Postoperative and post-traumatic infections without major complications in California
What 10 hospitals in California charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.
Average charge
$84,844
Hospital list price billed
Average payment
$14,232
Medicare + patient + other payers
Medicare paid
$10,891
Average per stay
State rank
#18 of 19
1 = lowest average payment
Hospitals in California billed an average of $84,844 for postoperative and post-traumatic infections without major complications, about 6.0 times the average total payment of $14,232. That payment is 26% above the U.S. average of $11,307.
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 $14,232Billed $84,844
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 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 31 | $148,593 | $20,667 | $12,823 |
| UCSF Medical CenterSan Francisco | 27 | $63,668 | $17,770 | $14,735 |
| Cedars-Sinai Medical CenterLos Angeles | 26 | $132,501 | $13,340 | $11,049 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 17 | $36,080 | $11,186 | $7,395 |
| Santa Barbara Cottage HospitalSanta Barbara | 14 | $61,832 | $10,653 | $9,479 |
| Sharp Memorial HospitalSan Diego | 12 | $46,043 | $11,211 | $9,440 |
| Community Memorial Hospital - VenturaVentura | 12 | $21,366 | $11,305 | $9,798 |
| Enloe Medical CenterChico | 11 | $70,745 | $13,018 | $8,297 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 11 | $115,308 | $11,204 | $10,752 |
| Saint John's Health CenterSanta Monica | 11 | $44,380 | $9,519 | $8,347 |
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 | $9,519 |
|---|---|
| Santa Barbara Cottage HospitalSanta Barbara, CA | $10,653 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $11,186 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $11,204 |
| Sharp Memorial HospitalSan Diego, CA | $11,211 |
Highest
| Stanford HospitalPalo Alto, CA | $20,667 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $17,770 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $13,340 |
| Enloe Medical CenterChico, CA | $13,018 |
| Community Memorial Hospital - VenturaVentura, CA | $11,305 |
Postoperative and post-traumatic infections without major complications in other states
Questions
How much does postoperative and post-traumatic infections without major complications cost in California?
In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 10 hospitals in California was billed at $84,844 on average, while the average total payment was $14,232, of which Medicare paid $10,891. 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 6.0 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.