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Inpatient stay · MS-DRG 176

Pulmonary embolism without MCC

In 2024, Medicare and patients paid an average of $8,293 per stay at 515 hospitals. Half of hospitals averaged between $6,587 and $9,217.

National figures, 2024

Average payment per case
$8,293
Typical range (middle half of hospitals)
$6,587–$9,217
Medicare’s share
$5,97972% of the payment
Average billed charge
$41,798
Hospitals reporting
5159,457 stays

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 26 hospitals
$10,201National $8,293 · California $10,201
Median hospital
$9,267
Lowest to highest
$7,858–$17,513
Medicare stays
463

26 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pulmonary embolism without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Torrance Memorial Medical CenterTorrance, CA · CCN 05035117$7,858About average$6,900$67,644
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 05022427$7,934About average$6,888$43,280
Enloe HealthChico, CA · CCN 05003916$7,983About average$6,555$80,507
Memorial Medical CenterModesto, CA · CCN 05055714$8,217About average$7,284$48,992
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 05050315$8,743About average$5,977$56,970
Grossmont HospitalLa Mesa, CA · CCN 05002615$8,784About average$7,696$76,809
Eisenhower Medical CenterRancho Mirage, CA · CCN 05057314$8,801About average$7,144$52,381
Dominican HospitalSanta Cruz, CA · CCN 05024213$8,900About average$7,393$101,453
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032419$8,954About average$6,557$61,902
Clovis Community Medical CenterClovis, CA · CCN 05049222$9,023About average$6,223$44,840
Community Memorial Hospital - VenturaVentura, CA · CCN 05039415$9,19311% above the national average$7,418$22,104
Good Samaritan HospitalSan Jose, CA · CCN 05038012$9,20611% above the national average$7,846$121,320
Sutter Roseville Medical CenterRoseville, CA · CCN 05030929$9,25812% above the national average$7,303$61,554
Sharp Memorial HospitalSan Diego, CA · CCN 05010014$9,27612% above the national average$7,524$58,841
El Camino HealthMountain View, CA · CCN 05030822$9,37113% above the national average$8,169$119,893
MarinHealth Medical CenterGreenbrae, CA · CCN 05036020$9,47114% above the national average$8,165$95,724
Kaweah Health Medical CenterVisalia, CA · CCN 05005719$9,53415% above the national average$7,880$31,528
Desert Regional Medical CenterPalm Springs, CA · CCN 05024312$9,84919% above the national average$8,363$166,577
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039620$10,49627% above the national average$7,208$64,093
Providence Mission HospitalMission Viejo, CA · CCN 05056717$10,86031% above the national average$5,800$58,179
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062526$11,03233% above the national average$8,122$155,412
University Of California Davis Medical CenterSacramento, CA · CCN 05059912$12,94456% above the national average$9,363$86,455
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003812$13,06758% above the national average$11,365$63,552
Stanford Health CareStanford, CA · CCN 05044128$13,93468% above the national average$10,673$161,151
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002513$14,33573% above the national average$10,321$55,345
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 05014520$17,513111% above the national average$7,888$87,518

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 13,932 stays at 714 hospitals · 2021: 12,596 stays at 666 hospitals · 2022: 9,891 stays at 542 hospitals · 2023: 10,016 stays at 550 hospitals · 2024: 9,457 stays at 515 hospitals
View data as a table
National average payment and billed charge for Pulmonary embolism without MCC
Year of careAverage paymentAverage billed charge
2020$7,548$33K
2021$8,048$35K
2022$8,131$38K
2023$8,019$39K
2024$8,293$42K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 46 states
Average payment by state for Pulmonary embolism without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont122$5,383$5,383–$5,383
Arkansas336$5,763$5,501–$6,079
Iowa457$5,987$5,951–$6,010
Mississippi462$6,285$6,323–$6,728
Montana112$6,314$6,314–$6,314
Kentucky9190$6,322$5,898–$6,813
Kansas586$6,370$5,585–$7,155
Colorado355$6,637$6,588–$6,808
Indiana13198$6,980$6,130–$7,128
Missouri16246$7,006$5,898–$7,445
Alabama7114$7,041$6,090–$6,931
North Dakota231$7,131$7,055–$7,218
Arizona17305$7,196$6,357–$7,117
Ohio27428$7,304$6,149–$7,684
South Dakota116$7,345$7,345–$7,345
Louisiana675$7,356$5,700–$7,944
South Carolina12198$7,397$6,788–$7,613
Wisconsin343$7,410$6,452–$8,073
Florida40863$7,418$6,272–$7,885
West Virginia463$7,538$6,919–$7,969
Idaho338$7,574$7,328–$7,819
Nebraska591$7,650$6,673–$8,723
Pennsylvania35616$7,713$6,125–$8,447
Tennessee16255$7,721$6,403–$8,308
Delaware3113$7,759$7,364–$8,397
Oklahoma452$7,805$6,763–$8,428
Michigan11206$7,840$7,374–$8,329
Virginia22385$7,868$6,641–$7,944
New Hampshire565$7,912$6,428–$9,879
Texas20341$7,945$6,601–$9,647
Illinois28556$8,201$6,696–$9,394
North Carolina22424$8,217$6,785–$8,306
Minnesota7130$8,274$6,625–$8,483
Washington571$8,284$7,507–$8,537
Nevada463$8,311$8,133–$8,544
New Jersey21399$8,334$7,641–$9,088
Massachusetts19391$8,689$7,114–$9,872
Utah232$8,855$7,988–$9,530
Georgia15274$9,190$7,334–$9,693
Rhode Island352$9,813$9,597–$9,900
District of Columbia337$9,822$9,063–$11,144
New York32680$10,116$7,950–$11,043
California26463$10,201$8,826–$10,769
Connecticut383$10,618$9,524–$11,423
New Mexico113$10,881$10,881–$10,881
Maryland22527$11,951$9,027–$13,236

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.