Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in California
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$444,016typical hospital bill
$63,764typical amount paid
$50,685–$229,463range paid across 23 hospitals
California hospitals billed Medicare a typical $444,016 for this stay in 2024, about 7.0 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 Memorial Hospital Presbyterian | Newport Beach | 25 | $318,107 | $50,685 | |
| Huntington Hospital | Pasadena | 11 | $300,956 | $51,437 | |
| Scripps Memorial Hospital La Jolla | La Jolla | 26 | $580,170 | $54,228 | |
| Santa Barbara Cottage Hospital | Santa Barbara | 16 | $269,610 | $55,425 | |
| Community Regional Medical Center | Fresno | 19 | $343,594 | $55,436 | |
| Eisenhower Medical Center | Rancho Mirage | 13 | $280,184 | $56,275 | |
| Sequoia Hospital | Redwood City | 12 | $491,623 | $59,444 | |
| Scripps Mercy Hospital | San Diego | 20 | $584,458 | $59,986 | |
| El Camino Health | Mountain View | 19 | $444,016 | $60,445 | |
| Dominican Hospital | Santa Cruz | 18 | $532,220 | $60,615 | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 11 | $586,051 | $61,341 | |
| Cedars-Sinai Medical Center | Los Angeles | 62 | $687,298 | $63,764 | |
| Sutter Medical Center, Sacramento | Sacramento | 48 | $291,300 | $72,334 | |
| Loma Linda University Medical Center | Loma Linda | 16 | $460,504 | $74,730 | |
| Mercy General Hospital | Sacramento | 21 | $652,400 | $76,941 | |
| John Muir Medical Center - Concord Campus | Concord | 27 | $690,334 | $83,005 | |
| Keck Hospital of Usc | Los Angeles | 23 | $401,122 | $83,798 | |
| Ucsf Medical Center | San Francisco | 15 | $374,873 | $89,551 | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 15 | $311,487 | $89,570 | |
| Stanford Health Care | Stanford | 99 | $897,454 | $103,649 | |
| University of California Davis Medical Center | Sacramento | 12 | $671,448 | $104,808 | |
| Kaiser Foundation Hospital - Los Angeles | Los Angeles | 13 | $128,908 | $186,335 | |
| Kaiser Foundation Hospital - San Francisco | San Francisco | 13 | $198,991 | $229,463 |
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.