California / Memorial Medical Center
CMS certification 050557 · Modesto, CA
Memorial Medical Center: charges and Medicare payments
Memorial Medical Center reported 4,622 Medicare inpatient stays across 122 DRGs in 2024. Across them it charged 5.2 times what it was paid — mid-range in California, number 123 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: 650 stays at an average charge of $100,716, 12% above the national average. It also billed 3,595 outpatient services, charging 7.06 times what Medicare paid.
- 1Medicare inpatient stays 4,622
- 2Charge ÷ paid, inpatient 5.2×
- 3Rank in CA (highest ratio = 1) 123 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 122 DRGs that can be compared with the national average, Memorial Medical Center charged more than the national average in 102 (84%). 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 | 650 | $100,716 | +12% | $20,403 |
| 291 Heart Failure and Shock with MCC | 226 | $73,342 | +30% | $13,661 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 140 | $56,896 | +16% | $10,809 |
| 193 Simple Pneumonia and Pleurisy with MCC | 113 | $75,716 | +27% | $12,782 |
| 189 Pulmonary Edema and Respiratory Failure | 106 | $73,744 | +28% | $13,075 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 106 | $265,594 | +16% | $58,137 |
| 378 Gastrointestinal Hemorrhage with CC | 96 | $57,602 | +19% | $10,646 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 95 | $75,929 | +26% | $15,572 |
| 177 Respiratory Infections and Inflammations with MCC | 94 | $93,956 | +33% | $16,329 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 91 | $55,594 | +38% | $9,300 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 89 | $79,418 | +8% | $16,646 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 73 | $107,187 | +15% | $21,468 |
| 690 Kidney and Urinary Tract Infections without MCC | 69 | $51,439 | +36% | $8,306 |
| 603 Cellulitis without MCC | 67 | $48,959 | +31% | $9,203 |
| 312 Syncope and Collapse | 60 | $72,073 | +58% | $9,318 |
| 377 Gastrointestinal Hemorrhage with MCC | 54 | $101,469 | +19% | $20,148 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 54 | $48,441 | +31% | $7,808 |
| 683 Renal Failure with CC | 53 | $50,122 | +23% | $8,922 |
| 682 Renal Failure with MCC | 52 | $67,422 | +2% | $14,279 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 48 | $68,498 | +23% | $9,900 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 48 | $48,150 | +33% | $7,898 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 46 | $82,170 | +45% | $12,427 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $115,841 | +15% | $19,975 |
| 811 Red Blood Cell Disorders with MCC | 45 | $64,571 | -5% | $13,831 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 44 | $55,363 | +17% | $9,605 |
| 393 Other Digestive System Diagnoses with MCC | 42 | $77,503 | +1% | $17,437 |
| 313 Chest Pain | 41 | $56,628 | +42% | $7,719 |
| 552 Medical Back Problems without MCC | 41 | $72,301 | +48% | $11,797 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $62,955 | +23% | $13,875 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $88,206 | +16% | $15,607 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $155,571 | +36% | $23,939 |
| 039 Extracranial Procedures without CC/MCC | 37 | $50,859 | -20% | $12,244 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $168,491 | -24% | $50,705 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $72,228 | +43% | $10,990 |
| 194 Simple Pneumonia and Pleurisy with CC | 36 | $57,822 | +51% | $8,391 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 35 | $152,327 | +12% | $32,242 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $73,349 | +20% | $12,613 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $83,237 | +30% | $11,678 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $203,505 | +24% | $29,690 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 34 | $126,594 | +24% | $20,193 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 34 | $122,951 | +25% | $19,957 |
| 467 Revision of Hip or Knee Replacement with CC | 33 | $163,735 | +4% | $33,664 |
| 101 Seizures without MCC | 32 | $62,881 | +29% | $14,710 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 32 | $37,372 | +30% | $6,422 |
| 394 Other Digestive System Diagnoses with CC | 32 | $62,036 | +32% | $9,422 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $96,605 | -3% | $18,489 |
| 069 Transient Ischemia without Thrombolytic | 31 | $57,652 | +14% | $8,520 |
| 638 Diabetes with CC | 31 | $46,087 | +11% | $8,858 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 30 | $84,734 | -11% | $18,912 |
| 270 Other Major Cardiovascular Procedures with MCC | 29 | $277,136 | +7% | $52,103 |
| 389 Gastrointestinal Obstruction with CC | 28 | $63,577 | +63% | $7,843 |
| 621 O.R. Procedures for Obesity without CC/MCC | 28 | $77,583 | +4% | $16,769 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 27 | $111,471 | +28% | $20,151 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $220,589 | -23% | $60,325 |
| 637 Diabetes with MCC | 25 | $80,348 | +21% | $14,197 |
| 300 Peripheral Vascular Disorders with CC | 24 | $51,992 | +5% | $10,463 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 23 | $124,447 | +11% | $22,013 |
| 329 Major Small and Large Bowel Procedures with MCC | 23 | $244,000 | +13% | $45,734 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $124,102 | +4% | $22,887 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $312,746 | -3% | $66,094 |
Showing the 60 most frequent of 122 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Medical Center charged $100,716 on average, 30% less than the California average of $143,063, and was paid $20,403 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Memorial Medical Center charged $73,342 on average, 27% less than the California average of $100,739, and was paid $13,661 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Memorial Medical Center charged $56,896 on average, 25% less than the California average of $76,120, and was paid $10,809 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Memorial Medical Center charged $75,716 on average, 27% less than the California average of $103,761, and was paid $12,782 against a state average of $15,112. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,410 was 31% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,220 was 20% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $39,122 was 4% below the state average of $40,544. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,969 was 32% below the state average of $19,034.
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.