California / Sierra View Medical Center
CMS certification 050261 · Porterville, CA · 2 entries in CMS's price-transparency list
Sierra View Medical Center: charges and Medicare payments
Sierra View Medical Center reported 773 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.98 times what it was paid — among the lower ratios in California, number 221 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: 225 stays at an average charge of $63,370, 30% below the national average. It also billed 700 outpatient services, charging 7.19 times what Medicare paid.
- 1Medicare inpatient stays 773
- 2Charge ÷ paid, inpatient 2.98×
- 3Rank in CA (highest ratio = 1) 221 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 27 DRGs that can be compared with the national average, Sierra View Medical Center charged more than the national average in 2 (7%). 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 | 225 | $63,370 | -30% | $21,848 |
| 291 Heart Failure and Shock with MCC | 41 | $46,420 | -18% | $14,780 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 37 | $32,942 | -33% | $11,976 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $50,900 | -15% | $14,744 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $30,802 | -45% | $12,109 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $60,998 | -20% | $18,556 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $46,438 | -23% | $15,428 |
| 683 Renal Failure with CC | 26 | $25,413 | -38% | $10,594 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $45,980 | -35% | $18,843 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $44,058 | -9% | $11,786 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $28,781 | -22% | $9,341 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $33,784 | -33% | $12,389 |
| 682 Renal Failure with MCC | 22 | $48,494 | -26% | $16,507 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $30,701 | -19% | $9,930 |
| 069 Transient Ischemia without Thrombolytic | 19 | $25,866 | -49% | $9,457 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $76,254 | +32% | $13,297 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $42,593 | -17% | $13,672 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $191,709 | -41% | $71,524 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $49,073 | -43% | $18,892 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $55,929 | -24% | $18,095 |
| 389 Gastrointestinal Obstruction with CC | 13 | $21,167 | -46% | $9,547 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $109,559 | +9% | $23,797 |
| 638 Diabetes with CC | 13 | $24,064 | -42% | $10,942 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $156,610 | -32% | $53,695 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $30,962 | -39% | $10,373 |
| 603 Cellulitis without MCC | 11 | $35,526 | -5% | $10,849 |
| 637 Diabetes with MCC | 11 | $33,994 | -49% | $15,702 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 120 | $33,356 | $4,013 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 107 | $9,752 | $1,956 |
| Level 3 Urology and Related Services | 88 | $7,197 | $2,504 |
| Level 2 Urology and Related Services | 48 | $3,628 | $840 |
| Level 4 Urology and Related Services | 45 | $14,126 | $4,286 |
| Level 3 Endovascular Procedures | 43 | $120,890 | $13,244 |
| Level 5 Musculoskeletal Procedures | 41 | $51,836 | $15,794 |
| Level 3 Vascular Procedures | 41 | $22,339 | $3,919 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 33 | $21,869 | $4,151 |
| Level 1 Laparoscopy and Related Services | 32 | $35,570 | $7,094 |
| Level 3 Pacemaker and Similar Procedures | 29 | $80,521 | $12,339 |
| Level 1 Intraocular Procedures | 28 | $29,654 | $2,865 |
| Level 2 Upper GI Procedures | 20 | $12,715 | $2,339 |
| Level 5 Urology and Related Services | 14 | $43,006 | $6,362 |
| Level 5 ENT Procedures | 11 | $31,154 | $7,200 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sierra View Medical Center charged $63,370 on average, 56% less than the California average of $143,063, and was paid $21,848 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sierra View Medical Center charged $46,420 on average, 54% less than the California average of $100,739, and was paid $14,780 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sierra View Medical Center charged $32,942 on average, 57% less than the California average of $76,120, and was paid $11,976 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sierra View Medical Center charged $50,900 on average, 51% less than the California average of $103,761, and was paid $14,744 against a state average of $15,112. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,356 was 18% below the state average of $40,544. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,752 was 34% below the state average of $14,749. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,197 was 60% below the state average of $17,793. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,628 was 25% below the state average of $4,853.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sierra View Medical Center in Porterville, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-04 (CMS case 2778)
- Closure Notice — 2025-01-15 (CMS case 2778)
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.