California / Southwest Healthcare Rancho Springs Hospital
CMS certification 050701 · Murrieta, CA · 4 entries in CMS's price-transparency list
Southwest Healthcare Rancho Springs Hospital: charges and Medicare payments
Southwest Healthcare Rancho Springs Hospital reported 1,402 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 6.87 times what it was paid — among the higher ratios in California, number 60 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: 162 stays at an average charge of $151,684, 68% above the national average. It also billed 700 outpatient services, charging 7.62 times what Medicare paid.
- 1Medicare inpatient stays 1,402
- 2Charge ÷ paid, inpatient 6.87×
- 3Rank in CA (highest ratio = 1) 60 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 50 DRGs that can be compared with the national average, Southwest Healthcare Rancho Springs Hospital charged more than the national average in 50 (100%). 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 | 162 | $151,684 | +68% | $21,633 |
| 291 Heart Failure and Shock with MCC | 72 | $92,363 | +64% | $13,905 |
| 193 Simple Pneumonia and Pleurisy with MCC | 70 | $97,100 | +62% | $15,137 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $103,614 | +72% | $14,029 |
| 689 Kidney and Urinary Tract Infections with MCC | 53 | $85,609 | +67% | $12,845 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $123,062 | +74% | $17,637 |
| 690 Kidney and Urinary Tract Infections without MCC | 44 | $59,674 | +58% | $9,657 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 42 | $91,466 | +64% | $10,994 |
| 552 Medical Back Problems without MCC | 42 | $93,217 | +91% | $10,998 |
| 312 Syncope and Collapse | 39 | $88,091 | +93% | $10,060 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $100,809 | +75% | $13,504 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 34 | $138,517 | +39% | $20,702 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $62,927 | +57% | $8,912 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 33 | $101,059 | +38% | $17,642 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 28 | $188,922 | +64% | $25,171 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $124,059 | +23% | $21,502 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $120,713 | +41% | $18,862 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $77,925 | +110% | $8,986 |
| 682 Renal Failure with MCC | 25 | $100,549 | +52% | $17,325 |
| 884 Organic Disturbances and Intellectual Disability | 24 | $118,283 | +90% | $17,303 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $103,870 | +37% | $14,733 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $82,965 | +71% | $11,036 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $112,635 | +99% | $13,474 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $81,314 | +33% | $14,089 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $68,562 | +36% | $14,501 |
| 683 Renal Failure with CC | 18 | $74,536 | +83% | $9,649 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $89,597 | +83% | $11,956 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 18 | $119,285 | +59% | $17,916 |
| 069 Transient Ischemia without Thrombolytic | 17 | $84,173 | +67% | $9,291 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $74,766 | +107% | $8,708 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $155,292 | +64% | $22,047 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $251,592 | +10% | $49,965 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 16 | $95,067 | +94% | $11,982 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $65,889 | +39% | $10,883 |
| 092 Other Disorders of Nervous System with CC | 15 | $102,683 | +99% | $11,748 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $68,746 | +79% | $9,587 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $152,647 | +12% | $25,803 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $150,602 | +9% | $25,573 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $89,839 | +111% | $10,439 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 14 | $241,904 | +4% | $45,819 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $73,633 | +30% | $14,982 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 14 | $119,892 | +76% | $14,760 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $141,725 | +39% | $23,146 |
| 313 Chest Pain | 13 | $63,846 | +60% | $8,456 |
| 389 Gastrointestinal Obstruction with CC | 13 | $74,056 | +90% | $9,454 |
| 551 Medical Back Problems with MCC | 13 | $141,888 | +80% | $16,745 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 12 | $169,054 | +131% | $15,370 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 12 | $187,298 | +73% | $24,046 |
| 637 Diabetes with MCC | 12 | $113,009 | +70% | $16,729 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $111,685 | +20% | $20,641 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 197 | $45,520 | $3,298 |
| Level 5 Musculoskeletal Procedures | 101 | $76,665 | $16,148 |
| Level 6 Urology and Related Services | 65 | $53,524 | $11,313 |
| Level 1 Laparoscopy and Related Services | 51 | $40,345 | $6,876 |
| Level 4 Musculoskeletal Procedures | 47 | $49,547 | $8,793 |
| Level 4 Urology and Related Services | 31 | $27,453 | $4,286 |
| Level 3 Vascular Procedures | 30 | $38,907 | $3,919 |
| Level 6 Musculoskeletal Procedures | 25 | $97,141 | $22,851 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 25 | $40,133 | $4,253 |
| Level 5 Gynecologic Procedures | 19 | $48,553 | $6,115 |
| Level 2 Laparoscopy and Related Services | 18 | $80,174 | $12,637 |
| Level 1 Endovascular Procedures | 17 | $31,622 | $3,895 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $21,234 | $1,807 |
| Level 2 Musculoskeletal Procedures | 16 | $21,470 | $1,976 |
| Level 3 Musculoskeletal Procedures | 16 | $30,632 | $3,782 |
| Level 2 Upper GI Procedures | 13 | $10,940 | $2,339 |
| Level 5 Urology and Related Services | 13 | $33,993 | $5,972 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southwest Healthcare Rancho Springs Hospital charged $151,684 on average, 6% more than the California average of $143,063, and was paid $21,633 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Southwest Healthcare Rancho Springs Hospital charged $92,363 on average, 8% less than the California average of $100,739, and was paid $13,905 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Southwest Healthcare Rancho Springs Hospital charged $97,100 on average, 6% less than the California average of $103,761, and was paid $15,137 against a state average of $15,112. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Southwest Healthcare Rancho Springs Hospital charged $103,614 on average, 17% more than the California average of $88,573, and was paid $14,029 against a state average of $15,580. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $45,520 was 9% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,665 was 30% below the state average of $109,149. For Level 6 Urology and Related Services (outpatient APC 5376), its average charge of $53,524 was 21% below the state average of $68,071. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $40,345 was 37% below the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Southwest Healthcare Rancho Springs Hospital in Murrieta, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-09 (CMS case 1394)
- Closure Notice — 2024-05-14 (CMS case 1394)
- Warning Notice — 2025-05-14 (CMS case 4530)
- Closure Notice — 2025-05-20 (CMS case 4530)
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.