California / Enloe Health

CMS certification 050039 · Chico, CA

Enloe Health: charges and Medicare payments

Enloe Health reported 6,445 Medicare inpatient stays across 157 DRGs in 2024. Across them it charged 7.59 times what it was paid — among the higher ratios in California, number 43 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: 607 stays at an average charge of $146,101, 62% above the national average. It also billed 7,409 outpatient services, charging 9.13 times what Medicare paid.

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  1. 1Medicare inpatient stays 6,445
  2. 2Charge ÷ paid, inpatient 7.59×
  3. 3Rank in CA (highest ratio = 1) 43 of 247
  4. 4CMS price-transparency actions 0
DRG 871$146,101DRG 291$101,149DRG 193$99,725DRG 177$108,762DRG 189$89,080DRG 683$76,888DRG 872$73,864DRG 698$99,965DRG 682$102,124DRG 378$83,612
Average charge per stay at Enloe Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 157 DRGs that can be compared with the national average, Enloe Health charged more than the national average in 153 (97%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC607$146,101+62%$18,762
291 Heart Failure and Shock with MCC439$101,149+79%$12,339
193 Simple Pneumonia and Pleurisy with MCC207$99,725+67%$12,704
177 Respiratory Infections and Inflammations with MCC186$108,762+54%$15,532
189 Pulmonary Edema and Respiratory Failure151$89,080+55%$11,912
683 Renal Failure with CC115$76,888+89%$9,502
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC112$73,864+51%$10,779
698 Other Kidney and Urinary Tract Diagnoses with MCC109$99,965+36%$15,364
682 Renal Failure with MCC104$102,124+55%$14,046
378 Gastrointestinal Hemorrhage with CC99$83,612+72%$9,571
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...97$83,611+50%$9,641
853 Infectious and Parasitic Diseases with O.R. Procedures with...92$320,642+40%$47,254
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...91$63,249+57%$7,691
064 Intracranial Hemorrhage or Cerebral Infarction with MCC89$126,970+27%$18,039
481 Hip and Femur Procedures except Major Joint with CC81$152,584+51%$19,687
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...78$84,519+40%$12,589
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...75$60,337+63%$8,017
885 Psychoses75$57,551+31%$13,213
689 Kidney and Urinary Tract Infections with MCC74$68,794+34%$11,070
266 Endovascular Cardiac Valve Replacement and Supplement...71$221,415-22%$58,743
690 Kidney and Urinary Tract Infections without MCC70$64,250+70%$7,880
377 Gastrointestinal Hemorrhage with MCC68$139,834+64%$16,640
603 Cellulitis without MCC64$57,639+55%$8,615
190 Chronic Obstructive Pulmonary Disease with MCC62$66,604+32%$10,668
286 Circulatory Disorders except AMI, with Cardiac...62$213,484+90%$21,236
194 Simple Pneumonia and Pleurisy with CC60$68,302+78%$8,004
309 Cardiac Arrhythmia and Conduction Disorders with CC59$79,233+119%$7,301
322 Percutaneous Cardiovascular Procedures with Intraluminal...59$199,632+74%$20,256
552 Medical Back Problems without MCC59$86,047+76%$9,160
280 Acute Myocardial Infarction, Discharged Alive with MCC53$164,117+116%$15,118
522 Hip Replacement with Principal Diagnosis of Hip Fracture...50$156,544+53%$20,091
308 Cardiac Arrhythmia and Conduction Disorders with MCC49$104,856+85%$11,717
208 Respiratory System Diagnosis with Ventilator Support <=96...48$237,228+75%$25,853
418 Laparoscopic Cholecystectomy without C.D.E. with CC46$151,695+63%$15,785
321 Percutaneous Cardiovascular Procedures with Intraluminal...44$250,393+53%$31,315
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...43$103,206+69%$13,017
394 Other Digestive System Diagnoses with CC43$69,265+47%$9,134
699 Other Kidney and Urinary Tract Diagnoses with CC43$74,035+56%$9,800
287 Circulatory Disorders except AMI, with Cardiac...42$153,910+141%$10,505
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale40$160,164+146%$13,889
178 Respiratory Infections and Inflammations with CC40$67,088+48%$10,049
312 Syncope and Collapse40$88,101+93%$8,446
329 Major Small and Large Bowel Procedures with MCC40$344,450+60%$49,352
330 Major Small and Large Bowel Procedures with CC39$189,847+60%$22,471
638 Diabetes with CC38$69,093+66%$8,748
267 Endovascular Cardiac Valve Replacement and Supplement...37$186,550-16%$45,937
660 Kidney and Ureter Procedures for Non-Neoplasm with CC37$115,752+72%$12,962
917 Poisoning and Toxic Effects of Drugs with MCC36$135,683+81%$15,652
057 Degenerative Nervous System Disorders without MCC35$82,783+46%$12,873
389 Gastrointestinal Obstruction with CC35$54,824+41%$8,427
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...35$73,571+73%$8,460
281 Acute Myocardial Infarction, Discharged Alive with CC32$136,820+171%$8,926
372 Major Gastrointestinal Disorders and Peritoneal Infections...32$83,725+76%$10,311
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...32$303,283+40%$42,956
091 Other Disorders of Nervous System with MCC30$162,320+96%$17,321
460 Spinal Fusion except Cervical without MCC30$297,590+75%$34,767
602 Cellulitis with MCC30$102,251+70%$13,480
101 Seizures without MCC29$75,504+55%$9,486
314 Other Circulatory System Diagnoses with MCC29$134,799+42%$19,705
881 Depressive Neuroses29$63,536+99%$8,845

Showing the 60 most frequent of 157 DRGs.

Outpatient services

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Enloe Health charged $146,101 on average, 2% more than the California average of $143,063, and was paid $18,762 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Enloe Health charged $101,149 on average, 0% less than the California average of $100,739, and was paid $12,339 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Enloe Health charged $99,725 on average, 4% less than the California average of $103,761, and was paid $12,704 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Enloe Health charged $108,762 on average, 13% less than the California average of $124,302, and was paid $15,532 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $46,965 was 13% above the state average of $41,628. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,081 was 57% below the state average of $4,853. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $89,004 was 18% below the state average of $109,149. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,955 was 1% 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.