Other respiratory system diagnoses without major complications in California
What 16 hospitals in California charged and were paid for a Medicare hospital stay for other respiratory system diagnoses without major complications (DRG 206), from 2024 Medicare claims.
Average charge
$69,989
Hospital list price billed
Average payment
$11,535
Medicare + patient + other payers
Medicare paid
$9,284
Average per stay
State rank
#5 of 8
1 = lowest average payment
Hospitals in California billed an average of $69,989 for other respiratory system diagnoses without major complications, about 6.1 times the average total payment of $11,535. That payment is about the same as the U.S. average of $11,447.
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 $11,535Billed $69,989
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 without 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 |
|---|---|---|---|---|
| Centinela Hospital Medical CenterInglewood | 95 | $28,987 | $9,995 | $8,991 |
| Stanford HospitalPalo Alto | 29 | $215,129 | $17,841 | $12,953 |
| Cedars-Sinai Medical CenterLos Angeles | 25 | $186,871 | $12,525 | $9,763 |
| Saint Francis Medical CenterLynwood | 22 | $45,372 | $10,407 | $9,201 |
| Desert Valley HospitalVictorville | 16 | $27,177 | $9,314 | $8,085 |
| Montclair Hospital Medical CenterMontclair | 14 | $24,080 | $10,048 | $9,081 |
| Oroville HospitalOroville | 13 | $26,703 | $8,942 | $7,813 |
| Glendale Adventist Medical CtrGlendale | 13 | $67,864 | $10,167 | $8,514 |
| Chino Valley Medical CenterChino | 13 | $32,148 | $10,736 | $9,198 |
| USC University HospitalLos Angeles | 13 | $87,862 | $19,426 | $7,693 |
| Riverside Community HospitalRiverside | 12 | $156,539 | $11,243 | $9,334 |
| University of California San Diego Medical CenterSan Diego | 12 | $92,527 | $17,274 | $11,430 |
| Garden Grove Hospital & Medical CenterGarden Grove | 12 | $29,350 | $10,264 | $8,065 |
| West Anaheim Medical CenterAnaheim | 12 | $26,765 | $10,026 | $8,793 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 11 | $40,864 | $8,930 | $7,871 |
| Sherman Oaks HospitalSherman Oaks | 11 | $24,613 | $9,327 | $8,734 |
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
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $8,930 |
|---|---|
| Oroville HospitalOroville, CA | $8,942 |
| Desert Valley HospitalVictorville, CA | $9,314 |
| Sherman Oaks HospitalSherman Oaks, CA | $9,327 |
| Centinela Hospital Medical CenterInglewood, CA | $9,995 |
Highest
| USC University HospitalLos Angeles, CA | $19,426 |
|---|---|
| Stanford HospitalPalo Alto, CA | $17,841 |
| University of California San Diego Medical CenterSan Diego, CA | $17,274 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $12,525 |
| Riverside Community HospitalRiverside, CA | $11,243 |
Other respiratory system diagnoses without major complications in other states
Questions
How much does other respiratory system diagnoses without major complications cost in California?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses without major complications (DRG 206) at 16 hospitals in California was billed at $69,989 on average, while the average total payment was $11,535, of which Medicare paid $9,284. 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 6.1 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.