Los Robles Hospital & Medical Center: charges and Medicare payments

Los Robles Hospital & Medical Center reported 5,061 Medicare inpatient stays across 136 DRGs in 2024. Across them it charged 12.82 times what it was paid — among the higher ratios in California, number 9 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: 623 stays at an average charge of $273,364, 203% above the national average. It also billed 3,350 outpatient services, charging 19.26 times what Medicare paid.

1Medicare inpatient stays 5,061
2Charge ÷ paid, inpatient 12.82×
3Rank in CA (highest ratio = 1) 9 of 247
4CMS price-transparency actions 0

Average charge per stay at Los Robles Hospital & Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 136 DRGs that can be compared with the national average, Los Robles Hospital & Medical Center charged more than the national average in 136 (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	623	$273,364	+203%	$20,899
274 Percutaneous and Other Intracardiac Procedures without MCC	145	$690,703	+341%	$35,312
291 Heart Failure and Shock with MCC	145	$156,226	+177%	$13,231
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	136	$123,227	+151%	$11,996
177 Respiratory Infections and Inflammations with MCC	115	$240,914	+241%	$17,305
193 Simple Pneumonia and Pleurisy with MCC	111	$202,466	+239%	$14,878
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	105	$96,455	+140%	$8,282
470 Major Hip and Knee Joint Replacement or Reattachment of...	104	$281,248	+202%	$19,960
690 Kidney and Urinary Tract Infections without MCC	99	$102,783	+172%	$8,828
189 Pulmonary Edema and Respiratory Failure	89	$267,668	+365%	$18,266
552 Medical Back Problems without MCC	89	$111,246	+128%	$10,199
312 Syncope and Collapse	87	$109,281	+140%	$9,128
267 Endovascular Cardiac Valve Replacement and Supplement...	85	$892,045	+303%	$50,268
682 Renal Failure with MCC	84	$157,606	+139%	$16,162
698 Other Kidney and Urinary Tract Diagnoses with MCC	80	$189,230	+158%	$18,059
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	72	$303,232	+204%	$24,268
683 Renal Failure with CC	72	$113,955	+180%	$11,002
853 Infectious and Parasitic Diseases with O.R. Procedures with...	71	$667,073	+191%	$63,529
689 Kidney and Urinary Tract Infections with MCC	65	$119,246	+132%	$12,476
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	62	$150,109	+149%	$13,873
309 Cardiac Arrhythmia and Conduction Disorders with CC	59	$106,651	+195%	$8,644
481 Hip and Femur Procedures except Major Joint with CC	53	$293,127	+191%	$21,242
811 Red Blood Cell Disorders with MCC	51	$159,848	+135%	$14,548
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	48	$140,456	+152%	$10,433
280 Acute Myocardial Infarction, Discharged Alive with MCC	47	$221,848	+193%	$17,497
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	45	$318,692	+211%	$20,956
069 Transient Ischemia without Thrombolytic	44	$117,214	+132%	$8,389
454 Combined Anterior and Posterior Spinal Fusion with CC	43	$938,126	+235%	$67,145
322 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$244,389	+113%	$27,940
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$105,538	+185%	$8,594
884 Organic Disturbances and Intellectual Disability	42	$147,655	+137%	$18,309
377 Gastrointestinal Hemorrhage with MCC	40	$222,071	+160%	$19,168
389 Gastrointestinal Obstruction with CC	40	$108,406	+178%	$8,991
101 Seizures without MCC	39	$119,479	+145%	$9,516
603 Cellulitis without MCC	38	$88,526	+137%	$9,573
699 Other Kidney and Urinary Tract Diagnoses with CC	37	$108,003	+127%	$10,212
329 Major Small and Large Bowel Procedures with MCC	36	$567,081	+164%	$46,848
313 Chest Pain	35	$74,547	+87%	$8,325
394 Other Digestive System Diagnoses with CC	35	$118,060	+151%	$12,379
536 Fractures of Hip and Pelvis without MCC	35	$90,053	+139%	$9,739
305 Hypertension without MCC	32	$80,124	+100%	$7,891
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	32	$103,014	+142%	$9,101
149 Dysequilibrium	31	$90,960	+105%	$7,806
300 Peripheral Vascular Disorders with CC	31	$144,661	+193%	$11,058
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	31	$76,677	+167%	$5,769
057 Degenerative Nervous System Disorders without MCC	30	$135,108	+139%	$13,902
266 Endovascular Cardiac Valve Replacement and Supplement...	30	$1,003,521	+252%	$64,019
378 Gastrointestinal Hemorrhage with CC	30	$118,963	+145%	$10,121
208 Respiratory System Diagnosis with Ventilator Support <=96...	29	$442,247	+226%	$38,362
299 Peripheral Vascular Disorders with MCC	29	$180,856	+141%	$16,026
330 Major Small and Large Bowel Procedures with CC	29	$371,869	+212%	$24,328
100 Seizures with MCC	28	$232,737	+147%	$18,848
194 Simple Pneumonia and Pleurisy with CC	27	$114,462	+198%	$8,584
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$153,801	+172%	$12,434
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	27	$842,283	+315%	$59,901
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$495,682	+203%	$35,312
551 Medical Back Problems with MCC	26	$179,944	+129%	$16,901
812 Red Blood Cell Disorders without MCC	26	$93,573	+111%	$10,279
243 Permanent Cardiac Pacemaker Implant with CC	25	$300,363	+170%	$25,767
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$144,710	+187%	$11,863

Showing the 60 most frequent of 136 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	793	$64,938	$3,337
Level 5 Musculoskeletal Procedures	507	$244,959	$15,948
Level 3 Electrophysiologic Procedures	199	$526,935	$28,840
Level 1 Endovascular Procedures	174	$84,172	$3,996
Level 3 Urology and Related Services	151	$33,735	$2,464
Level 2 Upper GI Procedures	139	$38,324	$2,326
Level 5 Urology and Related Services	104	$81,172	$6,215
Level 2 Excision/ Biopsy/ Incision and Drainage	95	$38,326	$1,993
Level 3 Endovascular Procedures	95	$193,097	$13,503
Level 4 Urology and Related Services	90	$56,395	$4,286
Level 4 Vascular Procedures	85	$112,040	$6,693
Level 1 Laparoscopy and Related Services	81	$126,498	$7,024
Level 5 Airway Endoscopy	74	$138,147	$8,413
Level 3 Vascular Procedures	73	$67,456	$3,919
Level 3 Excision/ Biopsy/ Incision and Drainage	70	$43,293	$3,493
Level 4 Musculoskeletal Procedures	69	$176,429	$8,689
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	58	$67,013	$4,253
Level 3 Pacemaker and Similar Procedures	54	$202,655	$13,108
Level 2 Breast/Lymphatic Surgery and Related Procedures	36	$104,873	$8,017
Level 4 Airway Endoscopy	31	$77,762	$4,486
Level 2 Endovascular Procedures	31	$152,359	$7,027
Level 4 Endovascular Procedures	31	$277,260	$21,504
Level 6 Musculoskeletal Procedures	30	$330,038	$21,445
Level 4 Gynecologic Procedures	30	$66,841	$3,844
Level 3 Airway Endoscopy	29	$35,118	$2,087

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Los Robles Hospital & Medical Center charged $273,364 on average, 91% more than the California average of $143,063, and was paid $20,899 against a state average of $23,020. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Los Robles Hospital & Medical Center charged $690,703 on average, 244% more than the California average of $200,964, and was paid $35,312 against a state average of $35,770. For Heart Failure and Shock with MCC (DRG 291), Los Robles Hospital & Medical Center charged $156,226 on average, 55% more than the California average of $100,739, and was paid $13,231 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Los Robles Hospital & Medical Center charged $123,227 on average, 62% more than the California average of $76,120, and was paid $11,996 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $64,938 was 56% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $244,959 was 124% above the state average of $109,149. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $526,935 was 157% above the state average of $205,167. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $84,172 was 108% above the state average of $40,544.

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.