008
Sutter General HospitalSacramento 16 $218,737 $37,903 $36,150
John Muir Medical Center - Concord CampusConcord 16 $357,964 $43,725 $32,826
St Josephs Med Center of StocktonStockton 15 $154,573 $41,326 $40,401
Washington HospitalFremont 15 $238,626 $35,554 $34,312
St Jude Medical CenterFullerton 13 $151,424 $34,261 $32,600
Community Memorial Hospital - VenturaVentura 13 $136,513 $35,636 $33,989
University of California Davis Medical CenterSacramento 13 $190,540 $43,629 $40,813
Antelope Valley Hospital Med CenterLancaster 12 $207,723 $32,498 $32,085
Santa Rosa Memorial HospitalSanta Rosa 12 $210,019 $36,336 $35,250
Marinhealth Medical CenterGreenbrae 12 $286,189 $37,090 $35,730
Memorial Medical CenterModesto 12 $189,371 $33,622 $32,264
USC Arcadia HospitalArcadia 11 $163,990 $25,389 $23,843
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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.

Lowest

Other cardiothoracic procedures without major complications in other states

Questions

How much does other cardiothoracic procedures without major complications cost in California?

In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 26 hospitals in California was billed at $224,785 on average, while the average total payment was $37,873, of which Medicare paid $34,477. 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 5.9 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.