facebook tracking Other disorders of the eye with major complications or thrombolytic agent cost in California: 1 hospitals compared (DRG 124)

Other disorders of the eye with major complications or thrombolytic agent in California

What 1 hospital in California charged and were paid for a Medicare hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124), from 2024 Medicare claims.

DRG 124 Inpatient 2024 Medicare data
Average charge $64,272 Hospital list price billed
Average payment $14,110 Medicare + patient + other payers
Medicare paid $13,517 Average per stay
Volume 11 Medicare hospital stays

Hospitals in California billed an average of $64,272 for other disorders of the eye with major complications or thrombolytic agent, about 4.6 times the average total payment of $14,110. That payment is 10% below the U.S. average of $15,678.

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 $14,110Billed $64,272

About 22¢ 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 disorders of the eye with major complications or thrombolytic agent

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 11 $64,272 $14,110 $13,517
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Other disorders of the eye with major complications or thrombolytic agent in other states

Questions

How much does other disorders of the eye with major complications or thrombolytic agent cost in California?

In 2024 Medicare data, a hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124) at 1 hospital in California was billed at $64,272 on average, while the average total payment was $14,110, of which Medicare paid $13,517. 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 4.6 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.