Stomach, esophageal and duodenal procedures with complications in California
What 16 hospitals in California charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.
Average charge
$216,755
Hospital list price billed
Average payment
$35,641
Medicare + patient + other payers
Medicare paid
$29,908
Average per stay
State rank
#26 of 28
1 = lowest average payment
Hospitals in California billed an average of $216,755 for stomach, esophageal and duodenal procedures with complications, about 6.1 times the average total payment of $35,641. That payment is 31% above the U.S. average of $27,210.
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 $35,641Billed $216,755
About 16¢ 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: stomach, esophageal and duodenal procedures 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 41 | $377,251 | $32,723 | $28,272 |
| Stanford HospitalPalo Alto | 39 | $492,210 | $47,315 | $41,395 |
| UCSF Medical CenterSan Francisco | 35 | $196,697 | $41,665 | $35,532 |
| University of California San Diego Medical CenterSan Diego | 30 | $169,343 | $39,747 | $31,731 |
| USC University HospitalLos Angeles | 30 | $175,615 | $37,877 | $27,676 |
| UCLA Medical CenterLos Angeles | 25 | $188,854 | $46,542 | $36,924 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 24 | $130,716 | $39,680 | $29,980 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 22 | $112,204 | $24,923 | $19,876 |
| Eisenhower Memorial HospitalRancho Mirage | 17 | $138,867 | $27,584 | $25,413 |
| Community Regional Medical CenterFresno | 16 | $84,048 | $26,586 | $21,383 |
| UCI Health-OrangeOrange | 14 | $157,418 | $37,014 | $33,586 |
| Community Hospital of the Monterey PeninsulaMonterey | 13 | $157,786 | $27,445 | $26,064 |
| John Muir Medical Center - Concord CampusConcord | 13 | $220,197 | $27,110 | $25,337 |
| Santa Barbara Cottage HospitalSanta Barbara | 12 | $132,471 | $25,948 | $24,134 |
| Oroville HospitalOroville | 11 | $64,695 | $24,123 | $22,639 |
| Saint John's Health CenterSanta Monica | 11 | $106,047 | $22,267 | $20,628 |
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
| Saint John's Health CenterSanta Monica, CA | $22,267 |
|---|---|
| Oroville HospitalOroville, CA | $24,123 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $24,923 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $25,948 |
| Community Regional Medical CenterFresno, CA | $26,586 |
Highest
| Stanford HospitalPalo Alto, CA | $47,315 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $46,542 |
| UCSF Medical CenterSan Francisco, CA | $41,665 |
| University of California San Diego Medical CenterSan Diego, CA | $39,747 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $39,680 |
Stomach, esophageal and duodenal procedures with complications in other states
Questions
How much does stomach, esophageal and duodenal procedures with complications cost in California?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 16 hospitals in California was billed at $216,755 on average, while the average total payment was $35,641, of which Medicare paid $29,908. 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 6.1 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.