Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in California
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$123,785typical hospital bill
$19,723typical amount paid
$18,007–$27,479range paid across 11 hospitals
California hospitals billed Medicare a typical $123,785 for this stay in 2024, about 6.3 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 | $146,942 | $18,007 | |
| Torrance Memorial Medical Center | Torrance | 12 | $107,898 | $18,101 | |
| Mercy Medical Center Redding | Redding | 11 | $85,077 | $19,229 | |
| Sutter Roseville Medical Center | Roseville | 17 | $82,584 | $19,307 | |
| Palomar Health Downtown Campus | Escondido | 11 | $144,728 | $19,625 | |
| Marian Regional Medical Center | Santa Maria | 13 | $112,211 | $19,723 | |
| Santa Barbara Cottage Hospital | Santa Barbara | 12 | $123,785 | $19,737 | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 11 | $211,085 | $20,575 | |
| Saint Agnes Medical Center | Fresno | 11 | $88,272 | $20,930 | |
| Scripps Mercy Hospital | San Diego | 12 | $183,942 | $21,507 | |
| Cedars-Sinai Medical Center | Los Angeles | 15 | $298,632 | $27,479 |
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.