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.

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  1. 1Medicare inpatient stays 4,622
  2. 2Charge ÷ paid, inpatient 5.2×
  3. 3Rank in CA (highest ratio = 1) 123 of 247
  4. 4CMS price-transparency actions 0
DRG 871$100,716DRG 291$73,342DRG 872$56,896DRG 193$75,716DRG 189$73,744DRG 853$265,594DRG 378$57,602DRG 640$75,929DRG 177$93,956DRG 392$55,594
Average charge per stay at Memorial Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC650$100,716+12%$20,403
291 Heart Failure and Shock with MCC226$73,342+30%$13,661
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC140$56,896+16%$10,809
193 Simple Pneumonia and Pleurisy with MCC113$75,716+27%$12,782
189 Pulmonary Edema and Respiratory Failure106$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 CC96$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 MCC94$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 MCC89$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 MCC69$51,439+36%$8,306
603 Cellulitis without MCC67$48,959+31%$9,203
312 Syncope and Collapse60$72,073+58%$9,318
377 Gastrointestinal Hemorrhage with MCC54$101,469+19%$20,148
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...54$48,441+31%$7,808
683 Renal Failure with CC53$50,122+23%$8,922
682 Renal Failure with MCC52$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 CC48$48,150+33%$7,898
308 Cardiac Arrhythmia and Conduction Disorders with MCC46$82,170+45%$12,427
481 Hip and Femur Procedures except Major Joint with CC46$115,841+15%$19,975
811 Red Blood Cell Disorders with MCC45$64,571-5%$13,831
699 Other Kidney and Urinary Tract Diagnoses with CC44$55,363+17%$9,605
393 Other Digestive System Diagnoses with MCC42$77,503+1%$17,437
313 Chest Pain41$56,628+42%$7,719
552 Medical Back Problems without MCC41$72,301+48%$11,797
689 Kidney and Urinary Tract Infections with MCC41$62,955+23%$13,875
280 Acute Myocardial Infarction, Discharged Alive with MCC39$88,206+16%$15,607
322 Percutaneous Cardiovascular Procedures with Intraluminal...38$155,571+36%$23,939
039 Extracranial Procedures without CC/MCC37$50,859-20%$12,244
267 Endovascular Cardiac Valve Replacement and Supplement...37$168,491-24%$50,705
190 Chronic Obstructive Pulmonary Disease with MCC36$72,228+43%$10,990
194 Simple Pneumonia and Pleurisy with CC36$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 CC33$163,735+4%$33,664
101 Seizures without MCC32$62,881+29%$14,710
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC32$37,372+30%$6,422
394 Other Digestive System Diagnoses with CC32$62,036+32%$9,422
064 Intracranial Hemorrhage or Cerebral Infarction with MCC31$96,605-3%$18,489
069 Transient Ischemia without Thrombolytic31$57,652+14%$8,520
638 Diabetes with CC31$46,087+11%$8,858
432 Cirrhosis and Alcoholic Hepatitis with MCC30$84,734-11%$18,912
270 Other Major Cardiovascular Procedures with MCC29$277,136+7%$52,103
389 Gastrointestinal Obstruction with CC28$63,577+63%$7,843
621 O.R. Procedures for Obesity without CC/MCC28$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 MCC25$80,348+21%$14,197
300 Peripheral Vascular Disorders with CC24$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 MCC23$244,000+13%$45,734
330 Major Small and Large Bowel Procedures with CC23$124,102+4%$22,887
870 Septicemia or Severe Sepsis with MV >96 Hours22$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.