Reemplazo de cadera después de una fractura de cadera en California
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
Los hospitales de California facturaron a Medicare una cantidad típica de $135,277 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.
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 Health Downtown Campus | Escondido | 36 | $138,521 | $16,292 | – | – | |
| Usc Arcadia Hospital | Arcadia | 40 | $112,315 | $17,797 | – | – | |
| Hoag Orthopedic Institute | Irvine | 31 | $100,602 | $18,581 | – | – | |
| Uci Health - Los Alamitos | Los Alamitos | 12 | $268,796 | $19,240 | – | – | |
| Goleta Valley Cottage Hospital | Santa Barbara | 16 | $102,966 | $19,264 | – | – | |
| Memorialcare Saddleback Medical Center | Laguna Hills | 15 | $121,087 | $19,443 | – | – | |
| Adventist Health Bakersfield | Bakersfield | 21 | $157,679 | $19,517 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | 61 | $94,405 | $19,528 | – | $49,024$21,613–$57,909 · 5 planes | |
| Mercy General Hospital | Sacramento | 17 | $156,549 | $19,550 | – | – | |
| Henry Mayo Newhall Hospital | Valencia | 18 | $141,438 | $19,702 | – | – | |
| Saint John's Health Center | Santa Monica | 37 | $108,839 | $19,706 | – | – | |
| Memorialcare Orange Coast Medical Center | Fountain Valley | 22 | $112,465 | $19,925 | – | – | |
| Adventist Health Twin Cities | Templeton | 21 | $221,127 | $20,007 | – | – | |
| Corona Regional Medical Center | Corona | 11 | $169,479 | $20,064 | – | – | |
| Torrance Memorial Medical Center | Torrance | 36 | $120,900 | $20,081 | – | – | |
| Enloe Health | Chico | 50 | $156,544 | $20,091 | – | – | |
| Shasta Regional Medical Center | Redding | 14 | $128,411 | $20,169 | – | – | |
| Memorial Medical Center | Modesto | 34 | $126,594 | $20,193 | – | – | |
| San Antonio Regional Hospital | Upland | 19 | $126,195 | $20,319 | – | – | |
| Redlands Community Hospital | Redlands | 12 | $125,601 | $20,349 | – | – | |
| Adventist Health Sierra Vista | San Luis Obispo | 18 | $208,023 | $20,580 | – | – | |
| Adventist Health Lodi Memorial | Lodi | 20 | $204,173 | $20,662 | – | – | |
| Pih Health Hospital-Whittier | Whittier | 15 | $113,564 | $20,663 | – | – | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 30 | $182,586 | $20,744 | – | – | |
| Mercy Hospital | Bakersfield | 13 | $117,119 | $20,800 | – | – | |
| Providence Saint Joseph Medical Ctr | Burbank | 36 | $111,412 | $20,859 | – | – | |
| St Johns Regional Medical Center | Oxnard | 20 | $128,662 | $20,871 | – | – | |
| Providence Little Company of Mary Med Ctr Torrance | Torrance | 14 | $116,133 | $20,915 | – | – | |
| Mercy Hospital of Folsom | Folsom | 12 | $174,129 | $20,921 | – | – | |
| Providence St. Jude Medical Center | Fullerton | 31 | $81,723 | $20,948 | – | – | |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana | 14 | $135,617 | $20,952 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 45 | $318,692 | $20,956 | – | $23,348$2,844–$32,654 · 49 planes | |
| Bakersfield Memorial Hospital | Bakersfield | 17 | $109,048 | $20,957 | – | – | |
| Sierra Nevada Memorial Hospital | Grass Valley | 12 | $152,251 | $21,091 | – | – | |
| Marshall Medical Center | Placerville | 18 | $174,985 | $21,141 | – | – | |
| Antelope Valley Hospital | Lancaster | 15 | $87,828 | $21,160 | – | – | |
| Glendale Mem Hospital & Hlth Center | Glendale | 11 | $113,908 | $21,173 | – | – | |
| Providence St Mary Medical Center | Apple Valley | 15 | $126,805 | $21,378 | – | – | |
| Huntington Hospital | Pasadena | 34 | $134,050 | $21,479 | – | – | |
| San Ramon Regional Medical Center | San Ramon | 12 | $249,246 | $21,553 | – | – | |
| Sutter Auburn Faith Hospital | Auburn | 12 | $104,325 | $21,595 | – | – | |
| Grossmont Hospital | La Mesa | 33 | $187,764 | $21,645 | $125,487 | $115,448$60,901–$130,339 · 18 planes | |
| Emanuel Medical Center | Turlock | 16 | $352,077 | $21,715 | – | – | |
| Marian Regional Medical Center | Santa Maria | 48 | $123,297 | $21,776 | – | – | |
| Adventist Health Hanford | Hanford | 21 | $101,758 | $21,783 | – | – | |
| Mercy Medical Center Redding | Redding | 58 | $94,760 | $21,868 | – | – | |
| Sutter Roseville Medical Center | Roseville | 47 | $121,541 | $21,895 | – | – | |
| Sharp Chula Vista Medical Center | Chula Vista | 11 | $140,009 | $21,897 | – | – | |
| San Gabriel Valley Medical Center | San Gabriel | 20 | $118,733 | $21,942 | – | – | |
| Providence Holy Cross Medical Center | Mission Hills | 11 | $119,462 | $22,011 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 34 | $112,420 | $22,027 | – | – | |
| Doctors Medical Center | Modesto | 29 | $278,444 | $22,043 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 73 | $107,187 | $22,064 | $11,679 | $20,505$7,435–$21,428 · 220 planes | |
| Glendale Adventist Medical Center | Glendale | 28 | $154,062 | $22,076 | – | – | |
| Sutter Davis Hospital | Davis | 11 | $127,431 | $22,094 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 48 | $212,764 | $22,194 | – | – | |
| Emanate Health Inter-Community Hospital | Covina | 12 | $104,699 | $22,196 | – | – | |
| Dominican Hospital | Santa Cruz | 22 | $179,045 | $22,287 | – | – | |
| Northridge Hospital Medical Center | Northridge | 30 | $183,388 | $22,310 | – | – | |
| Sharp Memorial Hospital | San Diego | 25 | $130,136 | $22,366 | – | – | |
| Providence St. Joseph Hospital | Orange | 29 | $90,457 | $22,412 | – | – | |
| Scripps Memorial Hospital La Jolla | La Jolla | 36 | $163,890 | $22,533 | $46,717 | $30,302$20,535–$56,015 · 55 planes | |
| Memorialcare Long Beach Medical Center | Long Beach | 22 | $159,542 | $22,565 | – | – | |
| Clovis Community Medical Center | Clovis | 47 | $93,454 | $22,571 | – | – | |
| Ucla West Valley Medical Center | West Hills | 21 | $333,757 | $22,580 | – | – | |
| Pomona Valley Hospital Medical Center | Pomona | 14 | $156,408 | $22,642 | – | – | |
| Adventist Health and Rideout | Marysville | 30 | $142,556 | $22,725 | – | – | |
| Mercy Medical Center | Merced | 17 | $163,276 | $22,742 | – | – | |
| Adventist Health Simi Valley | Simi Valley | 16 | $159,708 | $22,778 | – | – | |
| Providence St Joseph Hospital | Eureka | 17 | $133,106 | $22,784 | – | – | |
| Mercy San Juan Medical Center | Carmichael | 24 | $149,884 | $22,896 | – | – | |
| Adventist Health Sonora | Sonora | 19 | $152,217 | $22,913 | – | – | |
| Community Hospital of the Monterey Peninsula | Monterey | 31 | $132,501 | $23,075 | – | – | |
| Riverside Community Hospital | Riverside | 17 | $261,636 | $23,134 | – | – | |
| Southwest Healthcare Rancho Springs Hospital | Murrieta | 14 | $141,725 | $23,146 | – | – | |
| Good Samaritan Hospital | San Jose | 26 | $387,437 | $23,156 | – | – | |
| Providence Mission Hospital | Mission Viejo | 51 | $118,191 | $23,230 | – | – | |
| Desert Regional Medical Center | Palm Springs | 50 | $341,627 | $23,245 | – | – | |
| Novato Community Hospital | Novato | 15 | $108,727 | $23,262 | – | – | |
| El Camino Health | Mountain View | 38 | $208,013 | $23,301 | – | – | |
| Kaweah Health Medical Center | Visalia | 51 | $69,406 | $23,324 | – | – | |
| Peninsula Medical Center | Burlingame | 26 | $109,063 | $23,549 | – | – | |
| Alta Bates Summit Medical Center | Oakland | 16 | $124,767 | $23,583 | – | – | |
| Loma Linda University Medical Center-Murrieta | Murrieta | 11 | $139,586 | $23,693 | – | – | |
| Saint Agnes Medical Center | Fresno | 44 | $97,046 | $23,715 | – | – | |
| Eden Medical Center | Castro Valley | 15 | $129,900 | $23,791 | – | – | |
| Providence Queen of the Valley Medical Center | Napa | 22 | $164,279 | $23,907 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 24 | $81,993 | $23,930 | – | – | |
| Community Regional Medical Center | Fresno | 24 | $131,605 | $23,949 | – | – | |
| Marinhealth Medical Center | Greenbrae | 29 | $235,960 | $24,146 | – | – | |
| Salinas Valley Health Medical Center | Salinas | 20 | $175,709 | $24,303 | – | – | |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 11 | $117,539 | $24,707 | – | – | |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 33 | $127,357 | $24,875 | – | – | |
| Stanford Health Care Tri-Valley | Pleasanton | 14 | $187,618 | $25,004 | – | No en dólares (11 planes) | |
| Sutter Medical Center, Sacramento | Sacramento | 19 | $109,326 | $25,046 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 20 | $223,587 | $25,211 | – | – | |
| Northbay Medical Center | Fairfield | 15 | $344,895 | $25,504 | – | – | |
| Sutter Santa Rosa Regional Hospital | Santa Rosa | 22 | $132,074 | $25,811 | – | – | |
| California Pacific Medical Center - Mission Bernal | San Francisco | 28 | $121,005 | $25,887 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 61 | $365,868 | $26,066 | – | – | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 28 | $233,218 | $26,136 | – | – | |
| Natividad Medical Center | Salinas | 18 | $135,277 | $26,369 | – | – | |
| Scripps Mercy Hospital | San Diego | 22 | $191,427 | $27,194 | – | – | |
| Temecula Valley Hospital | Temecula | 11 | $150,756 | $27,303 | – | – | |
| Washington Hospital | Fremont | 16 | $194,782 | $27,344 | – | – | |
| St Joseph's Medical Center of Stockton | Stockton | 14 | $173,060 | $27,720 | – | – | |
| Santa Clara Valley Medical Center | San Jose | 26 | $133,438 | $31,519 | – | – | |
| University of California Davis Medical Center | Sacramento | 24 | $250,000 | $32,992 | – | $30,187$29,043–$65,182 · 4 planes | |
| Loma Linda University Medical Center | Loma Linda | 19 | $211,684 | $34,042 | – | – | |
| Stanford Health Care | Stanford | 45 | $336,773 | $34,232 | – | No en dólares (16 planes) | |
| Highland Hospital | Oakland | 13 | $131,912 | $34,909 | – | – | |
| Uci Health-Orange | Orange | 20 | $137,938 | $35,820 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 28 | $145,607 | $36,702 | – | – | |
| Ucsf Medical Center | San Francisco | 24 | $206,613 | $37,059 | – | – | |
| Kaiser Foundation Hospital - Oakland/Richmond | Oakland | 15 | $113,070 | $38,291 | – | – | |
| Lac/Harbor-Ucla Med Center | Torrance | 18 | $64,966 | $39,275 | – | – | |
| Kaiser Foundation Hospital - San Diego | San Diego | 13 | $64,285 | $43,218 | – | – | |
| Southern California Hospital at Hollywood | Hollywood | – | – | – | – | $30,301$19,904–$43,452 · 16 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
Cuando la cadera se fractura cerca de la parte superior del fémur, los cirujanos a menudo reemplazan parte o toda la articulación en lugar de reparar el hueso. Este código incluye esos reemplazos hechos a causa de una fractura.
Esta página trata las hospitalizaciones sin complicaciones mayores. Los pacientes que además tienen otra afección grave se facturan con un código que paga más.
Qué esperar
La cirugía suele hacerse uno o dos días después de la caída. La hospitalización es más larga que en un reemplazo programado, a menudo de cuatro a seis días, y la mayoría de los pacientes pasan luego a rehabilitación.
Qué hace subir o bajar la factura
El implante, el tiempo en el quirófano y una hospitalización más larga son lo que más pesa en la factura. La rehabilitación se factura por separado.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por reemplazo de cadera después de una fractura de cadera en California?
En 117 hospitales de California, la factura típica por reemplazo de cadera después de una fractura de cadera fue de $135,277 en 2024, y Medicare y el paciente juntos pagaron típicamente $22,310. El hospital típico de EE. UU. facturó $85,674.
¿Qué hospitales de California facturan menos y más por reemplazo de cadera después de una fractura de cadera?
La factura promedio más baja es la de Kaiser Foundation Hospital - San Diego, $64,285. La más alta es la de Good Samaritan Hospital, $387,437. 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.