Other Respiratory System O.r. Procedures with Mcc in California
MS-DRG 166: Other respiratory system o.r. procedures with mcc
$381,526typical hospital bill
$62,382typical amount paid
$40,614–$120,228range paid across 13 hospitals
California hospitals billed Medicare a typical $381,526 for this stay in 2024, about 6.1 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 | |
|---|---|---|---|---|---|
| Sutter Roseville Medical Center | Roseville | 12 | $179,734 | $40,614 | |
| Eisenhower Medical Center | Rancho Mirage | 16 | $239,972 | $45,054 | |
| Santa Barbara Cottage Hospital | Santa Barbara | 15 | $211,315 | $46,696 | |
| Cedars-Sinai Medical Center | Los Angeles | 54 | $478,788 | $50,597 | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 19 | $381,526 | $56,328 | |
| Keck Hospital of Usc | Los Angeles | 16 | $207,140 | $56,431 | |
| John Muir Medical Center - Concord Campus | Concord | 16 | $481,016 | $62,382 | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 25 | $228,649 | $64,154 | |
| Sharp Memorial Hospital | San Diego | 11 | $418,734 | $67,945 | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 16 | $190,086 | $73,133 | |
| Ucsf Medical Center | San Francisco | 25 | $405,908 | $88,773 | |
| University of California Davis Medical Center | Sacramento | 12 | $590,702 | $92,120 | |
| Stanford Health Care | Stanford | 66 | $988,298 | $120,228 |
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.