facebook tracking Uterine and adnexa procedures for non-malignancy with complications cost in California: 6 hospitals compared (DRG 742)

Uterine and adnexa procedures for non-malignancy with complications in California

What 6 hospitals in California charged and were paid for a Medicare hospital stay for uterine and adnexa procedures for non-malignancy with complications (DRG 742), from 2024 Medicare claims.

DRG 742 Inpatient 2024 Medicare data
Average charge $161,697 Hospital list price billed
Average payment $24,582 Medicare + patient + other payers
Medicare paid $21,403 Average per stay
State rank #1 of 1 1 = lowest average payment

Hospitals in California billed an average of $161,697 for uterine and adnexa procedures for non-malignancy with complications, about 6.6 times the average total payment of $24,582. That payment is 20% above the U.S. average of $20,541.

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 $24,582Billed $161,697

About 15¢ was paid for every $1 hospitals in California billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:

California hospitals: uterine and adnexa procedures for non-malignancy 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
John Muir Medical Center - Walnut Creek CampusWalnut Creek 15 $174,276 $19,677 $18,583
UCSF Medical CenterSan Francisco 15 $173,366 $31,649 $26,481
Providence Holy Cross Medical CenterMission Hills 12 $128,266 $18,930 $17,300
University of California San Diego Medical CenterSan Diego 11 $138,192 $28,474 $22,075
Oroville HospitalOroville 11 $42,044 $17,635 $16,151
Stanford HospitalPalo Alto 11 $308,262 $30,858 $27,380
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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

UCSF Medical CenterSan Francisco, CA$31,649
Stanford HospitalPalo Alto, CA$30,858
University of California San Diego Medical CenterSan Diego, CA$28,474
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA$19,677
Providence Holy Cross Medical CenterMission Hills, CA$18,930

Uterine and adnexa procedures for non-malignancy with complications in other states

Questions

How much does uterine and adnexa procedures for non-malignancy with complications cost in California?

In 2024 Medicare data, a hospital stay for uterine and adnexa procedures for non-malignancy with complications (DRG 742) at 6 hospitals in California was billed at $161,697 on average, while the average total payment was $24,582, of which Medicare paid $21,403. 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.