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Healthcare Pricing Data: MANTECA, CA

2 hospitals with public pricing data · 16 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

16

DRG categories

Avg Charge-to-Medicare Ratio

13.8x

Across all procedures

vs National Average

+168%

Chargemaster rates

About This Data

MANTECA, CA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 13.8x for the 16 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in MANTECA is HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC (DRG 481), with an average chargemaster rate of $237,338 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$173,862210.6x
HEART FAILURE AND SHOCK WITH MCC291$132,347211.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$123,018211.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$116,708212.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$105,891213.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$237,338112.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$184,345127.4x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$174,422115.1x
RENAL FAILURE WITH MCC682$167,887112.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$161,832110.3x
GASTROINTESTINAL OBSTRUCTION WITH CC389$147,273122.0x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$125,833112.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$124,439114.9x
DIABETES WITH CC638$109,346115.1x
RENAL FAILURE WITH CC683$104,327113.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$51,24316.4x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error