California / Alhambra Hospital Medical Center
CMS certification 050281 · Alhambra, CA
Alhambra Hospital Medical Center: charges and Medicare payments
Alhambra Hospital Medical Center reported 575 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 5.87 times what it was paid — mid-range in California, number 93 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: 141 stays at an average charge of $119,435, 32% above the national average. It also billed 149 outpatient services, charging 9.1 times what Medicare paid.
- 1Medicare inpatient stays 575
- 2Charge ÷ paid, inpatient 5.87×
- 3Rank in CA (highest ratio = 1) 93 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 21 DRGs that can be compared with the national average, Alhambra Hospital Medical Center charged more than the national average in 19 (90%). 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 | 141 | $119,435 | +32% | $20,169 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $102,878 | +46% | $17,007 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $75,782 | +27% | $13,517 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $84,450 | +40% | $13,562 |
| 291 Heart Failure and Shock with MCC | 29 | $79,453 | +41% | $12,782 |
| 377 Gastrointestinal Hemorrhage with MCC | 29 | $92,552 | +8% | $17,840 |
| 682 Renal Failure with MCC | 26 | $69,510 | +5% | $14,942 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $71,526 | +46% | $10,729 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $62,486 | +22% | $12,194 |
| 393 Other Digestive System Diagnoses with MCC | 18 | $105,299 | +37% | $16,810 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $49,112 | +30% | $8,486 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $82,489 | -17% | $18,781 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $89,696 | +77% | $11,957 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $60,457 | +51% | $8,211 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $59,516 | -22% | $14,066 |
| 313 Chest Pain | 13 | $49,351 | +24% | $7,655 |
| 394 Other Digestive System Diagnoses with CC | 13 | $64,004 | +36% | $9,480 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $66,778 | +74% | $8,618 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $57,398 | +18% | $10,339 |
| 683 Renal Failure with CC | 12 | $65,564 | +61% | $9,386 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $53,959 | +46% | $8,332 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 73 | $21,039 | $2,867 |
| Comprehensive Observation Services | 40 | $25,557 | $3,365 |
| Level 2 Upper GI Procedures | 25 | $15,799 | $2,340 |
| Level 4 Gynecologic Procedures | 11 | $18,553 | $3,844 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Alhambra Hospital Medical Center charged $119,435 on average, 17% less than the California average of $143,063, and was paid $20,169 against a state average of $23,020. For Respiratory Infections and Inflammations with MCC (DRG 177), Alhambra Hospital Medical Center charged $102,878 on average, 17% less than the California average of $124,302, and was paid $17,007 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Alhambra Hospital Medical Center charged $75,782 on average, 27% less than the California average of $103,761, and was paid $13,517 against a state average of $15,112. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Alhambra Hospital Medical Center charged $84,450 on average, 5% less than the California average of $88,573, and was paid $13,562 against a state average of $15,580. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $21,039 was 0% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,557 was 39% below the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,799 was 17% below the state average of $19,034. For Level 4 Gynecologic Procedures (outpatient APC 5414), its average charge of $18,553 was 38% below the state average of $29,742.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.