California / Mission Community Hospital
CMS certification 050704 · Panorama City, CA · 3 entries in CMS's price-transparency list
Mission Community Hospital: charges and Medicare payments
Mission Community Hospital reported 1,088 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 4.74 times what it was paid — mid-range in California, number 148 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: 239 stays at an average charge of $116,039, 29% above the national average. It also billed 139 outpatient services, charging 9.36 times what Medicare paid.
- 1Medicare inpatient stays 1,088
- 2Charge ÷ paid, inpatient 4.74×
- 3Rank in CA (highest ratio = 1) 148 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 28 DRGs that can be compared with the national average, Mission Community Hospital charged more than the national average in 18 (64%). 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 | 239 | $116,039 | +29% | $21,234 |
| 885 Psychoses | 187 | $45,052 | +2% | $15,336 |
| 177 Respiratory Infections and Inflammations with MCC | 81 | $85,371 | +21% | $17,508 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 78 | $55,203 | -8% | $14,630 |
| 682 Renal Failure with MCC | 42 | $73,164 | +11% | $16,257 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 41 | $367,084 | +14% | $66,667 |
| 070 Other Cerebrovascular Disorders with MCC | 40 | $72,995 | -4% | $18,025 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $47,208 | -8% | $13,061 |
| 291 Heart Failure and Shock with MCC | 33 | $81,326 | +44% | $14,454 |
| 091 Other Disorders of Nervous System with MCC | 28 | $75,907 | -8% | $19,366 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $39,990 | -21% | $12,350 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $68,181 | -7% | $16,578 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $75,516 | +26% | $14,522 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $84,191 | -1% | $18,791 |
| 552 Medical Back Problems without MCC | 20 | $50,260 | +3% | $10,927 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $159,827 | +72% | $20,571 |
| 100 Seizures with MCC | 16 | $111,783 | +18% | $24,117 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $85,446 | +48% | $13,684 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $64,971 | +32% | $11,426 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $72,085 | +91% | $9,315 |
| 884 Organic Disturbances and Intellectual Disability | 14 | $86,231 | +38% | $18,038 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $46,185 | +15% | $8,923 |
| 056 Degenerative Nervous System Disorders with MCC | 12 | $66,488 | -31% | $22,261 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $67,953 | +11% | $14,523 |
| 637 Diabetes with MCC | 12 | $62,637 | -6% | $15,656 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $353,903 | +55% | $59,692 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $67,977 | -1% | $14,637 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $49,072 | +32% | $9,018 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 82 | $28,911 | $3,324 |
| Level 5 Musculoskeletal Procedures | 43 | $127,549 | $16,148 |
| Level 3 Musculoskeletal Procedures | 14 | $31,133 | $3,980 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mission Community Hospital charged $116,039 on average, 19% less than the California average of $143,063, and was paid $21,234 against a state average of $23,020. For Psychoses (DRG 885), Mission Community Hospital charged $45,052 on average, 12% less than the California average of $51,465, and was paid $15,336 against a state average of $15,642. For Respiratory Infections and Inflammations with MCC (DRG 177), Mission Community Hospital charged $85,371 on average, 31% less than the California average of $124,302, and was paid $17,508 against a state average of $18,986. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Mission Community Hospital charged $55,203 on average, 38% less than the California average of $88,573, and was paid $14,630 against a state average of $15,580. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,911 was 31% below the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $127,549 was 17% above the state average of $109,149. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $31,133 was 14% below the state average of $36,238.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mission Community Hospital in Panorama City, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-10-18 (CMS case 2832)
- CAP Request — 2025-03-24 (CMS case 2832)
- Closure Notice — 2025-06-04 (CMS case 2832)
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.