California / Kaiser Foundation Hospital - Los Angeles
CMS certification 050138 · Los Angeles, CA
Kaiser Foundation Hospital - Los Angeles: charges and Medicare payments
Kaiser Foundation Hospital - Los Angeles reported 446 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 2.54 times what it was paid — among the lower ratios in California, number 236 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: 102 stays at an average charge of $114,112, 26% above the national average. It also billed 220 outpatient services, charging 10.73 times what Medicare paid.
- 1Medicare inpatient stays 446
- 2Charge ÷ paid, inpatient 2.54×
- 3Rank in CA (highest ratio = 1) 236 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 20 DRGs that can be compared with the national average, Kaiser Foundation Hospital - Los Angeles charged more than the national average in 12 (60%). 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 | 102 | $114,112 | +26% | $31,280 |
| 291 Heart Failure and Shock with MCC | 39 | $71,672 | +27% | $19,062 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $99,812 | +32% | $29,674 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $141,914 | +42% | $38,802 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $51,871 | +6% | $13,748 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $84,292 | +51% | $15,870 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $47,721 | -58% | $43,954 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $44,885 | -11% | $19,244 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $75,348 | +31% | $18,103 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 15 | $183,939 | -35% | $66,432 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $65,156 | +9% | $16,627 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $33,321 | -10% | $12,440 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 13 | $128,908 | -53% | $186,335 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $40,556 | +1% | $15,797 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $69,571 | -1% | $19,602 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 11 | $203,948 | -24% | $138,451 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 11 | $216,485 | +3% | $140,950 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $74,999 | +17% | $21,886 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $84,562 | -48% | $41,237 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $43,331 | +15% | $15,581 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 144 | $33,547 | $3,300 |
| Level 1 Endovascular Procedures | 27 | $26,338 | $2,795 |
| Level 1 Intraocular Procedures | 24 | $9,080 | $2,717 |
| Level 3 Endovascular Procedures | 14 | $69,508 | $13,242 |
| Level 4 Vascular Procedures | 11 | $60,032 | $6,163 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital - Los Angeles charged $114,112 on average, 20% less than the California average of $143,063, and was paid $31,280 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital - Los Angeles charged $71,672 on average, 29% less than the California average of $100,739, and was paid $19,062 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Kaiser Foundation Hospital - Los Angeles charged $99,812 on average, 19% less than the California average of $123,896, and was paid $29,674 against a state average of $19,122. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Kaiser Foundation Hospital - Los Angeles charged $141,914 on average, 19% less than the California average of $174,368, and was paid $38,802 against a state average of $24,500. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,547 was 19% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,338 was 35% below the state average of $40,544. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,080 was 57% below the state average of $20,986. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $69,508 was 35% below the state average of $107,140.
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.