Emanuel Medical Center: charges and Medicare payments

Emanuel Medical Center reported 1,394 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 12.75 times what it was paid — among the higher ratios in California, number 10 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: 240 stays at an average charge of $246,223, 173% above the national average. It also billed 1,060 outpatient services, charging 18.3 times what Medicare paid.

1Medicare inpatient stays 1,394
2Charge ÷ paid, inpatient 12.75×
3Rank in CA (highest ratio = 1) 10 of 247
4CMS price-transparency actions 0

Average charge per stay at Emanuel Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 44 DRGs that can be compared with the national average, Emanuel Medical Center charged more than the national average in 44 (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	240	$246,223	+173%	$19,835
291 Heart Failure and Shock with MCC	124	$148,360	+163%	$13,144
193 Simple Pneumonia and Pleurisy with MCC	82	$168,396	+182%	$13,626
280 Acute Myocardial Infarction, Discharged Alive with MCC	76	$220,898	+191%	$16,005
322 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$303,483	+165%	$19,491
177 Respiratory Infections and Inflammations with MCC	44	$216,238	+206%	$16,596
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	36	$155,557	+217%	$10,793
690 Kidney and Urinary Tract Infections without MCC	33	$132,009	+249%	$8,398
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$166,271	+176%	$13,528
287 Circulatory Disorders except AMI, with Cardiac...	30	$155,247	+143%	$12,124
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$139,151	+146%	$12,579
682 Renal Failure with MCC	29	$227,515	+245%	$16,847
683 Renal Failure with CC	29	$116,677	+187%	$9,356
689 Kidney and Urinary Tract Infections with MCC	29	$161,569	+215%	$12,171
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$109,277	+195%	$8,246
853 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$537,370	+135%	$52,260
281 Acute Myocardial Infarction, Discharged Alive with CC	26	$159,344	+216%	$9,543
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$410,872	+151%	$29,422
189 Pulmonary Edema and Respiratory Failure	24	$181,856	+216%	$12,909
377 Gastrointestinal Hemorrhage with MCC	24	$199,676	+134%	$18,108
253 Other Vascular Procedures with CC	23	$357,332	+171%	$26,245
378 Gastrointestinal Hemorrhage with CC	23	$142,151	+193%	$10,427
286 Circulatory Disorders except AMI, with Cardiac...	21	$267,072	+138%	$21,236
389 Gastrointestinal Obstruction with CC	21	$112,162	+188%	$8,181
481 Hip and Femur Procedures except Major Joint with CC	21	$311,823	+209%	$21,168
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$124,111	+209%	$8,361
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$308,507	+231%	$19,438
194 Simple Pneumonia and Pleurisy with CC	16	$114,868	+199%	$8,726
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	16	$130,003	+200%	$9,081
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	16	$352,077	+244%	$21,715
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	15	$145,739	+162%	$10,484
190 Chronic Obstructive Pulmonary Disease with MCC	15	$142,672	+182%	$11,495
330 Major Small and Large Bowel Procedures with CC	15	$316,014	+166%	$25,368
252 Other Vascular Procedures with MCC	14	$454,777	+166%	$36,542
309 Cardiac Arrhythmia and Conduction Disorders with CC	14	$108,297	+200%	$7,936
312 Syncope and Collapse	14	$144,683	+218%	$9,162
314 Other Circulatory System Diagnoses with MCC	14	$299,810	+216%	$20,455
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$195,680	+221%	$13,337
270 Other Major Cardiovascular Procedures with MCC	13	$519,208	+100%	$68,455
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	12	$187,500	+188%	$13,747
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$318,981	+135%	$28,824
394 Other Digestive System Diagnoses with CC	12	$134,452	+186%	$9,873
243 Permanent Cardiac Pacemaker Implant with CC	11	$318,294	+187%	$23,335
637 Diabetes with MCC	11	$168,960	+154%	$15,019

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 3 Endovascular Procedures	131	$230,283	$13,599
Level 1 Endovascular Procedures	117	$69,164	$4,075
Level 5 Musculoskeletal Procedures	93	$227,196	$16,340
Level 2 Excision/ Biopsy/ Incision and Drainage	86	$21,738	$2,037
Level 3 Vascular Procedures	78	$61,054	$3,964
Level 1 Laparoscopy and Related Services	73	$110,415	$7,249
Comprehensive Observation Services	72	$87,357	$3,401
Level 4 Musculoskeletal Procedures	38	$172,379	$8,824
Level 3 Pacemaker and Similar Procedures	35	$168,807	$13,393
Level 2 Upper GI Procedures	35	$29,865	$2,336
Level 5 Gynecologic Procedures	34	$107,123	$6,103
Level 3 Musculoskeletal Procedures	31	$91,113	$4,067
Level 2 Vascular Procedures	31	$28,203	$2,012
Level 4 Vascular Procedures	25	$105,326	$6,684
Level 2 Endovascular Procedures	25	$114,344	$7,181
Level 5 Urology and Related Services	24	$103,196	$6,500
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$121,002	$8,192
Level 2 Musculoskeletal Procedures	18	$50,267	$2,019
Level 3 Excision/ Biopsy/ Incision and Drainage	17	$40,019	$3,409
Level 2 Laparoscopy and Related Services	17	$123,710	$12,248
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	16	$111,004	$4,346
Level 1 Nerve Procedures	16	$66,497	$2,426
Level 2 ICD and Similar Procedures	14	$426,921	$41,195
Level 5 ENT Procedures	11	$78,769	$7,357

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Emanuel Medical Center charged $246,223 on average, 72% more than the California average of $143,063, and was paid $19,835 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Emanuel Medical Center charged $148,360 on average, 47% more than the California average of $100,739, and was paid $13,144 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Emanuel Medical Center charged $168,396 on average, 62% more than the California average of $103,761, and was paid $13,626 against a state average of $15,112. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Emanuel Medical Center charged $220,898 on average, 78% more than the California average of $123,896, and was paid $16,005 against a state average of $19,122. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $230,283 was 115% above the state average of $107,140. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $69,164 was 71% above the state average of $40,544. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $227,196 was 108% above the state average of $109,149. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $21,738 was 47% above the state average of $14,749.

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.