Other musculoskeletal system and connective tissue operating room procedures with complications in California
What 34 hospitals in California charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$168,945
Hospital list price billed
Average payment
$25,209
Medicare + patient + other payers
Medicare paid
$21,722
Average per stay
State rank
#31 of 33
1 = lowest average payment
Hospitals in California billed an average of $168,945 for other musculoskeletal system and connective tissue operating room procedures with complications, about 6.7 times the average total payment of $25,209. That payment is 33% above the U.S. average of $18,981.
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 $25,209Billed $168,945
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 musculoskeletal system and connective tissue operating room procedures 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 | 36 | $321,008 | $34,641 | $29,695 |
| Glendale Adventist Medical CtrGlendale | 32 | $127,772 | $21,208 | $19,672 |
| Sutter Roseville Medical CenterRoseville | 32 | $123,066 | $22,769 | $18,979 |
| UCSF Medical CenterSan Francisco | 29 | $149,546 | $33,602 | $28,776 |
| Cedars-Sinai Medical CenterLos Angeles | 28 | $278,851 | $25,766 | $21,704 |
| University of California Davis Medical CenterSacramento | 26 | $287,441 | $33,530 | $29,255 |
| University of California San Diego Medical CenterSan Diego | 23 | $146,493 | $33,178 | $25,794 |
| Santa Barbara Cottage HospitalSanta Barbara | 23 | $87,141 | $21,313 | $19,439 |
| Scripps Memorial Hospital - EncinitasEncinitas | 21 | $148,479 | $19,751 | $18,638 |
| Saint John's Health CenterSanta Monica | 20 | $69,715 | $17,679 | $15,622 |
| Enloe Medical CenterChico | 19 | $192,415 | $19,372 | $18,084 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 19 | $93,875 | $19,095 | $17,940 |
| Saint Agnes Medical CenterFresno | 17 | $72,798 | $22,642 | $20,636 |
| Torrance Memorial Medical CenterTorrance | 16 | $113,813 | $19,059 | $17,137 |
| Mercy San Juan Medical CenterCarmichael | 16 | $172,396 | $21,736 | $20,772 |
| Sherman Oaks HospitalSherman Oaks | 16 | $79,226 | $20,855 | $19,223 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 14 | $154,389 | $27,146 | $18,875 |
| UCLA Medical CenterLos Angeles | 14 | $116,146 | $36,951 | $31,296 |
| Doctors Medical CenterModesto | 14 | $308,705 | $21,596 | $19,947 |
| Sutter General HospitalSacramento | 13 | $103,480 | $22,650 | $21,591 |
| Scripps Memorial Hospital la JollaLa Jolla | 13 | $174,925 | $21,670 | $16,379 |
| Mission Hospital Regional Med CenterMission Viejo | 13 | $123,556 | $19,600 | $18,345 |
| Hollywood Presbyterian Medical CenterLos Angeles | 12 | $83,160 | $21,355 | $19,841 |
| Community Hospital of the Monterey PeninsulaMonterey | 12 | $117,544 | $22,417 | $21,057 |
| Good Samaritan HospitalSan Jose | 12 | $372,974 | $22,000 | $20,640 |
| Los Alamitos Medical CenterLos Alamitos | 12 | $240,878 | $19,087 | $17,863 |
| Memorial Medical CenterModesto | 12 | $113,153 | $19,902 | $18,542 |
| Eisenhower Memorial HospitalRancho Mirage | 12 | $87,469 | $21,272 | $19,474 |
| Grossmont HospitalLa Mesa | 11 | $173,041 | $20,848 | $19,513 |
| Sharp Memorial HospitalSan Diego | 11 | $124,514 | $21,982 | $19,600 |
| Desert Regional Medical CenterPalm Springs | 11 | $272,109 | $22,890 | $20,914 |
| Loma Linda University Medical CenterLoma Linda | 11 | $202,592 | $31,960 | $26,858 |
| UCI Health-OrangeOrange | 11 | $197,152 | $62,839 | $29,636 |
| Northbay Medical CenterFairfield | 11 | $202,135 | $24,449 | $22,942 |
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
| Saint John's Health CenterSanta Monica, CA | $17,679 |
|---|---|
| Torrance Memorial Medical CenterTorrance, CA | $19,059 |
| Los Alamitos Medical CenterLos Alamitos, CA | $19,087 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $19,095 |
| Enloe Medical CenterChico, CA | $19,372 |
Highest
| UCI Health-OrangeOrange, CA | $62,839 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $36,951 |
| Stanford HospitalPalo Alto, CA | $34,641 |
| UCSF Medical CenterSan Francisco, CA | $33,602 |
| University of California Davis Medical CenterSacramento, CA | $33,530 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in California?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 34 hospitals in California was billed at $168,945 on average, while the average total payment was $25,209, of which Medicare paid $21,722. 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.