facebook tracking Postoperative and post-traumatic infections with major complications cost in California: 25 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in California

What 25 hospitals in California charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $163,219 Hospital list price billed
Average payment $27,790 Medicare + patient + other payers
Medicare paid $21,394 Average per stay
State rank #29 of 30 1 = lowest average payment

Hospitals in California billed an average of $163,219 for postoperative and post-traumatic infections with major complications, about 5.9 times the average total payment of $27,790. That payment is 36% above the U.S. average of $20,381.

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 $27,790Billed $163,219

About 17¢ 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: postoperative and post-traumatic infections 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
UCSF Medical CenterSan Francisco 55 $148,520 $32,772 $27,485
Stanford HospitalPalo Alto 47 $323,025 $45,785 $25,649
Cedars-Sinai Medical CenterLos Angeles 36 $241,775 $24,807 $17,579
University of California San Diego Medical CenterSan Diego 25 $114,408 $33,018 $24,396
Hoag Memorial Hospital PresbyterianNewport Beach 22 $106,178 $17,582 $17,014
Enloe Medical CenterChico 18 $102,445 $17,641 $16,825
Sutter Roseville Medical CenterRoseville 18 $118,885 $22,588 $17,488
USC University HospitalLos Angeles 17 $186,672 $44,016 $31,186
Oroville HospitalOroville 16 $52,758 $17,389 $16,879
Santa Rosa Memorial HospitalSanta Rosa 16 $141,438 $22,289 $21,407
Santa Barbara Cottage HospitalSanta Barbara 16 $93,945 $19,488 $18,623
University of California Davis Medical CenterSacramento 16 $200,280 $36,273 $28,341
UCI Health-OrangeOrange 15 $78,022 $27,214 $23,677
Riverside Community HospitalRiverside 14 $212,897 $27,558 $19,324
Eisenhower Memorial HospitalRancho Mirage 14 $126,551 $20,991 $19,276
Saint John's Health CenterSanta Monica 13 $102,298 $18,451 $14,914
Community Regional Medical CenterFresno 12 $183,433 $26,171 $22,732
UCLA Medical CenterLos Angeles 12 $107,869 $38,112 $20,620
Mercy Medical Center ReddingRedding 12 $109,851 $18,615 $17,778
El Camino HospitalMountain View 12 $122,923 $19,735 $19,026
Scripps Memorial Hospital la JollaLa Jolla 12 $110,449 $20,312 $15,011
Sharp Memorial HospitalSan Diego 11 $156,811 $22,844 $15,837
Desert Regional Medical CenterPalm Springs 11 $217,778 $19,832 $18,431
Scripps Green HospitalLa Jolla 11 $140,151 $27,008 $21,663
Los Robles Hospital & Medical CenterThousand Oaks 11 $241,408 $19,113 $17,383
Advertisement

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

Oroville HospitalOroville, CA$17,389
Hoag Memorial Hospital PresbyterianNewport Beach, CA$17,582
Enloe Medical CenterChico, CA$17,641
Saint John's Health CenterSanta Monica, CA$18,451
Mercy Medical Center ReddingRedding, CA$18,615

Highest

Stanford HospitalPalo Alto, CA$45,785
USC University HospitalLos Angeles, CA$44,016
UCLA Medical CenterLos Angeles, CA$38,112
University of California Davis Medical CenterSacramento, CA$36,273
University of California San Diego Medical CenterSan Diego, CA$33,018

Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in California?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 25 hospitals in California was billed at $163,219 on average, while the average total payment was $27,790, of which Medicare paid $21,394. 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 5.9 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.