California / Pioneers Memorial Healthcare District
CMS certification 050342 · Brawley, CA
Pioneers Memorial Healthcare District: charges and Medicare payments
Pioneers Memorial Healthcare District reported 610 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 2.96 times what it was paid — among the lower ratios in California, number 222 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: 164 stays at an average charge of $59,576, 34% below the national average. It also billed 1,022 outpatient services, charging 2.64 times what Medicare paid.
- 1Medicare inpatient stays 610
- 2Charge ÷ paid, inpatient 2.96×
- 3Rank in CA (highest ratio = 1) 222 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 20 DRGs that can be compared with the national average, Pioneers Memorial Healthcare District charged more than the national average in 0 (0%). 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 | 164 | $59,576 | -34% | $20,135 |
| 189 Pulmonary Edema and Respiratory Failure | 53 | $52,473 | -9% | $13,109 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 52 | $32,151 | -34% | $11,038 |
| 291 Heart Failure and Shock with MCC | 39 | $34,463 | -39% | $13,366 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $34,067 | -43% | $13,700 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $67,673 | -4% | $18,208 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $26,862 | -28% | $8,456 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $23,372 | -38% | $8,744 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $39,767 | -29% | $10,999 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $50,114 | -17% | $15,698 |
| 683 Renal Failure with CC | 21 | $30,823 | -24% | $9,788 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $37,470 | -51% | $16,133 |
| 389 Gastrointestinal Obstruction with CC | 17 | $18,882 | -51% | $8,754 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $112,002 | -51% | $46,069 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $29,330 | -43% | $12,349 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $33,713 | -16% | $8,586 |
| 682 Renal Failure with MCC | 13 | $35,562 | -46% | $15,421 |
| 312 Syncope and Collapse | 12 | $22,258 | -51% | $9,340 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $66,532 | -33% | $20,663 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $19,557 | -46% | $8,183 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Endovascular Procedures | 388 | $11,974 | $7,027 |
| Level 3 Endovascular Procedures | 97 | $26,237 | $13,503 |
| Level 3 Vascular Procedures | 77 | $11,129 | $3,919 |
| Level 5 Musculoskeletal Procedures | 58 | $32,508 | $16,148 |
| Level 2 Urology and Related Services | 55 | $2,666 | $840 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 54 | $5,603 | $1,957 |
| Level 2 Vascular Procedures | 46 | $8,854 | $1,969 |
| Level 3 Urology and Related Services | 39 | $9,526 | $2,505 |
| Level 1 Laparoscopy and Related Services | 34 | $16,804 | $7,094 |
| Level 3 Musculoskeletal Procedures | 32 | $14,586 | $3,980 |
| Comprehensive Observation Services | 30 | $17,669 | $3,365 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 29 | $13,070 | $4,254 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $9,356 | $3,494 |
| Level 4 Musculoskeletal Procedures | 17 | $25,032 | $8,792 |
| Level 4 Urology and Related Services | 14 | $12,555 | $4,286 |
| Level 1 Nerve Procedures | 13 | $9,112 | $2,374 |
| Level 2 Musculoskeletal Procedures | 11 | $10,056 | $1,976 |
| Level 5 Gynecologic Procedures | 11 | $27,630 | $6,115 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Pioneers Memorial Healthcare District charged $59,576 on average, 58% less than the California average of $143,063, and was paid $20,135 against a state average of $23,020. For Pulmonary Edema and Respiratory Failure (DRG 189), Pioneers Memorial Healthcare District charged $52,473 on average, 50% less than the California average of $104,292, and was paid $13,109 against a state average of $15,897. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Pioneers Memorial Healthcare District charged $32,151 on average, 58% less than the California average of $76,120, and was paid $11,038 against a state average of $12,552. For Heart Failure and Shock with MCC (DRG 291), Pioneers Memorial Healthcare District charged $34,463 on average, 66% less than the California average of $100,739, and was paid $13,366 against a state average of $15,556. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $11,974 was 77% below the state average of $51,060. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $26,237 was 76% below the state average of $107,140. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $11,129 was 63% below the state average of $30,190. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,508 was 70% below 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.