California / St Bernardine Medical Center
CMS certification 050129 · San Bernardino, CA · 2 entries in CMS's price-transparency list
St Bernardine Medical Center: charges and Medicare payments
St Bernardine Medical Center reported 1,287 Medicare inpatient stays across 49 DRGs in 2024. Across them it charged 6.77 times what it was paid — among the higher ratios in California, number 63 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: 158 stays at an average charge of $139,771, 55% above the national average. It also billed 629 outpatient services, charging 8.4 times what Medicare paid.
- 1Medicare inpatient stays 1,287
- 2Charge ÷ paid, inpatient 6.77×
- 3Rank in CA (highest ratio = 1) 63 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 49 DRGs that can be compared with the national average, St Bernardine Medical Center charged more than the national average in 48 (98%). 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 | 158 | $139,771 | +55% | $20,972 |
| 193 Simple Pneumonia and Pleurisy with MCC | 93 | $107,649 | +80% | $15,094 |
| 291 Heart Failure and Shock with MCC | 86 | $107,787 | +91% | $15,071 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $129,612 | +71% | $18,650 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $60,472 | +60% | $9,989 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $93,882 | +83% | $12,980 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $165,972 | +135% | $18,657 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $142,033 | +93% | $19,621 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $89,259 | +48% | $14,468 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $279,903 | +71% | $34,568 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $77,012 | +57% | $12,155 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $76,151 | +51% | $12,808 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $77,296 | +59% | $11,639 |
| 071 Other Cerebrovascular Disorders with CC | 24 | $81,271 | +61% | $12,103 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $93,232 | +62% | $13,881 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $59,313 | +48% | $9,540 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $386,161 | +69% | $57,371 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $198,191 | +98% | $23,797 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $63,450 | +71% | $9,591 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $104,944 | +88% | $11,812 |
| 637 Diabetes with MCC | 21 | $120,870 | +82% | $16,352 |
| 638 Diabetes with CC | 21 | $58,468 | +40% | $11,080 |
| 312 Syncope and Collapse | 20 | $84,780 | +86% | $10,400 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $138,753 | +62% | $20,601 |
| 603 Cellulitis without MCC | 20 | $70,133 | +88% | $10,705 |
| 070 Other Cerebrovascular Disorders with MCC | 19 | $150,763 | +98% | $20,517 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $209,974 | +55% | $29,944 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 19 | $137,504 | +84% | $18,365 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $88,106 | +74% | $10,939 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $67,051 | +86% | $8,994 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $137,391 | +20% | $22,462 |
| 682 Renal Failure with MCC | 16 | $131,732 | +100% | $17,043 |
| 100 Seizures with MCC | 14 | $131,718 | +40% | $21,862 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 14 | $506,939 | +32% | $80,509 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $104,636 | +85% | $13,075 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $90,416 | +48% | $14,957 |
| 389 Gastrointestinal Obstruction with CC | 13 | $64,327 | +65% | $10,756 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 13 | $161,156 | +68% | $22,190 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $250,689 | +16% | $48,200 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 12 | $324,040 | +46% | $53,458 |
| 313 Chest Pain | 12 | $59,939 | +50% | $8,816 |
| 683 Renal Failure with CC | 12 | $47,584 | +17% | $10,675 |
| 101 Seizures without MCC | 11 | $68,189 | +40% | $9,772 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $66,680 | +74% | $8,980 |
| 228 Other Cardiothoracic Procedures with MCC | 11 | $245,095 | -2% | $56,091 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $118,398 | +54% | $19,019 |
| 394 Other Digestive System Diagnoses with CC | 11 | $78,133 | +66% | $11,272 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $82,080 | +73% | $12,376 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $373,039 | +15% | $73,163 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 205 | $35,926 | $3,365 |
| Level 1 Endovascular Procedures | 106 | $27,323 | $3,987 |
| Level 5 Urology and Related Services | 44 | $33,378 | $6,362 |
| Level 3 Vascular Procedures | 39 | $28,810 | $3,919 |
| Level 1 Laparoscopy and Related Services | 37 | $48,242 | $6,835 |
| Level 3 Endovascular Procedures | 33 | $81,350 | $13,157 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $8,087 | $1,962 |
| Level 3 Urology and Related Services | 20 | $21,653 | $2,409 |
| Level 4 Musculoskeletal Procedures | 18 | $49,895 | $8,792 |
| Level 5 Musculoskeletal Procedures | 17 | $90,967 | $16,148 |
| Level 6 Musculoskeletal Procedures | 16 | $88,462 | $22,851 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $15,556 | $3,493 |
| Level 2 Laparoscopy and Related Services | 13 | $73,853 | $12,637 |
| Level 4 Urology and Related Services | 13 | $30,509 | $4,286 |
| Level 4 Vascular Procedures | 12 | $46,463 | $6,756 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $33,514 | $4,254 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Bernardine Medical Center charged $139,771 on average, 2% less than the California average of $143,063, and was paid $20,972 against a state average of $23,020. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Bernardine Medical Center charged $107,649 on average, 4% more than the California average of $103,761, and was paid $15,094 against a state average of $15,112. For Heart Failure and Shock with MCC (DRG 291), St Bernardine Medical Center charged $107,787 on average, 7% more than the California average of $100,739, and was paid $15,071 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), St Bernardine Medical Center charged $129,612 on average, 5% more than the California average of $123,896, and was paid $18,650 against a state average of $19,122. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,926 was 14% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,323 was 33% below the state average of $40,544. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $33,378 was 35% below the state average of $51,167. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $28,810 was 5% below the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Bernardine Medical Center in San Bernardino, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-09 (CMS case 600)
- Met Requirements — 2025-06-09 (CMS case 4973)
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.