California / Cedars-Sinai Medical Center
CMS certification 050625 · Los Angeles, CA · 3 entries in CMS's price-transparency list
Cedars-Sinai Medical Center: charges and Medicare payments
Cedars-Sinai Medical Center reported 15,641 Medicare inpatient stays across 271 DRGs in 2024. Across them it charged 10.97 times what it was paid — among the higher ratios in California, number 16 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: 1247 stays at an average charge of $330,924, 266% above the national average. It also billed 13,020 outpatient services, charging 17.7 times what Medicare paid.
- 1Medicare inpatient stays 15,641
- 2Charge ÷ paid, inpatient 10.97×
- 3Rank in CA (highest ratio = 1) 16 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 271 DRGs that can be compared with the national average, Cedars-Sinai Medical Center charged more than the national average in 270 (100%). 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 | 1247 | $330,924 | +266% | $28,713 |
| 291 Heart Failure and Shock with MCC | 575 | $233,054 | +313% | $19,504 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 434 | $661,469 | +132% | $74,777 |
| 177 Respiratory Infections and Inflammations with MCC | 330 | $259,500 | +268% | $22,810 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 305 | $920,692 | +302% | $84,676 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 265 | $551,063 | +149% | $58,280 |
| 193 Simple Pneumonia and Pleurisy with MCC | 235 | $223,597 | +274% | $19,803 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 231 | $168,556 | +244% | $15,292 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 212 | $285,219 | +206% | $24,562 |
| 690 Kidney and Urinary Tract Infections without MCC | 212 | $134,683 | +256% | $11,497 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 205 | $258,723 | +241% | $22,976 |
| 378 Gastrointestinal Hemorrhage with CC | 197 | $160,552 | +231% | $13,606 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 190 | $281,585 | +283% | $24,364 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 187 | $364,621 | +133% | $37,908 |
| 689 Kidney and Urinary Tract Infections with MCC | 187 | $181,982 | +255% | $16,998 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 185 | $135,703 | +238% | $12,345 |
| 603 Cellulitis without MCC | 157 | $136,479 | +266% | $12,234 |
| 683 Renal Failure with CC | 156 | $149,373 | +267% | $12,369 |
| 552 Medical Back Problems without MCC | 146 | $170,720 | +249% | $13,859 |
| 377 Gastrointestinal Hemorrhage with MCC | 143 | $297,079 | +248% | $33,324 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 139 | $898,892 | +125% | $91,466 |
| 682 Renal Failure with MCC | 135 | $231,441 | +251% | $21,475 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 134 | $710,617 | +154% | $77,362 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 132 | $378,360 | +279% | $31,144 |
| 314 Other Circulatory System Diagnoses with MCC | 131 | $350,477 | +270% | $31,695 |
| 330 Major Small and Large Bowel Procedures with CC | 122 | $358,506 | +201% | $30,522 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 118 | $262,272 | +335% | $21,883 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 117 | $394,209 | +244% | $24,242 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 113 | $622,118 | +169% | $56,513 |
| 252 Other Vascular Procedures with MCC | 106 | $569,191 | +233% | $50,578 |
| 393 Other Digestive System Diagnoses with MCC | 105 | $249,892 | +225% | $34,138 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 104 | $155,034 | +227% | $13,157 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 101 | $229,621 | +276% | $20,383 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 100 | $169,270 | +204% | $14,104 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 99 | $534,005 | +226% | $39,247 |
| 312 Syncope and Collapse | 98 | $134,412 | +195% | $11,953 |
| 481 Hip and Femur Procedures except Major Joint with CC | 94 | $346,963 | +244% | $26,289 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 93 | $451,856 | +302% | $38,112 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 90 | $129,889 | +251% | $11,069 |
| 194 Simple Pneumonia and Pleurisy with CC | 89 | $146,002 | +280% | $12,662 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 88 | $232,733 | +360% | $17,715 |
| 919 Complications of Treatment with MCC | 88 | $282,542 | +219% | $25,973 |
| 394 Other Digestive System Diagnoses with CC | 86 | $162,798 | +246% | $14,476 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 86 | $741,573 | +243% | $71,603 |
| 329 Major Small and Large Bowel Procedures with MCC | 83 | $996,471 | +364% | $90,178 |
| 389 Gastrointestinal Obstruction with CC | 83 | $147,807 | +280% | $11,501 |
| 460 Spinal Fusion except Cervical without MCC | 83 | $466,289 | +174% | $47,921 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 79 | $187,011 | +176% | $17,359 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 77 | $117,963 | +227% | $10,118 |
| 178 Respiratory Infections and Inflammations with CC | 76 | $161,694 | +257% | $13,663 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 75 | $168,624 | +164% | $14,033 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 73 | $318,110 | +237% | $27,158 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 73 | $282,573 | +170% | $28,572 |
| 652 Kidney Transplant | 72 | $1,037,203 | +208% | $49,229 |
| 467 Revision of Hip or Knee Replacement with CC | 70 | $444,126 | +182% | $41,016 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 69 | $3,991,515 | +279% | $372,321 |
| 165 Major Chest Procedures without CC/MCC | 68 | $251,817 | +144% | $22,607 |
| 439 Disorders of Pancreas except Malignancy with CC | 63 | $149,776 | +243% | $11,809 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 62 | $687,298 | +149% | $63,764 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 62 | $147,242 | +192% | $12,105 |
Showing the 60 most frequent of 271 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cedars-Sinai Medical Center charged $330,924 on average, 131% more than the California average of $143,063, and was paid $28,713 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Cedars-Sinai Medical Center charged $233,054 on average, 131% more than the California average of $100,739, and was paid $19,504 against a state average of $15,556. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Cedars-Sinai Medical Center charged $661,469 on average, 60% more than the California average of $413,516, and was paid $74,777 against a state average of $74,603. For Respiratory Infections and Inflammations with MCC (DRG 177), Cedars-Sinai Medical Center charged $259,500 on average, 109% more than the California average of $124,302, and was paid $22,810 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $67,382 was 62% above the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $30,657 was 108% above the state average of $14,749. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $38,456 was 102% above the state average of $19,034. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $8,481 was 75% above the state average of $4,853.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cedars-Sinai Medical Center in Los Angeles, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 687)
- Closure Notice — 2022-03-10 (CMS case 687)
- Met Requirements — 2025-03-17 (CMS case 3269)
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.