Other Factors Influencing Health Status in California
MS-DRG 951: Other factors influencing health status
$43,646typical hospital bill
$6,809typical amount paid
$6,016–$7,413range paid across 9 hospitals
California hospitals billed Medicare a typical $43,646 for this stay in 2024, about 6.4 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 | |
|---|---|---|---|---|---|
| Providence Mission Hospital | Mission Viejo | 12 | $28,057 | $6,016 | |
| Sierra Nevada Memorial Hospital | Grass Valley | 14 | $43,646 | $6,099 | |
| Palomar Medical Center Poway | Poway | 13 | $44,375 | $6,118 | |
| Adventist Health and Rideout | Marysville | 13 | $35,705 | $6,286 | |
| Providence St Joseph Hospital | Eureka | 14 | $54,571 | $6,809 | |
| Kaweah Health Medical Center | Visalia | 30 | $25,408 | $6,812 | |
| Providence Queen of the Valley Medical Center | Napa | 19 | $63,318 | $7,210 | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 11 | $57,076 | $7,243 | |
| Grossmont Hospital | La Mesa | 20 | $40,319 | $7,413 |
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.