California / Salinas Valley Memorial Hospital

CMS certification 050334 · Salinas, CA · 3 entries in CMS's price-transparency list

Salinas Valley Memorial Hospital: charges and Medicare payments

Salinas Valley Memorial Hospital reported 3,058 Medicare inpatient stays across 85 DRGs in 2024. Across them it charged 7.04 times what it was paid — among the higher ratios in California, number 58 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: 367 stays at an average charge of $170,563, 89% above the national average. It also billed 2,697 outpatient services, charging 9.08 times what Medicare paid.

1Medicare inpatient stays 3,058
2Charge ÷ paid, inpatient 7.04×
3Rank in CA (highest ratio = 1) 58 of 247
4CMS price-transparency actions 3

Average charge per stay at Salinas Valley Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 85 DRGs that can be compared with the national average, Salinas Valley Memorial Hospital charged more than the national average in 84 (99%). 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	367	$170,563	+89%	$23,975
291 Heart Failure and Shock with MCC	219	$115,683	+105%	$16,237
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	112	$93,566	+91%	$12,404
193 Simple Pneumonia and Pleurisy with MCC	92	$114,336	+91%	$15,212
690 Kidney and Urinary Tract Infections without MCC	78	$74,766	+98%	$9,542
177 Respiratory Infections and Inflammations with MCC	75	$155,239	+120%	$18,936
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	71	$72,757	+96%	$9,248
274 Percutaneous and Other Intracardiac Procedures without MCC	67	$159,142	+2%	$37,653
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	64	$77,267	+92%	$9,828
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	63	$114,972	+91%	$16,219
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	61	$110,723	+99%	$11,863
378 Gastrointestinal Hemorrhage with CC	60	$96,036	+98%	$14,108
189 Pulmonary Edema and Respiratory Failure	57	$117,431	+104%	$14,514
853 Infectious and Parasitic Diseases with O.R. Procedures with...	56	$453,640	+98%	$69,443
683 Renal Failure with CC	55	$76,984	+89%	$10,580
312 Syncope and Collapse	51	$84,157	+85%	$10,563
190 Chronic Obstructive Pulmonary Disease with MCC	50	$109,968	+117%	$13,200
689 Kidney and Urinary Tract Infections with MCC	50	$87,605	+71%	$13,635
267 Endovascular Cardiac Valve Replacement and Supplement...	47	$243,039	+10%	$56,299
603 Cellulitis without MCC	47	$72,408	+94%	$10,335
071 Other Cerebrovascular Disorders with CC	44	$86,348	+71%	$12,187
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$134,239	+77%	$19,678
322 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$238,561	+108%	$24,595
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$120,549	+64%	$18,604
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	39	$163,341	+64%	$22,397
308 Cardiac Arrhythmia and Conduction Disorders with MCC	34	$97,947	+73%	$14,172
377 Gastrointestinal Hemorrhage with MCC	33	$138,083	+62%	$20,597
069 Transient Ischemia without Thrombolytic	32	$87,430	+73%	$9,531
266 Endovascular Cardiac Valve Replacement and Supplement...	31	$268,159	-6%	$70,027
552 Medical Back Problems without MCC	31	$83,634	+71%	$11,262
389 Gastrointestinal Obstruction with CC	30	$75,756	+95%	$9,505
682 Renal Failure with MCC	30	$132,669	+101%	$18,690
194 Simple Pneumonia and Pleurisy with CC	28	$82,859	+116%	$9,591
309 Cardiac Arrhythmia and Conduction Disorders with CC	28	$65,707	+82%	$8,896
092 Other Disorders of Nervous System with CC	27	$119,588	+132%	$17,017
236 Coronary Bypass without Cardiac Catheterization without MCC	26	$415,780	+97%	$47,610
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$104,507	+71%	$15,123
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$374,616	+129%	$37,272
313 Chest Pain	23	$75,775	+90%	$9,846
252 Other Vascular Procedures with MCC	22	$360,808	+111%	$48,843
101 Seizures without MCC	21	$88,846	+82%	$10,716
617 Amputation of Lower Limb for Endocrine, Nutritional and...	21	$186,169	+114%	$23,602
242 Permanent Cardiac Pacemaker Implant with MCC	20	$287,869	+79%	$39,258
243 Permanent Cardiac Pacemaker Implant with CC	20	$226,909	+104%	$26,377
439 Disorders of Pancreas except Malignancy with CC	20	$94,852	+117%	$10,184
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$175,709	+72%	$24,303
638 Diabetes with CC	20	$84,555	+103%	$10,397
191 Chronic Obstructive Pulmonary Disease with CC	19	$89,433	+126%	$10,016
286 Circulatory Disorders except AMI, with Cardiac...	19	$196,590	+75%	$29,687
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$65,621	+128%	$6,735
314 Other Circulatory System Diagnoses with MCC	18	$136,844	+44%	$23,194
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$93,584	+97%	$11,857
854 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$195,491	+99%	$25,928
178 Respiratory Infections and Inflammations with CC	17	$93,242	+106%	$11,208
264 Other Circulatory System O.R. Procedures	17	$233,484	+56%	$35,687
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	17	$95,195	+100%	$11,322
637 Diabetes with MCC	17	$106,367	+60%	$16,341
948 Signs and Symptoms without MCC	17	$87,637	+130%	$9,576
041 Peripheral, Cranial Nerve and Other Nervous System...	16	$218,762	+90%	$27,503
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	16	$69,377	+63%	$10,450

Showing the 60 most frequent of 85 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	518	$42,017	$3,817
Level 2 Excision/ Biopsy/ Incision and Drainage	252	$14,995	$2,276
Level 1 Endovascular Procedures	226	$60,772	$4,596
Level 5 Musculoskeletal Procedures	155	$132,945	$18,273
Level 3 Vascular Procedures	142	$30,606	$4,488
Level 3 Endovascular Procedures	133	$159,615	$15,461
Level 2 Endovascular Procedures	120	$66,031	$8,048
Level 3 Excision/ Biopsy/ Incision and Drainage	90	$25,100	$3,966
Level 3 Electrophysiologic Procedures	77	$206,247	$33,341
Level 1 Laparoscopy and Related Services	74	$68,127	$8,125
Level 2 Vascular Procedures	70	$10,266	$2,255
Level 4 Endovascular Procedures	59	$236,267	$24,235
Level 2 Intraocular Procedures	58	$42,151	$5,647
Level 3 Pacemaker and Similar Procedures	55	$89,296	$15,008
Level 4 Urology and Related Services	52	$39,826	$4,862
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	48	$42,986	$4,872
Level 2 Pacemaker and Similar Procedures	45	$88,385	$11,947
Level 2 Upper GI Procedures	45	$21,180	$2,679
Level 4 Musculoskeletal Procedures	43	$58,189	$10,066
Level 2 Breast/Lymphatic Surgery and Related Procedures	33	$84,762	$9,178
Level 3 Urology and Related Services	32	$22,776	$2,868
Level 5 Urology and Related Services	31	$49,492	$7,286
Level 3 Musculoskeletal Procedures	29	$35,976	$4,433
Level 4 Vascular Procedures	29	$58,401	$7,472
Level 1 Breast/Lymphatic Surgery and Related Procedures	28	$61,494	$5,062

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Salinas Valley Memorial Hospital charged $170,563 on average, 19% more than the California average of $143,063, and was paid $23,975 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Salinas Valley Memorial Hospital charged $115,683 on average, 15% more than the California average of $100,739, and was paid $16,237 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Salinas Valley Memorial Hospital charged $93,566 on average, 23% more than the California average of $76,120, and was paid $12,404 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Salinas Valley Memorial Hospital charged $114,336 on average, 10% more than the California average of $103,761, and was paid $15,212 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,017 was 1% above the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,995 was 2% above the state average of $14,749. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $60,772 was 50% above the state average of $40,544. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $132,945 was 22% above the state average of $109,149.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Salinas Valley Memorial Hospital in Salinas, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

CAP Request — 2025-08-22 (CMS case 6355)
CAP Request — 2026-04-03 (CMS case 6355)
Closure Notice — 2026-07-07 (CMS case 6355)

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.