California / Pih Health Hospital-Whittier
CMS certification 050169 · Whittier, CA · 7 entries in CMS's price-transparency list
Pih Health Hospital-Whittier: charges and Medicare payments
Pih Health Hospital-Whittier reported 2,488 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 6.69 times what it was paid — among the higher ratios in California, number 66 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: 523 stays at an average charge of $138,690, 54% above the national average. It also billed 1,694 outpatient services, charging 8.02 times what Medicare paid.
- 1Medicare inpatient stays 2,488
- 2Charge ÷ paid, inpatient 6.69×
- 3Rank in CA (highest ratio = 1) 66 of 247
- 4CMS price-transparency actions 7
Inpatient stays
For the 74 DRGs that can be compared with the national average, Pih Health Hospital-Whittier charged more than the national average in 72 (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 | 523 | $138,690 | +54% | $20,188 |
| 291 Heart Failure and Shock with MCC | 168 | $88,926 | +58% | $12,877 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 82 | $95,004 | +25% | $17,725 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 74 | $127,692 | +28% | $18,880 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 72 | $103,592 | +41% | $15,551 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 62 | $296,720 | +30% | $44,575 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $81,002 | +36% | $13,083 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $70,790 | +44% | $9,932 |
| 689 Kidney and Urinary Tract Infections with MCC | 52 | $83,083 | +62% | $11,098 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $100,844 | +43% | $15,130 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $73,706 | +22% | $12,671 |
| 690 Kidney and Urinary Tract Infections without MCC | 44 | $60,959 | +61% | $8,312 |
| 377 Gastrointestinal Hemorrhage with MCC | 42 | $131,414 | +54% | $20,047 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $90,566 | +87% | $11,536 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $133,443 | +132% | $16,503 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $83,385 | +108% | $9,600 |
| 312 Syncope and Collapse | 34 | $51,200 | +12% | $8,883 |
| 682 Renal Failure with MCC | 32 | $83,164 | +26% | $13,893 |
| 252 Other Vascular Procedures with MCC | 31 | $185,457 | +9% | $34,822 |
| 100 Seizures with MCC | 28 | $88,008 | -7% | $18,486 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 27 | $214,175 | +54% | $32,207 |
| 091 Other Disorders of Nervous System with MCC | 26 | $111,138 | +34% | $17,722 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 26 | $264,729 | -18% | $54,285 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $170,252 | +49% | $17,908 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $55,347 | +49% | $7,794 |
| 683 Renal Failure with CC | 24 | $64,336 | +58% | $8,978 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $84,810 | +52% | $11,384 |
| 070 Other Cerebrovascular Disorders with MCC | 23 | $134,575 | +77% | $18,299 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $286,498 | +75% | $25,885 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 21 | $119,726 | +25% | $19,691 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 21 | $59,221 | +25% | $9,480 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $122,522 | +22% | $19,231 |
| 603 Cellulitis without MCC | 20 | $63,178 | +69% | $12,758 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $120,486 | +85% | $14,481 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $82,338 | +29% | $13,150 |
| 393 Other Digestive System Diagnoses with MCC | 19 | $92,627 | +21% | $16,323 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $113,895 | +20% | $20,546 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $123,097 | +102% | $13,105 |
| 394 Other Digestive System Diagnoses with CC | 18 | $73,098 | +55% | $8,720 |
| 552 Medical Back Problems without MCC | 18 | $110,697 | +127% | $12,987 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 17 | $383,771 | +37% | $52,698 |
| 057 Degenerative Nervous System Disorders without MCC | 17 | $82,236 | +45% | $12,855 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $70,456 | +39% | $11,089 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $83,529 | +47% | $12,790 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $135,075 | +13% | $25,600 |
| 092 Other Disorders of Nervous System with CC | 16 | $88,869 | +72% | $10,130 |
| 101 Seizures without MCC | 16 | $55,842 | +15% | $9,429 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $85,383 | +69% | $8,697 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $140,019 | +25% | $23,509 |
| 919 Complications of Treatment with MCC | 16 | $127,803 | +44% | $19,535 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 16 | $244,527 | +13% | $45,264 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $68,639 | +49% | $9,202 |
| 374 Digestive Malignancy with MCC | 15 | $117,899 | +17% | $21,239 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $113,564 | +11% | $20,663 |
| 602 Cellulitis with MCC | 15 | $63,809 | +6% | $15,766 |
| 637 Diabetes with MCC | 15 | $81,664 | +23% | $14,413 |
| 812 Red Blood Cell Disorders without MCC | 15 | $57,428 | +29% | $9,270 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $88,920 | +146% | $8,884 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $78,860 | +66% | $9,896 |
| 811 Red Blood Cell Disorders with MCC | 14 | $76,334 | +12% | $13,206 |
Showing the 60 most frequent of 74 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Pih Health Hospital-Whittier charged $138,690 on average, 3% less than the California average of $143,063, and was paid $20,188 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Pih Health Hospital-Whittier charged $88,926 on average, 12% less than the California average of $100,739, and was paid $12,877 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Pih Health Hospital-Whittier charged $95,004 on average, 23% less than the California average of $123,896, and was paid $17,725 against a state average of $19,122. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Pih Health Hospital-Whittier charged $127,692 on average, 27% less than the California average of $174,368, and was paid $18,880 against a state average of $24,500. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,612 was 17% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,352 was 16% below the state average of $14,749. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $80,528 was 26% below the state average of $109,149. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $24,149 was 15% above the state average of $20,986.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Pih Health Hospital-Whittier in Whittier, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-14 (CMS case 1456)
- CAP Request — 2023-05-18 (CMS case 1456)
- CAP Request — 2024-05-08 (CMS case 1456)
- Closure Notice — 2024-06-05 (CMS case 1456)
- Warning Notice — 2026-01-28 (CMS case 6843)
- CAP Request — 2026-05-01 (CMS case 6843)
- Closure Notice — 2026-05-14 (CMS case 6843)
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.