California / Adventist Health Hanford
CMS certification 050121 · Hanford, CA · 6 entries in CMS's price-transparency list
Adventist Health Hanford: charges and Medicare payments
Adventist Health Hanford reported 1,281 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.2 times what it was paid — among the lower ratios in California, number 171 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: 266 stays at an average charge of $84,316, 7% below the national average. It also billed 1,104 outpatient services, charging 6.79 times what Medicare paid.
- 1Medicare inpatient stays 1,281
- 2Charge ÷ paid, inpatient 4.2×
- 3Rank in CA (highest ratio = 1) 171 of 247
- 4CMS price-transparency actions 6
Inpatient stays
For the 39 DRGs that can be compared with the national average, Adventist Health Hanford charged more than the national average in 13 (33%). 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 | 266 | $84,316 | -7% | $19,723 |
| 291 Heart Failure and Shock with MCC | 112 | $56,033 | -1% | $13,068 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $57,963 | -4% | $13,989 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $57,748 | -3% | $13,563 |
| 481 Hip and Femur Procedures except Major Joint with CC | 50 | $82,269 | -18% | $21,227 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $68,366 | -3% | $18,851 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $61,943 | -16% | $15,757 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 41 | $205,729 | -10% | $53,602 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $61,506 | +7% | $12,842 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $41,661 | -15% | $10,792 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $49,852 | +3% | $10,554 |
| 683 Renal Failure with CC | 32 | $37,945 | -7% | $9,378 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $89,544 | +5% | $17,770 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $74,341 | -2% | $16,087 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $50,232 | -10% | $11,656 |
| 682 Renal Failure with MCC | 26 | $70,126 | +6% | $14,965 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $54,729 | +8% | $11,201 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $45,931 | -11% | $11,354 |
| 069 Transient Ischemia without Thrombolytic | 21 | $48,751 | -3% | $8,621 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $101,758 | -1% | $21,783 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $43,821 | +16% | $8,613 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $105,379 | +6% | $20,444 |
| 637 Diabetes with MCC | 19 | $65,447 | -2% | $13,965 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $31,904 | -14% | $8,466 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $43,656 | -23% | $12,566 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 16 | $93,731 | -46% | $38,295 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $68,336 | +5% | $14,246 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $276,368 | -15% | $72,479 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $133,951 | -1% | $29,835 |
| 389 Gastrointestinal Obstruction with CC | 13 | $44,576 | +15% | $8,642 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $35,057 | -5% | $9,194 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $42,186 | -16% | $9,530 |
| 388 Gastrointestinal Obstruction with MCC | 12 | $60,766 | -11% | $15,250 |
| 603 Cellulitis without MCC | 12 | $49,298 | +32% | $9,165 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $81,020 | -18% | $20,875 |
| 300 Peripheral Vascular Disorders with CC | 11 | $57,098 | +16% | $10,946 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $42,410 | +6% | $8,479 |
| 638 Diabetes with CC | 11 | $58,244 | +40% | $9,711 |
| 674 Other Kidney and Urinary Tract Procedures with CC | 11 | $85,937 | -21% | $22,199 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Hanford charged $84,316 on average, 41% less than the California average of $143,063, and was paid $19,723 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Hanford charged $56,033 on average, 44% less than the California average of $100,739, and was paid $13,068 against a state average of $15,556. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Adventist Health Hanford charged $57,963 on average, 35% less than the California average of $88,573, and was paid $13,989 against a state average of $15,580. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Hanford charged $57,748 on average, 44% less than the California average of $103,761, and was paid $13,563 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,931 was 28% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $35,256 was 13% below the state average of $40,544. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,812 was 17% below the state average of $19,034. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $79,505 was 27% below the state average of $109,149.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Hanford in Hanford, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 353)
- CAP Request — 2021-12-01 (CMS case 353)
- Closure Notice — 2022-02-03 (CMS case 353)
- Met Requirements — 2023-12-12 (CMS case 2102)
- Met Requirements — 2024-02-29 (CMS case 2301)
- Met Requirements — 2025-08-22 (CMS case 6365)
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.