California / Redlands Community Hospital
CMS certification 050272 · Redlands, CA · 4 entries in CMS's price-transparency list
Redlands Community Hospital: charges and Medicare payments
Redlands Community Hospital reported 808 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 7.44 times what it was paid — among the higher ratios in California, number 48 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: 186 stays at an average charge of $151,544, 68% above the national average. It also billed 783 outpatient services, charging 8.24 times what Medicare paid.
- 1Medicare inpatient stays 808
- 2Charge ÷ paid, inpatient 7.44×
- 3Rank in CA (highest ratio = 1) 48 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 33 DRGs that can be compared with the national average, Redlands Community Hospital charged more than the national average in 32 (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 | 186 | $151,544 | +68% | $18,412 |
| 291 Heart Failure and Shock with MCC | 48 | $97,640 | +73% | $12,567 |
| 189 Pulmonary Edema and Respiratory Failure | 45 | $102,857 | +79% | $12,362 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 36 | $278,893 | -14% | $56,009 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $128,287 | +82% | $15,762 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $88,976 | +49% | $12,936 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $96,249 | +96% | $10,064 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $71,501 | +93% | $8,006 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $105,448 | +108% | $10,977 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $69,685 | +84% | $7,922 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 19 | $147,580 | +19% | $26,608 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $109,655 | +114% | $11,460 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $71,242 | +77% | $8,168 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $109,642 | +18% | $18,591 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $272,479 | +19% | $41,888 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $311,592 | +212% | $23,579 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $146,104 | +8% | $26,441 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $142,901 | +95% | $15,613 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $121,442 | +118% | $10,033 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $125,195 | +24% | $20,475 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $109,008 | +44% | $15,786 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $101,173 | +18% | $17,086 |
| 682 Renal Failure with MCC | 13 | $131,567 | +100% | $14,273 |
| 070 Other Cerebrovascular Disorders with MCC | 12 | $123,385 | +62% | $16,270 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 12 | $334,962 | +14% | $56,058 |
| 312 Syncope and Collapse | 12 | $65,948 | +45% | $8,918 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $125,601 | +23% | $20,349 |
| 603 Cellulitis without MCC | 12 | $77,992 | +109% | $10,043 |
| 638 Diabetes with CC | 12 | $76,329 | +83% | $9,062 |
| 683 Renal Failure with CC | 12 | $76,025 | +87% | $9,248 |
| 069 Transient Ischemia without Thrombolytic | 11 | $90,115 | +79% | $8,013 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $188,419 | +58% | $24,637 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $89,789 | +49% | $13,090 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 212 | $53,842 | $3,340 |
| Level 5 Musculoskeletal Procedures | 194 | $86,185 | $16,148 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 51 | $16,659 | $1,993 |
| Level 3 Vascular Procedures | 39 | $36,039 | $3,866 |
| Level 4 Musculoskeletal Procedures | 32 | $53,158 | $8,792 |
| Level 6 Musculoskeletal Procedures | 29 | $121,388 | $22,852 |
| Level 1 Laparoscopy and Related Services | 29 | $54,319 | $7,094 |
| Level 3 Urology and Related Services | 28 | $25,307 | $2,504 |
| Level 4 Vascular Procedures | 26 | $69,721 | $6,756 |
| Level 2 Vascular Procedures | 24 | $11,660 | $1,969 |
| Level 4 Urology and Related Services | 20 | $43,009 | $4,286 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $29,450 | $3,493 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 16 | $50,209 | $7,686 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $41,103 | $4,253 |
| Level 3 Pacemaker and Similar Procedures | 13 | $50,354 | $13,108 |
| Level 2 Upper GI Procedures | 13 | $12,361 | $2,340 |
| Level 3 Musculoskeletal Procedures | 11 | $24,009 | $3,980 |
| Level 2 Endovascular Procedures | 11 | $18,473 | $7,027 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Redlands Community Hospital charged $151,544 on average, 6% more than the California average of $143,063, and was paid $18,412 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Redlands Community Hospital charged $97,640 on average, 3% less than the California average of $100,739, and was paid $12,567 against a state average of $15,556. For Pulmonary Edema and Respiratory Failure (DRG 189), Redlands Community Hospital charged $102,857 on average, 1% less than the California average of $104,292, and was paid $12,362 against a state average of $15,897. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Redlands Community Hospital charged $278,893 on average, 43% less than the California average of $487,018, and was paid $56,009 against a state average of $81,331. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $53,842 was 29% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $86,185 was 21% below the state average of $109,149. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,659 was 13% above the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $36,039 was 19% above the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Redlands Community Hospital in Redlands, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-01-26 (CMS case 895)
- Warning Notice — 2024-03-07 (CMS case 2276)
- CAP Request — 2024-06-18 (CMS case 2276)
- Closure Notice — 2024-07-30 (CMS case 2276)
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.