California / Sherman Oaks Hospital

CMS certification 050755 · Sherman Oaks, CA · 1 entry in CMS's price-transparency list

Sherman Oaks Hospital: charges and Medicare payments

Sherman Oaks Hospital reported 1,575 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 3.23 times what it was paid — among the lower ratios in California, number 210 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 640, Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC: 210 stays at an average charge of $26,689, 56% below the national average. It also billed 92 outpatient services, charging 6.17 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,575
  2. 2Charge ÷ paid, inpatient 3.23×
  3. 3Rank in CA (highest ratio = 1) 210 of 247
  4. 4CMS price-transparency actions 1
DRG 640$26,689DRG 871$73,661DRG 291$49,340DRG 641$20,340DRG 280$47,915DRG 689$30,007DRG 177$61,991DRG 908$61,674DRG 193$51,816DRG 496$62,390
Average charge per stay at Sherman Oaks Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 46 DRGs that can be compared with the national average, Sherman Oaks Hospital charged more than the national average in 3 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...210$26,689-56%$13,596
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC206$73,661-18%$19,912
291 Heart Failure and Shock with MCC101$49,340-12%$13,032
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...81$20,340-45%$8,207
280 Acute Myocardial Infarction, Discharged Alive with MCC68$47,915-37%$15,677
689 Kidney and Urinary Tract Infections with MCC65$30,007-42%$11,781
177 Respiratory Infections and Inflammations with MCC56$61,991-12%$17,040
908 Other O.R. Procedures for Injuries with CC48$61,674-37%$20,096
193 Simple Pneumonia and Pleurisy with MCC41$51,816-13%$13,584
496 Local Excision and Removal of Internal Fixation Devices...36$62,390-33%$19,973
690 Kidney and Urinary Tract Infections without MCC35$22,284-41%$8,427
853 Infectious and Parasitic Diseases with O.R. Procedures with...35$172,544-25%$48,871
190 Chronic Obstructive Pulmonary Disease with MCC29$39,661-22%$11,405
189 Pulmonary Edema and Respiratory Failure28$48,109-16%$12,816
870 Septicemia or Severe Sepsis with MV >96 Hours28$292,381-10%$70,902
377 Gastrointestinal Hemorrhage with MCC26$61,670-28%$18,439
682 Renal Failure with MCC25$29,563-55%$14,465
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...24$23,485-42%$8,206
497 Local Excision and Removal of Internal Fixation Devices...24$61,102-14%$14,348
698 Other Kidney and Urinary Tract Diagnoses with MCC23$53,686-27%$16,341
637 Diabetes with MCC22$31,067-53%$15,012
141 Major Head and Neck Procedures with CC20$82,008-36%$21,508
071 Other Cerebrovascular Disorders with CC19$27,770-45%$10,971
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$28,696-53%$13,263
069 Transient Ischemia without Thrombolytic18$23,412-54%$8,359
303 Atherosclerosis without MCC18$20,713-41%$6,987
811 Red Blood Cell Disorders with MCC18$65,030-5%$15,784
074 Cranial and Peripheral Nerve Disorders without MCC17$22,733-58%$10,752
602 Cellulitis with MCC17$30,025-50%$14,144
516 Other Musculoskeletal System and Connective Tissue O.R....16$79,226-22%$20,855
064 Intracranial Hemorrhage or Cerebral Infarction with MCC15$70,042-30%$19,593
393 Other Digestive System Diagnoses with MCC15$45,132-41%$16,737
073 Cranial and Peripheral Nerve Disorders with MCC14$34,309-56%$15,715
308 Cardiac Arrhythmia and Conduction Disorders with MCC14$25,738-55%$12,490
481 Hip and Femur Procedures except Major Joint with CC14$113,021+12%$20,908
517 Other Musculoskeletal System and Connective Tissue O.R....14$78,886+1%$15,372
100 Seizures with MCC13$41,803-56%$18,056
202 Bronchitis and Asthma with CC/MCC13$51,284+11%$10,009
313 Chest Pain12$20,904-48%$7,570
371 Major Gastrointestinal Disorders and Peritoneal Infections...12$33,846-57%$17,054
206 Other Respiratory System Diagnoses without MCC11$24,613-50%$9,327
521 Hip Replacement with Principal Diagnosis of Hip Fracture...11$116,008-14%$28,626
552 Medical Back Problems without MCC11$21,089-57%$10,085
638 Diabetes with CC11$21,942-47%$9,458
917 Poisoning and Toxic Effects of Drugs with MCC11$34,902-53%$16,261
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...11$131,896-39%$45,054

Outpatient services

Service (APC)ServicesAvg chargeMedicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage75$6,263$1,993
Level 3 Vascular Procedures17$34,838$3,919

Against the California average

For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Sherman Oaks Hospital charged $26,689 on average, 70% less than the California average of $88,573, and was paid $13,596 against a state average of $15,580. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sherman Oaks Hospital charged $73,661 on average, 49% less than the California average of $143,063, and was paid $19,912 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sherman Oaks Hospital charged $49,340 on average, 51% less than the California average of $100,739, and was paid $13,032 against a state average of $15,556. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Sherman Oaks Hospital charged $20,340 on average, 66% less than the California average of $60,462, and was paid $8,207 against a state average of $9,715. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,263 was 58% below the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $34,838 was 15% above the state average of $30,190.

Price-transparency record

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

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.