Pathological fractures and musculoskeletal and connective tissue malignancy with complications in California
What 35 hospitals in California charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$98,022
Hospital list price billed
Average payment
$13,310
Medicare + patient + other payers
Medicare paid
$10,824
Average per stay
State rank
#33 of 34
1 = lowest average payment
Hospitals in California billed an average of $98,022 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 7.4 times the average total payment of $13,310. That payment is 28% above the U.S. average of $10,379.
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 $13,310Billed $98,022
About 14¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy with 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 |
|---|---|---|---|---|
| Scripps Memorial Hospital la JollaLa Jolla | 56 | $66,209 | $10,259 | $8,933 |
| Stanford HospitalPalo Alto | 53 | $208,290 | $19,238 | $15,198 |
| Scripps Memorial Hospital - EncinitasEncinitas | 51 | $48,798 | $10,031 | $8,647 |
| Cedars-Sinai Medical CenterLos Angeles | 37 | $228,164 | $16,943 | $12,169 |
| University of California Davis Medical CenterSacramento | 28 | $128,954 | $18,444 | $12,455 |
| Community Memorial Hospital - VenturaVentura | 23 | $25,108 | $12,679 | $10,809 |
| Huntington Memorial HospitalPasadena | 23 | $82,986 | $10,689 | $8,928 |
| Community Hospital of the Monterey PeninsulaMonterey | 22 | $76,887 | $14,264 | $9,878 |
| Santa Barbara Cottage HospitalSanta Barbara | 22 | $84,912 | $11,072 | $9,660 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 20 | $79,448 | $14,640 | $12,708 |
| Dominican HospitalSanta Cruz | 20 | $108,868 | $10,963 | $9,576 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 19 | $42,515 | $9,993 | $9,031 |
| UCSF Medical CenterSan Francisco | 19 | $121,238 | $20,759 | $15,478 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 18 | $137,587 | $11,134 | $10,125 |
| Enloe Medical CenterChico | 17 | $74,815 | $10,333 | $9,085 |
| University of California San Diego Medical CenterSan Diego | 16 | $123,954 | $25,609 | $14,908 |
| Grossmont HospitalLa Mesa | 16 | $84,926 | $11,181 | $9,855 |
| Riverside County Regional Medical CenterMoreno Valley | 16 | $112,067 | $15,543 | $13,924 |
| Sutter Roseville Medical CenterRoseville | 16 | $69,105 | $11,056 | $9,974 |
| Southwest Healthcare SystemMurrieta | 16 | $95,067 | $11,982 | $10,457 |
| Mercy Medical Center ReddingRedding | 15 | $69,799 | $11,294 | $10,136 |
| Scripps Mercy HospitalSan Diego | 14 | $49,665 | $11,504 | $9,949 |
| Sharp Memorial HospitalSan Diego | 14 | $59,480 | $11,693 | $8,812 |
| El Camino HospitalMountain View | 14 | $101,749 | $12,020 | $10,482 |
| Marinhealth Medical CenterGreenbrae | 14 | $132,660 | $12,433 | $11,034 |
| Scripps Green HospitalLa Jolla | 14 | $45,084 | $14,886 | $10,635 |
| Eisenhower Memorial HospitalRancho Mirage | 14 | $60,766 | $11,130 | $9,535 |
| Stanford Health Care Tri-ValleyPleasanton | 13 | $78,883 | $12,474 | $11,219 |
| Northbay Medical CenterFairfield | 13 | $130,650 | $12,942 | $11,532 |
| Clovis Community Medical CenterClovis | 13 | $68,267 | $9,941 | $8,550 |
| Memorial Medical CenterModesto | 13 | $71,824 | $10,439 | $8,303 |
| Sharp Chula Vista Medical CenterChula Vista | 12 | $65,872 | $10,948 | $9,520 |
| Marshall Medical Center (1-Rh)Placerville | 12 | $53,547 | $10,976 | $9,480 |
| Los Robles Hospital & Medical CenterThousand Oaks | 12 | $117,091 | $10,404 | $8,795 |
| Santa Clara Valley Medical CenterSan Jose | 11 | $69,060 | $17,351 | $15,590 |
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
| Clovis Community Medical CenterClovis, CA | $9,941 |
|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $9,993 |
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $10,031 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $10,259 |
| Enloe Medical CenterChico, CA | $10,333 |
Highest
| University of California San Diego Medical CenterSan Diego, CA | $25,609 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $20,759 |
| Stanford HospitalPalo Alto, CA | $19,238 |
| University of California Davis Medical CenterSacramento, CA | $18,444 |
| Santa Clara Valley Medical CenterSan Jose, CA | $17,351 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in California?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 35 hospitals in California was billed at $98,022 on average, while the average total payment was $13,310, of which Medicare paid $10,824. 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 7.4 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.