Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in California

MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

$709,970typical hospital bill

$159,096typical amount paid

$96,020–$241,297range paid across 9 hospitals

California hospitals billed Medicare a typical $709,970 for this stay in 2024, about 4.5 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
Scripps Memorial Hospital La Jolla	La Jolla	14	$767,250	$96,020
Glendale Adventist Medical Center	Glendale	11	$677,084	$99,040
Alta Bates Summit Medical Center	Oakland	12	$475,424	$128,209
Sutter Medical Center, Sacramento	Sacramento	17	$479,609	$129,480
Ucsf Medical Center	San Francisco	13	$709,970	$159,096
Ronald Reagan Ucla Medical Center	Los Angeles	14	$536,113	$166,241
Cedars-Sinai Medical Center	Los Angeles	12	$1,609,453	$175,023
Keck Hospital of Usc	Los Angeles	42	$827,375	$195,877
Stanford Health Care	Stanford	24	$1,715,805	$241,297

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.