California / Saint Francis Medical Center
CMS certification 050104 · Lynwood, CA · 2 entries in CMS's price-transparency list
Saint Francis Medical Center: charges and Medicare payments
Saint Francis Medical Center reported 1,248 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.64 times what it was paid — mid-range in California, number 157 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: 334 stays at an average charge of $119,616, 32% above the national average. It also billed 12 outpatient services, charging 15.19 times what Medicare paid.
- 1Medicare inpatient stays 1,248
- 2Charge ÷ paid, inpatient 4.64×
- 3Rank in CA (highest ratio = 1) 157 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 39 DRGs that can be compared with the national average, Saint Francis Medical Center charged more than the national average in 17 (44%). 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 | 334 | $119,616 | +32% | $21,783 |
| 291 Heart Failure and Shock with MCC | 77 | $54,942 | -3% | $14,493 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 76 | $87,867 | +16% | $18,379 |
| 885 Psychoses | 76 | $18,899 | -57% | $15,426 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $53,521 | -11% | $14,559 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $89,517 | +27% | $18,228 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $263,428 | +15% | $52,851 |
| 682 Renal Failure with MCC | 39 | $62,258 | -6% | $16,745 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $86,618 | -13% | $21,853 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 28 | $351,251 | +9% | $73,641 |
| 637 Diabetes with MCC | 24 | $63,893 | -4% | $16,193 |
| 206 Other Respiratory System Diagnoses without MCC | 22 | $45,372 | -8% | $10,407 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $78,915 | -8% | $19,164 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $29,732 | -20% | $8,999 |
| 100 Seizures with MCC | 21 | $74,390 | -21% | $21,260 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $61,880 | +7% | $13,965 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $163,255 | +72% | $25,823 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $105,933 | +44% | $18,267 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $65,575 | +10% | $14,391 |
| 205 Other Respiratory System Diagnoses with MCC | 17 | $55,768 | -37% | $20,321 |
| 070 Other Cerebrovascular Disorders with MCC | 15 | $78,597 | +3% | $19,103 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 15 | $83,154 | +11% | $17,507 |
| 073 Cranial and Peripheral Nerve Disorders with MCC | 14 | $55,205 | -30% | $17,089 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $46,517 | -18% | $13,566 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $49,737 | +2% | $11,150 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 14 | $53,906 | -44% | $21,450 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $37,512 | -1% | $9,343 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $47,840 | -2% | $11,950 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $221,451 | +35% | $31,498 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $41,795 | +4% | $9,222 |
| 270 Other Major Cardiovascular Procedures with MCC | 12 | $331,846 | +28% | $55,432 |
| 683 Renal Failure with CC | 12 | $48,349 | +19% | $10,498 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $53,103 | -5% | $11,626 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $192,063 | +42% | $29,453 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $69,902 | -7% | $17,818 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $55,903 | -8% | $13,843 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $55,789 | -27% | $18,138 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 11 | $72,872 | -15% | $20,254 |
| 552 Medical Back Problems without MCC | 11 | $42,938 | -12% | $11,193 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Vascular Procedures | 12 | $47,436 | $3,919 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Medical Center charged $119,616 on average, 16% less than the California average of $143,063, and was paid $21,783 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Medical Center charged $54,942 on average, 45% less than the California average of $100,739, and was paid $14,493 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Francis Medical Center charged $87,867 on average, 29% less than the California average of $123,896, and was paid $18,379 against a state average of $19,122. For Psychoses (DRG 885), Saint Francis Medical Center charged $18,899 on average, 63% less than the California average of $51,465, and was paid $15,426 against a state average of $15,642. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $47,436 was 57% above the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Saint Francis Medical Center in Lynwood, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-15 (CMS case 223)
- Closure Notice — 2024-05-23 (CMS case 223)
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.