facebook tracking Other vascular procedures without complications cost in California: 3 hospitals compared (DRG 254)

Other vascular procedures without complications in California

What 3 hospitals in California charged and were paid for a Medicare hospital stay for other vascular procedures without complications (DRG 254), from 2024 Medicare claims.

DRG 254 Inpatient 2024 Medicare data
Average charge $113,714 Hospital list price billed
Average payment $23,319 Medicare + patient + other payers
Medicare paid $21,031 Average per stay
State rank #13 of 14 1 = lowest average payment

Hospitals in California billed an average of $113,714 for other vascular procedures without complications, about 4.9 times the average total payment of $23,319. That payment is 42% above the U.S. average of $16,433.

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 $23,319Billed $113,714

About 21¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: other vascular procedures without 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
Community Regional Medical CenterFresno 13 $88,906 $19,669 $18,142
UCSF Medical CenterSan Francisco 12 $171,977 $29,465 $25,642
Sutter General HospitalSacramento 11 $79,473 $20,928 $19,413
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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

Community Regional Medical CenterFresno, CA$19,669
Sutter General HospitalSacramento, CA$20,928
UCSF Medical CenterSan Francisco, CA$29,465

Highest

UCSF Medical CenterSan Francisco, CA$29,465
Sutter General HospitalSacramento, CA$20,928
Community Regional Medical CenterFresno, CA$19,669

Other vascular procedures without complications in other states

Questions

How much does other vascular procedures without complications cost in California?

In 2024 Medicare data, a hospital stay for other vascular procedures without complications (DRG 254) at 3 hospitals in California was billed at $113,714 on average, while the average total payment was $23,319, of which Medicare paid $21,031. 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 4.9 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.