Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc in California

MS-DRG 462: Bilateral or multiple major joint procedures of lower extremity without mcc

$191,959typical hospital bill

$31,606typical amount paid

$27,756–$47,198range paid across 4 hospitals

California hospitals billed Medicare a typical $191,959 for this stay in 2024, about 6.1 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
Hoag Orthopedic Institute	Irvine	14	$126,507	$27,756
Glendale Adventist Medical Center	Glendale	35	$192,523	$30,873
Scripps Green Hospital	La Jolla	71	$191,396	$32,338
Ucsf Medical Center	San Francisco	11	$220,039	$47,198

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.