facebook tracking Uterine and adnexa procedures for ovarian or adnexal malignancy with complications cost in California: 4 hospitals compared (DRG 737)

Uterine and adnexa procedures for ovarian or adnexal malignancy with complications in California

What 4 hospitals in California charged and were paid for a Medicare hospital stay for uterine and adnexa procedures for ovarian or adnexal malignancy with complications (DRG 737), from 2024 Medicare claims.

DRG 737 Inpatient 2024 Medicare data
Average charge $207,433 Hospital list price billed
Average payment $35,019 Medicare + patient + other payers
Medicare paid $27,444 Average per stay
State rank #4 of 4 1 = lowest average payment

Hospitals in California billed an average of $207,433 for uterine and adnexa procedures for ovarian or adnexal malignancy with complications, about 5.9 times the average total payment of $35,019. That payment is 48% above the U.S. average of $23,647.

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 $35,019Billed $207,433

About 17¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: uterine and adnexa procedures for ovarian or adnexal 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
UCSF Medical CenterSan Francisco 18 $164,072 $32,636 $27,732
Stanford HospitalPalo Alto 15 $403,360 $37,390 $29,125
UCLA Medical CenterLos Angeles 14 $116,450 $40,212 $27,874
University of California San Diego Medical CenterSan Diego 11 $127,010 $29,074 $24,134
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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

University of California San Diego Medical CenterSan Diego, CA$29,074
UCSF Medical CenterSan Francisco, CA$32,636
Stanford HospitalPalo Alto, CA$37,390
UCLA Medical CenterLos Angeles, CA$40,212

Highest

UCLA Medical CenterLos Angeles, CA$40,212
Stanford HospitalPalo Alto, CA$37,390
UCSF Medical CenterSan Francisco, CA$32,636
University of California San Diego Medical CenterSan Diego, CA$29,074

Uterine and adnexa procedures for ovarian or adnexal malignancy with complications in other states

Questions

How much does uterine and adnexa procedures for ovarian or adnexal malignancy with complications cost in California?

In 2024 Medicare data, a hospital stay for uterine and adnexa procedures for ovarian or adnexal malignancy with complications (DRG 737) at 4 hospitals in California was billed at $207,433 on average, while the average total payment was $35,019, of which Medicare paid $27,444. 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 5.9 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.