Other operating room procedures for injuries with major complications in California
What 14 hospitals in California charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.
Average charge
$400,621
Hospital list price billed
Average payment
$66,761
Medicare + patient + other payers
Medicare paid
$55,645
Average per stay
State rank
#26 of 26
1 = lowest average payment
Hospitals in California billed an average of $400,621 for other operating room procedures for injuries with major complications, about 6.0 times the average total payment of $66,761. That payment is 53% above the U.S. average of $43,774.
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 $66,761Billed $400,621
About 17¢ 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 operating room procedures for injuries 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 28 | $507,761 | $49,891 | $44,103 |
| UCSF Medical CenterSan Francisco | 27 | $500,603 | $99,658 | $81,585 |
| Stanford HospitalPalo Alto | 23 | $960,769 | $97,062 | $85,545 |
| Community Regional Medical CenterFresno | 20 | $250,217 | $43,989 | $42,042 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 19 | $189,403 | $37,806 | $36,707 |
| University of California San Diego Medical CenterSan Diego | 18 | $274,244 | $64,938 | $51,142 |
| UCI Health-OrangeOrange | 15 | $314,956 | $74,829 | $67,461 |
| University of California Davis Medical CenterSacramento | 15 | $652,473 | $102,024 | $89,077 |
| Eisenhower Memorial HospitalRancho Mirage | 13 | $204,132 | $40,137 | $38,182 |
| St Joseph HospitalOrange | 12 | $95,239 | $35,839 | $31,153 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 11 | $189,939 | $81,502 | $34,967 |
| UCLA Medical CenterLos Angeles | 11 | $206,865 | $71,107 | $59,824 |
| Mercy Medical Center ReddingRedding | 11 | $168,602 | $35,423 | $33,821 |
| Northbay Medical CenterFairfield | 11 | $531,558 | $78,365 | $47,618 |
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
| Mercy Medical Center ReddingRedding, CA | $35,423 |
|---|---|
| St Joseph HospitalOrange, CA | $35,839 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $37,806 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $40,137 |
| Community Regional Medical CenterFresno, CA | $43,989 |
Highest
| University of California Davis Medical CenterSacramento, CA | $102,024 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $99,658 |
| Stanford HospitalPalo Alto, CA | $97,062 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $81,502 |
| Northbay Medical CenterFairfield, CA | $78,365 |
Other operating room procedures for injuries with major complications in other states
Questions
How much does other operating room procedures for injuries with major complications cost in California?
In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 14 hospitals in California was billed at $400,621 on average, while the average total payment was $66,761, of which Medicare paid $55,645. 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 6.0 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.