Diabetes, con complicaciones mayores en California
MS-DRG 637: Diabetes with mcc
Los hospitales de California facturaron a Medicare una cantidad típica de $96,267 por esta hospitalización en 2024, unas 6.1 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Relacionados:Diabetes, con complicaciones
Hospitales de California comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| Usc Arcadia Hospital | Arcadia | 12 | $82,488 | $10,336 | – | – | |
| Palomar Health Downtown Campus | Escondido | 21 | $105,611 | $11,802 | – | – | |
| Corona Regional Medical Center | Corona | 11 | $125,717 | $13,158 | – | – | |
| Providence St. Jude Medical Center | Fullerton | 16 | $66,767 | $13,379 | – | – | |
| Adventist Health Twin Cities | Templeton | 12 | $185,277 | $13,430 | – | – | |
| Scripps Memorial Hospital La Jolla | La Jolla | 16 | $100,880 | $13,572 | $15,821 | $24,515$14,008–$46,092 · 55 planes | |
| San Antonio Regional Hospital | Upland | 21 | $91,778 | $13,575 | – | – | |
| Henry Mayo Newhall Hospital | Valencia | 15 | $124,463 | $13,612 | – | – | |
| Enloe Health | Chico | 24 | $106,720 | $13,620 | – | – | |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana | 23 | $85,489 | $13,779 | – | – | |
| Torrance Memorial Medical Center | Torrance | 25 | $171,862 | $13,838 | – | – | |
| Mercy Hospital of Folsom | Folsom | 11 | $113,789 | $13,891 | – | – | |
| Adventist Health Hanford | Hanford | 19 | $65,447 | $13,965 | – | – | |
| St Johns Regional Medical Center | Oxnard | 30 | $64,257 | $14,121 | – | – | |
| Adventist Health Bakersfield | Bakersfield | 15 | $71,988 | $14,171 | – | – | |
| Providence Little Company of Mary Med Ctr Torrance | Torrance | 17 | $70,352 | $14,185 | – | – | |
| Memorial Medical Center | Modesto | 25 | $80,348 | $14,197 | – | – | |
| Providence St Mary Medical Center | Apple Valley | 21 | $59,005 | $14,208 | – | – | |
| Memorialcare Orange Coast Medical Center | Fountain Valley | 15 | $146,681 | $14,208 | – | – | |
| Marshall Medical Center | Placerville | 15 | $103,306 | $14,238 | – | – | |
| Palmdale Regional Medical Center | Palmdale | 21 | $159,822 | $14,260 | – | – | |
| Oroville Hospital | Oroville | 15 | $28,106 | $14,309 | – | – | |
| Victor Valley Global Medical Center | Victorville | 15 | $31,760 | $14,413 | – | – | |
| Pih Health Hospital-Whittier | Whittier | 15 | $81,664 | $14,413 | – | – | |
| Clovis Community Medical Center | Clovis | 22 | $105,754 | $14,457 | – | – | |
| Desert Valley Hospital | Victorville | 22 | $35,871 | $14,527 | – | – | |
| Marian Regional Medical Center | Santa Maria | 23 | $83,173 | $14,557 | – | – | |
| Glendale Adventist Medical Center | Glendale | 22 | $89,323 | $14,581 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 13 | $162,449 | $14,628 | – | $15,921$2,455–$17,513 · 44 planes | |
| Pih Health Good Samaritan Hospital | Los Angeles | 23 | $89,333 | $14,689 | – | – | |
| Hollywood Presbyterian Medical Center | Los Angeles | 13 | $59,100 | $14,706 | – | – | |
| L a Downtown Medical Center | Los Angeles | 13 | $34,351 | $14,749 | – | – | |
| Mercy Medical Center | Merced | 23 | $100,570 | $14,785 | – | – | |
| Memorial Hospital of Gardena | Gardena | 22 | $84,102 | $14,807 | – | – | |
| Adventist Health Tulare | Tulare | 11 | $57,696 | $14,834 | – | – | |
| Uci Health - Fountain Valley | Fountain Valley | 23 | $191,991 | $14,944 | – | – | |
| Southern California Hospital at Hollywood | Hollywood | 62 | $59,607 | $14,957 | – | $21,361$16,104–$30,302 · 14 planes | |
| Mercy Hospital | Bakersfield | 16 | $96,267 | $14,967 | – | – | |
| Montclair Hospital Medical Center | Montclair | 14 | $45,338 | $14,969 | – | – | |
| Sherman Oaks Hospital | Sherman Oaks | 22 | $31,067 | $15,012 | – | – | |
| Emanuel Medical Center | Turlock | 11 | $168,960 | $15,019 | – | – | |
| Mercy General Hospital | Sacramento | 14 | $118,357 | $15,046 | – | – | |
| Grossmont Hospital | La Mesa | 29 | $98,755 | $15,096 | $79,259 | $70,984$34,219–$73,975 · 12 planes | |
| Mercy Medical Center Redding | Redding | 28 | $107,207 | $15,136 | – | – | |
| Los Angeles Community Hospital | Los Angeles | 45 | $48,792 | $15,193 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 15 | $72,715 | $15,207 | – | – | |
| Adventist Health Lodi Memorial | Lodi | 13 | $208,456 | $15,277 | – | – | |
| El Camino Health | Mountain View | 13 | $124,176 | $15,277 | – | – | |
| Northridge Hospital Medical Center | Northridge | 18 | $131,031 | $15,283 | – | – | |
| Peninsula Medical Center | Burlingame | 12 | $59,296 | $15,368 | – | – | |
| Providence Holy Cross Medical Center | Mission Hills | 11 | $92,550 | $15,444 | – | – | |
| Memorialcare Long Beach Medical Center | Long Beach | 19 | $147,343 | $15,453 | – | – | |
| Emanate Health Inter-Community Hospital | Covina | 13 | $68,906 | $15,576 | – | – | |
| Centinela Hospital Medical Center | Inglewood | 35 | $59,836 | $15,627 | – | – | |
| Adventist Health and Rideout | Marysville | 23 | $79,538 | $15,630 | – | – | |
| Mission Community Hospital | Panorama City | 12 | $62,637 | $15,656 | – | – | |
| Garden Grove Hospital & Medical Center | Garden Grove | 18 | $42,316 | $15,698 | – | – | |
| Antelope Valley Hospital | Lancaster | 16 | $87,598 | $15,701 | – | – | |
| Sierra View Medical Center | Porterville | 11 | $33,994 | $15,702 | – | – | |
| Sutter Roseville Medical Center | Roseville | 22 | $85,584 | $15,845 | – | – | |
| Doctors Medical Center | Modesto | 19 | $201,750 | $15,879 | – | – | |
| West Anaheim Medical Center | Anaheim | 19 | $50,466 | $15,957 | – | – | |
| Hemet Global Medical Center | Hemet | 16 | $72,250 | $15,957 | – | – | |
| Providence Queen of the Valley Medical Center | Napa | 13 | $150,768 | $15,980 | – | – | |
| Providence St Joseph Hospital | Eureka | 15 | $102,986 | $15,999 | – | – | |
| Alta Bates Summit Medical Center | Oakland | 12 | $60,467 | $16,018 | – | – | |
| Sutter Delta Medical Center | Antioch | 11 | $67,577 | $16,018 | – | – | |
| Good Samaritan Hospital | San Jose | 12 | $222,144 | $16,019 | – | – | |
| Huntington Hospital | Pasadena | 29 | $164,623 | $16,158 | – | – | |
| Saint Francis Medical Center | Lynwood | 24 | $63,893 | $16,193 | – | – | |
| Chino Valley Medical Center | Chino | 13 | $48,085 | $16,216 | – | – | |
| Community Regional Medical Center | Fresno | 25 | $80,643 | $16,246 | – | – | |
| Regional Medical Center of San Jose | San Jose | 11 | $243,900 | $16,284 | – | – | |
| Sharp Chula Vista Medical Center | Chula Vista | 31 | $128,674 | $16,319 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 20 | $88,627 | $16,321 | $7,937 | $13,938$7,435–$17,179 · 220 planes | |
| Salinas Valley Health Medical Center | Salinas | 17 | $106,367 | $16,341 | – | – | |
| St Bernardine Medical Center | San Bernardino | 21 | $120,870 | $16,352 | – | – | |
| Kaweah Health Medical Center | Visalia | 23 | $55,080 | $16,392 | – | – | |
| Providence St. Joseph Hospital | Orange | 11 | $80,233 | $16,516 | – | – | |
| Washington Hospital | Fremont | 13 | $121,266 | $16,521 | – | – | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 17 | $123,887 | $16,537 | – | – | |
| Pomona Valley Hospital Medical Center | Pomona | 24 | $152,792 | $16,562 | – | – | |
| Northbay Medical Center | Fairfield | 13 | $141,465 | $16,569 | – | – | |
| Saint Agnes Medical Center | Fresno | 38 | $49,893 | $16,700 | – | – | |
| Bakersfield Memorial Hospital | Bakersfield | 20 | $110,029 | $16,701 | – | – | |
| Southwest Healthcare Rancho Springs Hospital | Murrieta | 12 | $113,009 | $16,729 | – | – | |
| Sharp Memorial Hospital | San Diego | 23 | $137,816 | $16,926 | – | – | |
| Methodist Hospital of Sacramento | Sacramento | 18 | $94,358 | $16,953 | – | – | |
| Scripps Mercy Hospital | San Diego | 16 | $70,551 | $17,102 | – | – | |
| Sutter Medical Center, Sacramento | Sacramento | 18 | $83,552 | $17,111 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 12 | $79,738 | $17,242 | – | – | |
| Riverside Community Hospital | Riverside | 18 | $150,324 | $17,287 | – | – | |
| St Mary Medical Center | Long Beach | 12 | $92,913 | $17,363 | – | – | |
| Martin Luther King, Jr. Community Hospital | Los Angeles | 17 | $227,188 | $17,550 | – | – | |
| Sutter Solano Medical Center | Vallejo | 12 | $96,788 | $17,888 | – | – | |
| Stanford Health Care Tri-Valley | Pleasanton | 12 | $160,682 | $18,393 | – | $39,497solo 1 plan | |
| St Joseph's Medical Center of Stockton | Stockton | 25 | $130,024 | $18,528 | – | – | |
| Adventist Health White Memorial | Los Angeles | 15 | $183,796 | $18,553 | – | – | |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 16 | $61,581 | $18,761 | – | – | |
| Mercy San Juan Medical Center | Carmichael | 33 | $95,745 | $18,835 | – | – | |
| Sutter Santa Rosa Regional Hospital | Santa Rosa | 14 | $92,156 | $19,351 | – | – | |
| Temecula Valley Hospital | Temecula | 12 | $100,827 | $19,634 | – | – | |
| Uci Health-Lakewood | Lakewood | 16 | $171,310 | $20,026 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 27 | $240,518 | $20,571 | – | – | |
| Ucsf Health St. Mary's Hospital | San Francisco | 15 | $144,277 | $21,495 | – | – | |
| Eden Medical Center | Castro Valley | 14 | $78,253 | $21,511 | – | – | |
| Riverside University Health System-Medical Center | Moreno Valley | 13 | $154,643 | $21,742 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 19 | $216,641 | $22,216 | – | – | |
| Uci Health-Orange | Orange | 14 | $86,618 | $22,892 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 15 | $137,434 | $23,837 | – | – | |
| Santa Clara Valley Medical Center | San Jose | 16 | $122,462 | $24,043 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 18 | $79,472 | $25,492 | – | – | |
| Loma Linda University Medical Center | Loma Linda | 12 | $163,157 | $25,741 | – | – | |
| Stanford Health Care | Stanford | 33 | $262,411 | $26,262 | – | No en dólares (16 planes) | |
| Ucsf Medical Center | San Francisco | 19 | $151,019 | $26,456 | – | – | |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco | 12 | $158,051 | $29,458 | – | – | |
| University of California Davis Medical Center | Sacramento | 24 | $157,786 | $30,625 | – | $20,692$19,907–$44,679 · 4 planes | |
| Los Angeles General Medical Center | Los Angeles | 16 | $78,622 | $32,678 | – | – | |
| Community Hospital of the Monterey Peninsula | Monterey | 18 | $146,195 | $44,483 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | – | – | $33,882$19,977–$41,019 · 4 planes |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
La diabetes lleva a una hospitalización cuando el azúcar en la sangre sube o baja a niveles peligrosos, como en la cetoacidosis diabética, o cuando causa complicaciones como problemas de los nervios o de la circulación.
Esta página trata la versión más compleja: pacientes que además tuvieron una complicación mayor u otra afección grave, como insuficiencia renal, una infección grave o insuficiencia respiratoria. Estas hospitalizaciones duran más y cuestan más.
Qué esperar
Insulina y líquidos por la vena, controles frecuentes del azúcar y de las sales en la sangre, y ajustar el plan de tratamiento en casa. La hospitalización suele durar de dos a cuatro días.
Qué hace subir o bajar la factura
Los cuidados intensivos en los casos graves y la duración de la hospitalización son los factores principales.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por diabetes, con complicaciones mayores en California?
En 119 hospitales de California, la factura típica por diabetes, con complicaciones mayores fue de $96,267 en 2024, y Medicare y el paciente juntos pagaron típicamente $15,845. El hospital típico de EE. UU. facturó $56,387.
¿Qué hospitales de California facturan menos y más por diabetes, con complicaciones mayores?
La factura promedio más baja es la de Oroville Hospital, $28,106. La más alta es la de Stanford Health Care, $262,411. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.