Other respiratory system operating room procedures with major complications in California
What 13 hospitals in California charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures with major complications (DRG 166), from 2024 Medicare claims.
Average charge
$492,104
Hospital list price billed
Average payment
$73,905
Medicare + patient + other payers
Medicare paid
$63,604
Average per stay
State rank
#22 of 22
1 = lowest average payment
Hospitals in California billed an average of $492,104 for other respiratory system operating room procedures with major complications, about 6.7 times the average total payment of $73,905. That payment is 67% above the U.S. average of $44,318.
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 $73,905Billed $492,104
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 respiratory system operating room procedures 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 | 66 | $988,298 | $120,228 | $106,588 |
| Cedars-Sinai Medical CenterLos Angeles | 54 | $478,788 | $50,597 | $44,715 |
| University of California San Diego Medical CenterSan Diego | 25 | $228,649 | $64,154 | $51,607 |
| UCSF Medical CenterSan Francisco | 25 | $405,908 | $88,773 | $74,224 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 19 | $381,526 | $56,328 | $43,272 |
| UCLA Medical CenterLos Angeles | 16 | $190,086 | $73,133 | $62,850 |
| John Muir Medical Center - Concord CampusConcord | 16 | $481,016 | $62,382 | $49,827 |
| Eisenhower Memorial HospitalRancho Mirage | 16 | $239,972 | $45,054 | $42,417 |
| USC University HospitalLos Angeles | 16 | $207,140 | $56,431 | $45,342 |
| Santa Barbara Cottage HospitalSanta Barbara | 15 | $211,315 | $46,696 | $45,283 |
| Sutter Roseville Medical CenterRoseville | 12 | $179,734 | $40,614 | $39,197 |
| University of California Davis Medical CenterSacramento | 12 | $590,702 | $92,120 | $77,173 |
| Sharp Memorial HospitalSan Diego | 11 | $418,734 | $67,945 | $51,994 |
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
| Sutter Roseville Medical CenterRoseville, CA | $40,614 |
|---|---|
| Eisenhower Memorial HospitalRancho Mirage, CA | $45,054 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $46,696 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $50,597 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $56,328 |
Highest
| Stanford HospitalPalo Alto, CA | $120,228 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $92,120 |
| UCSF Medical CenterSan Francisco, CA | $88,773 |
| UCLA Medical CenterLos Angeles, CA | $73,133 |
| Sharp Memorial HospitalSan Diego, CA | $67,945 |
Other respiratory system operating room procedures with major complications in other states
Questions
How much does other respiratory system operating room procedures with major complications cost in California?
In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures with major complications (DRG 166) at 13 hospitals in California was billed at $492,104 on average, while the average total payment was $73,905, of which Medicare paid $63,604. 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.