facebook tracking Other digestive system diagnoses with major complications cost in California: 97 hospitals compared (DRG 393)

Other digestive system diagnoses with major complications in California

What 97 hospitals in California charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.

DRG 393 Inpatient 2024 Medicare data
Average charge $123,060 Hospital list price billed
Average payment $21,249 Medicare + patient + other payers
Medicare paid $17,520 Average per stay
State rank #42 of 44 1 = lowest average payment

Hospitals in California billed an average of $123,060 for other digestive system diagnoses with major complications, about 5.8 times the average total payment of $21,249. That payment is 24% above the U.S. average of $17,117.

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 $21,249Billed $123,060

About 17¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: other digestive system diagnoses 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
Hollywood Community Hospital of HollywoodLos Angeles 136 $85,854 $17,809 $16,957
Cedars-Sinai Medical CenterLos Angeles 105 $249,892 $34,138 $18,208
Los Angeles Community HospitalLos Angeles 97 $53,658 $17,363 $16,515
Stanford HospitalPalo Alto 59 $268,319 $31,849 $22,539
UCSF Medical CenterSan Francisco 42 $220,507 $37,664 $25,600
Memorial Medical CenterModesto 42 $77,503 $17,437 $13,882
Sutter Roseville Medical CenterRoseville 41 $71,816 $20,865 $15,211
Hoag Memorial Hospital PresbyterianNewport Beach 40 $69,630 $15,753 $14,201
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 38 $106,166 $26,015 $18,294
University of California San Diego Medical CenterSan Diego 36 $134,432 $33,531 $22,474
USC Arcadia HospitalArcadia 31 $105,986 $14,364 $12,911
UCLA Medical CenterLos Angeles 31 $181,245 $45,010 $31,699
El Camino HospitalMountain View 29 $168,022 $19,195 $18,114
St Jude Medical CenterFullerton 28 $87,237 $18,487 $14,401
Torrance Memorial Medical CenterTorrance 28 $153,497 $16,594 $15,116
Foothill Regional Medical CenterTustin 28 $81,439 $16,454 $15,415
Enloe Medical CenterChico 27 $116,389 $15,349 $14,231
University of California Davis Medical CenterSacramento 27 $161,157 $25,315 $19,062
Glendale Adventist Medical CtrGlendale 26 $84,383 $17,604 $16,188
John Muir Medical Center - Walnut Creek CampusWalnut Creek 25 $215,030 $19,314 $18,061
UCI Health-OrangeOrange 25 $128,087 $27,458 $22,783
Scripps Mercy HospitalSan Diego 24 $123,822 $19,106 $17,617
Peninsula Medical CenterBurlingame 23 $78,861 $19,965 $16,680
Huntington Memorial HospitalPasadena 23 $127,594 $16,963 $15,653
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 22 $112,596 $32,642 $24,167
Emanate Health Inter-Community HospitalCovina 22 $80,273 $17,019 $14,981
Mission Hospital Regional Med CenterMission Viejo 22 $87,993 $15,930 $15,040
Centinela Hospital Medical CenterInglewood 22 $68,438 $17,699 $16,182
Kaweah Delta Medical CenterVisalia 21 $58,049 $18,825 $16,884
San Antonio Community HospitalUpland 21 $143,053 $16,175 $15,203
Eisenhower Memorial HospitalRancho Mirage 21 $94,514 $18,485 $16,892
Scripps Memorial Hospital la JollaLa Jolla 20 $92,034 $17,574 $13,996
PIH Health Hospital-WhittierWhittier 19 $92,627 $16,323 $15,387
Loma Linda University Medical CenterLoma Linda 19 $132,720 $27,396 $21,450
Alhambra Hospital Medical CenterAlhambra 18 $105,299 $16,810 $16,084
Santa Barbara Cottage HospitalSanta Barbara 18 $84,777 $17,501 $16,088
Providence Tarzana Medical CenterTarzana 18 $106,019 $16,488 $15,295
Saint Agnes Medical CenterFresno 17 $64,739 $19,057 $15,238
Sharp Memorial HospitalSan Diego 17 $95,546 $17,973 $14,772
San Gabriel Valley Medical CenterSan Gabriel 17 $84,064 $17,048 $15,992
Doctors Medical CenterModesto 17 $389,633 $17,446 $16,089
Scripps Memorial Hospital - EncinitasEncinitas 17 $78,133 $15,875 $14,800
Fountain Valley Regional Hospital & Medical CenterFountain Valley 17 $152,110 $17,016 $15,956
Oroville HospitalOroville 16 $29,458 $16,004 $15,494
Santa Clara Valley Medical CenterSan Jose 16 $156,772 $39,816 $35,272
Santa Rosa Memorial HospitalSanta Rosa 16 $96,970 $20,949 $16,318
Providence Saint Joseph Medical CtrBurbank 16 $85,442 $16,630 $15,619
Clovis Community Medical CenterClovis 16 $104,914 $16,027 $14,891
Bakersfield Memorial HospitalBakersfield 15 $87,671 $16,543 $15,664
Desert Regional Medical CenterPalm Springs 15 $203,928 $17,568 $16,232
Saint John's Health CenterSanta Monica 15 $79,862 $15,962 $14,192
West Hills Hospital & Medical CenterWest Hills 15 $207,041 $15,907 $14,928
Long Beach Memorial Medical CenterLong Beach 15 $204,862 $22,893 $19,824
Marina del Rey HospitalMarina del Rey 15 $130,815 $15,716 $14,192
Sherman Oaks HospitalSherman Oaks 15 $45,132 $16,737 $15,785
Shasta Regional Medical CenterRedding 15 $63,842 $15,623 $14,567
Alta Bates Summit Medical CenterOakland 14 $65,539 $18,728 $17,410
Valley Presbyterian HospitalVan Nuys 14 $112,163 $21,553 $19,892
Washington HospitalFremont 14 $131,663 $18,521 $17,421
Simi Valley Hospital & Health Care ServicesSimi Valley 14 $93,858 $14,882 $13,372
Providence Holy Cross Medical CenterMission Hills 14 $102,787 $17,418 $16,399
Mercy Medical Center ReddingRedding 14 $87,500 $16,474 $15,311
Providence Little Company of Mary Med Ctr TorranceTorrance 14 $98,031 $17,048 $15,271
Northbay Medical CenterFairfield 14 $272,845 $19,785 $17,485
Good Samaritan HospitalSan Jose 14 $312,472 $18,058 $16,776
Scripps Green HospitalLa Jolla 14 $80,942 $22,271 $15,667
John Muir Medical Center - Concord CampusConcord 14 $151,977 $19,127 $17,875
La Palma Intercommunity HospBuena Park 14 $53,708 $16,692 $15,963
Foothill Presbyterian HospitalGlendora 14 $58,119 $15,643 $14,825
Henry Mayo Newhall Memorial HospitalValencia 14 $146,821 $15,380 $14,447
Riverside Community HospitalRiverside 13 $205,565 $20,156 $17,109
St Johns Regional Medical CenterOxnard 13 $91,025 $16,481 $14,992
White Memorial Medical CenterLos Angeles 13 $133,369 $20,500 $18,559
San Francisco General HospitalSan Francisco 13 $127,975 $31,980 $29,151
Pomona Valley Hospital Medical CenterPomona 13 $163,339 $19,001 $17,593
Sutter Medical Center of Santa RosaSanta Rosa 13 $102,064 $21,829 $19,773
Riverside County Regional Medical CenterMoreno Valley 13 $187,634 $33,873 $32,089
Highland HospitalOakland 13 $52,906 $26,782 $25,333
West Anaheim Medical CenterAnaheim 13 $48,458 $17,587 $16,127
Saddleback Memorial Medical CenterLaguna Hills 13 $83,803 $15,366 $14,111
Temecula Valley HospitalTemecula 13 $107,608 $22,136 $20,240
Grossmont HospitalLa Mesa 12 $114,259 $16,890 $16,006
St Joseph HospitalOrange 12 $46,481 $17,966 $14,781
Sutter General HospitalSacramento 12 $67,977 $18,108 $16,837
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 12 $111,429 $36,402 $16,403
Community Memorial Hospital - VenturaVentura 12 $48,300 $19,170 $17,251
Good Samaritan HospitalLos Angeles 12 $68,452 $17,524 $16,731
Lakewood Regional Medical CenterLakewood 12 $131,899 $16,492 $15,923
USC University HospitalLos Angeles 12 $85,084 $26,796 $19,059
St Josephs Med Center of StocktonStockton 11 $133,882 $22,047 $20,320
Saint Francis Medical CenterLynwood 11 $55,789 $18,138 $16,914
Marian Medical CenterSanta Maria 11 $93,494 $17,485 $15,954
Northridge Hospital Medical CenterNorthridge 11 $128,366 $17,631 $16,521
St Bernardine Medical CenterSan Bernardino 11 $118,398 $19,019 $17,967
Sutter Delta Medical CenterAntioch 11 $84,024 $18,738 $17,551
Los Robles Hospital & Medical CenterThousand Oaks 11 $218,967 $33,840 $12,611
Los Alamitos Medical CenterLos Alamitos 11 $139,331 $15,266 $13,930
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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

USC Arcadia HospitalArcadia, CA$14,364
Simi Valley Hospital & Health Care ServicesSimi Valley, CA$14,882
Los Alamitos Medical CenterLos Alamitos, CA$15,266
Enloe Medical CenterChico, CA$15,349
Saddleback Memorial Medical CenterLaguna Hills, CA$15,366

Highest

UCLA Medical CenterLos Angeles, CA$45,010
Santa Clara Valley Medical CenterSan Jose, CA$39,816
UCSF Medical CenterSan Francisco, CA$37,664
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA$36,402
Cedars-Sinai Medical CenterLos Angeles, CA$34,138

Other digestive system diagnoses with major complications in other states

Questions

How much does other digestive system diagnoses with major complications cost in California?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 97 hospitals in California was billed at $123,060 on average, while the average total payment was $21,249, of which Medicare paid $17,520. 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.