Cardiac Congenital and Valvular Disorders Without Mcc in California
MS-DRG 307: Cardiac congenital and valvular disorders without mcc
$142,261typical hospital bill
$13,544typical amount paid
$11,870–$15,218range paid across 2 hospitals
California hospitals billed Medicare a typical $142,261 for this stay in 2024, about 10.5 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 | |
|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | Los Angeles | 27 | $123,930 | $11,870 | |
| Stanford Health Care | Stanford | 11 | $160,592 | $15,218 |
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.