California / Ronald Reagan UCLA Medical Center

CMS certification 050262 · Los Angeles, CA · 4 entries in CMS's price-transparency list

Ronald Reagan UCLA Medical Center: charges and Medicare payments

Ronald Reagan UCLA Medical Center reported 4,027 Medicare inpatient stays across 132 DRGs in 2024. Across them it charged 3.46 times what it was paid — among the lower ratios in California, number 202 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: 427 stays at an average charge of $148,388, 64% above the national average. It also billed 9,268 outpatient services, charging 5.46 times what Medicare paid.

1Medicare inpatient stays 4,027
2Charge ÷ paid, inpatient 3.46×
3Rank in CA (highest ratio = 1) 202 of 247
4CMS price-transparency actions 4

Average charge per stay at Ronald Reagan UCLA Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 132 DRGs that can be compared with the national average, Ronald Reagan UCLA Medical Center charged more than the national average in 115 (87%). 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	427	$148,388	+64%	$42,270
291 Heart Failure and Shock with MCC	147	$131,874	+134%	$33,060
698 Other Kidney and Urinary Tract Diagnoses with MCC	99	$132,744	+81%	$37,858
025 Craniotomy and Endovascular Intracranial Procedures with MCC	87	$277,681	+20%	$81,548
266 Endovascular Cardiac Valve Replacement and Supplement...	84	$246,510	-13%	$104,651
314 Other Circulatory System Diagnoses with MCC	78	$163,207	+72%	$46,076
699 Other Kidney and Urinary Tract Diagnoses with CC	71	$92,605	+95%	$22,835
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	68	$68,314	+39%	$20,820
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	67	$398,579	0%	$126,137
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	63	$212,809	+113%	$48,913
164 Major Chest Procedures with CC	61	$146,291	+15%	$45,763
652 Kidney Transplant	61	$270,317	-20%	$59,317
177 Respiratory Infections and Inflammations with MCC	58	$108,902	+54%	$34,393
853 Infectious and Parasitic Diseases with O.R. Procedures with...	55	$456,458	+99%	$133,633
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	53	$1,263,774	+20%	$422,338
330 Major Small and Large Bowel Procedures with CC	52	$157,816	+33%	$46,266
101 Seizures without MCC	50	$77,451	+59%	$22,128
205 Other Respiratory System Diagnoses with MCC	48	$130,508	+48%	$38,212
432 Cirrhosis and Alcoholic Hepatitis with MCC	47	$264,314	+176%	$64,681
235 Coronary Bypass without Cardiac Catheterization with MCC	43	$352,939	+21%	$97,334
026 Craniotomy and Endovascular Intracranial Procedures with CC	40	$168,572	+2%	$50,378
027 Craniotomy and Endovascular Intracranial Procedures without...	40	$157,296	+13%	$42,202
286 Circulatory Disorders except AMI, with Cardiac...	40	$423,792	+277%	$108,866
377 Gastrointestinal Hemorrhage with MCC	40	$168,890	+98%	$48,434
193 Simple Pneumonia and Pleurisy with MCC	39	$69,396	+16%	$23,499
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	38	$87,946	+58%	$19,986
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	38	$214,791	+149%	$54,547
287 Circulatory Disorders except AMI, with Cardiac...	37	$96,320	+51%	$22,355
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$62,907	+74%	$15,782
274 Percutaneous and Other Intracardiac Procedures without MCC	36	$134,061	-14%	$53,534
682 Renal Failure with MCC	36	$107,148	+62%	$30,705
091 Other Disorders of Nervous System with MCC	35	$116,037	+40%	$35,385
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	34	$60,473	+51%	$17,922
683 Renal Failure with CC	34	$65,015	+60%	$19,032
406 Pancreas, Liver and Shunt Procedures with CC	33	$169,868	+5%	$51,782
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$145,441	+157%	$37,087
690 Kidney and Urinary Tract Infections without MCC	32	$55,215	+46%	$15,421
393 Other Digestive System Diagnoses with MCC	31	$181,245	+136%	$45,010
481 Hip and Femur Procedures except Major Joint with CC	31	$114,498	+14%	$36,952
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$87,438	+45%	$26,527
919 Complications of Treatment with MCC	31	$186,405	+111%	$52,220
163 Major Chest Procedures with MCC	30	$248,495	+18%	$81,959
870 Septicemia or Severe Sepsis with MV >96 Hours	30	$738,684	+128%	$193,450
267 Endovascular Cardiac Valve Replacement and Supplement...	29	$190,466	-14%	$78,307
650 Kidney Transplant with Hemodialysis with MCC	28	$343,000	-18%	$84,248
405 Pancreas, Liver and Shunt Procedures with MCC	27	$339,831	+18%	$146,518
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	27	$89,540	+88%	$22,826
001 Heart Transplant or Implant of Heart Assist System with MCC	25	$2,221,323	+51%	$611,930
092 Other Disorders of Nervous System with CC	25	$96,050	+86%	$21,809
280 Acute Myocardial Infarction, Discharged Alive with MCC	25	$175,782	+132%	$39,501
327 Stomach, Esophageal and Duodenal Procedures with CC	25	$188,854	+49%	$46,542
312 Syncope and Collapse	24	$56,743	+25%	$16,901
651 Kidney Transplant with Hemodialysis without MCC	24	$289,293	-23%	$62,027
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	24	$627,664	+190%	$158,720
827 Myeloproliferative Disorders or Poorly Differentiated...	23	$158,641	+23%	$43,186
141 Major Head and Neck Procedures with CC	22	$182,503	+42%	$39,150
315 Other Circulatory System Diagnoses with CC	22	$97,019	+102%	$20,877
435 Malignancy of Hepatobiliary System or Pancreas with MCC	22	$176,242	+87%	$45,983
023 Craniotomy with Major Device Implant or Acute Complex Cns...	21	$468,363	+67%	$125,340
252 Other Vascular Procedures with MCC	21	$265,954	+56%	$80,770

Showing the 60 most frequent of 132 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	1,990	$10,567	$2,844
Comprehensive Observation Services	780	$28,515	$3,352
Level 2 Excision/ Biopsy/ Incision and Drainage	518	$11,777	$1,984
Level 2 Upper GI Procedures	512	$11,601	$2,297
Level 2 Intraocular Procedures	473	$20,210	$4,957
Level 1 Endovascular Procedures	302	$26,306	$3,934
Level 3 Extraocular, Repair, and Plastic Eye Procedures	289	$13,659	$2,849
Level 3 Electrophysiologic Procedures	262	$92,584	$29,114
Level 5 Urology and Related Services	235	$36,780	$6,362
Level 5 ENT Procedures	222	$33,132	$7,057
Level 3 Endovascular Procedures	218	$67,168	$13,503
Level 3 Excision/ Biopsy/ Incision and Drainage	214	$21,811	$3,464
Level 6 Urology and Related Services	209	$52,688	$11,266
Level 1 Laparoscopy and Related Services	203	$33,278	$7,023
Level 3 Vascular Procedures	200	$25,857	$3,863
Level 3 Lower GI Procedures	168	$12,604	$3,419
Level 2 Laparoscopy and Related Services	161	$71,524	$12,439
Level 4 Airway Endoscopy	160	$19,465	$4,398
Level 3 Urology and Related Services	156	$15,670	$2,479
Level 4 Urology and Related Services	153	$21,876	$4,286
Level 4 Vascular Procedures	147	$50,029	$6,031
Level 3 Intraocular Procedures	127	$24,804	$6,426
Level 4 Musculoskeletal Procedures	104	$38,580	$8,792
Level 3 Pacemaker and Similar Procedures	96	$51,060	$12,988
Level 2 Endovascular Procedures	87	$36,514	$7,027

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ronald Reagan UCLA Medical Center charged $148,388 on average, 4% more than the California average of $143,063, and was paid $42,270 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Ronald Reagan UCLA Medical Center charged $131,874 on average, 31% more than the California average of $100,739, and was paid $33,060 against a state average of $15,556. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Ronald Reagan UCLA Medical Center charged $132,744 on average, 13% more than the California average of $117,988, and was paid $37,858 against a state average of $19,449. For Craniotomy and Endovascular Intracranial Procedures with MCC (DRG 025), Ronald Reagan UCLA Medical Center charged $277,681 on average, 28% less than the California average of $384,874, and was paid $81,548 against a state average of $59,908. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,567 was 50% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,515 was 32% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,777 was 20% below the state average of $14,749. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,601 was 39% below the state average of $19,034.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Ronald Reagan UCLA Medical Center in Los Angeles, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-02-06 (CMS case 734)
CAP Request — 2024-05-10 (CMS case 734)
Closure Notice — 2024-06-11 (CMS case 734)
Met Requirements — 2025-03-19 (CMS case 3303)

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.