Other circulatory system diagnoses with complications in California
What 39 hospitals in California charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$88,064
Hospital list price billed
Average payment
$13,060
Medicare + patient + other payers
Medicare paid
$10,115
Average per stay
State rank
#36 of 37
1 = lowest average payment
Hospitals in California billed an average of $88,064 for other circulatory system diagnoses with complications, about 6.7 times the average total payment of $13,060. That payment is 26% above the U.S. average of $10,367.
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 $13,060Billed $88,064
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: other circulatory system diagnoses 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 57 | $165,880 | $17,644 | $12,731 |
| Cedars-Sinai Medical CenterLos Angeles | 42 | $159,519 | $13,524 | $9,938 |
| UCSF Medical CenterSan Francisco | 29 | $136,110 | $20,680 | $13,823 |
| University of California Davis Medical CenterSacramento | 29 | $130,881 | $15,991 | $11,557 |
| University of California San Diego Medical CenterSan Diego | 27 | $55,105 | $16,771 | $11,431 |
| Community Regional Medical CenterFresno | 27 | $68,540 | $11,158 | $9,808 |
| Scripps Memorial Hospital la JollaLa Jolla | 23 | $70,700 | $9,405 | $8,271 |
| UCLA Medical CenterLos Angeles | 22 | $97,019 | $20,877 | $14,004 |
| Sutter General HospitalSacramento | 21 | $66,290 | $13,087 | $8,871 |
| Kaweah Delta Medical CenterVisalia | 20 | $31,087 | $11,071 | $9,152 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 20 | $58,629 | $9,314 | $7,980 |
| Grossmont HospitalLa Mesa | 19 | $61,165 | $9,949 | $8,574 |
| Scripps Memorial Hospital - EncinitasEncinitas | 19 | $49,454 | $9,252 | $8,292 |
| Enloe Medical CenterChico | 18 | $74,638 | $9,402 | $8,314 |
| Clovis Community Medical CenterClovis | 18 | $57,812 | $9,743 | $7,679 |
| Saint Agnes Medical CenterFresno | 17 | $53,787 | $10,862 | $9,512 |
| Sutter Roseville Medical CenterRoseville | 17 | $54,391 | $10,050 | $9,136 |
| Santa Barbara Cottage HospitalSanta Barbara | 17 | $46,582 | $10,305 | $8,932 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 14 | $54,855 | $18,006 | $11,389 |
| Sharp Memorial HospitalSan Diego | 14 | $105,822 | $11,292 | $9,086 |
| Dominican HospitalSanta Cruz | 14 | $97,344 | $10,420 | $9,254 |
| Salinas Valley Memorial HospitalSalinas | 14 | $70,469 | $11,455 | $10,639 |
| Mercy General HospitalSacramento | 13 | $74,858 | $10,533 | $9,224 |
| Glendale Adventist Medical CtrGlendale | 13 | $81,809 | $10,852 | $9,589 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $127,663 | $9,690 | $7,991 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 13 | $155,480 | $10,303 | $9,261 |
| Eisenhower Memorial HospitalRancho Mirage | 13 | $55,841 | $10,922 | $9,707 |
| Providence Saint Joseph Medical CtrBurbank | 12 | $53,127 | $9,975 | $8,913 |
| Saint John's Health CenterSanta Monica | 12 | $33,763 | $9,417 | $8,175 |
| Loma Linda University Medical CenterLoma Linda | 12 | $90,864 | $16,961 | $13,461 |
| Mercy San Juan Medical CenterCarmichael | 12 | $67,689 | $10,221 | $9,254 |
| USC University HospitalLos Angeles | 12 | $73,847 | $17,103 | $9,560 |
| French Hospital Medical CenterSan Luis Obispo | 11 | $70,667 | $9,130 | $8,388 |
| Sonora Community HospitalSonora | 11 | $83,896 | $10,457 | $9,863 |
| Torrance Memorial Medical CenterTorrance | 11 | $67,553 | $10,904 | $7,203 |
| Los Angeles General Medical CenterLos Angeles | 11 | $41,614 | $23,671 | $19,524 |
| John Muir Medical Center - Concord CampusConcord | 11 | $115,401 | $11,539 | $10,100 |
| Memorial Medical CenterModesto | 11 | $63,967 | $12,475 | $7,657 |
| Mission Hospital Regional Med CenterMission Viejo | 11 | $54,304 | $11,997 | $7,375 |
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
| French Hospital Medical CenterSan Luis Obispo, CA | $9,130 |
|---|---|
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $9,252 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $9,314 |
| Enloe Medical CenterChico, CA | $9,402 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $9,405 |
Highest
| Los Angeles General Medical CenterLos Angeles, CA | $23,671 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $20,877 |
| UCSF Medical CenterSan Francisco, CA | $20,680 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $18,006 |
| Stanford HospitalPalo Alto, CA | $17,644 |
Other circulatory system diagnoses with complications in other states
Questions
How much does other circulatory system diagnoses with complications cost in California?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 39 hospitals in California was billed at $88,064 on average, while the average total payment was $13,060, of which Medicare paid $10,115. 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 6.7 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.