California / Emanate Health Inter-Community Hospital
CMS certification 050382 · Covina, CA · 5 entries in CMS's price-transparency list
Emanate Health Inter-Community Hospital: charges and Medicare payments
Emanate Health Inter-Community Hospital reported 3,085 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 4.28 times what it was paid — among the lower ratios in California, number 168 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: 517 stays at an average charge of $84,358, 7% below the national average. It also billed 911 outpatient services, charging 6.09 times what Medicare paid.
- 1Medicare inpatient stays 3,085
- 2Charge ÷ paid, inpatient 4.28×
- 3Rank in CA (highest ratio = 1) 168 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 76 DRGs that can be compared with the national average, Emanate Health Inter-Community Hospital charged more than the national average in 41 (54%). 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 | 517 | $84,358 | -7% | $19,640 |
| 291 Heart Failure and Shock with MCC | 162 | $58,289 | +3% | $13,363 |
| 193 Simple Pneumonia and Pleurisy with MCC | 130 | $68,186 | +14% | $14,451 |
| 177 Respiratory Infections and Inflammations with MCC | 119 | $68,812 | -3% | $17,070 |
| 885 Psychoses | 118 | $17,640 | -60% | $14,792 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 101 | $52,922 | -12% | $13,896 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 97 | $56,313 | +15% | $11,138 |
| 682 Renal Failure with MCC | 77 | $66,294 | +1% | $15,571 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 75 | $200,484 | -38% | $53,805 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 69 | $73,333 | 0% | $16,794 |
| 690 Kidney and Urinary Tract Infections without MCC | 62 | $42,341 | +12% | $8,974 |
| 683 Renal Failure with CC | 60 | $49,155 | +21% | $9,964 |
| 811 Red Blood Cell Disorders with MCC | 54 | $61,080 | -10% | $15,459 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 52 | $66,300 | -29% | $20,576 |
| 313 Chest Pain | 45 | $36,253 | -9% | $8,379 |
| 689 Kidney and Urinary Tract Infections with MCC | 43 | $53,476 | +4% | $12,011 |
| 812 Red Blood Cell Disorders without MCC | 42 | $54,960 | +24% | $10,297 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $41,641 | +12% | $8,604 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $215,129 | -6% | $41,938 |
| 252 Other Vascular Procedures with MCC | 38 | $117,024 | -32% | $35,324 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $45,972 | +14% | $8,933 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $69,123 | +20% | $13,183 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $87,733 | +3% | $18,660 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $40,286 | +12% | $9,233 |
| 314 Other Circulatory System Diagnoses with MCC | 32 | $97,582 | +3% | $21,460 |
| 378 Gastrointestinal Hemorrhage with CC | 32 | $62,169 | +28% | $10,876 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $62,954 | +13% | $12,845 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $63,483 | +25% | $12,680 |
| 603 Cellulitis without MCC | 31 | $48,179 | +29% | $9,226 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 30 | $194,154 | -34% | $49,698 |
| 312 Syncope and Collapse | 30 | $43,120 | -5% | $9,730 |
| 389 Gastrointestinal Obstruction with CC | 30 | $50,212 | +29% | $8,868 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $109,960 | +10% | $21,177 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $75,784 | 0% | $16,716 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 27 | $107,547 | -6% | $19,753 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $102,157 | +1% | $22,506 |
| 070 Other Cerebrovascular Disorders with MCC | 25 | $65,203 | -14% | $17,603 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 25 | $104,845 | -23% | $26,037 |
| 552 Medical Back Problems without MCC | 25 | $53,076 | +9% | $10,883 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $46,490 | +21% | $9,451 |
| 394 Other Digestive System Diagnoses with CC | 23 | $51,218 | +9% | $10,421 |
| 393 Other Digestive System Diagnoses with MCC | 22 | $80,273 | +5% | $17,019 |
| 536 Fractures of Hip and Pelvis without MCC | 22 | $36,619 | -3% | $8,704 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 21 | $52,854 | +11% | $10,099 |
| 638 Diabetes with CC | 21 | $47,357 | +14% | $9,832 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $48,618 | -4% | $10,610 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $60,775 | +7% | $12,434 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $30,219 | +5% | $6,625 |
| 100 Seizures with MCC | 17 | $68,496 | -27% | $19,393 |
| 101 Seizures without MCC | 17 | $44,271 | -9% | $9,677 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 17 | $220,818 | 0% | $51,891 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $125,588 | +28% | $21,234 |
| 202 Bronchitis and Asthma with CC/MCC | 16 | $51,632 | +12% | $10,962 |
| 270 Other Major Cardiovascular Procedures with MCC | 16 | $209,313 | -19% | $50,142 |
| 390 Gastrointestinal Obstruction without CC/MCC | 16 | $36,013 | +29% | $6,490 |
| 069 Transient Ischemia without Thrombolytic | 15 | $48,667 | -4% | $9,286 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $50,525 | -17% | $13,881 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 15 | $74,653 | -13% | $17,813 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $50,436 | +6% | $11,070 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $238,341 | -15% | $52,425 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Emanate Health Inter-Community Hospital charged $84,358 on average, 41% less than the California average of $143,063, and was paid $19,640 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Emanate Health Inter-Community Hospital charged $58,289 on average, 42% less than the California average of $100,739, and was paid $13,363 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Emanate Health Inter-Community Hospital charged $68,186 on average, 34% less than the California average of $103,761, and was paid $14,451 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Emanate Health Inter-Community Hospital charged $68,812 on average, 45% less than the California average of $124,302, and was paid $17,070 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,447 was 24% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,626 was 32% below the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $20,989 was 30% below the state average of $30,190. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $32,573 was 36% below the state average of $51,060.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Emanate Health Inter-Community Hospital in Covina, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2025-02-18 (CMS case 3112)
- Closure Notice — 2025-03-28 (CMS case 3112)
- Met Requirements — 2026-02-06 (CMS case 6973)
- Warning Notice — 2026-04-15 (CMS case 7485)
- Closure Notice — 2026-06-16 (CMS case 7485)
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.