Stomach, esophageal and duodenal procedures without complications in California
What 10 hospitals in California charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328), from 2024 Medicare claims.
Average charge
$180,070
Hospital list price billed
Average payment
$21,318
Medicare + patient + other payers
Medicare paid
$18,216
Average per stay
State rank
#18 of 18
1 = lowest average payment
Hospitals in California billed an average of $180,070 for stomach, esophageal and duodenal procedures without complications, about 8.4 times the average total payment of $21,318. That payment is 26% above the U.S. average of $16,978.
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 $21,318Billed $180,070
About 12¢ 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 without 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 | 35 | $243,030 | $25,814 | $22,435 |
| John Muir Medical Center - Concord CampusConcord | 23 | $201,346 | $19,197 | $16,099 |
| Cedars-Sinai Medical CenterLos Angeles | 20 | $311,644 | $20,009 | $17,176 |
| UCSF Medical CenterSan Francisco | 15 | $137,197 | $25,262 | $22,146 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 13 | $94,464 | $15,231 | $13,589 |
| USC Arcadia HospitalArcadia | 13 | $78,254 | $15,374 | $13,701 |
| Eisenhower Memorial HospitalRancho Mirage | 13 | $114,067 | $17,792 | $15,815 |
| University of California Davis Medical CenterSacramento | 13 | $214,434 | $22,707 | $19,655 |
| UCI Health-OrangeOrange | 11 | $93,694 | $27,619 | $19,958 |
| Scripps Green HospitalLa Jolla | 11 | $99,757 | $18,885 | $15,942 |
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
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $15,231 |
|---|---|
| USC Arcadia HospitalArcadia, CA | $15,374 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $17,792 |
| Scripps Green HospitalLa Jolla, CA | $18,885 |
| John Muir Medical Center - Concord CampusConcord, CA | $19,197 |
Highest
| UCI Health-OrangeOrange, CA | $27,619 |
|---|---|
| Stanford HospitalPalo Alto, CA | $25,814 |
| UCSF Medical CenterSan Francisco, CA | $25,262 |
| University of California Davis Medical CenterSacramento, CA | $22,707 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $20,009 |
Stomach, esophageal and duodenal procedures without complications in other states
Questions
How much does stomach, esophageal and duodenal procedures without complications cost in California?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328) at 10 hospitals in California was billed at $180,070 on average, while the average total payment was $21,318, of which Medicare paid $18,216. 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 8.4 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.