California / Providence Holy Cross Medical Center
CMS certification 050278 · Mission Hills, CA · 2 entries in CMS's price-transparency list
Providence Holy Cross Medical Center: charges and Medicare payments
Providence Holy Cross Medical Center reported 2,163 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 6.28 times what it was paid — among the higher ratios in California, number 82 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: 434 stays at an average charge of $152,213, 69% above the national average. It also billed 1,014 outpatient services, charging 7.45 times what Medicare paid.
- 1Medicare inpatient stays 2,163
- 2Charge ÷ paid, inpatient 6.28×
- 3Rank in CA (highest ratio = 1) 82 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 60 DRGs that can be compared with the national average, Providence Holy Cross Medical Center charged more than the national average in 57 (95%). 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 | 434 | $152,213 | +69% | $21,318 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 188 | $100,517 | +33% | $17,231 |
| 291 Heart Failure and Shock with MCC | 138 | $84,116 | +49% | $13,665 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 83 | $119,701 | +63% | $16,501 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 67 | $63,607 | +30% | $11,423 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 63 | $73,831 | +22% | $13,394 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 61 | $374,365 | +64% | $58,637 |
| 682 Renal Failure with MCC | 60 | $78,589 | +19% | $15,536 |
| 177 Respiratory Infections and Inflammations with MCC | 54 | $99,443 | +41% | $17,243 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $86,433 | +45% | $14,052 |
| 252 Other Vascular Procedures with MCC | 45 | $173,909 | +2% | $39,154 |
| 377 Gastrointestinal Hemorrhage with MCC | 41 | $114,718 | +34% | $18,112 |
| 683 Renal Failure with CC | 41 | $59,700 | +47% | $9,995 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 39 | $189,432 | +90% | $21,987 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $85,004 | +48% | $15,405 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $46,505 | +23% | $8,915 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $75,043 | +46% | $12,658 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $98,722 | +77% | $11,534 |
| 638 Diabetes with CC | 27 | $58,162 | +40% | $9,595 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $382,243 | +18% | $69,374 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 25 | $65,095 | +29% | $10,178 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $69,695 | +44% | $10,883 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $185,462 | +13% | $32,706 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $172,608 | +24% | $29,959 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $58,012 | +44% | $10,297 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $52,898 | +43% | $8,838 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $136,066 | +35% | $21,508 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $102,214 | -11% | $20,780 |
| 270 Other Major Cardiovascular Procedures with MCC | 19 | $431,091 | +66% | $67,268 |
| 811 Red Blood Cell Disorders with MCC | 18 | $107,467 | +58% | $15,110 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 18 | $365,164 | +69% | $60,270 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $80,624 | +32% | $13,496 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 16 | $375,608 | +62% | $45,444 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $88,147 | -7% | $20,283 |
| 374 Digestive Malignancy with MCC | 16 | $153,242 | +53% | $21,068 |
| 394 Other Digestive System Diagnoses with CC | 16 | $49,237 | +5% | $10,207 |
| 438 Disorders of Pancreas except Malignancy with MCC | 16 | $86,667 | +9% | $17,803 |
| 552 Medical Back Problems without MCC | 16 | $72,050 | +47% | $10,804 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $57,347 | +21% | $10,366 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 16 | $68,034 | +1% | $13,291 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 15 | $206,719 | +19% | $40,791 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $314,948 | +12% | $59,081 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $51,497 | +43% | $8,323 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $102,787 | +34% | $17,418 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $130,931 | +101% | $20,924 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $229,122 | +93% | $27,456 |
| 813 Coagulation Disorders | 13 | $179,942 | +125% | $25,909 |
| 070 Other Cerebrovascular Disorders with MCC | 12 | $98,718 | +30% | $17,056 |
| 300 Peripheral Vascular Disorders with CC | 12 | $69,261 | +40% | $11,678 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $94,371 | +20% | $18,464 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 12 | $211,828 | +121% | $22,140 |
| 603 Cellulitis without MCC | 12 | $69,157 | +85% | $9,869 |
| 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC | 12 | $128,266 | +27% | $18,930 |
| 264 Other Circulatory System O.R. Procedures | 11 | $144,173 | -3% | $32,262 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $75,884 | +19% | $12,716 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $152,554 | +123% | $19,934 |
| 389 Gastrointestinal Obstruction with CC | 11 | $77,197 | +98% | $9,587 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $102,702 | +10% | $19,811 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $119,462 | +17% | $22,011 |
| 637 Diabetes with MCC | 11 | $92,550 | +39% | $15,444 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Holy Cross Medical Center charged $152,213 on average, 6% more than the California average of $143,063, and was paid $21,318 against a state average of $23,020. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Providence Holy Cross Medical Center charged $100,517 on average, 19% less than the California average of $123,896, and was paid $17,231 against a state average of $19,122. For Heart Failure and Shock with MCC (DRG 291), Providence Holy Cross Medical Center charged $84,116 on average, 17% less than the California average of $100,739, and was paid $13,665 against a state average of $15,556. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Providence Holy Cross Medical Center charged $119,701 on average, 1% more than the California average of $117,988, and was paid $16,501 against a state average of $19,449. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,116 was 20% below the state average of $41,628. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,292 was 13% below the state average of $30,190. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $53,393 was 50% below the state average of $107,140. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,025 was 58% below the state average of $40,544.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Holy Cross Medical Center in Mission Hills, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-11-01 (CMS case 2882)
- Met Requirements — 2025-07-14 (CMS case 5716)
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.