facebook tracking Precerebral occlusion without infarction without major complications cost in California: 1 hospitals compared (DRG 068)

Precerebral occlusion without infarction without major complications in California

What 1 hospital in California charged and were paid for a Medicare hospital stay for precerebral occlusion without infarction without major complications (DRG 068), from 2024 Medicare claims.

DRG 068 Inpatient 2024 Medicare data
Average charge $153,349 Hospital list price billed
Average payment $11,716 Medicare + patient + other payers
Medicare paid $9,266 Average per stay
Volume 13 Medicare hospital stays

Hospitals in California billed an average of $153,349 for precerebral occlusion without infarction without major complications, about 13.1 times the average total payment of $11,716. That payment is 33% above the U.S. average of $8,821.

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 $11,716Billed $153,349

About 8¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: precerebral occlusion without infarction 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
Cedars-Sinai Medical CenterLos Angeles 13 $153,349 $11,716 $9,266
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Precerebral occlusion without infarction without major complications in other states

Questions

How much does precerebral occlusion without infarction without major complications cost in California?

In 2024 Medicare data, a hospital stay for precerebral occlusion without infarction without major complications (DRG 068) at 1 hospital in California was billed at $153,349 on average, while the average total payment was $11,716, of which Medicare paid $9,266. 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 13.1 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.