California / Garfield Medical Center
CMS certification 050737 · Monterey Park, CA · 1 entry in CMS's price-transparency list
Garfield Medical Center: charges and Medicare payments
Garfield Medical Center reported 958 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 9 times what it was paid — among the higher ratios in California, number 28 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: 229 stays at an average charge of $193,232, 114% above the national average. It also billed 516 outpatient services, charging 10.37 times what Medicare paid.
- 1Medicare inpatient stays 958
- 2Charge ÷ paid, inpatient 9×
- 3Rank in CA (highest ratio = 1) 28 of 247
- 4CMS price-transparency actions 1
Inpatient stays
For the 31 DRGs that can be compared with the national average, Garfield Medical Center charged more than the national average in 31 (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 | 229 | $193,232 | +114% | $20,312 |
| 291 Heart Failure and Shock with MCC | 68 | $96,932 | +72% | $13,683 |
| 177 Respiratory Infections and Inflammations with MCC | 64 | $189,641 | +169% | $17,726 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $130,019 | +118% | $13,627 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $123,474 | +105% | $13,157 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $67,206 | +81% | $8,434 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $106,552 | +117% | $10,822 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $189,899 | +90% | $20,170 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $134,995 | +78% | $16,163 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $115,349 | +107% | $10,633 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 30 | $487,302 | +51% | $66,738 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $82,973 | +119% | $8,546 |
| 683 Renal Failure with CC | 22 | $91,233 | +124% | $9,294 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $126,040 | +146% | $12,373 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $123,300 | +118% | $13,171 |
| 682 Renal Failure with MCC | 20 | $166,831 | +153% | $15,644 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $226,519 | +165% | $18,792 |
| 552 Medical Back Problems without MCC | 17 | $81,477 | +67% | $10,137 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $90,568 | +87% | $10,050 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $379,914 | +66% | $50,277 |
| 312 Syncope and Collapse | 14 | $72,828 | +60% | $9,282 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $79,590 | +98% | $8,477 |
| 069 Transient Ischemia without Thrombolytic | 13 | $87,670 | +74% | $8,609 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $215,160 | +274% | $13,170 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $165,234 | +47% | $22,465 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $137,235 | +20% | $18,911 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $85,833 | +124% | $8,849 |
| 313 Chest Pain | 12 | $53,024 | +33% | $7,884 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $131,169 | +38% | $21,408 |
| 056 Degenerative Nervous System Disorders with MCC | 11 | $155,538 | +62% | $22,300 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $82,425 | +29% | $11,512 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 120 | $30,941 | $3,365 |
| Level 1 Endovascular Procedures | 102 | $39,937 | $4,013 |
| Level 3 Vascular Procedures | 54 | $46,059 | $3,919 |
| Level 1 Laparoscopy and Related Services | 47 | $64,076 | $7,094 |
| Level 3 Endovascular Procedures | 42 | $89,639 | $13,503 |
| Level 3 Pacemaker and Similar Procedures | 34 | $138,426 | $13,108 |
| Level 2 Endovascular Procedures | 26 | $48,064 | $7,027 |
| Level 4 Urology and Related Services | 22 | $50,342 | $4,286 |
| Level 4 Vascular Procedures | 18 | $55,012 | $6,756 |
| Level 4 Endovascular Procedures | 18 | $123,396 | $19,114 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 17 | $74,984 | $8,017 |
| Level 3 Electrophysiologic Procedures | 16 | $234,294 | $29,114 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Garfield Medical Center charged $193,232 on average, 35% more than the California average of $143,063, and was paid $20,312 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Garfield Medical Center charged $96,932 on average, 4% less than the California average of $100,739, and was paid $13,683 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Garfield Medical Center charged $189,641 on average, 53% more than the California average of $124,302, and was paid $17,726 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Garfield Medical Center charged $130,019 on average, 25% more than the California average of $103,761, and was paid $13,627 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,941 was 26% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $39,937 was 1% below the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $46,059 was 53% above the state average of $30,190. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $64,076 was 0% below the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Garfield Medical Center in Monterey Park, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-09-12 (CMS case 1774)
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.