Other ear, nose, mouth and throat operating room procedures without complications in California
What 2 hospitals in California charged and were paid for a Medicare hospital stay for other ear, nose, mouth and throat operating room procedures without complications (DRG 145), from 2024 Medicare claims.
Average charge
$142,206
Hospital list price billed
Average payment
$20,419
Medicare + patient + other payers
Medicare paid
$16,887
Average per stay
Volume
28
Medicare hospital stays
Hospitals in California billed an average of $142,206 for other ear, nose, mouth and throat operating room procedures without complications, about 7.0 times the average total payment of $20,419. That payment is 33% above the U.S. average of $15,352.
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 $20,419Billed $142,206
About 14¢ 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 ear, nose, mouth and throat operating room procedures without 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 |
|---|---|---|---|---|
| UCLA Medical CenterLos Angeles | 16 | $80,068 | $22,108 | $18,026 |
| Stanford HospitalPalo Alto | 12 | $225,056 | $18,167 | $15,369 |
Other ear, nose, mouth and throat operating room procedures without complications in other states
Questions
How much does other ear, nose, mouth and throat operating room procedures without complications cost in California?
In 2024 Medicare data, a hospital stay for other ear, nose, mouth and throat operating room procedures without complications (DRG 145) at 2 hospitals in California was billed at $142,206 on average, while the average total payment was $20,419, of which Medicare paid $16,887. 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 7.0 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.