What 9 hospitals in California charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour without complications (DRG 087), from 2024 Medicare claims.
Hospitals in California billed an average of $95,914 for traumatic stupor and coma <1 hour without complications, about 8.5 times the average total payment of $11,316. That payment is 30% above the U.S. average of $8,707.
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.
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:
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 |
|---|---|---|---|---|
| Eisenhower Memorial HospitalRancho Mirage | 18 | $54,756 | $10,005 | $8,271 |
| Stanford HospitalPalo Alto | 16 | $123,932 | $14,274 | $11,866 |
| Sutter Roseville Medical CenterRoseville | 15 | $66,057 | $9,413 | $7,746 |
| Santa Clara Valley Medical CenterSan Jose | 13 | $80,513 | $16,292 | $12,558 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 13 | $77,569 | $12,189 | $7,963 |
| Good Samaritan HospitalSan Jose | 13 | $173,176 | $9,981 | $8,474 |
| Mercy Medical Center ReddingRedding | 12 | $117,513 | $9,574 | $6,971 |
| Sharp Memorial HospitalSan Diego | 11 | $103,043 | $9,843 | $8,250 |
| Mercy San Juan Medical CenterCarmichael | 11 | $81,099 | $9,795 | $8,292 |
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.
| Sutter Roseville Medical CenterRoseville, CA | $9,413 |
|---|---|
| Mercy Medical Center ReddingRedding, CA | $9,574 |
| Mercy San Juan Medical CenterCarmichael, CA | $9,795 |
| Sharp Memorial HospitalSan Diego, CA | $9,843 |
| Good Samaritan HospitalSan Jose, CA | $9,981 |
| Santa Clara Valley Medical CenterSan Jose, CA | $16,292 |
|---|---|
| Stanford HospitalPalo Alto, CA | $14,274 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $12,189 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $10,005 |
| Good Samaritan HospitalSan Jose, CA | $9,981 |
In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour without complications (DRG 087) at 9 hospitals in California was billed at $95,914 on average, while the average total payment was $11,316, of which Medicare paid $8,996. Your own cost depends on your insurance, deductible and the hospital.
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 8.5 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.