Other Circulatory System O.r. Procedures in California
MS-DRG 264: Other circulatory system o.r. procedures
$190,867typical hospital bill
$38,856typical amount paid
$32,086–$52,781range paid across 12 hospitals
California hospitals billed Medicare a typical $190,867 for this stay in 2024, about 4.9 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 | |
|---|---|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | 14 | $112,235 | $32,086 | |
| Providence Holy Cross Medical Center | Mission Hills | 11 | $144,173 | $32,262 | |
| Community Regional Medical Center | Fresno | 11 | $112,283 | $35,255 | |
| Salinas Valley Health Medical Center | Salinas | 17 | $233,484 | $35,687 | |
| Kaweah Health Medical Center | Visalia | 12 | $95,019 | $36,980 | |
| Scripps Mercy Hospital | San Diego | 11 | $148,250 | $37,319 | |
| John Muir Medical Center - Concord Campus | Concord | 18 | $273,978 | $40,393 | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 15 | $290,041 | $40,607 | |
| Community Hospital of the Monterey Peninsula | Monterey | 12 | $276,035 | $46,125 | |
| California Pacific Medical Center- Van Ness Campus | San Francisco | 11 | $109,124 | $48,238 | |
| Cedars-Sinai Medical Center | Los Angeles | 41 | $599,392 | $50,061 | |
| Stanford Health Care | Stanford | 15 | $355,678 | $52,781 |
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.