California / St Elizabeth Community Hospital
CMS certification 050042 · Red Bluff, CA · 3 entries in CMS's price-transparency list
St Elizabeth Community Hospital: charges and Medicare payments
St Elizabeth Community Hospital reported 609 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 4.78 times what it was paid — mid-range in California, number 145 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: 210 stays at an average charge of $88,094, 2% below the national average. It also billed 558 outpatient services, charging 9.03 times what Medicare paid.
- 1Medicare inpatient stays 609
- 2Charge ÷ paid, inpatient 4.78×
- 3Rank in CA (highest ratio = 1) 145 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 18 DRGs that can be compared with the national average, St Elizabeth Community Hospital charged more than the national average in 17 (94%). 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 | 210 | $88,094 | -2% | $21,036 |
| 291 Heart Failure and Shock with MCC | 68 | $65,381 | +16% | $13,801 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $59,358 | +21% | $11,320 |
| 189 Pulmonary Edema and Respiratory Failure | 40 | $80,192 | +39% | $13,329 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $73,268 | +23% | $14,200 |
| 683 Renal Failure with CC | 23 | $57,779 | +42% | $9,853 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $84,289 | +51% | $11,086 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $60,326 | +24% | $10,786 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $75,208 | +7% | $17,620 |
| 682 Renal Failure with MCC | 20 | $82,699 | +25% | $16,683 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $61,275 | +21% | $11,980 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $104,221 | +3% | $21,862 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $60,942 | +1% | $14,087 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $56,419 | +52% | $8,727 |
| 389 Gastrointestinal Obstruction with CC | 11 | $56,244 | +44% | $8,838 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $61,852 | +54% | $8,792 |
| 603 Cellulitis without MCC | 11 | $47,548 | +28% | $9,752 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $51,269 | +36% | $8,982 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 233 | $36,739 | $3,604 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 55 | $9,077 | $2,135 |
| Level 5 Musculoskeletal Procedures | 40 | $85,353 | $17,292 |
| Level 4 Musculoskeletal Procedures | 35 | $64,029 | $9,414 |
| Level 2 Musculoskeletal Procedures | 30 | $13,655 | $2,063 |
| Level 1 Laparoscopy and Related Services | 30 | $48,037 | $7,598 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 26 | $48,086 | $4,416 |
| Level 2 Vascular Procedures | 19 | $23,259 | $2,037 |
| Level 1 Nerve Procedures | 19 | $18,064 | $2,542 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $26,733 | $3,742 |
| Level 3 Musculoskeletal Procedures | 15 | $48,173 | $4,262 |
| Level 3 Vascular Procedures | 14 | $51,033 | $4,197 |
| Level 2 Laparoscopy and Related Services | 13 | $67,774 | $13,532 |
| Level 5 Gynecologic Procedures | 13 | $37,861 | $6,550 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth Community Hospital charged $88,094 on average, 38% less than the California average of $143,063, and was paid $21,036 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth Community Hospital charged $65,381 on average, 35% less than the California average of $100,739, and was paid $13,801 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Elizabeth Community Hospital charged $59,358 on average, 22% less than the California average of $76,120, and was paid $11,320 against a state average of $12,552. For Pulmonary Edema and Respiratory Failure (DRG 189), St Elizabeth Community Hospital charged $80,192 on average, 23% less than the California average of $104,292, and was paid $13,329 against a state average of $15,897. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,739 was 12% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,077 was 38% below the state average of $14,749. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,353 was 22% below the state average of $109,149. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $64,029 was 8% below the state average of $69,476.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Elizabeth Community Hospital in Red Bluff, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 192)
- Closure Notice — 2022-04-04 (CMS case 192)
- Met Requirements — 2025-06-09 (CMS case 4995)
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.