California / Marshall Medical Center
CMS certification 050254 · Placerville, CA
Marshall Medical Center: charges and Medicare payments
Marshall Medical Center reported 1,065 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 6.62 times what it was paid — among the higher ratios in California, number 70 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: 173 stays at an average charge of $138,102, 53% above the national average. It also billed 2,039 outpatient services, charging 9.98 times what Medicare paid.
- 1Medicare inpatient stays 1,065
- 2Charge ÷ paid, inpatient 6.62×
- 3Rank in CA (highest ratio = 1) 70 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 37 DRGs that can be compared with the national average, Marshall Medical Center charged more than the national average in 36 (97%). 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 | 173 | $138,102 | +53% | $20,353 |
| 291 Heart Failure and Shock with MCC | 85 | $70,177 | +24% | $12,829 |
| 177 Respiratory Infections and Inflammations with MCC | 71 | $86,132 | +22% | $15,935 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $75,754 | +48% | $11,379 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $79,032 | +32% | $13,322 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $93,350 | +27% | $16,463 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $69,525 | +25% | $10,189 |
| 603 Cellulitis without MCC | 36 | $67,723 | +82% | $8,880 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $61,650 | +27% | $10,017 |
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $55,431 | +47% | $8,104 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $82,232 | +63% | $12,236 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $140,328 | +39% | $20,477 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $78,182 | +59% | $10,518 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $311,906 | +36% | $52,378 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $65,465 | +63% | $8,098 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 23 | $190,148 | +104% | $19,104 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $72,423 | +20% | $12,986 |
| 389 Gastrointestinal Obstruction with CC | 21 | $66,499 | +71% | $8,245 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $50,624 | +32% | $8,503 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $154,465 | +81% | $17,046 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $103,245 | +58% | $14,127 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $174,985 | +71% | $21,141 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $44,293 | +20% | $7,963 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $90,062 | -10% | $17,939 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $86,401 | +53% | $11,984 |
| 637 Diabetes with MCC | 15 | $103,306 | +55% | $14,238 |
| 683 Renal Failure with CC | 14 | $75,603 | +86% | $9,433 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $56,220 | +56% | $7,683 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $61,287 | +35% | $10,149 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $75,036 | +30% | $12,578 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $74,144 | +61% | $9,865 |
| 439 Disorders of Pancreas except Malignancy with CC | 12 | $71,756 | +64% | $8,822 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $53,547 | +9% | $10,976 |
| 552 Medical Back Problems without MCC | 12 | $61,129 | +25% | $9,925 |
| 682 Renal Failure with MCC | 12 | $78,216 | +19% | $14,208 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $93,312 | +152% | $8,571 |
| 101 Seizures without MCC | 11 | $57,020 | +17% | $9,174 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Marshall Medical Center charged $138,102 on average, 3% less than the California average of $143,063, and was paid $20,353 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Marshall Medical Center charged $70,177 on average, 30% less than the California average of $100,739, and was paid $12,829 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Marshall Medical Center charged $86,132 on average, 31% less than the California average of $124,302, and was paid $15,935 against a state average of $18,986. For Kidney and Urinary Tract Infections with MCC (DRG 689), Marshall Medical Center charged $75,754 on average, 7% less than the California average of $81,192, and was paid $11,379 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,739 was 12% below the state average of $41,628. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $836 was 83% below the state average of $4,853. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,864 was 47% below the state average of $14,749. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $158,605 was 45% above the state average of $109,149.
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.