Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in California
MS-DRG 987: Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
$282,426typical hospital bill
$54,426typical amount paid
$32,937–$144,242range paid across 7 hospitals
California hospitals billed Medicare a typical $282,426 for this stay in 2024, about 5.2 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 | |
|---|---|---|---|---|---|
| Enloe Health | Chico | 19 | $261,558 | $32,937 | |
| Community Regional Medical Center | Fresno | 12 | $195,352 | $35,890 | |
| El Camino Health | Mountain View | 13 | $282,981 | $40,466 | |
| University of California Davis Medical Center | Sacramento | 13 | $282,426 | $54,426 | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 13 | $212,743 | $60,856 | |
| Cedars-Sinai Medical Center | Los Angeles | 22 | $665,067 | $63,653 | |
| Stanford Health Care | Stanford | 15 | $966,192 | $144,242 |
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.