Poisoning and toxic effects of drugs without major complications in California
What 2 hospitals in California charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs without major complications (DRG 918), from 2024 Medicare claims.
Average charge
$61,028
Hospital list price billed
Average payment
$9,769
Medicare + patient + other payers
Medicare paid
$8,067
Average per stay
Volume
24
Medicare hospital stays
Hospitals in California billed an average of $61,028 for poisoning and toxic effects of drugs without major complications, about 6.2 times the average total payment of $9,769. That payment is 6% below the U.S. average of $10,423.
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 $9,769Billed $61,028
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: poisoning and toxic effects of drugs 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 |
|---|---|---|---|---|
| Santa Barbara Cottage HospitalSanta Barbara | 13 | $57,315 | $9,341 | $7,509 |
| Community Regional Medical CenterFresno | 11 | $65,416 | $10,275 | $8,725 |
Poisoning and toxic effects of drugs without major complications in other states
Questions
How much does poisoning and toxic effects of drugs without major complications cost in California?
In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs without major complications (DRG 918) at 2 hospitals in California was billed at $61,028 on average, while the average total payment was $9,769, of which Medicare paid $8,067. 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 6.2 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.