California / Sharp Chula Vista Medical Center

CMS certification 050222 · Chula Vista, CA · 1 entry in CMS's price-transparency list

Sharp Chula Vista Medical Center: charges and Medicare payments

Sharp Chula Vista Medical Center reported 2,614 Medicare inpatient stays across 80 DRGs in 2024. Across them it charged 7.46 times what it was paid — among the higher ratios in California, number 47 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: 292 stays at an average charge of $163,989, 82% above the national average. It also billed 1,280 outpatient services, charging 8.45 times what Medicare paid.

1Medicare inpatient stays 2,614
2Charge ÷ paid, inpatient 7.46×
3Rank in CA (highest ratio = 1) 47 of 247
4CMS price-transparency actions 1

Average charge per stay at Sharp Chula Vista Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 80 DRGs that can be compared with the national average, Sharp Chula Vista Medical Center charged more than the national average in 77 (96%). 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	292	$163,989	+82%	$20,743
291 Heart Failure and Shock with MCC	193	$108,956	+93%	$14,396
193 Simple Pneumonia and Pleurisy with MCC	99	$115,564	+93%	$13,870
177 Respiratory Infections and Inflammations with MCC	89	$141,932	+101%	$17,709
690 Kidney and Urinary Tract Infections without MCC	81	$75,126	+99%	$8,898
698 Other Kidney and Urinary Tract Diagnoses with MCC	68	$143,423	+95%	$18,281
689 Kidney and Urinary Tract Infections with MCC	64	$81,680	+59%	$12,368
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	63	$84,513	+72%	$10,959
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$91,093	+51%	$13,779
280 Acute Myocardial Infarction, Discharged Alive with MCC	58	$119,285	+57%	$16,408
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	58	$71,892	+79%	$9,167
312 Syncope and Collapse	53	$77,616	+70%	$10,351
313 Chest Pain	47	$65,524	+64%	$7,972
274 Percutaneous and Other Intracardiac Procedures without MCC	44	$150,394	-4%	$33,938
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$71,692	+93%	$8,586
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	40	$106,823	+92%	$11,108
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$210,571	+111%	$23,154
683 Renal Failure with CC	38	$80,260	+97%	$9,744
190 Chronic Obstructive Pulmonary Disease with MCC	37	$135,442	+168%	$11,794
194 Simple Pneumonia and Pleurisy with CC	35	$76,253	+99%	$9,431
552 Medical Back Problems without MCC	35	$75,599	+55%	$10,336
305 Hypertension without MCC	33	$60,880	+52%	$10,292
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$75,542	+109%	$9,098
853 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$364,729	+59%	$54,927
178 Respiratory Infections and Inflammations with CC	31	$84,517	+87%	$10,636
603 Cellulitis without MCC	31	$60,645	+63%	$9,587
637 Diabetes with MCC	31	$128,674	+93%	$16,319
638 Diabetes with CC	31	$71,255	+71%	$9,728
682 Renal Failure with MCC	31	$118,098	+79%	$15,818
069 Transient Ischemia without Thrombolytic	29	$80,859	+60%	$8,786
389 Gastrointestinal Obstruction with CC	28	$67,017	+72%	$8,766
149 Dysequilibrium	27	$62,799	+41%	$8,248
377 Gastrointestinal Hemorrhage with MCC	27	$179,320	+110%	$21,889
378 Gastrointestinal Hemorrhage with CC	27	$84,079	+73%	$11,671
189 Pulmonary Edema and Respiratory Failure	24	$161,272	+180%	$14,265
267 Endovascular Cardiac Valve Replacement and Supplement...	23	$242,043	+9%	$49,280
286 Circulatory Disorders except AMI, with Cardiac...	22	$154,436	+38%	$21,957
699 Other Kidney and Urinary Tract Diagnoses with CC	22	$69,506	+46%	$10,908
191 Chronic Obstructive Pulmonary Disease with CC	20	$86,024	+117%	$9,185
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$82,703	+36%	$14,045
481 Hip and Femur Procedures except Major Joint with CC	19	$136,209	+35%	$21,361
322 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$174,037	+52%	$19,038
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	18	$306,051	+42%	$44,295
057 Degenerative Nervous System Disorders without MCC	17	$90,470	+60%	$14,010
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$126,679	+124%	$12,874
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	16	$53,814	+87%	$7,750
321 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$220,781	+35%	$29,601
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	16	$110,871	+133%	$10,355
470 Major Hip and Knee Joint Replacement or Reattachment of...	16	$160,231	+72%	$19,626
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	16	$56,842	+33%	$9,588
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$239,165	+76%	$28,022
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$85,131	+69%	$9,947
287 Circulatory Disorders except AMI, with Cardiac...	15	$87,516	+37%	$11,566
329 Major Small and Large Bowel Procedures with MCC	15	$392,210	+82%	$57,769
394 Other Digestive System Diagnoses with CC	15	$73,269	+56%	$10,157
811 Red Blood Cell Disorders with MCC	15	$159,997	+135%	$18,778
812 Red Blood Cell Disorders without MCC	15	$85,430	+92%	$10,316
948 Signs and Symptoms without MCC	15	$50,631	+33%	$8,181
252 Other Vascular Procedures with MCC	14	$251,308	+47%	$34,686
433 Cirrhosis and Alcoholic Hepatitis with CC	14	$98,462	+87%	$11,208

Showing the 60 most frequent of 80 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	227	$37,608	$3,365
Level 1 Intraocular Procedures	226	$22,861	$2,855
Level 1 Endovascular Procedures	129	$34,734	$4,013
Level 1 Laparoscopy and Related Services	73	$59,756	$7,094
Level 3 Endovascular Procedures	70	$100,106	$13,333
Level 3 Electrophysiologic Procedures	62	$201,147	$29,114
Level 2 Excision/ Biopsy/ Incision and Drainage	51	$12,722	$1,993
Level 3 Vascular Procedures	40	$25,346	$3,821
Level 2 Endovascular Procedures	36	$62,648	$6,832
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	36	$23,545	$4,253
Level 3 Pacemaker and Similar Procedures	30	$67,235	$13,108
Level 3 Intraocular Procedures	29	$37,663	$6,426
Level 3 Excision/ Biopsy/ Incision and Drainage	28	$18,773	$3,494
Level 5 Musculoskeletal Procedures	27	$131,572	$15,610
Level 2 Laparoscopy and Related Services	25	$127,643	$12,637
Level 4 Pacemaker and Similar Procedures	24	$114,011	$23,891
Level 2 ICD and Similar Procedures	24	$149,084	$38,704
Level 2 Breast/Lymphatic Surgery and Related Procedures	20	$71,939	$8,017
Level 2 Vascular Procedures	20	$12,531	$1,969
Level 3 Urology and Related Services	18	$13,590	$2,504
Level 4 Endovascular Procedures	17	$129,805	$18,974
Level 2 Upper GI Procedures	17	$9,380	$2,340
Level 4 Vascular Procedures	14	$90,276	$6,756
Level 4 Gynecologic Procedures	14	$26,917	$3,844
Level 4 Musculoskeletal Procedures	12	$71,047	$8,792

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sharp Chula Vista Medical Center charged $163,989 on average, 15% more than the California average of $143,063, and was paid $20,743 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sharp Chula Vista Medical Center charged $108,956 on average, 8% more than the California average of $100,739, and was paid $14,396 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sharp Chula Vista Medical Center charged $115,564 on average, 11% more than the California average of $103,761, and was paid $13,870 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Sharp Chula Vista Medical Center charged $141,932 on average, 14% more than the California average of $124,302, and was paid $17,709 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,608 was 10% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $22,861 was 9% above the state average of $20,986. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,734 was 14% below the state average of $40,544. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $59,756 was 7% below the state average of $64,351.

Price-transparency record

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

Met Requirements — 2026-03-06 (CMS case 7187)

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.