Pulmonary embolism with major complications or acute cor pulmonale in California
What 83 hospitals in California charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$123,071
Hospital list price billed
Average payment
$17,110
Medicare + patient + other payers
Medicare paid
$14,479
Average per stay
State rank
#46 of 48
1 = lowest average payment
Hospitals in California billed an average of $123,071 for pulmonary embolism with major complications or acute cor pulmonale, about 7.2 times the average total payment of $17,110. That payment is 27% above the U.S. average of $13,466.
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 $17,110Billed $123,071
About 14¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 | 54 | $302,631 | $29,134 | $24,580 |
| Sutter Roseville Medical CenterRoseville | 46 | $78,843 | $14,888 | $13,019 |
| Cedars-Sinai Medical CenterLos Angeles | 42 | $214,473 | $18,454 | $14,890 |
| Enloe Medical CenterChico | 40 | $160,164 | $13,889 | $12,788 |
| Eisenhower Memorial HospitalRancho Mirage | 34 | $95,225 | $15,562 | $12,938 |
| Mercy Medical Center ReddingRedding | 32 | $102,204 | $14,526 | $12,787 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 30 | $59,119 | $13,925 | $11,100 |
| UCSF Medical CenterSan Francisco | 29 | $162,549 | $28,911 | $23,835 |
| University of California Davis Medical CenterSacramento | 29 | $149,965 | $28,704 | $16,654 |
| Marian Medical CenterSanta Maria | 28 | $79,002 | $14,640 | $12,462 |
| Santa Barbara Cottage HospitalSanta Barbara | 27 | $89,192 | $14,882 | $13,575 |
| Huntington Memorial HospitalPasadena | 26 | $111,425 | $13,960 | $12,143 |
| Clovis Community Medical CenterClovis | 26 | $98,403 | $15,955 | $11,728 |
| Scripps Memorial Hospital la JollaLa Jolla | 25 | $78,428 | $14,216 | $11,906 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 24 | $118,742 | $20,533 | $11,453 |
| Sutter General HospitalSacramento | 23 | $115,097 | $17,937 | $16,311 |
| Scripps Mercy HospitalSan Diego | 22 | $111,992 | $15,407 | $13,985 |
| Torrance Memorial Medical CenterTorrance | 22 | $191,703 | $16,821 | $15,564 |
| Scripps Memorial Hospital - EncinitasEncinitas | 21 | $97,145 | $13,572 | $12,301 |
| Santa Clara Valley Medical CenterSan Jose | 20 | $148,453 | $23,323 | $20,615 |
| St Josephs Med Center of StocktonStockton | 20 | $153,715 | $19,152 | $17,844 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 20 | $110,819 | $17,718 | $15,142 |
| French Hospital Medical CenterSan Luis Obispo | 20 | $67,021 | $13,188 | $10,861 |
| St Johns Regional Medical CenterOxnard | 19 | $88,724 | $15,507 | $11,920 |
| San Antonio Community HospitalUpland | 19 | $109,696 | $15,517 | $11,175 |
| PIH Health Hospital-WhittierWhittier | 19 | $120,486 | $14,481 | $12,606 |
| Mission Hospital Regional Med CenterMission Viejo | 19 | $66,132 | $12,682 | $11,205 |
| Palomar Medical CenterEscondido | 18 | $146,487 | $12,724 | $12,142 |
| Marshall Medical Center (1-Rh)Placerville | 18 | $103,245 | $14,127 | $12,948 |
| El Camino HospitalMountain View | 18 | $182,643 | $16,288 | $15,170 |
| Marinhealth Medical CenterGreenbrae | 18 | $109,450 | $15,760 | $14,220 |
| Doctors Medical CenterModesto | 18 | $268,332 | $14,826 | $13,812 |
| Memorial Medical CenterModesto | 18 | $73,347 | $16,104 | $11,745 |
| University of California San Diego Medical CenterSan Diego | 17 | $119,224 | $27,040 | $16,963 |
| Rideout Memorial HospitalMarysville | 17 | $111,706 | $15,075 | $13,923 |
| Sierra Nevada Memorial HospitalGrass Valley | 17 | $75,000 | $13,114 | $12,346 |
| Mercy San Juan Medical CenterCarmichael | 17 | $95,157 | $14,311 | $13,516 |
| Peninsula Medical CenterBurlingame | 16 | $59,949 | $16,087 | $14,007 |
| Alta Bates Summit Medical CenterOakland | 16 | $84,630 | $15,934 | $14,785 |
| Community Hospital of the Monterey PeninsulaMonterey | 16 | $118,383 | $16,199 | $15,079 |
| UCI Health-OrangeOrange | 16 | $97,196 | $23,720 | $20,514 |
| Henry Mayo Newhall Memorial HospitalValencia | 16 | $102,147 | $12,867 | $10,967 |
| Hanford Community Medical CenterHanford | 15 | $68,336 | $14,246 | $11,991 |
| USC Arcadia HospitalArcadia | 15 | $71,157 | $12,737 | $11,362 |
| Loma Linda University Medical CenterLoma Linda | 15 | $99,544 | $21,108 | $16,919 |
| Sonora Community HospitalSonora | 15 | $111,852 | $15,404 | $14,316 |
| Los Angeles General Medical CenterLos Angeles | 15 | $132,115 | $39,981 | $34,679 |
| Temecula Valley HospitalTemecula | 15 | $153,402 | $19,096 | $15,886 |
| Riverside Community HospitalRiverside | 14 | $153,642 | $17,363 | $15,317 |
| Sharp Memorial HospitalSan Diego | 14 | $115,728 | $14,961 | $12,759 |
| Glendale Adventist Medical CtrGlendale | 14 | $107,845 | $15,110 | $13,848 |
| Desert Regional Medical CenterPalm Springs | 14 | $191,179 | $15,781 | $14,205 |
| St Joseph HospitalEureka | 13 | $93,263 | $15,451 | $13,699 |
| Grossmont HospitalLa Mesa | 13 | $89,404 | $14,104 | $12,848 |
| St Jude Medical CenterFullerton | 13 | $77,016 | $13,598 | $12,281 |
| Palmdale Regional Medical CenterLancaster | 13 | $163,298 | $14,563 | $13,210 |
| Providence Saint Joseph Medical CtrBurbank | 13 | $102,469 | $14,498 | $13,102 |
| UCLA Medical CenterLos Angeles | 13 | $86,784 | $26,481 | $20,737 |
| Providence Holy Cross Medical CenterMission Hills | 13 | $130,931 | $20,924 | $13,081 |
| Saint John's Health CenterSanta Monica | 13 | $68,856 | $12,704 | $11,345 |
| Riverside County Regional Medical CenterMoreno Valley | 13 | $132,206 | $17,453 | $16,411 |
| Mercy HospitalBakersfield | 13 | $87,301 | $14,421 | $13,543 |
| St Mary Medical CenterApple Valley | 13 | $63,248 | $14,189 | $12,926 |
| Adventist Health BakersfieldBakersfield | 13 | $124,644 | $15,327 | $14,065 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $179,836 | $14,658 | $13,174 |
| Kaweah Delta Medical CenterVisalia | 12 | $63,149 | $16,292 | $14,531 |
| Emanuel Medical Center INCTurlock | 12 | $187,500 | $13,747 | $12,387 |
| Stanford Health Care Tri-ValleyPleasanton | 12 | $154,258 | $14,639 | $13,415 |
| Ukiah Valley Medical Center/Hospital DUkiah | 12 | $58,035 | $16,852 | $15,334 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 12 | $66,252 | $15,492 | $12,145 |
| Twin Cities Community HospitalTempleton | 12 | $144,237 | $13,721 | $11,419 |
| Antelope Valley Hospital Med CenterLancaster | 11 | $63,221 | $14,284 | $10,202 |
| Northridge Hospital Medical CenterNorthridge | 11 | $115,573 | $13,939 | $12,466 |
| Santa Rosa Memorial HospitalSanta Rosa | 11 | $135,290 | $18,995 | $15,637 |
| Pomona Valley Hospital Medical CenterPomona | 11 | $106,867 | $14,623 | $13,482 |
| Dominican HospitalSanta Cruz | 11 | $157,810 | $15,090 | $13,754 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 11 | $99,408 | $15,898 | $14,750 |
| Northbay Medical CenterFairfield | 11 | $120,831 | $15,935 | $14,887 |
| Good Samaritan HospitalSan Jose | 11 | $289,543 | $15,577 | $14,538 |
| Emanate Health Inter-Community HospitalCovina | 11 | $62,118 | $15,167 | $14,157 |
| Community Memorial Hospital - VenturaVentura | 11 | $28,605 | $14,680 | $13,280 |
| Long Beach Memorial Medical CenterLong Beach | 11 | $148,771 | $16,343 | $14,727 |
| John Muir Medical Center - Concord CampusConcord | 11 | $141,725 | $19,196 | $13,115 |
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
| Mission Hospital Regional Med CenterMission Viejo, CA | $12,682 |
|---|---|
| Saint John's Health CenterSanta Monica, CA | $12,704 |
| Palomar Medical CenterEscondido, CA | $12,724 |
| USC Arcadia HospitalArcadia, CA | $12,737 |
| Henry Mayo Newhall Memorial HospitalValencia, CA | $12,867 |
Highest
| Los Angeles General Medical CenterLos Angeles, CA | $39,981 |
|---|---|
| Stanford HospitalPalo Alto, CA | $29,134 |
| UCSF Medical CenterSan Francisco, CA | $28,911 |
| University of California Davis Medical CenterSacramento, CA | $28,704 |
| University of California San Diego Medical CenterSan Diego, CA | $27,040 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in California?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 83 hospitals in California was billed at $123,071 on average, while the average total payment was $17,110, of which Medicare paid $14,479. 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 7.2 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.