Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc in California
MS-DRG 542: Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
$166,491typical hospital bill
$20,713typical amount paid
$15,997–$56,610range paid across 13 hospitals
California hospitals billed Medicare a typical $166,491 for this stay in 2024, about 8.0 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 | 27 | $90,216 | $15,997 | |
| Enloe Health | Chico | 17 | $117,411 | $16,530 | |
| Shasta Regional Medical Center | Redding | 12 | $51,064 | $16,615 | |
| Scripps Mercy Hospital | San Diego | 14 | $57,526 | $16,698 | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 15 | $96,042 | $19,723 | |
| Northbay Medical Center | Fairfield | 12 | $180,810 | $20,499 | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 19 | $148,409 | $20,713 | |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 21 | $166,491 | $26,730 | |
| Stanford Health Care | Stanford | 32 | $319,757 | $33,277 | |
| University of California Davis Medical Center | Sacramento | 15 | $227,585 | $33,977 | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 21 | $167,024 | $38,747 | |
| Cedars-Sinai Medical Center | Los Angeles | 17 | $554,399 | $41,526 | |
| Ucsf Medical Center | San Francisco | 15 | $254,799 | $56,610 |
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.