Pulmonary embolism without major complications in California
What 26 hospitals in California charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$80,246
Hospital list price billed
Average payment
$10,201
Medicare + patient + other payers
Medicare paid
$7,736
Average per stay
State rank
#37 of 39
1 = lowest average payment
Hospitals in California billed an average of $80,246 for pulmonary embolism without major complications, about 7.9 times the average total payment of $10,201. That payment is 23% above the U.S. average of $8,294.
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 $10,201Billed $80,246
About 13¢ 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 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 |
|---|---|---|---|---|
| Sutter Roseville Medical CenterRoseville | 29 | $61,554 | $9,258 | $7,303 |
| Stanford HospitalPalo Alto | 28 | $161,151 | $13,934 | $10,673 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 27 | $43,280 | $7,934 | $6,888 |
| Cedars-Sinai Medical CenterLos Angeles | 26 | $155,412 | $11,032 | $8,122 |
| El Camino HospitalMountain View | 22 | $119,893 | $9,371 | $8,169 |
| Clovis Community Medical CenterClovis | 22 | $44,840 | $9,023 | $6,223 |
| Community Hospital of the Monterey PeninsulaMonterey | 20 | $87,518 | $17,513 | $7,888 |
| Marinhealth Medical CenterGreenbrae | 20 | $95,724 | $9,471 | $8,165 |
| Santa Barbara Cottage HospitalSanta Barbara | 20 | $64,093 | $10,496 | $7,208 |
| Kaweah Delta Medical CenterVisalia | 19 | $31,528 | $9,534 | $7,880 |
| Scripps Memorial Hospital la JollaLa Jolla | 19 | $61,902 | $8,954 | $6,557 |
| Torrance Memorial Medical CenterTorrance | 17 | $67,644 | $7,858 | $6,900 |
| Mission Hospital Regional Med CenterMission Viejo | 17 | $58,179 | $10,860 | $5,800 |
| Enloe Medical CenterChico | 16 | $80,507 | $7,983 | $6,555 |
| Grossmont HospitalLa Mesa | 15 | $76,809 | $8,784 | $7,696 |
| Community Memorial Hospital - VenturaVentura | 15 | $22,104 | $9,193 | $7,418 |
| Scripps Memorial Hospital - EncinitasEncinitas | 15 | $56,970 | $8,743 | $5,977 |
| Sharp Memorial HospitalSan Diego | 14 | $58,841 | $9,276 | $7,524 |
| Memorial Medical CenterModesto | 14 | $48,992 | $8,217 | $7,284 |
| Eisenhower Memorial HospitalRancho Mirage | 14 | $52,381 | $8,801 | $7,144 |
| University of California San Diego Medical CenterSan Diego | 13 | $55,345 | $14,335 | $10,321 |
| Dominican HospitalSanta Cruz | 13 | $101,453 | $8,900 | $7,393 |
| Santa Clara Valley Medical CenterSan Jose | 12 | $63,552 | $13,067 | $11,365 |
| Desert Regional Medical CenterPalm Springs | 12 | $166,577 | $9,849 | $8,363 |
| Good Samaritan HospitalSan Jose | 12 | $121,320 | $9,206 | $7,846 |
| University of California Davis Medical CenterSacramento | 12 | $86,455 | $12,944 | $9,362 |
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
| Torrance Memorial Medical CenterTorrance, CA | $7,858 |
|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $7,934 |
| Enloe Medical CenterChico, CA | $7,983 |
| Memorial Medical CenterModesto, CA | $8,217 |
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $8,743 |
Highest
| Community Hospital of the Monterey PeninsulaMonterey, CA | $17,513 |
|---|---|
| University of California San Diego Medical CenterSan Diego, CA | $14,335 |
| Stanford HospitalPalo Alto, CA | $13,934 |
| Santa Clara Valley Medical CenterSan Jose, CA | $13,067 |
| University of California Davis Medical CenterSacramento, CA | $12,944 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in California?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 26 hospitals in California was billed at $80,246 on average, while the average total payment was $10,201, of which Medicare paid $7,736. 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 7.9 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.