Fractures of Hip and Pelvis with Mcc in California
MS-DRG 535: Fractures of hip and pelvis with mcc
$132,266typical hospital bill
$13,722typical amount paid
$12,645–$16,953range paid across 3 hospitals
California hospitals billed Medicare a typical $132,266 for this stay in 2024, about 9.6 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 | |
|---|---|---|---|---|---|
| Los Robles Hospital & Medical Center | Thousand Oaks | 12 | $132,266 | $12,645 | |
| Mercy Medical Center Redding | Redding | 12 | $80,777 | $13,722 | |
| Cedars-Sinai Medical Center | Los Angeles | 14 | $173,077 | $16,953 |
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.