facebook tracking Respiratory infections and inflammations with complications cost in California: 66 hospitals compared (DRG 178)

Respiratory infections and inflammations with complications in California

What 66 hospitals in California charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.

DRG 178 Inpatient 2024 Medicare data
Average charge $85,335 Hospital list price billed
Average payment $12,097 Medicare + patient + other payers
Medicare paid $9,580 Average per stay
State rank #45 of 46 1 = lowest average payment

Hospitals in California billed an average of $85,335 for respiratory infections and inflammations with complications, about 7.1 times the average total payment of $12,097. That payment is 27% above the U.S. average of $9,493.

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 $12,097Billed $85,335

About 14¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: respiratory infections and inflammations with 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
Hoag Memorial Hospital PresbyterianNewport Beach 87 $44,347 $9,662 $7,953
Cedars-Sinai Medical CenterLos Angeles 76 $161,694 $13,663 $10,087
El Camino HospitalMountain View 74 $108,008 $10,913 $9,513
Stanford HospitalPalo Alto 74 $155,067 $19,760 $12,848
Grossmont HospitalLa Mesa 50 $65,781 $11,324 $8,412
Santa Barbara Cottage HospitalSanta Barbara 49 $73,226 $12,158 $8,912
John Muir Medical Center - Walnut Creek CampusWalnut Creek 47 $134,423 $12,235 $9,906
Torrance Memorial Medical CenterTorrance 46 $77,787 $9,534 $7,978
Enloe Medical CenterChico 40 $67,088 $10,049 $8,106
Community Hospital of the Monterey PeninsulaMonterey 39 $78,343 $11,097 $9,717
Scripps Memorial Hospital la JollaLa Jolla 39 $53,983 $10,297 $7,664
Kaweah Delta Medical CenterVisalia 37 $47,209 $11,847 $9,297
University of California San Diego Medical CenterSan Diego 35 $103,536 $24,000 $15,630
Sutter Roseville Medical CenterRoseville 32 $61,991 $10,264 $8,831
Sharp Memorial HospitalSan Diego 31 $71,937 $11,971 $8,905
Sharp Chula Vista Medical CenterChula Vista 31 $84,517 $10,636 $9,320
Huntington Memorial HospitalPasadena 31 $86,437 $9,921 $8,518
Marinhealth Medical CenterGreenbrae 30 $93,208 $11,102 $9,742
Scripps Memorial Hospital - EncinitasEncinitas 29 $59,151 $9,501 $7,421
Santa Clara Valley Medical CenterSan Jose 28 $72,655 $16,433 $14,386
John Muir Medical Center - Concord CampusConcord 28 $113,699 $12,419 $9,254
Saint Agnes Medical CenterFresno 27 $53,577 $12,028 $9,202
Palomar Medical CenterEscondido 27 $100,169 $7,908 $6,997
Washington HospitalFremont 27 $80,041 $10,931 $9,691
Glendale Adventist Medical CtrGlendale 27 $78,917 $10,779 $8,817
Community Memorial Hospital - VenturaVentura 27 $33,865 $11,181 $9,308
UCSF Medical CenterSan Francisco 26 $118,798 $19,218 $14,262
University of California Davis Medical CenterSacramento 26 $116,424 $16,750 $11,707
Community Regional Medical CenterFresno 25 $84,673 $11,678 $9,818
Eisenhower Memorial HospitalRancho Mirage 22 $80,925 $10,594 $9,008
Providence Tarzana Medical CenterTarzana 22 $72,516 $10,082 $8,792
Los Robles Hospital & Medical CenterThousand Oaks 21 $110,232 $11,798 $8,323
Mission Hospital Regional Med CenterMission Viejo 21 $62,648 $10,719 $8,041
Dominican HospitalSanta Cruz 20 $96,625 $10,543 $9,237
UCLA Medical CenterLos Angeles 19 $68,842 $19,351 $14,514
Clovis Community Medical CenterClovis 19 $52,068 $10,106 $6,704
Henry Mayo Newhall Memorial HospitalValencia 19 $91,880 $9,378 $8,348
Good Samaritan HospitalSan Jose 18 $143,272 $11,108 $9,703
Saddleback Memorial Medical CenterLaguna Hills 18 $80,358 $9,047 $8,050
Salinas Valley Memorial HospitalSalinas 17 $93,242 $11,208 $9,864
Fountain Valley Regional Hospital & Medical CenterFountain Valley 17 $117,787 $10,273 $9,070
Sutter General HospitalSacramento 16 $63,613 $12,093 $10,527
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 16 $97,436 $12,963 $10,661
Hollywood Community Hospital of HollywoodLos Angeles 16 $56,841 $10,631 $9,205
Saint John's Health CenterSanta Monica 16 $63,587 $9,773 $8,129
Los Alamitos Medical CenterLos Alamitos 16 $129,677 $9,347 $7,919
Alta Bates Summit Medical CenterOakland 15 $54,103 $11,324 $9,994
Scripps Mercy HospitalSan Diego 15 $68,735 $11,938 $10,121
Verdugo Hills HospitalGlendale 15 $81,007 $9,737 $8,325
Laguna Honda Hospital & Rehabilitation CenterSan Francisco 15 $53,861 $13,305 $12,217
Marian Medical CenterSanta Maria 14 $50,065 $10,606 $9,008
Santa Rosa Memorial HospitalSanta Rosa 14 $74,812 $11,716 $10,417
UCI Health-OrangeOrange 14 $56,421 $16,281 $12,146
West Anaheim Medical CenterAnaheim 14 $41,281 $10,756 $9,292
St Johns Regional Medical CenterOxnard 13 $69,927 $10,184 $8,601
Sutter Medical Center of Santa RosaSanta Rosa 13 $58,640 $12,427 $10,441
Queen of the Valley Medical CenterNapa 12 $72,571 $11,125 $9,964
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 12 $49,840 $14,786 $10,979
USC Arcadia HospitalArcadia 12 $96,475 $9,421 $7,937
Marshall Medical Center (1-Rh)Placerville 12 $61,287 $10,149 $8,517
Scripps Green HospitalLa Jolla 12 $47,563 $13,748 $9,595
Palomar Medical Center PowayPoway 12 $87,926 $6,285 $5,061
Orange Coast Memorial Medical CenterFountain Valley 12 $84,178 $10,252 $7,439
Loma Linda University Medical CenterLoma Linda 11 $90,203 $19,979 $12,656
Sutter Delta Medical CenterAntioch 11 $49,216 $11,538 $10,200
Memorial Medical CenterModesto 11 $66,131 $9,769 $9,175
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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

Palomar Medical Center PowayPoway, CA$6,285
Palomar Medical CenterEscondido, CA$7,908
Saddleback Memorial Medical CenterLaguna Hills, CA$9,047
Los Alamitos Medical CenterLos Alamitos, CA$9,347
Henry Mayo Newhall Memorial HospitalValencia, CA$9,378

Highest

University of California San Diego Medical CenterSan Diego, CA$24,000
Loma Linda University Medical CenterLoma Linda, CA$19,979
Stanford HospitalPalo Alto, CA$19,760
UCLA Medical CenterLos Angeles, CA$19,351
UCSF Medical CenterSan Francisco, CA$19,218

Respiratory infections and inflammations with complications in other states

Questions

How much does respiratory infections and inflammations with complications cost in California?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 66 hospitals in California was billed at $85,335 on average, while the average total payment was $12,097, of which Medicare paid $9,580. 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 7.1 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.