facebook tracking Permanent cardiac pacemaker implant with major complications cost in California: 45 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in California

What 45 hospitals in California charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $254,119 Hospital list price billed
Average payment $39,331 Medicare + patient + other payers
Medicare paid $36,123 Average per stay
State rank #39 of 41 1 = lowest average payment

Hospitals in California billed an average of $254,119 for permanent cardiac pacemaker implant with major complications, about 6.5 times the average total payment of $39,331. That payment is 29% above the U.S. average of $30,574.

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 $39,331Billed $254,119

About 15¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: permanent cardiac pacemaker implant 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
Cedars-Sinai Medical CenterLos Angeles 31 $431,608 $43,020 $38,711
Glendale Adventist Medical CtrGlendale 27 $341,958 $40,602 $38,523
Scripps Memorial Hospital la JollaLa Jolla 25 $276,245 $35,241 $33,925
Sutter General HospitalSacramento 24 $187,060 $43,098 $41,682
Good Samaritan HospitalSan Jose 22 $527,755 $41,482 $34,740
Mercy Medical Center ReddingRedding 21 $182,710 $33,770 $32,245
Hoag Memorial Hospital PresbyterianNewport Beach 20 $124,955 $33,535 $28,989
Salinas Valley Memorial HospitalSalinas 20 $287,869 $39,258 $37,954
Santa Barbara Cottage HospitalSanta Barbara 19 $194,105 $37,787 $36,032
Stanford HospitalPalo Alto 18 $490,117 $56,200 $50,244
Enloe Medical CenterChico 17 $233,139 $31,560 $30,216
Santa Rosa Memorial HospitalSanta Rosa 17 $192,705 $37,999 $36,583
French Hospital Medical CenterSan Luis Obispo 17 $166,632 $32,175 $30,831
Scripps Memorial Hospital - EncinitasEncinitas 16 $214,783 $30,662 $29,514
Doctors Medical CenterModesto 15 $536,432 $46,125 $28,109
Providence Tarzana Medical CenterTarzana 15 $176,915 $34,280 $32,590
Bakersfield Memorial HospitalBakersfield 14 $172,895 $32,773 $31,714
Saint Agnes Medical CenterFresno 14 $134,870 $36,336 $34,722
Sutter Roseville Medical CenterRoseville 14 $181,350 $35,264 $33,741
John Muir Medical Center - Concord CampusConcord 14 $353,718 $36,204 $34,514
Queen of the Valley Medical CenterNapa 13 $238,258 $53,942 $33,187
Mercy General HospitalSacramento 13 $223,405 $34,150 $33,296
Alta Bates Summit Medical CenterOakland 13 $197,889 $40,121 $39,092
Scripps Mercy HospitalSan Diego 13 $172,381 $36,991 $35,283
St Josephs Med Center of StocktonStockton 13 $189,998 $44,737 $42,738
UCLA Medical CenterLos Angeles 13 $249,493 $77,166 $64,561
Northbay Medical CenterFairfield 13 $300,038 $38,571 $37,546
Adventist Health BakersfieldBakersfield 13 $156,675 $32,176 $31,039
Mission Hospital Regional Med CenterMission Viejo 13 $112,771 $30,667 $28,368
Fountain Valley Regional Hospital & Medical CenterFountain Valley 13 $604,269 $38,918 $34,275
St Joseph HospitalEureka 12 $141,075 $37,279 $35,630
Palomar Medical CenterEscondido 12 $219,362 $30,563 $29,330
Dominican HospitalSanta Cruz 12 $292,491 $41,907 $40,547
Saint John's Health CenterSanta Monica 12 $100,979 $29,122 $27,918
Clovis Community Medical CenterClovis 12 $156,885 $33,491 $31,980
Oroville HospitalOroville 11 $124,803 $33,514 $32,178
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 11 $179,789 $50,878 $44,837
Kaweah Delta Medical CenterVisalia 11 $237,505 $46,837 $44,063
Rideout Memorial HospitalMarysville 11 $219,122 $38,165 $36,681
Hollywood Community Hospital of HollywoodLos Angeles 11 $259,340 $42,657 $41,324
El Camino HospitalMountain View 11 $290,836 $36,944 $35,721
Providence Little Company of Mary Med Ctr TorranceTorrance 11 $132,279 $35,877 $29,567
UCSF Medical CenterSan Francisco 11 $328,645 $62,511 $57,087
Memorial Medical CenterModesto 11 $180,812 $35,893 $34,706
Orange Coast Memorial Medical CenterFountain Valley 11 $215,363 $32,502 $31,166
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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

Saint John's Health CenterSanta Monica, CA$29,122
Palomar Medical CenterEscondido, CA$30,563
Scripps Memorial Hospital - EncinitasEncinitas, CA$30,662
Mission Hospital Regional Med CenterMission Viejo, CA$30,667
Enloe Medical CenterChico, CA$31,560

Highest

UCLA Medical CenterLos Angeles, CA$77,166
UCSF Medical CenterSan Francisco, CA$62,511
Stanford HospitalPalo Alto, CA$56,200
Queen of the Valley Medical CenterNapa, CA$53,942
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$50,878

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in California?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 45 hospitals in California was billed at $254,119 on average, while the average total payment was $39,331, of which Medicare paid $36,123. 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 6.5 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.