facebook tracking Wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in California: 11 hospitals compared (DRG 464)

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in California

What 11 hospitals in California charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464), from 2024 Medicare claims.

DRG 464 Inpatient 2024 Medicare data
Average charge $304,651 Hospital list price billed
Average payment $48,139 Medicare + patient + other payers
Medicare paid $37,160 Average per stay
State rank #13 of 14 1 = lowest average payment

Hospitals in California billed an average of $304,651 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 6.3 times the average total payment of $48,139. That payment is 41% above the U.S. average of $34,026.

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 $48,139Billed $304,651

About 16¢ 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:

California hospitals: wound debridement and skin graft except hand for musculoskeletal and connective tissue d

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
Stanford HospitalPalo Alto 46 $435,339 $58,369 $42,252
UCSF Medical CenterSan Francisco 26 $351,879 $60,992 $48,180
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 22 $200,379 $39,375 $36,573
Cedars-Sinai Medical CenterLos Angeles 22 $593,577 $45,431 $39,982
University of California Davis Medical CenterSacramento 19 $273,427 $63,414 $34,030
University of California San Diego Medical CenterSan Diego 17 $240,302 $47,604 $37,307
Clovis Community Medical CenterClovis 17 $115,341 $28,870 $23,067
Washington HospitalFremont 15 $139,819 $23,705 $22,373
USC University HospitalLos Angeles 15 $206,678 $49,403 $32,522
UCI Health-OrangeOrange 13 $263,956 $55,019 $48,944
Enloe Medical CenterChico 11 $129,611 $25,611 $24,870
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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

Washington HospitalFremont, CA$23,705
Enloe Medical CenterChico, CA$25,611
Clovis Community Medical CenterClovis, CA$28,870
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA$39,375
Cedars-Sinai Medical CenterLos Angeles, CA$45,431

Highest

University of California Davis Medical CenterSacramento, CA$63,414
UCSF Medical CenterSan Francisco, CA$60,992
Stanford HospitalPalo Alto, CA$58,369
UCI Health-OrangeOrange, CA$55,019
USC University HospitalLos Angeles, CA$49,403

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in other states

Questions

How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in California?

In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464) at 11 hospitals in California was billed at $304,651 on average, while the average total payment was $48,139, of which Medicare paid $37,160. 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 6.3 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.