Other respiratory system diagnoses with major complications in California
What 20 hospitals in California charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.
Average charge
$218,117
Hospital list price billed
Average payment
$35,316
Medicare + patient + other payers
Medicare paid
$25,269
Average per stay
State rank
#21 of 21
1 = lowest average payment
Hospitals in California billed an average of $218,117 for other respiratory system diagnoses with major complications, about 6.2 times the average total payment of $35,316. That payment is 55% above the U.S. average of $22,775.
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 $35,316Billed $218,117
About 16¢ 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 respiratory system diagnoses 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 110 | $416,569 | $59,635 | $34,893 |
| UCLA Medical CenterLos Angeles | 48 | $130,508 | $38,212 | $27,837 |
| Cedars-Sinai Medical CenterLos Angeles | 41 | $299,596 | $25,485 | $20,954 |
| University of California San Diego Medical CenterSan Diego | 33 | $167,677 | $38,903 | $27,598 |
| UCSF Medical CenterSan Francisco | 31 | $237,706 | $48,692 | $35,372 |
| Centinela Hospital Medical CenterInglewood | 23 | $48,628 | $18,674 | $18,177 |
| University of California Davis Medical CenterSacramento | 19 | $174,068 | $29,027 | $22,431 |
| Saint Francis Medical CenterLynwood | 17 | $55,768 | $20,321 | $19,265 |
| Santa Barbara Cottage HospitalSanta Barbara | 15 | $119,599 | $19,621 | $17,827 |
| Enloe Medical CenterChico | 14 | $121,707 | $17,454 | $16,203 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 14 | $72,530 | $16,026 | $14,826 |
| USC University HospitalLos Angeles | 14 | $153,798 | $31,423 | $20,647 |
| Huntington Memorial HospitalPasadena | 13 | $149,205 | $16,695 | $15,133 |
| West Hills Hospital & Medical CenterWest Hills | 12 | $159,776 | $15,549 | $14,291 |
| Sutter General HospitalSacramento | 11 | $69,388 | $24,691 | $18,755 |
| El Camino HospitalMountain View | 11 | $411,893 | $34,780 | $34,110 |
| Scripps Memorial Hospital la JollaLa Jolla | 11 | $121,100 | $17,395 | $16,063 |
| West Anaheim Medical CenterAnaheim | 11 | $39,249 | $19,347 | $18,083 |
| Scripps Memorial Hospital - EncinitasEncinitas | 11 | $72,174 | $15,880 | $14,675 |
| Memorial Medical CenterModesto | 11 | $135,748 | $18,228 | $16,927 |
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
| West Hills Hospital & Medical CenterWest Hills, CA | $15,549 |
|---|---|
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $15,880 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $16,026 |
| Huntington Memorial HospitalPasadena, CA | $16,695 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $17,395 |
Highest
| Stanford HospitalPalo Alto, CA | $59,635 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $48,692 |
| University of California San Diego Medical CenterSan Diego, CA | $38,903 |
| UCLA Medical CenterLos Angeles, CA | $38,212 |
| El Camino HospitalMountain View, CA | $34,780 |
Other respiratory system diagnoses with major complications in other states
Questions
How much does other respiratory system diagnoses with major complications cost in California?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 20 hospitals in California was billed at $218,117 on average, while the average total payment was $35,316, of which Medicare paid $25,269. 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 6.2 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.