California / Doctors Hospital of Manteca
CMS certification 050118 · Manteca, CA · 1 entry in CMS's price-transparency list
Doctors Hospital of Manteca: charges and Medicare payments
Doctors Hospital of Manteca reported 372 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 14.27 times what it was paid — among the higher ratios in California, number 4 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: 116 stays at an average charge of $273,861, 203% above the national average. It also billed 359 outpatient services, charging 17.64 times what Medicare paid.
- 1Medicare inpatient stays 372
- 2Charge ÷ paid, inpatient 14.27×
- 3Rank in CA (highest ratio = 1) 4 of 247
- 4CMS price-transparency actions 1
Inpatient stays
For the 13 DRGs that can be compared with the national average, Doctors Hospital of Manteca charged more than the national average in 13 (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 | 116 | $273,861 | +203% | $18,613 |
| 291 Heart Failure and Shock with MCC | 49 | $200,410 | +255% | $14,039 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $209,035 | +196% | $15,138 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $190,540 | +219% | $12,914 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $133,005 | +171% | $10,183 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $161,244 | +214% | $11,571 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $144,355 | +151% | $12,380 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $153,144 | +154% | $13,050 |
| 682 Renal Failure with MCC | 15 | $159,509 | +142% | $14,590 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $159,760 | +187% | $10,299 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $150,980 | +276% | $8,958 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $127,732 | +245% | $7,906 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $243,392 | +231% | $13,956 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 114 | $36,511 | $1,186 |
| Level 2 Upper GI Procedures | 46 | $30,118 | $2,348 |
| Level 1 Laparoscopy and Related Services | 37 | $90,810 | $7,090 |
| Comprehensive Observation Services | 37 | $74,990 | $3,438 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $24,474 | $2,036 |
| Level 1 Nerve Procedures | 22 | $34,747 | $1,896 |
| Level 2 Intraocular Procedures | 21 | $54,237 | $2,043 |
| Level 5 Urology and Related Services | 16 | $86,350 | $6,186 |
| Level 5 Neurostimulator and Related Procedures | 15 | $223,271 | $29,562 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 15 | $50,893 | $1,409 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Doctors Hospital of Manteca charged $273,861 on average, 91% more than the California average of $143,063, and was paid $18,613 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Doctors Hospital of Manteca charged $200,410 on average, 99% more than the California average of $100,739, and was paid $14,039 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Doctors Hospital of Manteca charged $209,035 on average, 68% more than the California average of $124,302, and was paid $15,138 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Doctors Hospital of Manteca charged $190,540 on average, 84% more than the California average of $103,761, and was paid $12,914 against a state average of $15,112. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $36,511 was 74% above the state average of $20,986. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $30,118 was 58% above the state average of $19,034. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $90,810 was 41% above the state average of $64,351. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $74,990 was 80% above the state average of $41,628.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Doctors Hospital of Manteca in Manteca, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-03-13 (CMS case 3228)
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.