Pleural Effusion with Mcc in California

MS-DRG 186: Pleural effusion with mcc

$87,698typical hospital bill

$16,544typical amount paid

$14,930–$37,043range paid across 13 hospitals

California hospitals billed Medicare a typical $87,698 for this stay in 2024, about 5.3 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
Bakersfield Memorial Hospital	Bakersfield	12	$81,681	$14,930
Memorialcare Orange Coast Medical Center	Fountain Valley	11	$111,339	$14,973
Providence Saint Joseph Medical Ctr	Burbank	15	$101,760	$15,153
Eisenhower Medical Center	Rancho Mirage	16	$86,937	$15,549
Saint Agnes Medical Center	Fresno	13	$36,184	$16,344
John Muir Medical Center - Walnut Creek Campus	Walnut Creek	11	$178,980	$16,496
Glendale Adventist Medical Center	Glendale	15	$102,811	$16,544
Saint John's Health Center	Santa Monica	11	$87,698	$17,051
Kaweah Health Medical Center	Visalia	12	$55,375	$18,028
Sutter Medical Center, Sacramento	Sacramento	13	$86,323	$19,906
Cedars-Sinai Medical Center	Los Angeles	15	$256,179	$21,288
Sutter Roseville Medical Center	Roseville	13	$80,093	$23,940
Stanford Health Care	Stanford	16	$285,409	$37,043

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.