California / Hemet Global Medical Center
CMS certification 050390 · Hemet, CA · 3 entries in CMS's price-transparency list
Hemet Global Medical Center: charges and Medicare payments
Hemet Global Medical Center reported 803 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 3.4 times what it was paid — among the lower ratios in California, number 204 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: 206 stays at an average charge of $83,397, 8% below the national average. It also billed 161 outpatient services, charging 8.83 times what Medicare paid.
- 1Medicare inpatient stays 803
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in CA (highest ratio = 1) 204 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 25 DRGs that can be compared with the national average, Hemet Global Medical Center charged more than the national average in 4 (16%). 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 | 206 | $83,397 | -8% | $22,408 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 80 | $20,439 | -40% | $18,993 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $60,385 | +1% | $15,861 |
| 291 Heart Failure and Shock with MCC | 48 | $54,844 | -3% | $15,670 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $53,525 | -11% | $15,202 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $37,866 | 0% | $10,267 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $46,109 | -6% | $12,708 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $91,146 | +24% | $19,770 |
| 682 Renal Failure with MCC | 28 | $58,194 | -12% | $18,165 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $47,539 | -7% | $12,969 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $215,415 | -6% | $56,592 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $59,329 | -16% | $18,866 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $37,750 | -6% | $10,060 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $61,145 | -28% | $20,595 |
| 637 Diabetes with MCC | 16 | $72,250 | +9% | $15,957 |
| 683 Renal Failure with CC | 15 | $35,799 | -12% | $11,205 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $233,850 | -28% | $75,442 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $28,468 | -23% | $9,132 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $43,978 | -13% | $12,140 |
| 312 Syncope and Collapse | 12 | $34,098 | -25% | $10,806 |
| 101 Seizures without MCC | 11 | $27,040 | -45% | $10,701 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $88,237 | +16% | $18,924 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $45,752 | -6% | $12,285 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $93,971 | -7% | $23,678 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $41,570 | -12% | $12,692 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 70 | $24,808 | $3,365 |
| Level 1 Endovascular Procedures | 22 | $34,171 | $4,013 |
| Level 3 Vascular Procedures | 15 | $21,972 | $3,919 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $27,084 | $4,096 |
| Level 4 Urology and Related Services | 14 | $26,692 | $4,287 |
| Level 3 Pacemaker and Similar Procedures | 13 | $98,727 | $13,108 |
| Level 5 Urology and Related Services | 12 | $37,029 | $6,362 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hemet Global Medical Center charged $83,397 on average, 42% less than the California average of $143,063, and was paid $22,408 against a state average of $23,020. For Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (DRG 895), Hemet Global Medical Center charged $20,439 on average, 38% less than the California average of $32,954, and was paid $18,993 against a state average of $17,113. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hemet Global Medical Center charged $60,385 on average, 42% less than the California average of $103,761, and was paid $15,861 against a state average of $15,112. For Heart Failure and Shock with MCC (DRG 291), Hemet Global Medical Center charged $54,844 on average, 46% less than the California average of $100,739, and was paid $15,670 against a state average of $15,556. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,808 was 40% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,171 was 16% below the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $21,972 was 27% below the state average of $30,190. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $27,084 was 34% below the state average of $40,834.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hemet Global Medical Center in Hemet, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-09-20 (CMS case 1771)
- Closure Notice — 2024-01-04 (CMS case 1771)
- Met Requirements — 2026-07-21 (CMS case 8330)
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.