Neumonía, con complicaciones mayores en California

MS-DRG 193: Simple pneumonia and pleurisy with mcc

Los hospitales de California facturaron a Medicare una cantidad típica de $83,191 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.

Relacionados:Neumonía, con complicaciones

Estimar lo que usted pagaría

$83,191factura típica del hospital típico de EE. UU.: $46,587

$14,391monto típico realmente pagado típico de EE. UU.: $11,253

$10k–$60krango pagado en 223 hospitales

5.8×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	57	$119,269	$10,483	–	–
Usc Arcadia Hospital	Arcadia	129	$103,492	$11,210	–	–
Palomar Health Downtown Campus	Escondido	122	$126,156	$11,223	–	–
Goleta Valley Cottage Hospital	Santa Barbara	14	$67,039	$12,165	–	–
Adventist Health Simi Valley	Simi Valley	63	$92,389	$12,172	–	–
Usc Verdugo Hills Hospital	Glendale	61	$91,193	$12,177	–	–
Scripps Memorial Hospital - Encinitas	Encinitas	61	$58,290	$12,331	–	–
Torrance Memorial Medical Center	Torrance	139	$119,067	$12,408	–	–
French Hospital Medical Center	San Luis Obispo	56	$73,970	$12,419	–	–
Oak Valley Hospital District	Oakdale	14	$52,326	$12,419	–	–
Uci Health - Los Alamitos	Los Alamitos	48	$208,478	$12,443	–	–
Henry Mayo Newhall Hospital	Valencia	89	$129,794	$12,456	–	–
Scripps Memorial Hospital La Jolla	La Jolla	81	$67,854	$12,538	$13,099	$19,339$12,836–$33,965 · 55 planes
Sharp Coronado Hospital and Hlthcr Ctr	Coronado	34	$96,034	$12,572	–	–
Tri-City Medical Center	Oceanside	35	$72,645	$12,645	–	–
Shasta Regional Medical Center	Redding	67	$56,535	$12,677	–	–
Adventist Health Tulare	Tulare	24	$49,353	$12,703	–	–
Enloe Health	Chico	207	$99,725	$12,704	–	–
Cedar-Sinai Marina Del Rey Hospital	Marina Del Rey	44	$106,126	$12,779	–	–
Memorial Medical Center	Modesto	113	$75,716	$12,782	–	–
Adventist Health Bakersfield	Bakersfield	105	$92,154	$12,799	–	–
Pih Health Downey Hospital	Downey	37	$60,213	$12,805	–	–
Adventist Health Sierra Vista	San Luis Obispo	39	$155,896	$12,816	–	–
Saint John's Health Center	Santa Monica	87	$68,053	$12,833	–	–
Huntington Beach Hospital	Huntington Beach	24	$53,472	$12,885	–	–
Providence Little Co of Mary Med Ctr San Pedro	San Pedro	17	$68,830	$12,901	–	–
Emanate Health Foothill Presbyterian Hospital	Glendora	52	$76,604	$12,908	–	–
Memorialcare Orange Coast Medical Center	Fountain Valley	67	$106,839	$12,912	–	–
Doctors Hospital of Manteca	Manteca	32	$190,540	$12,914	–	–
Redlands Community Hospital	Redlands	31	$88,976	$12,936	–	–
Uci Health-Placentia Linda	Placentia	34	$203,876	$12,982	–	–
Foothill Regional Medical Center	Tustin	27	$75,604	$13,074	–	–
Pih Health Hospital-Whittier	Whittier	60	$81,002	$13,083	–	–
Providence Saint Joseph Medical Ctr	Burbank	114	$96,395	$13,088	–	–
Ucla West Valley Medical Center	West Hills	82	$210,315	$13,133	–	–
Clovis Community Medical Center	Clovis	149	$82,364	$13,133	–	–
San Antonio Regional Hospital	Upland	109	$108,976	$13,178	–	–
Sierra Nevada Memorial Hospital	Grass Valley	55	$75,350	$13,206	–	–
Hoag Memorial Hospital Presbyterian	Newport Beach	135	$70,271	$13,219	–	$30,660$18,200–$37,118 · 4 planes
Providence Cedars Sinai Tarzana Medical Center	Tarzana	65	$110,041	$13,244	–	–
Adventist Health Twin Cities	Templeton	55	$146,916	$13,279	–	–
Mercy General Hospital	Sacramento	45	$115,960	$13,283	–	–
Bakersfield Memorial Hospital	Bakersfield	40	$78,862	$13,301	–	–
Uci Health-Lakewood	Lakewood	52	$139,055	$13,306	–	–
Marshall Medical Center	Placerville	40	$79,032	$13,322	–	–
St Johns Regional Medical Center	Oxnard	130	$80,184	$13,324	–	–
College Medical Center	Long Beach	11	$49,911	$13,340	–	–
Sutter Davis Hospital	Davis	13	$58,473	$13,353	–	–
Sutter Tracy Community Hospital	Tracy	32	$62,748	$13,369	–	–
Sutter Auburn Faith Hospital	Auburn	38	$61,694	$13,379	–	–
Providence Little Company of Mary Med Ctr Torrance	Torrance	49	$90,732	$13,398	–	–
Marian Regional Medical Center	Santa Maria	81	$75,064	$13,401	–	–
Coast Plaza Hospital	Norwalk	24	$92,861	$13,403	–	–
Desert Valley Hospital	Victorville	12	$44,430	$13,427	–	–
Montclair Hospital Medical Center	Montclair	14	$40,588	$13,436	–	–
La Palma Intercommunity Hospital	La Palma	26	$59,785	$13,454	–	–
Community Hospital of Huntington Park	Huntington Park	13	$97,467	$13,492	–	–
Alhambra Hospital Medical Center	Alhambra	49	$75,782	$13,517	–	–
Adventist Health Lodi Memorial	Lodi	97	$141,667	$13,532	–	–
Dameron Hospital	Stockton	22	$170,769	$13,555	–	–
Mercy Hospital	Bakersfield	121	$83,964	$13,562	–	–
Adventist Health Hanford	Hanford	57	$57,748	$13,563	–	–
Providence Mission Hospital	Mission Viejo	105	$92,762	$13,576	–	–
Sherman Oaks Hospital	Sherman Oaks	41	$51,816	$13,584	–	–
Emanuel Medical Center	Turlock	82	$168,396	$13,626	–	–
Garfield Medical Center	Monterey Park	51	$130,019	$13,627	–	–
Ahmc Anaheim Regional Medical Center	Anaheim	36	$65,255	$13,667	–	–
Pioneers Memorial Healthcare District	Brawley	35	$34,067	$13,700	–	–
Memorialcare Saddleback Medical Center	Laguna Hills	37	$118,674	$13,723	–	–
San Gabriel Valley Medical Center	San Gabriel	33	$75,292	$13,723	–	–
Uci Health - Fountain Valley	Fountain Valley	84	$189,155	$13,738	–	–
Palmdale Regional Medical Center	Palmdale	66	$129,170	$13,740	–	–
Parkview Community Hospital Medical Center	Riverside	42	$79,300	$13,753	–	–
Memorial Hospital of Gardena	Gardena	16	$83,085	$13,771	–	–
Doctors Medical Center	Modesto	70	$246,652	$13,783	–	–
Adventist Health St Helena	Saint Helena	16	$126,537	$13,787	–	–
John F Kennedy Memorial Hospital	Indio	26	$138,762	$13,797	–	–
Pomona Valley Hospital Medical Center	Pomona	35	$121,451	$13,809	–	–
Garden Grove Hospital & Medical Center	Garden Grove	24	$62,906	$13,819	–	–
Whittier Hospital Medical Center	Whittier	31	$87,086	$13,831	–	–
Providence St Mary Medical Center	Apple Valley	87	$60,392	$13,836	–	–
Corona Regional Medical Center	Corona	46	$105,039	$13,847	–	–
Mercy Medical Center Redding	Redding	90	$89,454	$13,848	–	–
Sharp Chula Vista Medical Center	Chula Vista	99	$115,564	$13,870	–	–
El Centro Regional Medical Center	El Centro	57	$61,380	$13,899	–	–
Mercy San Juan Medical Center	Carmichael	106	$102,850	$13,902	–	–
Victor Valley Global Medical Center	Victorville	47	$52,599	$13,936	–	–
Southern California Hospital at Hollywood	Hollywood	155	$68,428	$14,028	–	$19,553$14,733–$27,744 · 14 planes
Los Angeles Community Hospital	Los Angeles	87	$50,430	$14,037	–	–
Eisenhower Medical Center	Rancho Mirage	126	$73,930	$14,046	$7,264	$12,759$7,435–$14,135 · 220 planes
Providence Holy Cross Medical Center	Mission Hills	47	$86,433	$14,052	–	–
Grossmont Hospital	La Mesa	99	$102,393	$14,081	$74,919	$39,957$19,919–$67,327 · 13 planes
Glendale Mem Hospital & Hlth Center	Glendale	76	$97,423	$14,093	–	–
Greater El Monte Community Hospital	South El Monte	38	$68,908	$14,095	–	–
Novato Community Hospital	Novato	16	$44,780	$14,115	–	–
Petaluma Valley Hospital	Petaluma	32	$114,641	$14,120	–	–
Stanford Health Care Tri-Valley	Pleasanton	42	$126,487	$14,132	–	$41,005solo 1 plan
Providence St. Jude Medical Center	Fullerton	109	$70,826	$14,155	–	–
Centinela Hospital Medical Center	Inglewood	37	$59,272	$14,155	–	–
Santa Barbara Cottage Hospital	Santa Barbara	80	$81,541	$14,197	–	–
St Elizabeth Community Hospital	Red Bluff	28	$73,268	$14,200	–	–
Northridge Hospital Medical Center	Northridge	63	$146,859	$14,200	–	–
Watsonville Community Hospital	Watsonville	21	$106,911	$14,208	–	–
San Ramon Regional Medical Center	San Ramon	50	$247,858	$14,233	–	–
West Anaheim Medical Center	Anaheim	93	$54,044	$14,234	–	–
Orange County Global Medical Center	Santa Ana	17	$63,638	$14,241	–	–
Huntington Hospital	Pasadena	134	$133,777	$14,260	–	–
Hollywood Presbyterian Medical Center	Los Angeles	31	$62,877	$14,289	–	–
Paradise Valley Hospital	National City	16	$54,039	$14,309	–	–
Glendale Adventist Medical Center	Glendale	321	$114,907	$14,373	–	–
Providence Queen of the Valley Medical Center	Napa	54	$96,353	$14,375	–	–
Saint Francis Medical Center	Lynwood	19	$65,575	$14,391	–	–
Emanate Health Inter-Community Hospital	Covina	130	$68,186	$14,451	–	–
San Gorgonio Memorial Hospital	Banning	29	$69,897	$14,455	–	–
Antelope Valley Hospital	Lancaster	28	$65,356	$14,487	–	–
Mission Community Hospital	Panorama City	21	$75,516	$14,522	–	–
Providence St Joseph Hospital	Eureka	62	$69,292	$14,533	–	–
Valley Presbyterian Hospital	Van Nuys	39	$52,508	$14,541	–	–
Loma Linda University Medical Center-Murrieta	Murrieta	38	$81,971	$14,592	–	–
Community Memorial Hospital - Ventura	Ventura	63	$46,215	$14,612	–	–
Mercy Medical Center	Merced	61	$92,482	$14,633	–	–
Scripps Mercy Hospital	San Diego	35	$72,648	$14,636	–	–
Pih Health Good Samaritan Hospital	Los Angeles	47	$74,857	$14,641	–	–
Adventist Health Sonora	Sonora	45	$90,273	$14,697	–	–
Peninsula Medical Center	Burlingame	44	$66,659	$14,735	–	–
Sierra View Medical Center	Porterville	34	$50,900	$14,744	–	–
Community Regional Medical Center	Fresno	75	$88,998	$14,752	–	–
Providence St. Joseph Hospital	Orange	64	$58,409	$14,763	–	–
Sutter Roseville Medical Center	Roseville	152	$77,260	$14,803	–	–
Marinhealth Medical Center	Greenbrae	48	$129,741	$14,814	–	–
Los Robles Hospital & Medical Center	Thousand Oaks	111	$202,466	$14,878	–	$14,591$2,455–$16,050 · 44 planes
Kaweah Health Medical Center	Visalia	160	$52,572	$14,888	–	–
Eden Medical Center	Castro Valley	41	$83,109	$14,919	–	–
Dominican Hospital	Santa Cruz	78	$144,720	$14,938	–	–
Adventist Health White Memorial	Los Angeles	52	$136,307	$14,940	–	–
St Rose Hospital	Hayward	16	$69,969	$14,940	–	–
Methodist Hospital of Sacramento	Sacramento	49	$92,917	$14,958	–	–
Adventist Health Delano	Delano	19	$37,928	$15,001	–	–
John Muir Medical Center - Walnut Creek Campus	Walnut Creek	118	$160,429	$15,009	–	–
Desert Regional Medical Center	Palm Springs	59	$171,266	$15,016	–	–
Memorialcare Long Beach Medical Center	Long Beach	48	$121,810	$15,037	–	–
El Camino Health	Mountain View	140	$132,783	$15,048	–	–
Alameda Hospital	Alameda	47	$81,322	$15,075	–	–
St Bernardine Medical Center	San Bernardino	93	$107,649	$15,094	–	–
Saint Agnes Medical Center	Fresno	199	$60,787	$15,122	–	–
Southwest Healthcare Rancho Springs Hospital	Murrieta	70	$97,100	$15,137	–	–
Sutter Delta Medical Center	Antioch	46	$95,248	$15,147	–	–
East Los Angeles Doctors Hospital	Los Angeles	12	$59,813	$15,150	–	–
Community Hospital of the Monterey Peninsula	Monterey	108	$95,407	$15,160	–	–
Salinas Valley Health Medical Center	Salinas	92	$114,336	$15,212	–	–
Washington Hospital	Fremont	93	$103,912	$15,235	–	–
Sutter Coast Hospital	Crescent City	21	$52,306	$15,251	–	–
Hi-Desert Medical Center	Joshua Tree	37	$96,215	$15,260	–	–
Ahmc Seton Medical Center	Daly City	15	$88,196	$15,341	–	–
California Pacific Medical Ctr-Davies Campus Hosp	San Francisco	12	$41,596	$15,347	–	–
Providence Santa Rosa Memorial Hospital	Santa Rosa	70	$81,201	$15,349	–	–
John Muir Medical Center - Concord Campus	Concord	53	$149,637	$15,357	–	–
St Mary Medical Center	Long Beach	24	$85,189	$15,372	–	–
Adventist Health and Rideout	Marysville	95	$118,481	$15,392	–	–
Kaiser Foundation Hospital Fontana/Ontario	Fontana	21	$54,535	$15,472	–	–
Northbay Medical Center	Fairfield	96	$167,010	$15,481	–	–
Community Hospital of San Bernardino	San Bernardino	13	$77,955	$15,615	–	–
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa Monica	42	$77,828	$15,706	–	–
Woodland Memorial Hospital	Woodland	22	$93,247	$15,791	–	–
Ventura County Medical Center	Ventura	28	$89,267	$15,807	–	–
Hemet Global Medical Center	Hemet	50	$60,385	$15,861	–	–
Sutter Solano Medical Center	Vallejo	32	$70,152	$15,889	–	–
Good Samaritan Hospital	San Jose	105	$253,335	$15,994	–	–
San Joaquin General Hospital	French Camp	17	$137,945	$16,023	–	–
Kaiser Foundation Hospital - Downey	Downey	11	$83,702	$16,134	–	–
Sequoia Hospital	Redwood City	25	$179,741	$16,219	–	–
Alta Bates Summit Medical Center - Alta Bates Camp	Berkeley	23	$68,748	$16,245	–	–
Sutter Santa Rosa Regional Hospital	Santa Rosa	48	$57,948	$16,311	–	–
Alta Bates Summit Medical Center	Oakland	46	$79,198	$16,360	–	–
Lompoc Valley Medical Center	Lompoc	25	$75,770	$16,528	–	–
Sutter Amador Hospital	Jackson	22	$63,878	$16,592	–	–
Kaiser Foundation Hospital - Los Angeles	Los Angeles	14	$65,156	$16,627	–	–
Sharp Memorial Hospital	San Diego	88	$106,382	$16,640	–	–
Sutter Medical Center, Sacramento	Sacramento	66	$83,191	$16,713	–	–
Regional Medical Center of San Jose	San Jose	56	$228,524	$16,775	–	–
Mercy Hospital of Folsom	Folsom	48	$87,047	$16,802	–	–
California Hospital Medical Center La	Los Angeles	13	$62,906	$16,867	–	–
California Pacific Medical Center - Mission Bernal	San Francisco	21	$76,731	$16,972	–	–
Temecula Valley Hospital	Temecula	58	$90,843	$17,061	–	–
Adventist Health Ukiah Valley	Ukiah	36	$80,833	$17,098	–	–
St Joseph's Medical Center of Stockton	Stockton	59	$103,779	$17,211	–	–
Scripps Green Hospital	La Jolla	25	$48,861	$17,288	–	–
Riverside University Health System-Medical Center	Moreno Valley	33	$95,169	$17,294	–	–
Martin Luther King, Jr. Community Hospital	Los Angeles	16	$202,123	$17,508	–	–
San Mateo Medical Center	San Mateo	11	$41,399	$17,958	–	–
Riverside Community Hospital	Riverside	65	$190,283	$18,062	–	–
Ucsf Health St. Mary's Hospital	San Francisco	21	$85,823	$18,320	–	–
Ucsf Health Saint Francis Hospital	San Francisco	15	$127,875	$18,767	–	–
Natividad Medical Center	Salinas	21	$90,760	$18,942	–	–
Kaiser Foundation Hospital - San Diego	San Diego	15	$51,854	$18,999	–	–
Arrowhead Regional Medical Center	Colton	28	$84,224	$19,347	–	–
Cedars-Sinai Medical Center	Los Angeles	235	$223,597	$19,803	–	–
Kaiser Foundation Hosp So Sacramento	Sacramento	11	$114,538	$20,528	–	–
Kaiser Foundation Hospital - Orange County - Anaheim	Anaheim	15	$66,794	$20,657	–	–
Keck Hospital of Usc	Los Angeles	15	$90,614	$20,684	–	–
Uci Health-Orange	Orange	30	$81,427	$20,706	–	–
Kaiser Foundation Hospital - South San Francisco	South San Francisco	12	$42,177	$20,892	–	–
Kaiser Foundation Hospital - South Bay	Harbor City	11	$43,238	$21,047	–	–
Barton Memorial Hospital	South Lake Tahoe	11	$122,277	$21,552	–	–
Loma Linda University Medical Center	Loma Linda	24	$82,094	$21,594	–	–
California Pacific Medical Center- Van Ness Campus	San Francisco	22	$82,493	$22,465	–	–
Highland Hospital	Oakland	58	$74,332	$22,648	–	–
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San Diego	64	$91,147	$23,035	–	–
University of California Davis Medical Center	Sacramento	86	$120,265	$23,200	–	$18,987$18,267–$40,996 · 4 planes
Ronald Reagan Ucla Medical Center	Los Angeles	39	$69,396	$23,499	–	–
Santa Clara Valley Medical Center	San Jose	93	$134,256	$24,599	–	–
Kaiser Foundation Hospital Manteca	Manteca	11	$86,369	$25,558	–	–
Zuckerberg San Francisco General Hosp & Trauma Ctr	San Francisco	36	$91,139	$26,244	–	–
Lac/Harbor-Ucla Med Center	Torrance	15	$51,147	$27,680	–	–
Stanford Health Care	Stanford	112	$257,291	$27,695	–	No en dólares (16 planes)
Adventist Health Reedley	Reedley	12	$48,507	$27,871	–	–
Ucsf Medical Center	San Francisco	55	$151,740	$28,073	–	–
Los Angeles General Medical Center	Los Angeles	30	$49,079	$29,319	–	–
Kaiser Foundation Hospital - Oakland/Richmond	Oakland	28	$99,940	$30,031	–	–
Memorial Hospital Los Banos	Los Banos	18	$47,720	$32,775	–	–
Lac/Olive View-Ucla Medical Center	Sylmar	13	$56,242	$34,368	–	–
Contra Costa Regional Medical Center	Martinez	12	$66,028	$38,078	–	–
Kaiser Foundation Hospital - Roseville	Roseville	14	$194,190	$60,274	–	–

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 neumonía es una infección que llena de líquido los sacos de aire de los pulmones y causa tos, fiebre y dificultad para respirar. Se hospitaliza cuando cuesta respirar, el oxígeno está bajo o el paciente es mayor o frágil.

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

El tratamiento es con antibióticos, oxígeno si hace falta, líquidos y radiografías de tórax. La mayoría de las hospitalizaciones duran de tres a cinco días, seguidas de recuperación en casa.

Qué hace subir o bajar la factura

La factura depende sobre todo de la duración de la hospitalización y de si se necesita oxígeno o cuidados intensivos.

Información general, no es asesoría médica.

Preguntas frecuentes

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

En 223 hospitales de California, la factura típica por neumonía, con complicaciones mayores fue de $83,191 en 2024, y Medicare y el paciente juntos pagaron típicamente $14,391. El hospital típico de EE. UU. facturó $46,587.

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

La factura promedio más baja es la de Pioneers Memorial Healthcare District, $34,067. La más alta es la de Stanford Health Care, $257,291. 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.