facebook tracking Traumatic stupor and coma <1 hour with major complications cost in California: 23 hospitals compared (DRG 085)

Traumatic stupor and coma <1 hour with major complications in California

What 23 hospitals in California charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $216,689 Hospital list price billed
Average payment $30,419 Medicare + patient + other payers
Medicare paid $25,065 Average per stay
State rank #26 of 27 1 = lowest average payment

Hospitals in California billed an average of $216,689 for traumatic stupor and coma <1 hour with major complications, about 7.1 times the average total payment of $30,419. That payment is 37% above the U.S. average of $22,150.

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 $30,419Billed $216,689

About 14¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: traumatic stupor and coma <1 hour 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
Sutter Roseville Medical CenterRoseville 22 $139,885 $22,983 $21,474
UCI Health-OrangeOrange 22 $188,944 $39,804 $33,600
Scripps Memorial Hospital la JollaLa Jolla 20 $191,001 $22,789 $21,728
Orange County Global Medical CenterSanta Ana 20 $113,481 $20,326 $19,260
St Johns Regional Medical CenterOxnard 19 $111,337 $20,950 $19,297
UCLA Medical CenterLos Angeles 19 $180,852 $50,621 $41,189
Huntington Memorial HospitalPasadena 19 $210,475 $19,949 $19,371
Northridge Hospital Medical CenterNorthridge 17 $288,239 $26,162 $24,680
Santa Rosa Memorial HospitalSanta Rosa 15 $187,722 $24,747 $23,259
Mercy Medical Center ReddingRedding 15 $290,695 $32,768 $30,886
Santa Barbara Cottage HospitalSanta Barbara 15 $96,372 $23,690 $22,128
Mission Hospital Regional Med CenterMission Viejo 15 $258,577 $77,740 $24,394
Stanford HospitalPalo Alto 14 $436,245 $49,232 $32,829
John Muir Medical Center - Walnut Creek CampusWalnut Creek 13 $284,785 $24,058 $22,729
University of California Davis Medical CenterSacramento 13 $151,023 $28,785 $25,395
Cedars-Sinai Medical CenterLos Angeles 13 $445,978 $32,810 $27,929
University of California San Diego Medical CenterSan Diego 12 $154,485 $35,722 $28,016
Desert Regional Medical CenterPalm Springs 12 $313,984 $24,036 $22,101
Southwest Healthcare SystemMurrieta 12 $187,298 $24,046 $22,528
Enloe Medical CenterChico 11 $152,871 $21,405 $20,366
Marian Medical CenterSanta Maria 11 $112,220 $22,564 $21,200
Northbay Medical CenterFairfield 11 $323,627 $29,898 $28,681
Los Robles Hospital & Medical CenterThousand Oaks 11 $351,541 $22,260 $20,610
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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

Highest

Mission Hospital Regional Med CenterMission Viejo, CA$77,740
UCLA Medical CenterLos Angeles, CA$50,621
Stanford HospitalPalo Alto, CA$49,232
UCI Health-OrangeOrange, CA$39,804
University of California San Diego Medical CenterSan Diego, CA$35,722

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in California?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 23 hospitals in California was billed at $216,689 on average, while the average total payment was $30,419, of which Medicare paid $25,065. 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 7.1 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.