Dysequilibrium in California
MS-DRG 149: Dysequilibrium
$63,419typical hospital bill
$8,576typical amount paid
$6,417–$13,264range paid across 28 hospitals
California hospitals billed Medicare a typical $63,419 for this stay in 2024, about 7.4 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Usc Arcadia Hospital | Arcadia | 17 | $56,854 | $6,417 | – | – | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 14 | $42,632 | $7,373 | – | – | |
| Torrance Memorial Medical Center | Torrance | 21 | $80,861 | $7,432 | – | – | |
| Memorial Medical Center | Modesto | 13 | $54,445 | $7,526 | – | – | |
| Oroville Hospital | Oroville | 17 | $28,276 | $7,593 | – | – | |
| Usc Verdugo Hills Hospital | Glendale | 13 | $72,658 | $7,684 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 31 | $90,960 | $7,806 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 12 | $35,645 | $8,024 | – | – | |
| Uci Health - Fountain Valley | Fountain Valley | 18 | $99,192 | $8,026 | – | – | |
| Sharp Chula Vista Medical Center | Chula Vista | 27 | $62,799 | $8,248 | – | – | |
| West Anaheim Medical Center | Anaheim | 11 | $30,145 | $8,267 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 15 | $88,445 | $8,305 | – | – | |
| Grossmont Hospital | La Mesa | 45 | $48,346 | $8,470 | – | – | |
| Community Hospital of the Monterey Peninsula | Monterey | 19 | $69,591 | $8,504 | – | – | |
| Sharp Memorial Hospital | San Diego | 17 | $63,336 | $8,649 | – | – | |
| Marinhealth Medical Center | Greenbrae | 11 | $105,369 | $8,723 | – | – | |
| Alta Bates Summit Medical Center | Oakland | 13 | $52,303 | $8,803 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 13 | $85,020 | $8,896 | – | – | |
| Salinas Valley Health Medical Center | Salinas | 11 | $63,502 | $8,919 | – | – | |
| Providence Saint Joseph Medical Ctr | Burbank | 11 | $60,144 | $8,985 | – | – | |
| Scripps Mercy Hospital | San Diego | 11 | $53,974 | $8,994 | – | – | |
| Good Samaritan Hospital | San Jose | 20 | $172,052 | $9,086 | – | – | |
| Sutter Medical Center, Sacramento | Sacramento | 11 | $58,587 | $9,367 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 30 | $115,417 | $9,942 | – | – | |
| Riverside Community Hospital | Riverside | 11 | $114,978 | $10,131 | – | – | |
| Temecula Valley Hospital | Temecula | 12 | $68,739 | $10,335 | – | – | |
| Stanford Health Care | Stanford | 19 | $151,969 | $13,241 | – | Not in dollars (16 plans) | |
| Santa Clara Valley Medical Center | San Jose | 11 | $58,708 | $13,264 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | – | – | $17,391$10,493–$21,055 · 4 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.