Insuficiencia cardíaca, con complicaciones mayores en California

MS-DRG 291: Heart failure and shock with mcc

Los hospitales de California facturaron a Medicare una cantidad típica de $80,698 por esta hospitalización en 2024, unas 5.6 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.

Estimar lo que usted pagaría

$80,698factura típica del hospital típico de EE. UU.: $43,409

$14,364monto típico realmente pagado típico de EE. UU.: $10,959

$8.8k–$77krango pagado en 245 hospitales

5.6×la factura comparada con lo que se pagó

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)
Palomar Medical Center Poway	Poway	76	$90,702	$8,848	–	–
Palomar Health Downtown Campus	Escondido	153	$105,283	$10,128	–	–
Usc Arcadia Hospital	Arcadia	208	$93,514	$10,679	–	–
Kaiser Foundation Hospital - San Marcos	San Marcos	15	$78,582	$11,219	–	–
Goleta Valley Cottage Hospital	Santa Barbara	13	$38,353	$11,245	–	–
Kaiser Foundation Hospital - Woodland Hills	Woodland Hills	15	$53,990	$11,413	–	–
French Hospital Medical Center	San Luis Obispo	120	$68,393	$11,470	–	–
Usc Verdugo Hills Hospital	Glendale	96	$79,150	$11,561	–	–
Adventist Health Twin Cities	Templeton	110	$127,685	$11,779	–	–
Chapman Global Medical Center	Orange	13	$49,230	$11,845	–	–
Huntington Beach Hospital	Huntington Beach	25	$49,211	$11,981	–	–
Emanate Health Foothill Presbyterian Hospital	Glendora	53	$57,022	$11,983	–	–
Memorialcare Saddleback Medical Center	Laguna Hills	137	$95,834	$12,130	–	–
Providence Mission Hospital	Mission Viejo	143	$74,898	$12,173	–	–
San Dimas Community Hospital	San Dimas	18	$55,101	$12,179	–	–
Hoag Memorial Hospital Presbyterian	Newport Beach	341	$55,678	$12,198	–	$30,360$17,907–$36,755 · 4 planes
Cedar-Sinai Marina Del Rey Hospital	Marina Del Rey	72	$95,059	$12,228	–	–
Torrance Memorial Medical Center	Torrance	276	$118,836	$12,307	–	–
Adventist Health Bakersfield	Bakersfield	217	$83,684	$12,317	–	–
Tri-City Medical Center	Oceanside	62	$62,091	$12,323	–	–
Enloe Health	Chico	439	$101,149	$12,339	–	–
Adventist Health Simi Valley	Simi Valley	112	$105,743	$12,341	–	–
Saint John's Health Center	Santa Monica	152	$59,471	$12,342	–	–
Scripps Memorial Hospital - Encinitas	Encinitas	207	$66,617	$12,379	–	–
Sonoma Valley Hospital	Sonoma	21	$66,194	$12,380	–	–
Uci Health-Placentia Linda	Placentia	36	$173,488	$12,396	–	–
Ucla West Valley Medical Center	West Hills	103	$184,028	$12,439	–	–
Uci Health - Los Alamitos	Los Alamitos	103	$165,329	$12,445	–	–
Oroville Hospital	Oroville	107	$33,633	$12,495	–	–
Redlands Community Hospital	Redlands	48	$97,640	$12,567	–	–
Encino Hospital Medical Center	Encino	20	$51,301	$12,577	–	–
Memorialcare Orange Coast Medical Center	Fountain Valley	116	$119,793	$12,591	–	–
Adventist Health Sierra Vista	San Luis Obispo	29	$151,364	$12,624	–	–
Community Hospital of Huntington Park	Huntington Park	48	$65,957	$12,625	–	–
Sharp Coronado Hospital and Hlthcr Ctr	Coronado	32	$76,491	$12,675	–	–
Sutter Tracy Community Hospital	Tracy	59	$59,231	$12,678	–	–
Scripps Memorial Hospital La Jolla	La Jolla	338	$82,114	$12,695	$14,554	$21,950$12,543–$41,187 · 55 planes
El Centro Regional Medical Center	El Centro	75	$50,138	$12,721	–	–
Clovis Community Medical Center	Clovis	259	$81,563	$12,723	–	–
Providence St. Jude Medical Center	Fullerton	155	$57,222	$12,730	–	–
Mercy Hospital of Folsom	Folsom	125	$88,091	$12,756	–	–
Alhambra Hospital Medical Center	Alhambra	29	$79,453	$12,782	–	–
Marshall Medical Center	Placerville	85	$70,177	$12,829	–	–
Providence Little Co of Mary Med Ctr San Pedro	San Pedro	49	$73,378	$12,852	–	–
Foothill Regional Medical Center	Tustin	58	$90,125	$12,855	–	–
St Johns Regional Medical Center	Oxnard	219	$74,331	$12,864	–	–
Pih Health Hospital-Whittier	Whittier	168	$88,926	$12,877	–	–
Sierra Nevada Memorial Hospital	Grass Valley	89	$75,041	$12,885	–	–
Marian Regional Medical Center	Santa Maria	210	$64,561	$12,943	–	–
Palmdale Regional Medical Center	Palmdale	72	$138,312	$12,963	–	–
Coast Plaza Hospital	Norwalk	42	$65,705	$13,004	–	–
Sherman Oaks Hospital	Sherman Oaks	101	$49,340	$13,033	–	–
Adventist Health Hanford	Hanford	112	$56,033	$13,068	–	–
Ahmc Anaheim Regional Medical Center	Anaheim	43	$63,752	$13,096	–	–
San Antonio Regional Hospital	Upland	157	$107,286	$13,110	–	–
La Palma Intercommunity Hospital	La Palma	35	$36,597	$13,114	–	–
Emanuel Medical Center	Turlock	124	$148,360	$13,144	–	–
Shasta Regional Medical Center	Redding	145	$48,249	$13,205	–	–
Glendale Mem Hospital & Hlth Center	Glendale	134	$85,591	$13,220	–	–
Corona Regional Medical Center	Corona	104	$97,917	$13,226	–	–
Los Robles Hospital & Medical Center	Thousand Oaks	145	$156,226	$13,231	–	$14,258$2,455–$15,684 · 44 planes
Providence Cedars Sinai Tarzana Medical Center	Tarzana	229	$94,017	$13,248	–	–
Mercy Medical Center Redding	Redding	193	$76,469	$13,262	–	–
Providence St Mary Medical Center	Apple Valley	164	$68,097	$13,299	–	–
Whittier Hospital Medical Center	Whittier	51	$70,892	$13,300	–	–
Pih Health Downey Hospital	Downey	101	$68,477	$13,302	–	–
Sutter Roseville Medical Center	Roseville	331	$69,302	$13,315	–	–
Mercy Hospital	Bakersfield	78	$79,964	$13,324	–	–
Sutter Auburn Faith Hospital	Auburn	86	$54,507	$13,333	–	–
Grossmont Hospital	La Mesa	313	$85,871	$13,340	$66,935	$49,755$22,303–$62,473 · 18 planes
San Gabriel Valley Medical Center	San Gabriel	52	$65,164	$13,355	–	–
Lompoc Valley Medical Center	Lompoc	44	$42,893	$13,357	–	–
Emanate Health Inter-Community Hospital	Covina	162	$58,289	$13,363	–	–
Antelope Valley Hospital	Lancaster	34	$80,975	$13,365	–	–
Pioneers Memorial Healthcare District	Brawley	39	$34,463	$13,366	–	–
John F Kennedy Memorial Hospital	Indio	44	$117,546	$13,373	–	–
Memorial Hospital of Gardena	Gardena	90	$68,237	$13,383	–	–
Garden Grove Hospital & Medical Center	Garden Grove	30	$44,419	$13,386	–	–
Bakersfield Memorial Hospital	Bakersfield	121	$77,679	$13,395	–	–
Pih Health Good Samaritan Hospital	Los Angeles	159	$63,995	$13,457	–	–
Adventist Health Lodi Memorial	Lodi	141	$142,061	$13,576	–	–
San Gorgonio Memorial Hospital	Banning	32	$67,040	$13,587	–	–
Pomona Valley Hospital Medical Center	Pomona	144	$98,727	$13,612	–	–
Petaluma Valley Hospital	Petaluma	45	$97,197	$13,627	–	–
Desert Valley Hospital	Victorville	97	$40,190	$13,638	–	–
Memorial Medical Center	Modesto	226	$73,342	$13,661	–	–
Providence Holy Cross Medical Center	Mission Hills	138	$84,116	$13,665	–	–
Garfield Medical Center	Monterey Park	68	$96,932	$13,683	–	–
Providence Saint Joseph Medical Ctr	Burbank	226	$96,035	$13,686	–	–
Huntington Hospital	Pasadena	233	$116,839	$13,693	–	–
Providence Little Company of Mary Med Ctr Torrance	Torrance	152	$81,460	$13,710	–	–
Victor Valley Global Medical Center	Victorville	34	$41,806	$13,734	–	–
Glendale Adventist Medical Center	Glendale	295	$98,242	$13,785	–	–
Adventist Health St Helena	Saint Helena	52	$129,508	$13,796	–	–
St Elizabeth Community Hospital	Red Bluff	68	$65,381	$13,801	–	–
Woodland Memorial Hospital	Woodland	39	$83,737	$13,803	–	–
Doctors Medical Center	Modesto	166	$259,631	$13,827	–	–
Novato Community Hospital	Novato	44	$57,182	$13,832	–	–
Hollywood Presbyterian Medical Center	Los Angeles	82	$62,308	$13,833	–	–
Orange County Global Medical Center	Santa Ana	37	$59,436	$13,886	–	–
West Anaheim Medical Center	Anaheim	83	$48,602	$13,886	–	–
Henry Mayo Newhall Hospital	Valencia	150	$124,949	$13,889	–	–
Southwest Healthcare Rancho Springs Hospital	Murrieta	72	$92,363	$13,905	–	–
Sutter Davis Hospital	Davis	53	$67,329	$13,909	–	–
Eisenhower Medical Center	Rancho Mirage	314	$76,104	$13,914	$7,096	$12,464$7,435–$14,092 · 220 planes
San Ramon Regional Medical Center	San Ramon	66	$223,931	$13,919	–	–
Northridge Hospital Medical Center	Northridge	176	$144,558	$13,930	–	–
Centinela Hospital Medical Center	Inglewood	161	$58,280	$13,937	–	–
Uci Health - Fountain Valley	Fountain Valley	145	$175,363	$13,966	–	–
Mercy San Juan Medical Center	Carmichael	242	$86,958	$13,990	–	–
Adventist Health Sonora	Sonora	68	$93,924	$14,015	–	–
Southern California Hospital at Hollywood	Hollywood	68	$94,169	$14,017	–	$19,101$14,390–$27,104 · 14 planes
Doctors Hospital of Manteca	Manteca	49	$200,410	$14,039	–	–
Montclair Hospital Medical Center	Montclair	15	$57,693	$14,049	–	–
Santa Barbara Cottage Hospital	Santa Barbara	231	$84,708	$14,163	–	–
Dameron Hospital	Stockton	35	$128,528	$14,225	–	–
Uci Health-Lakewood	Lakewood	84	$211,897	$14,263	–	–
Providence St Joseph Hospital	Eureka	137	$76,499	$14,298	–	–
Mercy General Hospital	Sacramento	211	$96,886	$14,315	–	–
Mercy Medical Center	Merced	194	$96,824	$14,318	–	–
Sequoia Hospital	Redwood City	97	$149,722	$14,336	–	–
Eden Medical Center	Castro Valley	106	$68,972	$14,344	–	–
Los Angeles Community Hospital	Los Angeles	69	$70,295	$14,364	–	–
Sharp Chula Vista Medical Center	Chula Vista	193	$108,956	$14,396	–	–
Mission Community Hospital	Panorama City	33	$81,326	$14,454	–	–
College Medical Center	Long Beach	16	$50,882	$14,459	–	–
El Camino Health	Mountain View	295	$131,100	$14,480	–	–
Paradise Valley Hospital	National City	69	$39,725	$14,482	–	–
Saint Francis Medical Center	Lynwood	77	$54,942	$14,493	–	–
St Rose Hospital	Hayward	59	$63,638	$14,518	–	–
Chinese Hospital	San Francisco	16	$48,201	$14,544	–	–
Stanford Health Care Tri-Valley	Pleasanton	146	$139,992	$14,563	–	$41,175solo 1 plan
Loma Linda University Medical Center-Murrieta	Murrieta	64	$71,240	$14,569	–	–
Watsonville Community Hospital	Watsonville	42	$101,617	$14,590	–	–
Adventist Health and Rideout	Marysville	249	$104,093	$14,629	–	–
Community Regional Medical Center	Fresno	270	$67,516	$14,636	–	–
Community Memorial Hospital - Ventura	Ventura	133	$38,300	$14,676	–	–
Marinhealth Medical Center	Greenbrae	138	$138,111	$14,720	–	–
Saint Agnes Medical Center	Fresno	345	$58,463	$14,733	–	–
Dominican Hospital	Santa Cruz	168	$154,520	$14,778	–	–
Sierra View Medical Center	Porterville	41	$46,420	$14,780	–	–
Providence Queen of the Valley Medical Center	Napa	105	$92,714	$14,793	–	–
Parkview Community Hospital Medical Center	Riverside	41	$92,080	$14,797	–	–
Kaweah Health Medical Center	Visalia	264	$51,180	$14,806	–	–
Sutter Coast Hospital	Crescent City	53	$60,902	$14,829	–	–
Ahmc Seton Medical Center	Daly City	22	$108,262	$14,855	–	–
Adventist Health Tulare	Tulare	29	$67,724	$14,858	–	–
Sutter Delta Medical Center	Antioch	127	$82,576	$14,877	–	–
California Pacific Medical Ctr-Davies Campus Hosp	San Francisco	35	$52,716	$14,878	–	–
Adventist Health Delano	Delano	21	$38,679	$14,949	–	–
Valley Presbyterian Hospital	Van Nuys	109	$54,982	$14,957	–	–
Providence St. Joseph Hospital	Orange	144	$62,702	$15,022	–	–
Ventura County Medical Center	Ventura	33	$84,569	$15,022	–	–
Alta Bates Summit Medical Center	Oakland	179	$76,669	$15,026	–	–
Chino Valley Medical Center	Chino	31	$46,645	$15,046	–	–
Hi-Desert Medical Center	Joshua Tree	23	$77,936	$15,049	–	–
Providence Santa Rosa Memorial Hospital	Santa Rosa	164	$90,067	$15,065	–	–
Kaiser Foundation Hospital-Santa Rosa	Santa Rosa	12	$42,987	$15,070	–	–
St Bernardine Medical Center	San Bernardino	86	$107,787	$15,071	–	–
Northbay Medical Center	Fairfield	165	$161,065	$15,080	–	–
Barstow Community Hospital	Barstow	13	$107,363	$15,088	–	–
Alameda Hospital	Alameda	48	$81,799	$15,150	–	–
Good Samaritan Hospital	San Jose	198	$198,880	$15,165	–	–
Methodist Hospital of Sacramento	Sacramento	131	$86,500	$15,194	–	–
Scripps Mercy Hospital	San Diego	197	$79,073	$15,218	–	–
Memorialcare Long Beach Medical Center	Long Beach	159	$121,209	$15,227	–	–
St Mary Medical Center	Long Beach	52	$86,466	$15,313	–	–
John Muir Medical Center - Walnut Creek Campus	Walnut Creek	282	$147,957	$15,320	–	–
East Los Angeles Doctors Hospital	Los Angeles	28	$75,336	$15,361	–	–
Kaiser Foundation Hospital - Walnut Creek	Walnut Creek	15	$91,845	$15,377	–	–
Washington Hospital	Fremont	193	$120,050	$15,420	–	–
Sutter Solano Medical Center	Vallejo	51	$71,007	$15,488	–	–
Desert Regional Medical Center	Palm Springs	97	$178,804	$15,490	–	–
Sutter Medical Center, Sacramento	Sacramento	245	$70,642	$15,511	–	–
Sharp Memorial Hospital	San Diego	202	$95,587	$15,639	–	–
Hemet Global Medical Center	Hemet	48	$54,844	$15,670	–	–
Regional Medical Center of San Jose	San Jose	107	$250,300	$15,756	–	–
Monterey Park Hospital	Monterey Park	18	$145,134	$15,880	–	–
John Muir Medical Center - Concord Campus	Concord	258	$147,693	$15,919	–	–
California Pacific Medical Center - Mission Bernal	San Francisco	75	$63,356	$15,984	–	–
Alta Bates Summit Medical Center - Alta Bates Camp	Berkeley	69	$82,173	$16,060	–	–
Peninsula Medical Center	Burlingame	199	$74,617	$16,072	–	–
Kaiser Foundation Hospital Fontana/Ontario	Fontana	36	$52,577	$16,157	–	–
Adventist Health White Memorial	Los Angeles	73	$147,234	$16,171	–	–
California Hospital Medical Center La	Los Angeles	45	$62,120	$16,226	–	–
Salinas Valley Health Medical Center	Salinas	219	$115,683	$16,237	–	–
Adventist Health Ukiah Valley	Ukiah	55	$79,258	$16,293	–	–
Kaiser Foundation Hospital - San Diego	San Diego	56	$61,735	$16,478	–	–
Community Hospital of San Bernardino	San Bernardino	24	$101,612	$16,546	–	–
Natividad Medical Center	Salinas	27	$85,503	$16,704	–	–
Kaiser Foundation Hospital - Fresno	Fresno	14	$75,198	$16,765	–	–
Kaiser Foundation Hospital - West La	Los Angeles	23	$54,363	$16,824	–	–
Riverside Community Hospital	Riverside	114	$153,920	$16,918	–	–
Martin Luther King, Jr. Community Hospital	Los Angeles	96	$176,960	$16,999	–	–
Community Hospital of the Monterey Peninsula	Monterey	245	$123,140	$17,010	–	–
Sutter Santa Rosa Regional Hospital	Santa Rosa	127	$78,411	$17,077	–	–
Sutter Amador Hospital	Jackson	59	$60,288	$17,217	–	–
St Joseph's Medical Center of Stockton	Stockton	173	$113,063	$17,290	–	–
Colusa Medical Center	Colusa	17	$35,382	$17,322	–	–
Temecula Valley Hospital	Temecula	78	$90,225	$17,400	–	–
San Joaquin General Hospital	French Camp	38	$152,311	$17,558	–	–
Kaiser Foundation Hospital-San Jose	San Jose	19	$42,858	$17,698	–	–
Scripps Green Hospital	La Jolla	43	$72,555	$17,703	–	–
Kaiser Foundation Hospital and Rehab Center	Vallejo	21	$123,258	$17,846	–	–
Riverside University Health System-Medical Center	Moreno Valley	93	$94,437	$17,881	–	–
Ucsf Health Saint Francis Hospital	San Francisco	24	$116,663	$18,016	–	–
Kaiser Foundation Hospital - Orange County - Anaheim	Anaheim	27	$63,595	$18,230	–	–
Arrowhead Regional Medical Center	Colton	61	$64,888	$18,578	–	–
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa Monica	168	$108,691	$18,633	–	–
Ucsf Health St. Mary's Hospital	San Francisco	86	$143,614	$18,731	–	–
Barton Memorial Hospital	South Lake Tahoe	17	$105,133	$18,890	–	–
Kaiser Foundation Hospital - Los Angeles	Los Angeles	39	$71,672	$19,062	–	–
Cedars-Sinai Medical Center	Los Angeles	575	$233,054	$19,504	–	–
Kaiser Foundation Hospital - Panorama City	Panorama City	23	$61,562	$19,573	–	–
Loma Linda University Medical Center	Loma Linda	189	$84,343	$20,965	–	–
Kaiser Foundation Hospital - Baldwin Park	Baldwin Park	25	$47,519	$21,072	–	–
Kaiser Foundation Hospital - Sacramento	Sacramento	54	$69,550	$21,113	–	–
Kaiser Foundation Hosp So Sacramento	Sacramento	37	$93,187	$21,232	–	–
Uci Health-Orange	Orange	137	$96,845	$21,706	–	–
California Pacific Medical Center- Van Ness Campus	San Francisco	127	$70,495	$21,968	–	–
Santa Clara Valley Medical Center	San Jose	285	$114,368	$22,182	–	–
Kaiser Foundation Hospital Manteca	Manteca	20	$80,234	$22,771	–	–
Kaiser Foundation Hospital - South Bay	Harbor City	29	$76,904	$23,058	–	–
Kaiser Foundation Hospital - Downey	Downey	31	$86,041	$23,330	–	–
University of California Davis Medical Center	Sacramento	257	$128,967	$23,484	–	$18,560$17,856–$40,075 · 4 planes
Kaiser Foundation Hospital - Roseville	Roseville	37	$132,407	$23,513	–	–
Highland Hospital	Oakland	112	$103,803	$23,977	–	–
Kaiser Foundation Hospital - Oakland/Richmond	Oakland	87	$80,698	$24,843	–	–
Keck Hospital of Usc	Los Angeles	50	$103,201	$24,963	–	–
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San Diego	237	$100,370	$25,704	–	–
Zuckerberg San Francisco General Hosp & Trauma Ctr	San Francisco	88	$102,497	$25,859	–	–
Ucsf Medical Center	San Francisco	142	$156,962	$26,634	–	–
Kaiser Foundation Hospital - San Francisco	San Francisco	21	$76,777	$26,926	–	–
Lac/Harbor-Ucla Med Center	Torrance	83	$71,966	$30,080	–	–
Kaiser Foundation Hospital - South San Francisco	South San Francisco	14	$69,305	$30,154	–	–
Los Angeles General Medical Center	Los Angeles	91	$79,685	$31,166	–	–
Kaiser Foundation Hospital - Antioch	Antioch	30	$106,846	$31,268	–	–
Contra Costa Regional Medical Center	Martinez	91	$48,318	$31,705	–	–
Memorial Hospital Los Banos	Los Banos	16	$46,834	$32,563	–	–
Stanford Health Care	Stanford	309	$300,529	$32,903	–	No en dólares (16 planes)
Ronald Reagan Ucla Medical Center	Los Angeles	147	$131,874	$33,060	–	–
Lac/Olive View-Ucla Medical Center	Sylmar	61	$77,954	$33,634	–	–
Kaiser Foundation Hospital - Vacaville	Vacaville	17	$80,537	$36,114	–	–
Kaiser Foundation Hospital - San Leandro	San Leandro	29	$80,550	$36,300	–	–
Kaiser Foundation Hospital-Santa Clara	Santa Clara	26	$194,326	$76,791	–	–

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 insuficiencia cardíaca significa que el corazón no bombea tan bien como el cuerpo necesita, y se acumula líquido en los pulmones y las piernas. La hospitalización suele venir después de una crisis: falta de aire, hinchazón y aumento rápido de peso.

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

La atención se centra en eliminar el exceso de líquido con medicamentos por la vena, ajustar los medicamentos para el corazón y vigilar el ritmo cardíaco y la función de los riñones. La hospitalización suele durar de tres a seis días.

Qué hace subir o bajar la factura

El costo depende de la duración de la hospitalización, de pruebas del corazón como un ecocardiograma y de si se necesitan cuidados intensivos.

Información general, no es asesoría médica.

Preguntas frecuentes

¿Cuánto cuesta una hospitalización por insuficiencia cardíaca, con complicaciones mayores en California?

En 245 hospitales de California, la factura típica por insuficiencia cardíaca, con complicaciones mayores fue de $80,698 en 2024, y Medicare y el paciente juntos pagaron típicamente $14,364. El hospital típico de EE. UU. facturó $43,409.

¿Qué hospitales de California facturan menos y más por insuficiencia cardíaca, con complicaciones mayores?

La factura promedio más baja es la de Oroville Hospital, $33,633. La más alta es la de Stanford Health Care, $300,529. 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.