Major Chest Procedures Without Cc/Mcc in California
MS-DRG 165: Major chest procedures without cc/mcc
$164,258typical hospital bill
$26,076typical amount paid
$17,779–$33,114range paid across 11 hospitals
California hospitals billed Medicare a typical $164,258 for this stay in 2024, about 6.3 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) | |
|---|---|---|---|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport Beach | 29 | $112,544 | $17,779 | – | $43,366$25,984–$52,500 · 4 plans | |
| Sutter Roseville Medical Center | Roseville | 28 | $80,394 | $18,964 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 17 | $85,656 | $20,165 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 12 | $94,604 | $21,326 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 68 | $251,817 | $22,607 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 13 | $197,555 | $26,076 | – | – | |
| Loma Linda University Medical Center | Loma Linda | 11 | $237,621 | $28,182 | – | – | |
| University of California Davis Medical Center | Sacramento | 25 | $249,404 | $29,855 | – | – | |
| Ucsf Medical Center | San Francisco | 15 | $164,258 | $30,183 | – | – | |
| Stanford Health Care | Stanford | 34 | $271,709 | $30,254 | – | Not in dollars (16 plans) | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 16 | $121,695 | $33,114 | – | – |
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.