Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc in California
MS-DRG 988: Non-extensive o.r. procedures unrelated to principal diagnosis with cc
$238,228typical hospital bill
$21,072typical amount paid
$19,367–$31,207range paid across 3 hospitals
California hospitals billed Medicare a typical $238,228 for this stay in 2024, about 11.3 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) | |
|---|---|---|---|---|---|---|---|
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 12 | $172,889 | $19,367 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 12 | $238,228 | $21,072 | – | – | |
| Stanford Health Care | Stanford | 18 | $326,899 | $31,207 | – | Not in dollars (16 plans) | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | – | – | $39,924$23,159–$48,334 · 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.