Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc in California
MS-DRG 489: Knee procedures without principal diagnosis of infection without cc/mcc
$136,670typical hospital bill
$20,227typical amount paid
$15,315–$25,139range paid across 2 hospitals
California hospitals billed Medicare a typical $136,670 for this stay in 2024, about 6.8 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 | 14 | $173,243 | $15,315 | |
| Ucsf Medical Center | San Francisco | 17 | $100,097 | $25,139 |
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.