California / Los Angeles General Medical Center
CMS certification 050373 · Los Angeles, CA · 5 entries in CMS's price-transparency list
Los Angeles General Medical Center: charges and Medicare payments
Los Angeles General Medical Center reported 1,547 Medicare inpatient stays across 62 DRGs in 2024. Across them it charged 2.6 times what it was paid — among the lower ratios in California, number 235 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: 214 stays at an average charge of $109,828, 22% above the national average. It also billed 949 outpatient services, charging 9.95 times what Medicare paid.
- 1Medicare inpatient stays 1,547
- 2Charge ÷ paid, inpatient 2.6×
- 3Rank in CA (highest ratio = 1) 235 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 62 DRGs that can be compared with the national average, Los Angeles General Medical Center charged more than the national average in 43 (69%). 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 | 214 | $109,828 | +22% | $41,137 |
| 291 Heart Failure and Shock with MCC | 91 | $79,685 | +41% | $31,166 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 68 | $84,824 | +12% | $33,819 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $78,693 | +31% | $29,179 |
| 312 Syncope and Collapse | 54 | $36,687 | -19% | $21,593 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $53,336 | +44% | $21,151 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 47 | $56,478 | +15% | $25,420 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $54,002 | +7% | $25,804 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 33 | $155,030 | +55% | $38,185 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $84,845 | -16% | $42,270 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $38,742 | +2% | $20,903 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $49,079 | -18% | $29,319 |
| 682 Renal Failure with MCC | 30 | $82,105 | +25% | $34,743 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $52,950 | +9% | $24,289 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $97,694 | +75% | $30,858 |
| 377 Gastrointestinal Hemorrhage with MCC | 27 | $110,909 | +30% | $41,325 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $43,029 | +7% | $21,239 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $133,340 | +89% | $43,002 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 24 | $100,614 | +17% | $38,981 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $48,837 | -5% | $26,745 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $44,834 | +24% | $21,113 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $103,081 | +9% | $41,969 |
| 603 Cellulitis without MCC | 21 | $47,868 | +28% | $23,396 |
| 638 Diabetes with CC | 19 | $38,134 | -8% | $22,144 |
| 683 Renal Failure with CC | 19 | $31,840 | -22% | $22,152 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $51,704 | +2% | $21,059 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $37,919 | -67% | $35,579 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $83,953 | +48% | $28,393 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $85,128 | +39% | $32,747 |
| 637 Diabetes with MCC | 16 | $78,622 | +18% | $32,678 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $366,348 | +60% | $94,816 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $49,493 | -13% | $29,315 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $132,115 | +103% | $39,981 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $65,704 | +14% | $29,583 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $223,499 | +65% | $58,760 |
| 252 Other Vascular Procedures with MCC | 15 | $98,609 | -42% | $60,067 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $101,553 | -38% | $52,134 |
| 445 Disorders of The Biliary Tract with CC | 15 | $53,027 | -9% | $26,484 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $117,916 | +5% | $48,079 |
| 304 Hypertension with MCC | 14 | $47,813 | -16% | $26,475 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $95,064 | +25% | $38,534 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 13 | $92,837 | -19% | $44,243 |
| 299 Peripheral Vascular Disorders with MCC | 13 | $76,058 | +1% | $34,107 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $59,434 | +25% | $25,167 |
| 100 Seizures with MCC | 12 | $172,166 | +82% | $54,558 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $51,055 | +11% | $24,706 |
| 300 Peripheral Vascular Disorders with CC | 12 | $57,775 | +17% | $25,740 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 12 | $66,647 | -30% | $39,824 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 12 | $103,013 | +9% | $41,024 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $188,972 | +203% | $29,950 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 11 | $603,620 | -2% | $195,235 |
| 101 Seizures without MCC | 11 | $189,300 | +288% | $55,891 |
| 196 Interstitial Lung Disease with MCC | 11 | $161,760 | +88% | $42,041 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $363,768 | +40% | $118,606 |
| 292 Heart Failure and Shock with CC | 11 | $210,851 | +441% | $69,377 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $41,614 | -13% | $23,671 |
| 433 Cirrhosis and Alcoholic Hepatitis with CC | 11 | $48,200 | -8% | $24,818 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $146,897 | +6% | $56,395 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $83,860 | +14% | $30,941 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $63,019 | -19% | $33,293 |
Showing the 60 most frequent of 62 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 242 | $16,855 | $2,865 |
| Comprehensive Observation Services | 207 | $49,835 | $3,366 |
| Level 2 Urology and Related Services | 125 | $5,189 | $840 |
| Level 2 Intraocular Procedures | 73 | $29,050 | $4,999 |
| Level 3 Urology and Related Services | 71 | $10,653 | $2,505 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 57 | $4,828 | $1,993 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 30 | $17,856 | $2,873 |
| Level 1 Laparoscopy and Related Services | 21 | $50,744 | $7,094 |
| Level 2 Upper GI Procedures | 19 | $6,785 | $2,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 19 | $23,403 | $4,254 |
| Level 4 Urology and Related Services | 18 | $28,047 | $4,286 |
| Level 4 Gynecologic Procedures | 15 | $28,180 | $3,844 |
| Level 4 Musculoskeletal Procedures | 14 | $64,196 | $8,792 |
| Level 3 Lower GI Procedures | 14 | $14,800 | $3,452 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $14,922 | $3,494 |
| Level 4 Vascular Procedures | 11 | $54,522 | $6,756 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Los Angeles General Medical Center charged $109,828 on average, 23% less than the California average of $143,063, and was paid $41,137 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Los Angeles General Medical Center charged $79,685 on average, 21% less than the California average of $100,739, and was paid $31,166 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Los Angeles General Medical Center charged $84,824 on average, 32% less than the California average of $123,896, and was paid $33,819 against a state average of $19,122. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Los Angeles General Medical Center charged $78,693 on average, 11% less than the California average of $88,573, and was paid $29,179 against a state average of $15,580. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,855 was 20% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,835 was 20% above the state average of $41,628. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $5,189 was 7% above the state average of $4,853. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $29,050 was 28% below the state average of $40,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Los Angeles General Medical Center in Los Angeles, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2021-01-22 (CMS case 128)
- Warning Notice — 2024-11-18 (CMS case 2921)
- Closure Notice — 2025-02-20 (CMS case 2921)
- Warning Notice — 2026-05-05 (CMS case 7646)
- Closure Notice — 2026-07-15 (CMS case 7646)
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.