Otros diagnósticos del aparato digestivo, con complicaciones mayores (MCC) en California
MS-DRG 393: Other digestive system diagnoses with mcc
Los hospitales de California facturaron a Medicare una cantidad típica de $102,787 por esta hospitalización en 2024, unas 5.8 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) | |
|---|---|---|---|---|---|---|---|
| Usc Arcadia Hospital | Arcadia | 31 | $105,986 | $14,364 | – | – | |
| Adventist Health Simi Valley | Simi Valley | 14 | $93,858 | $14,882 | – | – | |
| Uci Health - Los Alamitos | Los Alamitos | 11 | $139,331 | $15,266 | – | – | |
| Enloe Health | Chico | 27 | $116,389 | $15,349 | – | – | |
| Memorialcare Saddleback Medical Center | Laguna Hills | 13 | $83,803 | $15,366 | – | – | |
| Henry Mayo Newhall Hospital | Valencia | 14 | $146,821 | $15,380 | – | – | |
| Shasta Regional Medical Center | Redding | 15 | $63,842 | $15,623 | – | – | |
| Emanate Health Foothill Presbyterian Hospital | Glendora | 14 | $58,119 | $15,643 | – | – | |
| Cedar-Sinai Marina Del Rey Hospital | Marina Del Rey | 15 | $130,815 | $15,716 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | 40 | $69,630 | $15,753 | – | $38,526$22,446–$46,641 · 4 planes | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 17 | $78,133 | $15,875 | – | – | |
| Ucla West Valley Medical Center | West Hills | 15 | $207,041 | $15,907 | – | – | |
| Providence Mission Hospital | Mission Viejo | 22 | $87,993 | $15,930 | – | – | |
| Saint John's Health Center | Santa Monica | 15 | $79,862 | $15,962 | – | – | |
| Oroville Hospital | Oroville | 16 | $29,458 | $16,005 | – | – | |
| Clovis Community Medical Center | Clovis | 16 | $104,914 | $16,027 | – | – | |
| San Antonio Regional Hospital | Upland | 21 | $143,053 | $16,175 | – | – | |
| Pih Health Hospital-Whittier | Whittier | 19 | $92,627 | $16,323 | – | – | |
| Foothill Regional Medical Center | Tustin | 28 | $81,439 | $16,454 | – | – | |
| Mercy Medical Center Redding | Redding | 14 | $87,500 | $16,474 | – | – | |
| St Johns Regional Medical Center | Oxnard | 13 | $91,025 | $16,481 | – | – | |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana | 18 | $106,019 | $16,489 | – | – | |
| Uci Health-Lakewood | Lakewood | 12 | $131,899 | $16,492 | – | – | |
| Bakersfield Memorial Hospital | Bakersfield | 15 | $87,671 | $16,543 | – | – | |
| Torrance Memorial Medical Center | Torrance | 28 | $153,497 | $16,594 | – | – | |
| Providence Saint Joseph Medical Ctr | Burbank | 16 | $85,442 | $16,630 | – | – | |
| La Palma Intercommunity Hospital | La Palma | 14 | $53,708 | $16,692 | – | – | |
| Sherman Oaks Hospital | Sherman Oaks | 15 | $45,132 | $16,737 | – | – | |
| Alhambra Hospital Medical Center | Alhambra | 18 | $105,299 | $16,810 | – | – | |
| Grossmont Hospital | La Mesa | 12 | $114,259 | $16,890 | $76,603 | $52,912$34,727–$91,106 · 12 planes | |
| Huntington Hospital | Pasadena | 23 | $127,594 | $16,963 | – | – | |
| Uci Health - Fountain Valley | Fountain Valley | 17 | $152,110 | $17,016 | – | – | |
| Emanate Health Inter-Community Hospital | Covina | 22 | $80,273 | $17,019 | – | – | |
| San Gabriel Valley Medical Center | San Gabriel | 17 | $84,064 | $17,048 | – | – | |
| Providence Little Company of Mary Med Ctr Torrance | Torrance | 14 | $98,031 | $17,048 | – | – | |
| Los Angeles Community Hospital | Los Angeles | 97 | $53,658 | $17,363 | – | – | |
| Providence Holy Cross Medical Center | Mission Hills | 14 | $102,787 | $17,418 | – | – | |
| Memorial Medical Center | Modesto | 42 | $77,503 | $17,437 | – | – | |
| Doctors Medical Center | Modesto | 17 | $389,633 | $17,446 | – | – | |
| Marian Regional Medical Center | Santa Maria | 11 | $93,494 | $17,485 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 18 | $84,777 | $17,501 | – | – | |
| Pih Health Good Samaritan Hospital | Los Angeles | 12 | $68,452 | $17,524 | – | – | |
| Desert Regional Medical Center | Palm Springs | 15 | $203,928 | $17,568 | – | – | |
| Scripps Memorial Hospital La Jolla | La Jolla | 20 | $92,034 | $17,574 | $17,712 | $27,242$15,567–$51,309 · 55 planes | |
| West Anaheim Medical Center | Anaheim | 13 | $48,458 | $17,587 | – | – | |
| Glendale Adventist Medical Center | Glendale | 26 | $84,383 | $17,604 | – | – | |
| Northridge Hospital Medical Center | Northridge | 11 | $128,366 | $17,631 | – | – | |
| Centinela Hospital Medical Center | Inglewood | 22 | $68,438 | $17,699 | – | – | |
| Southern California Hospital at Hollywood | Hollywood | 136 | $85,854 | $17,809 | – | $23,765$17,926–$33,703 · 14 planes | |
| Providence St. Joseph Hospital | Orange | 12 | $46,481 | $17,966 | – | – | |
| Sharp Memorial Hospital | San Diego | 17 | $95,546 | $17,973 | – | – | |
| Good Samaritan Hospital | San Jose | 14 | $312,472 | $18,058 | – | – | |
| Sutter Medical Center, Sacramento | Sacramento | 12 | $67,977 | $18,108 | – | – | |
| Saint Francis Medical Center | Lynwood | 11 | $55,789 | $18,138 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 21 | $94,514 | $18,485 | $8,830 | $15,506$7,435–$16,204 · 220 planes | |
| Providence St. Jude Medical Center | Fullerton | 28 | $87,237 | $18,487 | – | – | |
| Washington Hospital | Fremont | 14 | $131,663 | $18,521 | – | – | |
| Alta Bates Summit Medical Center | Oakland | 14 | $65,539 | $18,728 | – | – | |
| Sutter Delta Medical Center | Antioch | 11 | $84,024 | $18,738 | – | – | |
| Kaweah Health Medical Center | Visalia | 21 | $58,049 | $18,825 | – | – | |
| Pomona Valley Hospital Medical Center | Pomona | 13 | $163,339 | $19,001 | – | – | |
| St Bernardine Medical Center | San Bernardino | 11 | $118,398 | $19,019 | – | – | |
| Saint Agnes Medical Center | Fresno | 17 | $64,739 | $19,057 | – | – | |
| Scripps Mercy Hospital | San Diego | 24 | $123,822 | $19,106 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 14 | $151,977 | $19,127 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 12 | $48,300 | $19,170 | – | – | |
| El Camino Health | Mountain View | 29 | $168,022 | $19,195 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 25 | $215,030 | $19,314 | – | – | |
| Northbay Medical Center | Fairfield | 14 | $272,845 | $19,785 | – | – | |
| Peninsula Medical Center | Burlingame | 23 | $78,861 | $19,965 | – | – | |
| Riverside Community Hospital | Riverside | 13 | $205,565 | $20,156 | – | – | |
| Adventist Health White Memorial | Los Angeles | 13 | $133,369 | $20,500 | – | – | |
| Sutter Roseville Medical Center | Roseville | 41 | $71,816 | $20,865 | – | – | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 16 | $96,970 | $20,949 | – | – | |
| Valley Presbyterian Hospital | Van Nuys | 14 | $112,163 | $21,553 | – | – | |
| Sutter Santa Rosa Regional Hospital | Santa Rosa | 13 | $102,064 | $21,829 | – | – | |
| St Joseph's Medical Center of Stockton | Stockton | 11 | $133,882 | $22,047 | – | – | |
| Temecula Valley Hospital | Temecula | 13 | $107,608 | $22,136 | – | – | |
| Scripps Green Hospital | La Jolla | 14 | $80,942 | $22,271 | – | – | |
| Memorialcare Long Beach Medical Center | Long Beach | 15 | $204,862 | $22,893 | – | – | |
| University of California Davis Medical Center | Sacramento | 27 | $161,157 | $25,315 | – | $22,959$22,089–$49,574 · 4 planes | |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 38 | $106,166 | $26,015 | – | – | |
| Highland Hospital | Oakland | 13 | $52,906 | $26,782 | – | – | |
| Keck Hospital of Usc | Los Angeles | 12 | $85,084 | $26,797 | – | – | |
| Loma Linda University Medical Center | Loma Linda | 19 | $132,720 | $27,396 | – | – | |
| Uci Health-Orange | Orange | 25 | $128,087 | $27,458 | – | – | |
| Stanford Health Care | Stanford | 59 | $268,319 | $31,849 | – | No en dólares (16 planes) | |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco | 13 | $127,975 | $31,980 | – | – | |
| California Pacific Medical Center- Van Ness Campus | San Francisco | 22 | $112,597 | $32,642 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 36 | $134,432 | $33,531 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 11 | $218,967 | $33,840 | – | $17,688$2,455–$19,457 · 44 planes | |
| Riverside University Health System-Medical Center | Moreno Valley | 13 | $187,634 | $33,873 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 105 | $249,892 | $34,138 | – | – | |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 12 | $111,429 | $36,402 | – | – | |
| Ucsf Medical Center | San Francisco | 42 | $220,507 | $37,664 | – | – | |
| Santa Clara Valley Medical Center | San Jose | 16 | $156,772 | $39,816 | – | – | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 31 | $181,245 | $45,010 | – | – | |
| Stanford Health Care Tri-Valley | Pleasanton | – | – | – | – | $45,949solo 1 plan |
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.
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.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por otros diagnósticos del aparato digestivo, con complicaciones mayores (MCC) en California?
En 97 hospitales de California, la factura típica por otros diagnósticos del aparato digestivo, con complicaciones mayores (MCC) fue de $102,787 en 2024, y Medicare y el paciente juntos pagaron típicamente $17,809. El hospital típico de EE. UU. facturó $64,167.
¿Qué hospitales de California facturan menos y más por otros diagnósticos del aparato digestivo, con complicaciones mayores (MCC)?
La factura promedio más baja es la de Oroville Hospital, $29,458. La más alta es la de Doctors Medical Center, $389,633. 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.