California / Foothill Regional Medical Center
CMS certification 050780 · Tustin, CA
Foothill Regional Medical Center: charges and Medicare payments
Foothill Regional Medical Center reported 954 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 5.73 times what it was paid — mid-range in California, number 100 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: 217 stays at an average charge of $113,133, 25% above the national average.
- 1Medicare inpatient stays 954
- 2Charge ÷ paid, inpatient 5.73×
- 3Rank in CA (highest ratio = 1) 100 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, Foothill Regional Medical Center charged more than the national average in 25 (86%). 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 | 217 | $113,133 | +25% | $18,941 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 81 | $68,701 | +14% | $13,163 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $63,126 | +23% | $11,735 |
| 291 Heart Failure and Shock with MCC | 58 | $90,125 | +60% | $12,855 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 50 | $81,286 | +11% | $15,211 |
| 070 Other Cerebrovascular Disorders with MCC | 42 | $71,183 | -6% | $16,345 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $90,554 | +28% | $16,570 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $54,402 | +47% | $7,835 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $55,366 | +46% | $8,171 |
| 393 Other Digestive System Diagnoses with MCC | 28 | $81,439 | +6% | $16,454 |
| 682 Renal Failure with MCC | 28 | $79,682 | +21% | $14,403 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $75,604 | +27% | $13,074 |
| 602 Cellulitis with MCC | 26 | $72,553 | +21% | $14,340 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $52,269 | +30% | $7,936 |
| 071 Other Cerebrovascular Disorders with CC | 21 | $84,283 | +67% | $10,567 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $301,063 | +31% | $51,199 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $81,411 | +33% | $12,911 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $65,646 | +34% | $10,077 |
| 562 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $60,772 | -8% | $14,544 |
| 604 Trauma To The Skin, Subcutaneous Tissue and Breast with MCC | 15 | $75,143 | +3% | $15,311 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $92,078 | +8% | $17,791 |
| 552 Medical Back Problems without MCC | 13 | $45,514 | -7% | $9,681 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $75,317 | +49% | $11,241 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $43,052 | +1% | $9,078 |
| 603 Cellulitis without MCC | 12 | $63,908 | +71% | $8,957 |
| 100 Seizures with MCC | 11 | $70,863 | -25% | $19,066 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $132,668 | +42% | $18,589 |
| 551 Medical Back Problems with MCC | 11 | $84,266 | +7% | $16,392 |
| 948 Signs and Symptoms without MCC | 11 | $50,714 | +33% | $7,967 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Foothill Regional Medical Center charged $113,133 on average, 21% less than the California average of $143,063, and was paid $18,941 against a state average of $23,020. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Foothill Regional Medical Center charged $68,701 on average, 22% less than the California average of $88,573, and was paid $13,163 against a state average of $15,580. For Kidney and Urinary Tract Infections with MCC (DRG 689), Foothill Regional Medical Center charged $63,126 on average, 22% less than the California average of $81,192, and was paid $11,735 against a state average of $13,102. For Heart Failure and Shock with MCC (DRG 291), Foothill Regional Medical Center charged $90,125 on average, 11% less than the California average of $100,739, and was paid $12,855 against a state average of $15,556.
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.