Problema respiratorio que requiere respirador (hasta 4 días) en California
MS-DRG 208: Respiratory system diagnosis with ventilator support <=96 hours
Los hospitales de California facturaron a Medicare una cantidad típica de $209,864 por esta hospitalización en 2024, unas 7.0 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) | |
|---|---|---|---|---|---|---|---|
| Tri-City Medical Center | Oceanside | 14 | $113,355 | $24,815 | – | – | |
| Corona Regional Medical Center | Corona | 15 | $178,905 | $25,091 | – | – | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 12 | $189,561 | $25,222 | – | – | |
| Adventist Health Simi Valley | Simi Valley | 11 | $189,720 | $25,349 | – | – | |
| Southwest Healthcare Rancho Springs Hospital | Murrieta | 15 | $152,647 | $25,803 | – | – | |
| Enloe Health | Chico | 48 | $237,228 | $25,853 | – | – | |
| Providence St. Jude Medical Center | Fullerton | 29 | $127,627 | $25,899 | – | – | |
| Shasta Regional Medical Center | Redding | 12 | $120,674 | $25,913 | – | – | |
| Emanate Health Inter-Community Hospital | Covina | 25 | $104,845 | $26,037 | – | – | |
| Providence Mission Hospital | Mission Viejo | 20 | $130,537 | $26,113 | – | – | |
| West Anaheim Medical Center | Anaheim | 13 | $92,024 | $26,299 | – | – | |
| Ucla West Valley Medical Center | West Hills | 23 | $407,791 | $26,347 | – | – | |
| Torrance Memorial Medical Center | Torrance | 13 | $267,130 | $26,392 | – | – | |
| Redlands Community Hospital | Redlands | 16 | $146,104 | $26,441 | – | – | |
| San Antonio Regional Hospital | Upland | 14 | $171,022 | $26,488 | – | – | |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana | 13 | $160,219 | $26,489 | – | – | |
| St Johns Regional Medical Center | Oxnard | 25 | $145,760 | $26,721 | – | – | |
| Mercy Hospital | Bakersfield | 12 | $164,096 | $27,001 | – | – | |
| Parkview Community Hospital Medical Center | Riverside | 11 | $171,070 | $27,038 | – | – | |
| Usc Verdugo Hills Hospital | Glendale | 11 | $185,396 | $27,102 | – | – | |
| Greater El Monte Community Hospital | South El Monte | 19 | $124,065 | $27,293 | – | – | |
| Mercy General Hospital | Sacramento | 11 | $183,517 | $27,340 | – | – | |
| Bakersfield Memorial Hospital | Bakersfield | 18 | $225,689 | $27,400 | – | – | |
| Ahmc Anaheim Regional Medical Center | Anaheim | 19 | $171,002 | $27,468 | – | – | |
| Antelope Valley Hospital | Lancaster | 18 | $140,676 | $27,479 | – | – | |
| Palmdale Regional Medical Center | Palmdale | 13 | $317,408 | $27,738 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | 40 | $142,851 | $27,759 | – | $62,448$37,235–$75,603 · 4 planes | |
| Pomona Valley Hospital Medical Center | Pomona | 28 | $247,793 | $27,802 | – | – | |
| Sharp Chula Vista Medical Center | Chula Vista | 15 | $239,165 | $28,022 | – | – | |
| Adventist Health Bakersfield | Bakersfield | 15 | $246,253 | $28,034 | – | – | |
| Mercy Medical Center Redding | Redding | 31 | $186,137 | $28,034 | – | – | |
| Centinela Hospital Medical Center | Inglewood | 22 | $137,916 | $28,090 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 11 | $93,186 | $28,234 | – | – | |
| Scripps Memorial Hospital La Jolla | La Jolla | 12 | $266,896 | $28,378 | $34,895 | $46,520$26,583–$88,184 · 55 planes | |
| Northridge Hospital Medical Center | Northridge | 13 | $297,696 | $28,709 | – | – | |
| Pih Health Good Samaritan Hospital | Los Angeles | 11 | $130,917 | $28,798 | – | – | |
| Glendale Adventist Medical Center | Glendale | 21 | $240,422 | $28,803 | – | – | |
| Emanuel Medical Center | Turlock | 12 | $318,981 | $28,824 | – | – | |
| Palomar Health Downtown Campus | Escondido | 28 | $285,097 | $28,851 | – | – | |
| Glendale Mem Hospital & Hlth Center | Glendale | 12 | $198,160 | $28,890 | – | – | |
| Mercy San Juan Medical Center | Carmichael | 38 | $229,817 | $28,896 | – | – | |
| Marian Regional Medical Center | Santa Maria | 19 | $182,260 | $29,015 | – | – | |
| Methodist Hospital of Sacramento | Sacramento | 11 | $209,864 | $29,022 | – | – | |
| Providence Little Company of Mary Med Ctr Torrance | Torrance | 16 | $199,434 | $29,123 | – | – | |
| Sharp Memorial Hospital | San Diego | 22 | $255,419 | $29,276 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 17 | $178,499 | $29,423 | – | – | |
| Good Samaritan Hospital | San Jose | 20 | $442,125 | $29,433 | – | – | |
| Saint Francis Medical Center | Lynwood | 11 | $192,063 | $29,453 | – | – | |
| Uci Health - Fountain Valley | Fountain Valley | 13 | $439,172 | $29,477 | – | – | |
| Saint Agnes Medical Center | Fresno | 34 | $109,486 | $29,763 | – | – | |
| Memorialcare Long Beach Medical Center | Long Beach | 17 | $235,237 | $29,787 | – | – | |
| Adventist Health Hanford | Hanford | 13 | $133,951 | $29,835 | – | – | |
| St Bernardine Medical Center | San Bernardino | 19 | $209,974 | $29,944 | – | – | |
| St Rose Hospital | Hayward | 13 | $89,625 | $30,103 | – | – | |
| Adventist Health and Rideout | Marysville | 21 | $234,346 | $30,147 | – | – | |
| Kaweah Health Medical Center | Visalia | 37 | $126,670 | $30,196 | – | – | |
| Kaiser Foundation Hospital Fontana/Ontario | Fontana | 13 | $122,839 | $30,226 | – | – | |
| Mercy Medical Center | Merced | 18 | $241,713 | $30,433 | – | – | |
| Scripps Mercy Hospital | San Diego | 26 | $177,571 | $30,526 | – | – | |
| Riverside Community Hospital | Riverside | 27 | $385,072 | $30,629 | – | – | |
| Sutter Medical Center, Sacramento | Sacramento | 21 | $167,673 | $30,652 | – | – | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 32 | $214,593 | $30,683 | – | – | |
| Ahmc Seton Medical Center | Daly City | 12 | $239,144 | $30,709 | – | – | |
| Loma Linda University Medical Center-Murrieta | Murrieta | 13 | $167,953 | $30,719 | – | – | |
| Providence St Joseph Hospital | Eureka | 17 | $184,070 | $30,817 | – | – | |
| Washington Hospital | Fremont | 13 | $206,332 | $30,851 | – | – | |
| Sutter Roseville Medical Center | Roseville | 43 | $182,145 | $30,885 | – | – | |
| St Mary Medical Center | Long Beach | 12 | $204,192 | $31,246 | – | – | |
| Salinas Valley Health Medical Center | Salinas | 11 | $248,567 | $31,283 | – | – | |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 11 | $101,883 | $31,427 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 15 | $339,841 | $31,555 | – | – | |
| Providence St. Joseph Hospital | Orange | 29 | $150,024 | $31,560 | – | – | |
| Grossmont Hospital | La Mesa | 32 | $252,884 | $31,815 | $173,375 | $141,012$67,085–$187,246 · 17 planes | |
| Memorial Medical Center | Modesto | 35 | $152,327 | $32,242 | – | – | |
| Providence Queen of the Valley Medical Center | Napa | 22 | $280,774 | $32,425 | – | – | |
| Usc Arcadia Hospital | Arcadia | 19 | $281,983 | $32,494 | – | – | |
| Northbay Medical Center | Fairfield | 19 | $366,513 | $32,534 | – | – | |
| Doctors Medical Center | Modesto | 28 | $636,190 | $32,837 | – | – | |
| Dominican Hospital | Santa Cruz | 12 | $317,592 | $33,234 | – | – | |
| Adventist Health White Memorial | Los Angeles | 11 | $272,963 | $33,300 | – | – | |
| Huntington Hospital | Pasadena | 15 | $322,304 | $33,316 | – | – | |
| Community Regional Medical Center | Fresno | 29 | $156,373 | $33,388 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 31 | $235,796 | $33,764 | $15,146 | $26,590$7,435–$33,769 · 215 planes | |
| Providence Saint Joseph Medical Ctr | Burbank | 31 | $276,940 | $33,766 | – | – | |
| Desert Regional Medical Center | Palm Springs | 15 | $426,447 | $34,748 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 23 | $316,080 | $35,485 | – | – | |
| Regional Medical Center of San Jose | San Jose | 30 | $664,120 | $35,486 | – | – | |
| St Joseph's Medical Center of Stockton | Stockton | 17 | $230,832 | $35,763 | – | – | |
| Providence St Mary Medical Center | Apple Valley | 13 | $157,086 | $36,202 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 29 | $442,247 | $38,362 | – | $30,184$2,455–$33,203 · 44 planes | |
| El Camino Health | Mountain View | 11 | $424,501 | $38,928 | – | – | |
| California Pacific Medical Center- Van Ness Campus | San Francisco | 19 | $131,711 | $39,654 | – | – | |
| Uci Health-Orange | Orange | 18 | $167,386 | $42,082 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 25 | $225,837 | $43,302 | – | – | |
| Loma Linda University Medical Center | Loma Linda | 40 | $282,035 | $46,168 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 32 | $610,974 | $48,180 | – | – | |
| Highland Hospital | Oakland | 31 | $200,458 | $49,496 | – | – | |
| Ucsf Medical Center | San Francisco | 17 | $307,862 | $51,408 | – | – | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 16 | $222,481 | $57,501 | – | – | |
| Los Angeles General Medical Center | Los Angeles | 15 | $223,499 | $58,760 | – | – | |
| Lac/Harbor-Ucla Med Center | Torrance | 11 | $172,899 | $59,313 | – | – | |
| Santa Clara Valley Medical Center | San Jose | 32 | $319,542 | $60,118 | – | – | |
| University of California Davis Medical Center | Sacramento | 29 | $435,455 | $61,956 | – | $38,986$37,508–$84,180 · 4 planes | |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco | 11 | $376,413 | $65,010 | – | – | |
| Stanford Health Care | Stanford | 22 | $703,410 | $66,006 | – | No en dólares (16 planes) | |
| Southern California Hospital at Hollywood | Hollywood | – | – | – | – | $40,755$30,809–$57,743 · 14 planes | |
| Stanford Health Care Tri-Valley | Pleasanton | – | – | – | – | $62,282solo 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.
Qué es
Este código incluye problemas de los pulmones tan graves que el paciente necesita un respirador (ventilador), una máquina que respira por él a través de un tubo en la tráquea, por hasta cuatro días.
Qué esperar
Atención en una unidad de cuidados intensivos con sedación, tratamiento de la enfermedad de fondo y retiro gradual del tubo respiratorio.
Qué hace subir o bajar la factura
Los días en cuidados intensivos son el costo principal, lo que la hace mucho más cara que otras hospitalizaciones por problemas de los pulmones.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por problema respiratorio que requiere respirador (hasta 4 días) en California?
En 105 hospitales de California, la factura típica por problema respiratorio que requiere respirador (hasta 4 días) fue de $209,864 en 2024, y Medicare y el paciente juntos pagaron típicamente $29,944. El hospital típico de EE. UU. facturó $113,459.
¿Qué hospitales de California facturan menos y más por problema respiratorio que requiere respirador (hasta 4 días)?
La factura promedio más baja es la de St Rose Hospital, $89,625. La más alta es la de Stanford Health Care, $703,410. 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.