California / Encino Hospital Medical Center
CMS certification 050158 · Encino, CA · 2 entries in CMS's price-transparency list
Encino Hospital Medical Center: charges and Medicare payments
Encino Hospital Medical Center reported 353 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.51 times what it was paid — mid-range in California, number 160 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: 117 stays at an average charge of $91,446, 1% above the national average. It also billed 13 outpatient services, charging 10.66 times what Medicare paid.
- 1Medicare inpatient stays 353
- 2Charge ÷ paid, inpatient 4.51×
- 3Rank in CA (highest ratio = 1) 160 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Encino Hospital Medical Center charged more than the national average in 3 (25%). 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 | 117 | $91,446 | +1% | $19,064 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $83,401 | +18% | $15,565 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $41,294 | -32% | $12,810 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $36,881 | -28% | $11,116 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $50,112 | -34% | $14,297 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $24,761 | -33% | $7,856 |
| 291 Heart Failure and Shock with MCC | 20 | $51,301 | -9% | $12,577 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $46,062 | -9% | $10,956 |
| 682 Renal Failure with MCC | 15 | $44,811 | -32% | $14,422 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $372,277 | +63% | $61,901 |
| 073 Cranial and Peripheral Nerve Disorders with MCC | 11 | $38,821 | -51% | $14,969 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $55,789 | -3% | $12,091 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 13 | $23,858 | $2,866 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Encino Hospital Medical Center charged $91,446 on average, 36% less than the California average of $143,063, and was paid $19,064 against a state average of $23,020. For Respiratory Infections and Inflammations with MCC (DRG 177), Encino Hospital Medical Center charged $83,401 on average, 33% less than the California average of $124,302, and was paid $15,565 against a state average of $18,986. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Encino Hospital Medical Center charged $41,294 on average, 53% less than the California average of $88,573, and was paid $12,810 against a state average of $15,580. For Kidney and Urinary Tract Infections with MCC (DRG 689), Encino Hospital Medical Center charged $36,881 on average, 55% less than the California average of $81,192, and was paid $11,116 against a state average of $13,102. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $23,858 was 14% above the state average of $20,986.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Encino Hospital Medical Center in Encino, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-21 (CMS case 3856)
- Closure Notice — 2025-06-09 (CMS case 3856)
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.