Kaweah Health Medical Center: charges and Medicare payments

Kaweah Health Medical Center reported 4,100 Medicare inpatient stays across 120 DRGs in 2024. Across them it charged 3.36 times what it was paid — among the lower ratios in California, number 206 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 264 stays at an average charge of $51,180, 9% below the national average. It also billed 3,825 outpatient services, charging 4.88 times what Medicare paid.

1Medicare inpatient stays 4,100
2Charge ÷ paid, inpatient 3.36×
3Rank in CA (highest ratio = 1) 206 of 247
4CMS price-transparency actions 0

Average charge per stay at Kaweah Health Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 120 DRGs that can be compared with the national average, Kaweah Health Medical Center charged more than the national average in 8 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	264	$51,180	-9%	$14,806
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	175	$90,587	0%	$23,266
193 Simple Pneumonia and Pleurisy with MCC	160	$52,572	-12%	$14,888
690 Kidney and Urinary Tract Infections without MCC	120	$32,373	-14%	$9,380
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	107	$57,123	-5%	$15,368
689 Kidney and Urinary Tract Infections with MCC	99	$42,665	-17%	$13,452
177 Respiratory Infections and Inflammations with MCC	95	$64,830	-8%	$18,661
683 Renal Failure with CC	87	$32,307	-21%	$10,372
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	84	$29,322	-21%	$9,111
378 Gastrointestinal Hemorrhage with CC	77	$36,445	-25%	$11,301
194 Simple Pneumonia and Pleurisy with CC	76	$34,730	-10%	$9,589
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	74	$43,422	-22%	$11,518
603 Cellulitis without MCC	73	$29,104	-22%	$10,219
309 Cardiac Arrhythmia and Conduction Disorders with CC	67	$31,005	-14%	$8,793
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$59,902	-18%	$18,085
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	62	$31,584	-21%	$9,229
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	61	$72,368	-28%	$22,048
312 Syncope and Collapse	53	$33,946	-25%	$10,050
189 Pulmonary Edema and Respiratory Failure	52	$70,162	+22%	$15,714
481 Hip and Femur Procedures except Major Joint with CC	52	$78,403	-22%	$23,432
190 Chronic Obstructive Pulmonary Disease with MCC	51	$46,148	-9%	$12,513
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	51	$69,406	-32%	$23,324
682 Renal Failure with MCC	49	$51,804	-21%	$16,943
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$88,784	-22%	$20,515
280 Acute Myocardial Infarction, Discharged Alive with MCC	47	$54,175	-29%	$17,749
314 Other Circulatory System Diagnoses with MCC	46	$64,529	-32%	$23,386
377 Gastrointestinal Hemorrhage with MCC	45	$56,130	-34%	$19,704
252 Other Vascular Procedures with MCC	44	$104,314	-39%	$38,455
267 Endovascular Cardiac Valve Replacement and Supplement...	40	$180,416	-18%	$53,283
069 Transient Ischemia without Thrombolytic	39	$37,045	-27%	$9,211
638 Diabetes with CC	38	$42,326	+2%	$10,521
178 Respiratory Infections and Inflammations with CC	37	$47,209	+4%	$11,847
208 Respiratory System Diagnosis with Ventilator Support <=96...	37	$126,670	-7%	$30,196
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$207,110	-10%	$53,212
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	35	$156,807	-23%	$51,216
281 Acute Myocardial Infarction, Discharged Alive with CC	33	$40,058	-21%	$10,578
454 Combined Anterior and Posterior Spinal Fusion with CC	32	$144,315	-48%	$67,984
191 Chronic Obstructive Pulmonary Disease with CC	30	$28,736	-27%	$10,247
951 Other Factors Influencing Health Status	30	$25,408	-1%	$6,812
036 Carotid Artery Stent Procedures without CC/MCC	29	$52,798	-40%	$20,575
286 Circulatory Disorders except AMI, with Cardiac...	29	$60,766	-46%	$24,086
699 Other Kidney and Urinary Tract Diagnoses with CC	29	$27,612	-42%	$11,260
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$36,134	-36%	$13,839
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	27	$24,649	-14%	$6,622
101 Seizures without MCC	26	$43,612	-11%	$10,884
329 Major Small and Large Bowel Procedures with MCC	26	$203,821	-5%	$55,565
394 Other Digestive System Diagnoses with CC	26	$33,150	-30%	$10,897
602 Cellulitis with MCC	26	$41,937	-30%	$16,386
870 Septicemia or Severe Sepsis with MV >96 Hours	24	$299,059	-7%	$86,084
100 Seizures with MCC	23	$66,699	-29%	$21,950
321 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$121,306	-26%	$32,126
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	23	$25,818	-46%	$10,760
480 Hip and Femur Procedures except Major Joint with MCC	23	$88,816	-36%	$30,959
637 Diabetes with MCC	23	$55,080	-17%	$16,392
287 Circulatory Disorders except AMI, with Cardiac...	22	$43,522	-32%	$12,727
389 Gastrointestinal Obstruction with CC	22	$33,966	-13%	$8,611
432 Cirrhosis and Alcoholic Hepatitis with MCC	22	$60,672	-37%	$22,069
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	22	$141,516	-35%	$49,395
066 Intracranial Hemorrhage or Cerebral Infarction without...	21	$32,665	-23%	$8,093
393 Other Digestive System Diagnoses with MCC	21	$58,049	-24%	$18,825

Showing the 60 most frequent of 120 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	826	$21,020	$3,358
Level 1 Endovascular Procedures	605	$17,117	$3,966
Level 5 Musculoskeletal Procedures	258	$46,809	$15,870
Level 2 Urology and Related Services	226	$2,453	$833
Level 3 Endovascular Procedures	214	$62,319	$13,448
Level 3 Vascular Procedures	173	$17,438	$3,901
Level 2 Excision/ Biopsy/ Incision and Drainage	161	$8,060	$1,984
Level 4 Musculoskeletal Procedures	154	$26,970	$8,415
Level 1 Laparoscopy and Related Services	112	$31,620	$6,956
Level 2 Upper GI Procedures	102	$10,297	$2,321
Level 4 Urology and Related Services	83	$21,084	$4,249
Level 3 Pacemaker and Similar Procedures	82	$61,196	$13,108
Level 5 Urology and Related Services	82	$22,463	$6,260
Level 3 Urology and Related Services	81	$8,738	$2,480
Level 4 Endovascular Procedures	80	$87,534	$21,235
Level 2 Intraocular Procedures	71	$15,334	$4,943
Level 6 Musculoskeletal Procedures	69	$49,320	$22,851
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	68	$26,856	$4,204
Level 2 Laparoscopy and Related Services	65	$51,524	$12,637
Level 3 Musculoskeletal Procedures	57	$15,011	$3,924
Level 2 Endovascular Procedures	37	$38,796	$7,027
Level 4 Vascular Procedures	36	$24,334	$6,608
Level 2 Breast/Lymphatic Surgery and Related Procedures	30	$35,841	$8,017
Level 2 Musculoskeletal Procedures	28	$11,666	$1,920
Level 2 Vascular Procedures	26	$9,827	$1,931

Against the California average

For Heart Failure and Shock with MCC (DRG 291), Kaweah Health Medical Center charged $51,180 on average, 49% less than the California average of $100,739, and was paid $14,806 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaweah Health Medical Center charged $90,587 on average, 37% less than the California average of $143,063, and was paid $23,266 against a state average of $23,020. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Kaweah Health Medical Center charged $52,572 on average, 49% less than the California average of $103,761, and was paid $14,888 against a state average of $15,112. For Kidney and Urinary Tract Infections without MCC (DRG 690), Kaweah Health Medical Center charged $32,373 on average, 49% less than the California average of $63,565, and was paid $9,380 against a state average of $9,722. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,020 was 50% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,117 was 58% below the state average of $40,544. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $46,809 was 57% below the state average of $109,149. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,453 was 49% below the state average of $4,853.

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.