Other factors influencing health status in California
What 9 hospitals in California charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$42,139
Hospital list price billed
Average payment
$6,736
Medicare + patient + other payers
Medicare paid
$5,508
Average per stay
State rank
#15 of 17
1 = lowest average payment
Hospitals in California billed an average of $42,139 for other factors influencing health status, about 6.3 times the average total payment of $6,736. That payment is 10% above the U.S. average of $6,140.
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 $6,736Billed $42,139
About 16¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: other factors influencing health status
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 |
|---|---|---|---|---|
| Kaweah Delta Medical CenterVisalia | 30 | $25,408 | $6,812 | $5,528 |
| Grossmont HospitalLa Mesa | 20 | $40,318 | $7,413 | $5,401 |
| Queen of the Valley Medical CenterNapa | 19 | $63,318 | $7,210 | $6,137 |
| St Joseph HospitalEureka | 14 | $54,571 | $6,809 | $5,170 |
| Sierra Nevada Memorial HospitalGrass Valley | 14 | $43,646 | $6,099 | $4,936 |
| Rideout Memorial HospitalMarysville | 13 | $35,705 | $6,286 | $5,407 |
| Palomar Medical Center PowayPoway | 13 | $44,375 | $6,118 | $5,302 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $28,056 | $6,016 | $5,336 |
| Santa Rosa Memorial HospitalSanta Rosa | 11 | $57,076 | $7,243 | $6,267 |
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
| Mission Hospital Regional Med CenterMission Viejo, CA | $6,016 |
|---|---|
| Sierra Nevada Memorial HospitalGrass Valley, CA | $6,099 |
| Palomar Medical Center PowayPoway, CA | $6,118 |
| Rideout Memorial HospitalMarysville, CA | $6,286 |
| St Joseph HospitalEureka, CA | $6,809 |
Highest
| Grossmont HospitalLa Mesa, CA | $7,413 |
|---|---|
| Santa Rosa Memorial HospitalSanta Rosa, CA | $7,243 |
| Queen of the Valley Medical CenterNapa, CA | $7,210 |
| Kaweah Delta Medical CenterVisalia, CA | $6,812 |
| St Joseph HospitalEureka, CA | $6,809 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in California?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 9 hospitals in California was billed at $42,139 on average, while the average total payment was $6,736, of which Medicare paid $5,508. 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 6.3 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.