Pneumothorax with Mcc in California
MS-DRG 199: Pneumothorax with mcc
$133,312typical hospital bill
$18,408typical amount paid
$16,494–$34,329range paid across 6 hospitals
California hospitals billed Medicare a typical $133,312 for this stay in 2024, about 7.2 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 | 13 | $230,898 | $16,494 | |
| Enloe Health | Chico | 12 | $148,049 | $16,971 | |
| Mercy Medical Center Redding | Redding | 14 | $104,237 | $18,351 | |
| Sutter Roseville Medical Center | Roseville | 12 | $63,068 | $18,466 | |
| Cedars-Sinai Medical Center | Los Angeles | 11 | $315,867 | $23,340 | |
| Alta Bates Summit Medical Center | Oakland | 11 | $118,576 | $34,329 |
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.