California / Ahmc Anaheim Regional Medical Center
CMS certification 050226 · Anaheim, CA · 4 entries in CMS's price-transparency list
Ahmc Anaheim Regional Medical Center: charges and Medicare payments
Ahmc Anaheim Regional Medical Center reported 599 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.38 times what it was paid — mid-range in California, number 112 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: 203 stays at an average charge of $112,221, 24% above the national average. It also billed 372 outpatient services, charging 10.54 times what Medicare paid.
- 1Medicare inpatient stays 599
- 2Charge ÷ paid, inpatient 5.38×
- 3Rank in CA (highest ratio = 1) 112 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 22 DRGs that can be compared with the national average, Ahmc Anaheim Regional Medical Center charged more than the national average in 17 (77%). 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 | 203 | $112,221 | +24% | $19,432 |
| 291 Heart Failure and Shock with MCC | 43 | $63,752 | +13% | $13,096 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $65,255 | +9% | $13,667 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $92,818 | +31% | $18,000 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $68,575 | -10% | $15,810 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $87,932 | +3% | $17,842 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $171,002 | +26% | $27,468 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $59,169 | +4% | $12,814 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $354,553 | +10% | $61,903 |
| 070 Other Cerebrovascular Disorders with MCC | 17 | $74,005 | -3% | $15,393 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $247,575 | +8% | $46,452 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $66,223 | +35% | $10,751 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $43,942 | -24% | $13,116 |
| 682 Renal Failure with MCC | 16 | $61,488 | -7% | $14,093 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $55,100 | +7% | $12,328 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $76,080 | +4% | $16,051 |
| 252 Other Vascular Procedures with MCC | 13 | $192,181 | +12% | $35,539 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $67,056 | +11% | $13,782 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $58,193 | -5% | $13,554 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $126,505 | +26% | $20,761 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $58,668 | +21% | $10,605 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $56,895 | +42% | $8,679 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 182 | $28,594 | $3,300 |
| Level 1 Endovascular Procedures | 54 | $46,092 | $3,935 |
| Level 3 Vascular Procedures | 27 | $34,578 | $3,843 |
| Level 4 Vascular Procedures | 24 | $46,617 | $6,625 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $12,879 | $1,955 |
| Level 2 Vascular Procedures | 18 | $16,753 | $1,931 |
| Level 3 Pacemaker and Similar Procedures | 17 | $96,949 | $12,854 |
| Level 1 Laparoscopy and Related Services | 17 | $47,810 | $6,956 |
| Level 3 Endovascular Procedures | 12 | $97,826 | $13,242 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ahmc Anaheim Regional Medical Center charged $112,221 on average, 22% less than the California average of $143,063, and was paid $19,432 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Ahmc Anaheim Regional Medical Center charged $63,752 on average, 37% less than the California average of $100,739, and was paid $13,096 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ahmc Anaheim Regional Medical Center charged $65,255 on average, 37% less than the California average of $103,761, and was paid $13,667 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Ahmc Anaheim Regional Medical Center charged $92,818 on average, 25% less than the California average of $124,302, and was paid $18,000 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,594 was 31% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,092 was 14% above the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $34,578 was 15% above the state average of $30,190. For Level 4 Vascular Procedures (outpatient APC 5184), its average charge of $46,617 was 20% below the state average of $58,147.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ahmc Anaheim Regional Medical Center in Anaheim, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-08-25 (CMS case 1767)
- Warning Notice — 2025-04-24 (CMS case 4071)
- CAP Request — 2025-07-30 (CMS case 4071)
- Closure Notice — 2025-08-25 (CMS case 4071)
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.