Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in California
What 22 hospitals in California charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$1,305,849
Hospital list price billed
Average payment
$198,823
Medicare + patient + other payers
Medicare paid
$183,743
Average per stay
State rank
#24 of 24
1 = lowest average payment
Hospitals in California billed an average of $1,305,849 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 6.6 times the average total payment of $198,823. That payment is 43% above the U.S. average of $139,119.
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 $198,823Billed $1,305,849
About 15¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 | 36 | $2,172,667 | $208,772 | $192,079 |
| Riverside Community HospitalRiverside | 23 | $1,916,302 | $145,392 | $137,603 |
| UCSF Medical CenterSan Francisco | 23 | $1,399,288 | $272,143 | $246,560 |
| Providence Saint Joseph Medical CtrBurbank | 21 | $1,405,600 | $211,496 | $207,510 |
| Loma Linda University Medical CenterLoma Linda | 20 | $1,209,822 | $199,663 | $173,540 |
| University of California Davis Medical CenterSacramento | 18 | $1,322,225 | $262,103 | $230,983 |
| Pomona Valley Hospital Medical CenterPomona | 17 | $1,130,749 | $130,415 | $128,816 |
| UCLA Medical CenterLos Angeles | 16 | $935,770 | $267,619 | $229,056 |
| University of California San Diego Medical CenterSan Diego | 15 | $783,255 | $184,576 | $156,818 |
| Community Regional Medical CenterFresno | 15 | $782,496 | $171,131 | $142,485 |
| Glendale Adventist Medical CtrGlendale | 14 | $1,295,718 | $174,170 | $167,349 |
| Desert Regional Medical CenterPalm Springs | 14 | $1,423,891 | $130,034 | $124,670 |
| Kaweah Delta Medical CenterVisalia | 13 | $580,525 | $152,959 | $147,013 |
| Arrowhead Regional Medical CenterColton | 13 | $978,430 | $194,589 | $185,741 |
| Riverside County Regional Medical CenterMoreno Valley | 13 | $950,233 | $203,374 | $197,251 |
| USC Arcadia HospitalArcadia | 12 | $658,692 | $98,367 | $96,962 |
| Saint John's Health CenterSanta Monica | 12 | $728,997 | $164,357 | $158,145 |
| Stanford HospitalPalo Alto | 12 | $4,272,292 | $539,356 | $505,272 |
| Centinela Hospital Medical CenterInglewood | 12 | $580,407 | $144,181 | $141,174 |
| Northridge Hospital Medical CenterNorthridge | 11 | $995,685 | $129,625 | $127,187 |
| Los Angeles General Medical CenterLos Angeles | 11 | $603,620 | $195,235 | $176,462 |
| Memorial Hospital of GardenaGardena | 11 | $619,815 | $139,115 | $132,661 |
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
| USC Arcadia HospitalArcadia, CA | $98,367 |
|---|---|
| Northridge Hospital Medical CenterNorthridge, CA | $129,625 |
| Desert Regional Medical CenterPalm Springs, CA | $130,034 |
| Pomona Valley Hospital Medical CenterPomona, CA | $130,415 |
| Memorial Hospital of GardenaGardena, CA | $139,115 |
Highest
| Stanford HospitalPalo Alto, CA | $539,356 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $272,143 |
| UCLA Medical CenterLos Angeles, CA | $267,619 |
| University of California Davis Medical CenterSacramento, CA | $262,103 |
| Providence Saint Joseph Medical CtrBurbank, CA | $211,496 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in California?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 22 hospitals in California was billed at $1,305,849 on average, while the average total payment was $198,823, of which Medicare paid $183,743. 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 6.6 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.