Simple pneumonia and pleurisy with major complications in California
What 223 hospitals in California charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$104,377
Hospital list price billed
Average payment
$15,080
Medicare + patient + other payers
Medicare paid
$13,033
Average per stay
State rank
#46 of 50
1 = lowest average payment
Hospitals in California billed an average of $104,377 for simple pneumonia and pleurisy with major complications, about 6.9 times the average total payment of $15,080. That payment is 25% above the U.S. average of $12,020.
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 $15,080Billed $104,377
About 14¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Glendale Adventist Medical CtrGlendale | 321 | $114,907 | $14,373 | $12,846 |
| Cedars-Sinai Medical CenterLos Angeles | 235 | $223,597 | $19,803 | $15,078 |
| Enloe Medical CenterChico | 207 | $99,725 | $12,704 | $11,660 |
| Saint Agnes Medical CenterFresno | 199 | $60,787 | $15,122 | $13,173 |
| Kaweah Delta Medical CenterVisalia | 160 | $52,572 | $14,888 | $13,073 |
| Hollywood Community Hospital of HollywoodLos Angeles | 155 | $68,428 | $14,028 | $12,838 |
| Sutter Roseville Medical CenterRoseville | 152 | $77,260 | $14,803 | $12,215 |
| Clovis Community Medical CenterClovis | 149 | $82,364 | $13,133 | $11,456 |
| El Camino HospitalMountain View | 140 | $132,783 | $15,048 | $13,724 |
| Torrance Memorial Medical CenterTorrance | 139 | $119,067 | $12,408 | $11,160 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 135 | $70,271 | $13,219 | $11,491 |
| Huntington Memorial HospitalPasadena | 134 | $133,777 | $14,260 | $12,350 |
| St Johns Regional Medical CenterOxnard | 130 | $80,184 | $13,324 | $11,679 |
| Emanate Health Inter-Community HospitalCovina | 130 | $68,186 | $14,451 | $12,683 |
| USC Arcadia HospitalArcadia | 129 | $103,492 | $11,210 | $9,715 |
| Eisenhower Memorial HospitalRancho Mirage | 126 | $73,930 | $14,046 | $12,084 |
| Palomar Medical CenterEscondido | 122 | $126,156 | $11,223 | $9,783 |
| Mercy HospitalBakersfield | 121 | $83,964 | $13,562 | $11,979 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 118 | $160,429 | $15,009 | $13,233 |
| Providence Saint Joseph Medical CtrBurbank | 114 | $96,395 | $13,088 | $11,640 |
| Memorial Medical CenterModesto | 113 | $75,716 | $12,782 | $11,054 |
| Stanford HospitalPalo Alto | 112 | $257,291 | $27,695 | $20,920 |
| Los Robles Hospital & Medical CenterThousand Oaks | 111 | $202,466 | $14,878 | $11,903 |
| San Antonio Community HospitalUpland | 109 | $108,976 | $13,178 | $11,448 |
| St Jude Medical CenterFullerton | 109 | $70,826 | $14,155 | $11,073 |
| Community Hospital of the Monterey PeninsulaMonterey | 108 | $95,407 | $15,160 | $13,087 |
| Mercy San Juan Medical CenterCarmichael | 106 | $102,850 | $13,902 | $12,841 |
| Good Samaritan HospitalSan Jose | 105 | $253,335 | $15,994 | $12,764 |
| Adventist Health BakersfieldBakersfield | 105 | $92,154 | $12,799 | $11,714 |
| Mission Hospital Regional Med CenterMission Viejo | 105 | $92,762 | $13,576 | $11,309 |
| Grossmont HospitalLa Mesa | 99 | $102,393 | $14,081 | $12,146 |
| Sharp Chula Vista Medical CenterChula Vista | 99 | $115,564 | $13,870 | $12,334 |
| Lodi Memorial HospitalLodi | 97 | $141,667 | $13,532 | $12,209 |
| Northbay Medical CenterFairfield | 96 | $167,010 | $15,481 | $14,256 |
| Rideout Memorial HospitalMarysville | 95 | $118,481 | $15,392 | $14,217 |
| Santa Clara Valley Medical CenterSan Jose | 93 | $134,256 | $24,599 | $22,424 |
| St Bernardine Medical CenterSan Bernardino | 93 | $107,649 | $15,094 | $13,651 |
| Washington HospitalFremont | 93 | $103,912 | $15,235 | $14,059 |
| West Anaheim Medical CenterAnaheim | 93 | $54,044 | $14,234 | $13,004 |
| Salinas Valley Memorial HospitalSalinas | 92 | $114,336 | $15,212 | $13,693 |
| Mercy Medical Center ReddingRedding | 90 | $89,454 | $13,848 | $12,189 |
| Henry Mayo Newhall Memorial HospitalValencia | 89 | $129,794 | $12,456 | $11,169 |
| Sharp Memorial HospitalSan Diego | 88 | $106,382 | $16,640 | $12,293 |
| Saint John's Health CenterSanta Monica | 87 | $68,053 | $12,833 | $10,967 |
| St Mary Medical CenterApple Valley | 87 | $60,392 | $13,836 | $11,966 |
| Los Angeles Community HospitalLos Angeles | 87 | $50,430 | $14,037 | $12,745 |
| University of California Davis Medical CenterSacramento | 86 | $120,264 | $23,200 | $16,896 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 84 | $189,155 | $13,738 | $12,404 |
| Emanuel Medical Center INCTurlock | 82 | $168,396 | $13,626 | $12,374 |
| West Hills Hospital & Medical CenterWest Hills | 82 | $210,315 | $13,133 | $11,680 |
| Marian Medical CenterSanta Maria | 81 | $75,064 | $13,401 | $12,124 |
| Scripps Memorial Hospital la JollaLa Jolla | 81 | $67,854 | $12,538 | $11,310 |
| Santa Barbara Cottage HospitalSanta Barbara | 80 | $81,541 | $14,197 | $12,795 |
| Dominican HospitalSanta Cruz | 78 | $144,720 | $14,938 | $13,683 |
| Glendale Mem Hospital & Hlth CenterGlendale | 76 | $97,423 | $14,093 | $12,976 |
| Community Regional Medical CenterFresno | 75 | $88,998 | $14,752 | $13,182 |
| Santa Rosa Memorial HospitalSanta Rosa | 70 | $81,201 | $15,348 | $13,587 |
| Doctors Medical CenterModesto | 70 | $246,652 | $13,783 | $12,094 |
| Southwest Healthcare SystemMurrieta | 70 | $97,100 | $15,137 | $12,567 |
| Orange Coast Memorial Medical CenterFountain Valley | 67 | $106,839 | $12,912 | $11,268 |
| Shasta Regional Medical CenterRedding | 67 | $56,535 | $12,677 | $11,613 |
| Sutter General HospitalSacramento | 66 | $83,191 | $16,713 | $14,992 |
| Palmdale Regional Medical CenterLancaster | 66 | $129,170 | $13,740 | $11,971 |
| Riverside Community HospitalRiverside | 65 | $190,283 | $18,062 | $13,895 |
| Providence Tarzana Medical CenterTarzana | 65 | $110,041 | $13,244 | $11,789 |
| University of California San Diego Medical CenterSan Diego | 64 | $91,147 | $23,035 | $16,002 |
| St Joseph HospitalOrange | 64 | $58,409 | $14,763 | $11,539 |
| Northridge Hospital Medical CenterNorthridge | 63 | $146,859 | $14,200 | $12,712 |
| Simi Valley Hospital & Health Care ServicesSimi Valley | 63 | $92,389 | $12,172 | $10,700 |
| Community Memorial Hospital - VenturaVentura | 63 | $46,215 | $14,612 | $12,583 |
| St Joseph HospitalEureka | 62 | $69,292 | $14,533 | $12,991 |
| Verdugo Hills HospitalGlendale | 61 | $91,193 | $12,177 | $10,299 |
| Mercy Medical Ctr MercedMerced | 61 | $92,482 | $14,633 | $13,193 |
| Scripps Memorial Hospital - EncinitasEncinitas | 61 | $58,290 | $12,331 | $11,057 |
| PIH Health Hospital-WhittierWhittier | 60 | $81,002 | $13,083 | $11,794 |
| St Josephs Med Center of StocktonStockton | 59 | $103,779 | $17,211 | $15,573 |
| Desert Regional Medical CenterPalm Springs | 59 | $171,266 | $15,016 | $12,873 |
| Highland HospitalOakland | 58 | $74,332 | $22,648 | $21,232 |
| Temecula Valley HospitalTemecula | 58 | $90,842 | $17,061 | $14,863 |
| El Centro Regional Medical CenterEl Centro | 57 | $61,380 | $13,899 | $12,554 |
| Hanford Community Medical CenterHanford | 57 | $57,748 | $13,563 | $12,164 |
| Palomar Medical Center PowayPoway | 57 | $119,269 | $10,483 | $8,768 |
| Regional Medical Center of San JoseSan Jose | 56 | $228,524 | $16,775 | $14,890 |
| French Hospital Medical CenterSan Luis Obispo | 56 | $73,970 | $12,419 | $11,079 |
| Sierra Nevada Memorial HospitalGrass Valley | 55 | $75,350 | $13,206 | $11,872 |
| UCSF Medical CenterSan Francisco | 55 | $151,740 | $28,073 | $22,965 |
| Twin Cities Community HospitalTempleton | 55 | $146,916 | $13,279 | $10,700 |
| Queen of the Valley Medical CenterNapa | 54 | $96,353 | $14,375 | $12,710 |
| John Muir Medical Center - Concord CampusConcord | 53 | $149,637 | $15,357 | $13,768 |
| White Memorial Medical CenterLos Angeles | 52 | $136,307 | $14,940 | $13,269 |
| Lakewood Regional Medical CenterLakewood | 52 | $139,055 | $13,306 | $11,924 |
| Foothill Presbyterian HospitalGlendora | 52 | $76,604 | $12,908 | $11,756 |
| Garfield Medical CenterMonterey Park | 51 | $130,019 | $13,627 | $12,269 |
| Hemet Valley Medical CenterHemet | 50 | $60,385 | $15,861 | $13,821 |
| San Ramon Regional Medical CtrSan Ramon | 50 | $247,858 | $14,233 | $12,428 |
| Alhambra Hospital Medical CenterAlhambra | 49 | $75,782 | $13,517 | $12,419 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 49 | $90,732 | $13,398 | $11,942 |
| Methodist Hospital of SacramentoSacramento | 49 | $92,917 | $14,958 | $13,532 |
| Sutter Medical Center of Santa RosaSanta Rosa | 48 | $57,948 | $16,311 | $14,297 |
| Marinhealth Medical CenterGreenbrae | 48 | $129,741 | $14,814 | $13,540 |
| Mercy Hospital of FolsomFolsom | 48 | $87,047 | $16,802 | $11,451 |
| Long Beach Memorial Medical CenterLong Beach | 48 | $121,810 | $15,037 | $11,966 |
| Los Alamitos Medical CenterLos Alamitos | 48 | $208,478 | $12,443 | $11,164 |
| Alameda HospitalAlameda | 47 | $81,322 | $15,075 | $13,825 |
| Providence Holy Cross Medical CenterMission Hills | 47 | $86,433 | $14,052 | $12,228 |
| Good Samaritan HospitalLos Angeles | 47 | $74,857 | $14,641 | $13,117 |
| Victor Valley Community HospitalVictorville | 47 | $52,599 | $13,936 | $12,859 |
| Alta Bates Summit Medical CenterOakland | 46 | $79,198 | $16,360 | $13,380 |
| Corona Regional Medical CenterCorona | 46 | $105,039 | $13,847 | $11,997 |
| Sutter Delta Medical CenterAntioch | 46 | $95,248 | $15,147 | $14,041 |
| Mercy General HospitalSacramento | 45 | $115,960 | $13,283 | $12,123 |
| Sonora Community HospitalSonora | 45 | $90,273 | $14,697 | $12,707 |
| Peninsula Medical CenterBurlingame | 44 | $66,659 | $14,735 | $13,322 |
| Marina del Rey HospitalMarina del Rey | 44 | $106,126 | $12,779 | $11,499 |
| Parkview Community Hospital Medical CenterRiverside | 42 | $79,300 | $13,753 | $12,533 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 42 | $77,828 | $15,706 | $13,940 |
| Stanford Health Care Tri-ValleyPleasanton | 42 | $126,487 | $14,132 | $12,811 |
| Eden Medical CenterCastro Valley | 41 | $83,109 | $14,919 | $12,996 |
| Sherman Oaks HospitalSherman Oaks | 41 | $51,816 | $13,584 | $12,318 |
| Bakersfield Memorial HospitalBakersfield | 40 | $78,862 | $13,301 | $11,279 |
| Marshall Medical Center (1-Rh)Placerville | 40 | $79,032 | $13,322 | $11,646 |
| Valley Presbyterian HospitalVan Nuys | 39 | $52,508 | $14,541 | $13,223 |
| UCLA Medical CenterLos Angeles | 39 | $69,396 | $23,499 | $18,445 |
| Sierra Vista Regional Medical CenterSan Luis Obispo | 39 | $155,896 | $12,816 | $11,478 |
| Sutter Auburn Faith HospitalAuburn | 38 | $61,694 | $13,379 | $12,092 |
| Greater El Monte Community HospitalSouth El Monte | 38 | $68,908 | $14,095 | $13,065 |
| Loma Linda University Medical Center-MurrietaMurrieta | 38 | $81,971 | $14,592 | $12,937 |
| Hi-Desert Medical CenterJoshua Tree | 37 | $96,215 | $15,260 | $13,857 |
| Downey Regional Medical CenterDowney | 37 | $60,213 | $12,805 | $11,564 |
| Saddleback Memorial Medical CenterLaguna Hills | 37 | $118,674 | $13,723 | $9,887 |
| Centinela Hospital Medical CenterInglewood | 37 | $59,272 | $14,155 | $13,334 |
| Ahmc Anaheim Regional Medical CenterAnaheim | 36 | $65,255 | $13,667 | $12,533 |
| San Francisco General HospitalSan Francisco | 36 | $91,139 | $26,244 | $23,614 |
| Ukiah Valley Medical Center/Hospital DUkiah | 36 | $80,833 | $17,098 | $14,271 |
| Scripps Mercy HospitalSan Diego | 35 | $72,648 | $14,636 | $13,235 |
| Tri-City Medical CenterOceanside | 35 | $72,645 | $12,645 | $11,325 |
| Pomona Valley Hospital Medical CenterPomona | 35 | $121,451 | $13,809 | $12,630 |
| Pioneers Memorial Healthcare DistrictBrawley | 35 | $34,067 | $13,700 | $12,395 |
| Sharp Coronado Hospital and Hlthcr CtrCoronado | 34 | $96,034 | $12,572 | $11,276 |
| Sierra View District HospitalPorterville | 34 | $50,900 | $14,744 | $13,007 |
| UCI Health-Placentia LindaPlacentia | 34 | $203,876 | $12,982 | $11,591 |
| San Gabriel Valley Medical CenterSan Gabriel | 33 | $75,292 | $13,723 | $12,438 |
| Riverside County Regional Medical CenterMoreno Valley | 33 | $95,169 | $17,294 | $15,891 |
| Sutter Solano Medical CenterVallejo | 32 | $70,152 | $15,889 | $14,404 |
| Doctors Hospital of MantecaManteca | 32 | $190,540 | $12,914 | $11,588 |
| Petaluma Valley HospitalPetaluma | 32 | $114,641 | $14,120 | $12,451 |
| Sutter Tracy Community HospitalTracy | 32 | $62,748 | $13,369 | $11,675 |
| Hollywood Presbyterian Medical CenterLos Angeles | 31 | $62,877 | $14,289 | $13,053 |
| Redlands Community HospitalRedlands | 31 | $88,976 | $12,936 | $11,777 |
| Whittier Hospital Medical CenterWhittier | 31 | $87,086 | $13,831 | $13,037 |
| UCI Health-OrangeOrange | 30 | $81,427 | $20,706 | $17,297 |
| Los Angeles General Medical CenterLos Angeles | 30 | $49,079 | $29,319 | $25,062 |
| San Gorgonio Memorial HospitalBanning | 29 | $69,897 | $14,455 | $12,864 |
| St Elizabeth Community HospitalRed Bluff | 28 | $73,268 | $14,200 | $13,092 |
| Antelope Valley Hospital Med CenterLancaster | 28 | $65,356 | $14,487 | $11,873 |
| Kaiser Foundation Hospital Oakland/RichmondOakland | 28 | $99,940 | $30,031 | $22,269 |
| Ventura County Medical CenterVentura | 28 | $89,267 | $15,807 | $14,221 |
| Arrowhead Regional Medical CenterColton | 28 | $84,224 | $19,347 | $17,374 |
| Foothill Regional Medical CenterTustin | 27 | $75,604 | $13,074 | $11,896 |
| John F Kennedy Memorial HospIndio | 26 | $138,762 | $13,797 | $12,542 |
| La Palma Intercommunity HospBuena Park | 26 | $59,785 | $13,454 | $12,294 |
| Lompoc Healthcare DistrictLompoc | 25 | $75,770 | $16,528 | $15,554 |
| Sequoia HospitalRedwood City | 25 | $179,741 | $16,219 | $14,694 |
| Scripps Green HospitalLa Jolla | 25 | $48,861 | $17,288 | $13,138 |
| St Mary Medical CenterLong Beach | 24 | $85,188 | $15,372 | $13,810 |
| Garden Grove Hospital & Medical CenterGarden Grove | 24 | $62,906 | $13,819 | $12,935 |
| Loma Linda University Medical CenterLoma Linda | 24 | $82,094 | $21,594 | $17,505 |
| Huntington Beach HospitalHuntington Beach | 24 | $53,472 | $12,885 | $11,918 |
| Coast Plaza HospitalNorwalk | 24 | $92,861 | $13,403 | $12,247 |
| Adventist Health TulareTulare | 24 | $49,353 | $12,703 | $11,056 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 23 | $68,748 | $16,245 | $14,069 |
| Sutter Amador HospitalJackson | 22 | $63,878 | $16,592 | $15,300 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 22 | $82,493 | $22,465 | $16,826 |
| Dameron HospitalStockton | 22 | $170,769 | $13,555 | $12,611 |
| Woodland Memorial HospitalWoodland | 22 | $93,247 | $15,791 | $14,604 |
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco | 21 | $76,731 | $16,972 | $15,838 |
| Kaiser Foundation Hospital FontanaFontana | 21 | $54,535 | $15,472 | $10,793 |
| Watsonville Community HospitalWatsonville | 21 | $106,911 | $14,208 | $13,277 |
| Natividad Medical CenterSalinas | 21 | $90,760 | $18,942 | $17,201 |
| Sutter Coast HospitalCrescent City | 21 | $52,306 | $15,251 | $13,234 |
| St Mary's Medical CenterSan Francisco | 21 | $85,823 | $18,320 | $15,940 |
| Mission Community Hospital - PanoramaPanorama City | 21 | $75,516 | $14,522 | $13,144 |
| Saint Francis Medical CenterLynwood | 19 | $65,575 | $14,391 | $13,362 |
| Delano Regional Medical CenterDelano | 19 | $37,928 | $15,001 | $14,142 |
| Memorial Hospital los BanosLos Banos | 18 | $47,720 | $32,775 | $31,687 |
| Providence Little Co of Mary Med Ctr San PedroLos Angeles | 17 | $68,830 | $12,901 | $11,450 |
| San Joaquin General HospitalFrench Camp | 17 | $137,945 | $16,023 | $14,767 |
| Orange County Global Medical CenterSanta Ana | 17 | $63,638 | $14,241 | $13,372 |
| St Rose HospitalHayward | 16 | $69,969 | $14,940 | $13,512 |
| St Helena HospitalDeer Park | 16 | $126,537 | $13,787 | $12,767 |
| Paradise Valley HospitalNational City | 16 | $54,039 | $14,309 | $12,985 |
| Novato Community HospitalNovato | 16 | $44,780 | $14,115 | $12,993 |
| Memorial Hospital of GardenaGardena | 16 | $83,085 | $13,771 | $12,623 |
| Martin Luther King, Jr. Community HospitalLos Angeles | 16 | $202,123 | $17,508 | $16,478 |
| Saint Francis Memorial HospitalSan Francisco | 15 | $127,875 | $18,767 | $17,222 |
| Seton Medical CenterDaly City | 15 | $88,196 | $15,341 | $14,063 |
| Lac/Harbor-UCLA Med CenterTorrance | 15 | $51,147 | $27,680 | $24,672 |
| Kaiser Foundation Hospital - San DiegoSan Diego | 15 | $51,854 | $18,999 | $8,961 |
| Kaiser Foundation Hospital AnaheimAnaheim | 15 | $66,794 | $20,657 | $9,966 |
| USC University HospitalLos Angeles | 15 | $90,614 | $20,684 | $14,143 |
| Oak Valley District HospitalOakdale | 14 | $52,326 | $12,419 | $11,487 |
| Kaiser Foundation Hospital - los AngelesLos Angeles | 14 | $65,156 | $16,627 | $14,618 |
| Goleta Valley Cottage HospitalSanta Barbara | 14 | $67,039 | $12,165 | $10,768 |
| Montclair Hospital Medical CenterMontclair | 14 | $40,588 | $13,436 | $12,328 |
| Kaiser Foundation Hospital - RosevilleRoseville | 14 | $194,190 | $60,274 | $9,556 |
| Lac/Olive View-UCLA Medical CenterSylmar | 13 | $56,242 | $34,368 | $27,835 |
| Community Hospital of San BernardinoSan Bernardino | 13 | $77,955 | $15,615 | $13,974 |
| Community and Mission Hospital of Huntington ParkHuntington Park | 13 | $97,467 | $13,492 | $12,017 |
| California Hospital Medical Center laLos Angeles | 13 | $62,906 | $16,867 | $15,682 |
| Sutter Davis HospitalDavis | 13 | $58,473 | $13,353 | $10,613 |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco | 12 | $41,596 | $15,347 | $13,801 |
| Kaiser Foundation Hospital - South San FranciscoMillbrae | 12 | $42,177 | $20,892 | $10,011 |
| Adventist Health ReedleyReedley | 12 | $48,506 | $27,871 | $26,388 |
| Contra Costa Regional Medical CenterMartinez | 12 | $66,028 | $38,078 | $22,964 |
| East los Angeles Doctors HospitalLos Angeles | 12 | $59,813 | $15,150 | $13,722 |
| Desert Valley HospitalVictorville | 12 | $44,430 | $13,427 | $12,184 |
| San Mateo Medical CenterSan Mateo | 11 | $41,399 | $17,958 | $16,512 |
| Kaiser Foundation HospitalBellflower | 11 | $83,702 | $16,134 | $12,083 |
| Barton Memorial HospitalSouth Lake Tahoe | 11 | $122,277 | $21,552 | $20,365 |
| Kaiser Foundation Hospital - Harbor CityHarbor City | 11 | $43,238 | $21,047 | $6,281 |
| Kaiser Foundation Hosp So SacramentoSacramento | 11 | $114,538 | $20,528 | $17,192 |
| Kaiser Foundation Hospital MantecaManteca | 11 | $86,369 | $25,558 | $6,736 |
| College Medical CenterLong Beach | 11 | $49,911 | $13,340 | $12,418 |
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 | $10,483 |
|---|---|
| USC Arcadia HospitalArcadia, CA | $11,210 |
| Palomar Medical CenterEscondido, CA | $11,223 |
| Goleta Valley Cottage HospitalSanta Barbara, CA | $12,165 |
| Simi Valley Hospital & Health Care ServicesSimi Valley, CA | $12,172 |
Highest
| Kaiser Foundation Hospital - RosevilleRoseville, CA | $60,274 |
|---|---|
| Contra Costa Regional Medical CenterMartinez, CA | $38,078 |
| Lac/Olive View-UCLA Medical CenterSylmar, CA | $34,368 |
| Memorial Hospital los BanosLos Banos, CA | $32,775 |
| Kaiser Foundation Hospital Oakland/RichmondOakland, CA | $30,031 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in California?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 223 hospitals in California was billed at $104,377 on average, while the average total payment was $15,080, of which Medicare paid $13,033. 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.