Stomach, Esophageal and Duodenal Procedures with Mcc in California
MS-DRG 326: Stomach, esophageal and duodenal procedures with mcc
California hospitals billed Medicare a typical $368,929 for this stay in 2024, about 5.0 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
California hospitals compared
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Scripps Memorial Hospital La Jolla | La Jolla | 15 | $368,929 | $47,288 | $68,602 | $64,313$44,292–$114,446 · 55 plans | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | 18 | $194,895 | $47,569 | – | $118,161$68,773–$143,051 · 4 plans | |
| Santa Barbara Cottage Hospital | Santa Barbara | 11 | $171,434 | $47,868 | – | – | |
| Huntington Hospital | Pasadena | 11 | $327,941 | $48,221 | – | – | |
| Memorial Medical Center | Modesto | 14 | $215,148 | $55,006 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 12 | $814,754 | $63,658 | – | $54,523$2,455–$59,975 · 44 plans | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 11 | $320,760 | $68,444 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 31 | $820,835 | $74,305 | – | – | |
| Good Samaritan Hospital | San Jose | 11 | $1,027,541 | $87,772 | – | $55,000$6,950–$71,500 · 46 plans | |
| Ronald Reagan Ucla Medical Center | Los Angeles | 13 | $304,495 | $94,542 | – | $87,333$6,022–$103,747 · 8 plans | |
| Keck Hospital of Usc | Los Angeles | 26 | $332,921 | $99,886 | – | – | |
| Stanford Health Care | Stanford | 34 | $801,417 | $101,063 | – | Not in dollars (18 plans) | |
| Ucsf Medical Center | San Francisco | 28 | $473,790 | $102,600 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 23 | $445,972 | $108,662 | – | – | |
| California Pacific Medical Center- Van Ness Campus | San Francisco | 11 | $438,475 | $116,985 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | – | – | – | $27,448 | $48,178$7,435–$61,186 · 215 plans | |
| El Camino Health | Mountain View | – | – | – | – | Not in dollars (38 plans) | |
| Grossmont Hospital | La Mesa | – | – | – | $317,971 | $203,502$135,252–$294,229 · 13 plans | |
| Mercy Medical Center Redding | Redding | – | – | – | – | $28,691$28,250–$28,691 · 3 plans | |
| Scripps Memorial Hospital - Encinitas | Encinitas | – | – | – | $69,741 | $55,878$18,776–$114,446 · 42 plans | |
| Sharp Memorial Hospital | San Diego | – | – | – | $317,971 | $169,585only 1 plan | |
| Southern California Hospital at Hollywood | Hollywood | – | – | – | – | $73,849$55,902–$104,567 · 14 plans | |
| Stanford Health Care Tri-Valley | Pleasanton | – | – | – | – | $162,053only 1 plan | |
| Uci Health-Lakewood | Lakewood | – | – | – | – | $159,193$94,205–$317,260 · 19 plans | |
| Uci Health-Orange | Orange | – | – | – | – | $159,193$94,205–$317,260 · 19 plans | |
| University of California Davis Medical Center | Sacramento | – | – | – | – | $70,201$67,540–$151,581 · 4 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.
This page covers the most complex version: patients who also had a major complication or serious additional condition, such as kidney failure, a severe infection or respiratory failure. These stays are longer and cost more.
General information, not medical advice.
Common questions
How much does a hospital stay for stomach, Esophageal and Duodenal Procedures with Mcc cost in California?
At 15 California hospitals, the typical bill for stomach, Esophageal and Duodenal Procedures with Mcc was $368,929 in 2024, and Medicare and the patient together paid a typical $74,305. The typical US hospital billed $223,247.
Which California hospitals bill the least and the most for stomach, Esophageal and Duodenal Procedures with Mcc?
The lowest average bill is at Santa Barbara Cottage Hospital, $171,434. The highest is at Good Samaritan Hospital, $1,027,541. These are Medicare averages for 2024; a bill depends on the care each patient needs.
Why is the hospital bill so much higher than what is paid?
The bill comes from the hospital's own price list, which each hospital sets for itself. Medicare pays a fixed amount for each kind of stay, worked out by a national formula, and private insurers negotiate their own rates. So the list price is rarely what anyone pays, but uninsured and out-of-network patients can be billed from it.
How much will I pay myself?
With Original Medicare you owe the Part A deductible for a hospital stay, $1,736 in 2026, whatever the hospital bills. With private insurance it depends on your deductible, coinsurance and out-of-pocket maximum. Without insurance, ask for the hospital's cash price and its financial assistance policy. The cost estimator works it out for your situation.
Before you go
- Ask for an estimate. Hospitals must give uninsured and self-pay patients a written good-faith estimate before planned care.
- Check the network. Confirm that the hospital and the doctors are in your plan's network.
- Ask about financial help. Non-profit hospitals must have a financial assistance policy; many discount or forgive bills by income.
- Get an itemized bill. Compare it with the estimate and question anything you don't recognise.