US Health Care Costs

Heart valve replacement through a catheter (TAVR), with major complications in California

MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc

$333,518typical hospital bill
$68,644typical amount paid
$57,894–$138,738range paid across 52 hospitals

California hospitals billed Medicare a typical $333,518 for this stay in 2024, about 4.9 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)

HospitalCityMedicare staysBilledPaid
French Hospital Medical CenterSan Luis Obispo13$346,395$57,894
Shasta Regional Medical CenterRedding53$333,448$58,331
Providence Mission HospitalMission Viejo19$158,479$58,364
Enloe HealthChico71$221,415$58,743
Tri-City Medical CenterOceanside20$356,491$60,040
Torrance Memorial Medical CenterTorrance49$349,029$60,129
Memorial Medical CenterModesto26$220,589$60,325
Adventist Health BakersfieldBakersfield11$358,126$61,191
Santa Barbara Cottage HospitalSanta Barbara32$312,436$62,294
Providence St. Jude Medical CenterFullerton19$240,092$62,373
Providence St. Joseph HospitalOrange64$150,946$62,826
Grossmont HospitalLa Mesa19$312,245$62,886
Marian Regional Medical CenterSanta Maria33$319,399$63,437
Los Robles Hospital & Medical CenterThousand Oaks30$1,003,521$64,019
Glendale Adventist Medical CenterGlendale84$333,587$64,352
Pih Health Good Samaritan HospitalLos Angeles37$293,354$64,599
Doctors Medical CenterModesto14$805,764$64,918
Bakersfield Memorial HospitalBakersfield29$395,704$66,154
Sharp Chula Vista Medical CenterChula Vista12$240,512$67,008
Loma Linda University Medical Center-MurrietaMurrieta12$301,941$67,664
Community Regional Medical CenterFresno19$221,651$67,982
El Camino HealthMountain View33$475,656$68,074
Scripps Memorial Hospital La JollaLa Jolla102$554,315$68,220
Eisenhower Medical CenterRancho Mirage132$181,540$68,498
Marinhealth Medical CenterGreenbrae41$437,204$68,551
Sharp Memorial HospitalSan Diego36$286,443$68,621
Dominican HospitalSanta Cruz23$499,581$68,667
Saint Agnes Medical CenterFresno56$181,292$68,813
Providence Santa Rosa Memorial HospitalSanta Rosa45$314,232$69,338
Salinas Valley Health Medical CenterSalinas31$268,159$70,027
Sutter Medical Center, SacramentoSacramento48$248,223$70,138
Memorialcare Long Beach Medical CenterLong Beach26$383,825$70,245
John Muir Medical Center - Concord CampusConcord24$669,720$70,303
Washington HospitalFremont17$348,389$70,908
Adventist Health St HelenaSaint Helena17$509,564$73,082
Antelope Valley HospitalLancaster40$366,666$73,669
Cedars-Sinai Medical CenterLos Angeles434$661,469$74,777
Alta Bates Summit Medical CenterOakland38$340,381$75,772
Scripps Mercy HospitalSan Diego15$590,779$75,796
Peninsula Medical CenterBurlingame27$332,429$77,221
Community Memorial Hospital - VenturaVentura15$388,559$77,481
Riverside Community HospitalRiverside12$993,068$78,732
St Joseph's Medical Center of StocktonStockton30$270,434$78,976
University of California Davis Medical CenterSacramento77$329,558$89,455
Uci Health-OrangeOrange55$226,823$89,941
Loma Linda University Medical CenterLoma Linda16$318,378$90,132
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego17$338,473$93,237
California Pacific Medical Center- Van Ness CampusSan Francisco58$299,249$96,671
Ronald Reagan Ucla Medical CenterLos Angeles84$246,510$104,651
Stanford Health CareStanford66$765,836$109,863
Keck Hospital of UscLos Angeles26$527,151$118,999
Ucsf Medical CenterSan Francisco40$702,024$138,738

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.