California / Adventist Health Bakersfield

CMS certification 050455 · Bakersfield, CA · 3 entries in CMS's price-transparency list

Adventist Health Bakersfield: charges and Medicare payments

Adventist Health Bakersfield reported 2,588 Medicare inpatient stays across 79 DRGs in 2024. Across them it charged 6.62 times what it was paid — among the higher ratios in California, number 69 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 433 stays at an average charge of $132,222, 46% above the national average. It also billed 3,392 outpatient services, charging 7.92 times what Medicare paid.

1Medicare inpatient stays 2,588
2Charge ÷ paid, inpatient 6.62×
3Rank in CA (highest ratio = 1) 69 of 247
4CMS price-transparency actions 3

Average charge per stay at Adventist Health Bakersfield, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 79 DRGs that can be compared with the national average, Adventist Health Bakersfield charged more than the national average in 69 (87%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	433	$132,222	+46%	$18,809
291 Heart Failure and Shock with MCC	217	$83,684	+48%	$12,317
193 Simple Pneumonia and Pleurisy with MCC	105	$92,154	+54%	$12,799
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	87	$71,094	+45%	$10,140
853 Infectious and Parasitic Diseases with O.R. Procedures with...	67	$312,435	+36%	$45,477
177 Respiratory Infections and Inflammations with MCC	55	$109,644	+55%	$15,791
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$122,708	+62%	$17,914
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$97,627	-2%	$18,252
378 Gastrointestinal Hemorrhage with CC	49	$61,387	+26%	$10,022
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$124,827	+9%	$17,808
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	46	$68,509	+23%	$10,072
698 Other Kidney and Urinary Tract Diagnoses with MCC	46	$105,786	+44%	$15,482
189 Pulmonary Edema and Respiratory Failure	41	$85,430	+48%	$12,412
683 Renal Failure with CC	40	$63,810	+57%	$8,892
274 Percutaneous and Other Intracardiac Procedures without MCC	37	$160,630	+2%	$31,329
377 Gastrointestinal Hemorrhage with MCC	37	$86,207	+1%	$16,781
314 Other Circulatory System Diagnoses with MCC	36	$127,530	+34%	$20,532
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$91,159	+51%	$12,664
689 Kidney and Urinary Tract Infections with MCC	36	$80,489	+57%	$11,143
481 Hip and Femur Procedures except Major Joint with CC	35	$121,061	+20%	$18,938
690 Kidney and Urinary Tract Infections without MCC	35	$57,185	+51%	$8,080
281 Acute Myocardial Infarction, Discharged Alive with CC	34	$54,550	+8%	$9,048
682 Renal Failure with MCC	34	$78,119	+18%	$14,443
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$75,654	+34%	$11,961
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$49,783	+38%	$7,628
190 Chronic Obstructive Pulmonary Disease with MCC	30	$88,413	+75%	$10,816
069 Transient Ischemia without Thrombolytic	28	$61,201	+21%	$8,078
870 Septicemia or Severe Sepsis with MV >96 Hours	28	$529,022	+64%	$72,722
100 Seizures with MCC	27	$105,867	+12%	$18,273
321 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$165,733	+1%	$28,125
267 Endovascular Cardiac Valve Replacement and Supplement...	24	$273,614	+24%	$47,529
312 Syncope and Collapse	24	$63,643	+40%	$8,741
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$60,398	+63%	$7,831
603 Cellulitis without MCC	22	$62,398	+67%	$8,675
286 Circulatory Disorders except AMI, with Cardiac...	21	$122,878	+9%	$22,064
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$157,679	+54%	$19,517
304 Hypertension with MCC	20	$78,018	+36%	$11,532
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$47,400	+18%	$7,948
435 Malignancy of Hepatobiliary System or Pancreas with MCC	20	$93,533	-1%	$17,692
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	18	$49,984	+15%	$8,242
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	18	$118,109	-5%	$22,984
854 Infectious and Parasitic Diseases with O.R. Procedures with...	17	$104,876	+7%	$18,598
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	17	$277,192	+28%	$44,307
243 Permanent Cardiac Pacemaker Implant with CC	16	$153,075	+38%	$22,418
270 Other Major Cardiovascular Procedures with MCC	16	$216,796	-16%	$48,698
287 Circulatory Disorders except AMI, with Cardiac...	16	$84,362	+32%	$10,839
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	16	$43,789	+52%	$5,723
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$246,253	+81%	$28,034
371 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$97,596	+24%	$14,542
637 Diabetes with MCC	15	$71,988	+8%	$14,171
480 Hip and Femur Procedures except Major Joint with MCC	14	$179,531	+29%	$26,692
699 Other Kidney and Urinary Tract Diagnoses with CC	14	$57,417	+21%	$10,186
163 Major Chest Procedures with MCC	13	$260,147	+24%	$42,819
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	13	$124,644	+91%	$15,327
242 Permanent Cardiac Pacemaker Implant with MCC	13	$156,675	-2%	$32,176
244 Permanent Cardiac Pacemaker Implant without CC/MCC	13	$116,670	+25%	$18,059
388 Gastrointestinal Obstruction with MCC	13	$108,190	+58%	$14,485
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$78,935	+29%	$12,772
394 Other Digestive System Diagnoses with CC	13	$61,429	+31%	$9,201
418 Laparoscopic Cholecystectomy without C.D.E. with CC	13	$119,949	+29%	$16,667

Showing the 60 most frequent of 79 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	747	$22,161	$3,974
Comprehensive Observation Services	473	$40,693	$3,328
Level 5 Musculoskeletal Procedures	325	$124,753	$15,975
Level 2 Excision/ Biopsy/ Incision and Drainage	214	$5,816	$1,971
Level 3 Vascular Procedures	179	$16,588	$3,829
Level 3 Endovascular Procedures	158	$73,472	$13,428
Level 1 Laparoscopy and Related Services	120	$64,150	$6,914
Level 4 Musculoskeletal Procedures	90	$78,929	$8,635
Level 3 Pacemaker and Similar Procedures	89	$67,701	$13,108
Level 2 Vascular Procedures	82	$6,468	$1,969
Level 3 Electrophysiologic Procedures	71	$147,336	$29,114
Level 3 Urology and Related Services	69	$14,663	$2,468
Level 2 Upper GI Procedures	67	$12,124	$2,339
Level 3 Excision/ Biopsy/ Incision and Drainage	65	$13,589	$3,452
Level 5 Urology and Related Services	65	$56,733	$6,362
Level 2 Endovascular Procedures	57	$36,268	$6,932
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	48	$50,293	$4,183
Level 2 Breast/Lymphatic Surgery and Related Procedures	36	$40,563	$8,017
Level 4 Airway Endoscopy	36	$33,175	$4,604
Level 3 Upper GI Procedures	35	$15,406	$4,708
Complex GI Procedures	35	$22,016	$7,007
Level 3 Musculoskeletal Procedures	34	$39,827	$3,980
Level 6 Musculoskeletal Procedures	34	$170,317	$22,851
Level 4 Urology and Related Services	32	$41,321	$4,286
Level 3 Airway Endoscopy	31	$23,912	$2,087

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Bakersfield charged $132,222 on average, 8% less than the California average of $143,063, and was paid $18,809 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Bakersfield charged $83,684 on average, 17% less than the California average of $100,739, and was paid $12,317 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Bakersfield charged $92,154 on average, 11% less than the California average of $103,761, and was paid $12,799 against a state average of $15,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventist Health Bakersfield charged $71,094 on average, 7% less than the California average of $76,120, and was paid $10,140 against a state average of $12,552. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,161 was 45% below the state average of $40,544. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $40,693 was 2% below the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $124,753 was 14% above the state average of $109,149. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,816 was 61% below the state average of $14,749.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Adventist Health Bakersfield in Bakersfield, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2022-12-15 (CMS case 1246)
Met Requirements — 2024-02-22 (CMS case 2174)
Met Requirements — 2025-08-22 (CMS case 6357)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.