Respiratory neoplasms with major complications in California
What 46 hospitals in California charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.
Average charge
$165,252
Hospital list price billed
Average payment
$23,879
Medicare + patient + other payers
Medicare paid
$20,159
Average per stay
State rank
#33 of 35
1 = lowest average payment
Hospitals in California billed an average of $165,252 for respiratory neoplasms with major complications, about 6.9 times the average total payment of $23,879. That payment is 31% above the U.S. average of $18,205.
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 $23,879Billed $165,252
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: respiratory neoplasms with 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 | 48 | $353,604 | $36,066 | $30,901 |
| University of California San Diego Medical CenterSan Diego | 41 | $145,235 | $34,695 | $22,841 |
| Cedars-Sinai Medical CenterLos Angeles | 38 | $289,805 | $24,384 | $20,225 |
| UCSF Medical CenterSan Francisco | 34 | $229,272 | $36,942 | $27,833 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 31 | $140,737 | $27,498 | $20,807 |
| Sutter Roseville Medical CenterRoseville | 27 | $76,868 | $18,118 | $17,367 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 24 | $91,556 | $16,721 | $15,788 |
| Santa Barbara Cottage HospitalSanta Barbara | 22 | $195,814 | $33,834 | $24,476 |
| Enloe Medical CenterChico | 20 | $142,114 | $16,690 | $15,547 |
| University of California Davis Medical CenterSacramento | 20 | $194,707 | $28,249 | $22,693 |
| Sutter General HospitalSacramento | 19 | $97,332 | $22,471 | $18,839 |
| USC Arcadia HospitalArcadia | 19 | $101,316 | $16,491 | $15,363 |
| Community Hospital of the Monterey PeninsulaMonterey | 18 | $165,177 | $20,482 | $19,394 |
| St Jude Medical CenterFullerton | 18 | $92,700 | $17,564 | $14,708 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 18 | $181,838 | $18,893 | $17,975 |
| Torrance Memorial Medical CenterTorrance | 18 | $172,222 | $17,836 | $17,113 |
| Scripps Memorial Hospital la JollaLa Jolla | 17 | $93,838 | $15,784 | $14,538 |
| UCI Health-OrangeOrange | 17 | $123,454 | $29,528 | $25,554 |
| Huntington Memorial HospitalPasadena | 17 | $209,882 | $16,385 | $13,795 |
| Scripps Memorial Hospital - EncinitasEncinitas | 17 | $92,211 | $16,965 | $15,792 |
| Alta Bates Summit Medical CenterOakland | 16 | $81,605 | $20,004 | $19,015 |
| Saint Agnes Medical CenterFresno | 16 | $77,954 | $19,934 | $17,821 |
| El Camino HospitalMountain View | 16 | $175,477 | $19,377 | $18,121 |
| San Francisco General HospitalSan Francisco | 15 | $236,648 | $35,001 | $31,137 |
| Pomona Valley Hospital Medical CenterPomona | 15 | $173,716 | $18,783 | $17,723 |
| Stanford Health Care Tri-ValleyPleasanton | 15 | $137,985 | $20,451 | $18,722 |
| Clovis Community Medical CenterClovis | 15 | $122,188 | $17,761 | $16,736 |
| Eisenhower Memorial HospitalRancho Mirage | 15 | $91,589 | $19,631 | $18,285 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 14 | $145,933 | $35,571 | $25,983 |
| Santa Rosa Memorial HospitalSanta Rosa | 14 | $112,585 | $20,198 | $18,825 |
| Providence Saint Joseph Medical CtrBurbank | 14 | $114,137 | $19,328 | $15,636 |
| Scripps Mercy HospitalSan Diego | 13 | $158,133 | $20,791 | $15,985 |
| Sharp Memorial HospitalSan Diego | 13 | $167,537 | $22,107 | $14,403 |
| Saint John's Health CenterSanta Monica | 13 | $78,032 | $16,209 | $14,389 |
| Good Samaritan HospitalSan Jose | 13 | $292,415 | $25,572 | $17,326 |
| Mercy San Juan Medical CenterCarmichael | 13 | $121,855 | $18,602 | $17,808 |
| Kaweah Delta Medical CenterVisalia | 12 | $43,880 | $18,179 | $16,803 |
| Salinas Valley Memorial HospitalSalinas | 12 | $269,247 | $32,816 | $32,136 |
| Long Beach Memorial Medical CenterLong Beach | 12 | $204,487 | $16,940 | $15,691 |
| Orange Coast Memorial Medical CenterFountain Valley | 12 | $160,376 | $16,945 | $15,996 |
| Santa Clara Valley Medical CenterSan Jose | 11 | $232,611 | $44,937 | $40,604 |
| Marian Medical CenterSanta Maria | 11 | $131,826 | $18,702 | $17,264 |
| Mercy Medical Center ReddingRedding | 11 | $117,675 | $18,791 | $17,432 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 11 | $118,053 | $18,706 | $15,422 |
| Scripps Green HospitalLa Jolla | 11 | $102,363 | $22,688 | $18,373 |
| John Muir Medical Center - Concord CampusConcord | 11 | $283,813 | $18,570 | $17,250 |
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
| Scripps Memorial Hospital la JollaLa Jolla, CA | $15,784 |
|---|---|
| Saint John's Health CenterSanta Monica, CA | $16,209 |
| Huntington Memorial HospitalPasadena, CA | $16,385 |
| USC Arcadia HospitalArcadia, CA | $16,491 |
| Enloe Medical CenterChico, CA | $16,690 |
Highest
| Santa Clara Valley Medical CenterSan Jose, CA | $44,937 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $36,942 |
| Stanford HospitalPalo Alto, CA | $36,066 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $35,571 |
| San Francisco General HospitalSan Francisco, CA | $35,001 |
Respiratory neoplasms with major complications in other states
Questions
How much does respiratory neoplasms with major complications cost in California?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 46 hospitals in California was billed at $165,252 on average, while the average total payment was $23,879, of which Medicare paid $20,159. 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 6.9 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.