California / Temecula Valley Hospital

CMS certification 050775 · Temecula, CA · 4 entries in CMS's price-transparency list

Temecula Valley Hospital: charges and Medicare payments

Temecula Valley Hospital reported 1,375 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 5.66 times what it was paid — mid-range in California, number 104 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: 144 stays at an average charge of $150,252, 66% above the national average. It also billed 1,117 outpatient services, charging 8.25 times what Medicare paid.

1Medicare inpatient stays 1,375
2Charge ÷ paid, inpatient 5.66×
3Rank in CA (highest ratio = 1) 104 of 247
4CMS price-transparency actions 4

Average charge per stay at Temecula Valley Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 59 DRGs that can be compared with the national average, Temecula Valley Hospital charged more than the national average in 59 (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	144	$150,252	+66%	$26,199
291 Heart Failure and Shock with MCC	78	$90,225	+60%	$17,400
193 Simple Pneumonia and Pleurisy with MCC	58	$90,842	+52%	$17,061
177 Respiratory Infections and Inflammations with MCC	52	$151,935	+115%	$22,855
321 Percutaneous Cardiovascular Procedures with Intraluminal...	47	$208,964	+28%	$36,952
322 Percutaneous Cardiovascular Procedures with Intraluminal...	44	$142,937	+25%	$24,455
287 Circulatory Disorders except AMI, with Cardiac...	42	$91,302	+43%	$15,191
280 Acute Myocardial Infarction, Discharged Alive with MCC	39	$152,408	+101%	$21,988
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	38	$88,811	+121%	$11,280
378 Gastrointestinal Hemorrhage with CC	36	$69,180	+42%	$13,411
286 Circulatory Disorders except AMI, with Cardiac...	34	$131,663	+17%	$27,348
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	30	$146,572	+47%	$26,481
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$66,996	+81%	$10,989
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$109,924	+97%	$14,227
698 Other Kidney and Urinary Tract Diagnoses with MCC	24	$97,624	+33%	$21,890
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$141,348	+134%	$18,723
309 Cardiac Arrhythmia and Conduction Disorders with CC	22	$59,283	+64%	$10,420
690 Kidney and Urinary Tract Infections without MCC	22	$65,189	+72%	$10,956
603 Cellulitis without MCC	21	$66,894	+79%	$12,062
267 Endovascular Cardiac Valve Replacement and Supplement...	20	$291,053	+32%	$61,621
377 Gastrointestinal Hemorrhage with MCC	20	$113,659	+33%	$24,276
689 Kidney and Urinary Tract Infections with MCC	20	$116,105	+126%	$17,002
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	20	$83,204	+70%	$13,489
312 Syncope and Collapse	19	$90,678	+99%	$12,087
853 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$266,855	+17%	$62,311
069 Transient Ischemia without Thrombolytic	18	$87,351	+73%	$11,224
189 Pulmonary Edema and Respiratory Failure	18	$92,245	+60%	$16,916
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$98,355	+95%	$13,658
552 Medical Back Problems without MCC	16	$98,810	+102%	$13,555
683 Renal Failure with CC	16	$62,734	+54%	$12,011
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	15	$153,402	+135%	$19,096
274 Percutaneous and Other Intracardiac Procedures without MCC	15	$181,123	+16%	$40,735
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$97,615	+72%	$15,832
481 Hip and Femur Procedures except Major Joint with CC	15	$146,407	+45%	$26,952
884 Organic Disturbances and Intellectual Disability	15	$210,689	+238%	$28,015
314 Other Circulatory System Diagnoses with MCC	14	$144,716	+53%	$28,059
389 Gastrointestinal Obstruction with CC	14	$63,590	+63%	$11,249
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	14	$260,382	+20%	$57,536
299 Peripheral Vascular Disorders with MCC	13	$113,889	+52%	$20,871
393 Other Digestive System Diagnoses with MCC	13	$107,608	+40%	$22,136
394 Other Digestive System Diagnoses with CC	13	$72,338	+54%	$13,369
682 Renal Failure with MCC	13	$91,238	+38%	$19,118
023 Craniotomy with Major Device Implant or Acute Complex Cns...	12	$284,156	+1%	$69,290
149 Dysequilibrium	12	$68,739	+55%	$10,335
194 Simple Pneumonia and Pleurisy with CC	12	$73,198	+91%	$11,593
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	12	$57,797	+101%	$8,057
313 Chest Pain	12	$72,033	+80%	$9,436
432 Cirrhosis and Alcoholic Hepatitis with MCC	12	$166,744	+74%	$25,347
637 Diabetes with MCC	12	$100,827	+52%	$19,634
699 Other Kidney and Urinary Tract Diagnoses with CC	12	$66,600	+40%	$14,029
813 Coagulation Disorders	12	$104,419	+30%	$21,221
101 Seizures without MCC	11	$78,798	+62%	$12,679
190 Chronic Obstructive Pulmonary Disease with MCC	11	$63,134	+25%	$14,915
305 Hypertension without MCC	11	$69,739	+74%	$10,520
374 Digestive Malignancy with MCC	11	$130,993	+30%	$26,607
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	11	$138,305	+127%	$16,887
444 Disorders of The Biliary Tract with MCC	11	$126,372	+52%	$23,152
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$150,756	+47%	$27,303
948 Signs and Symptoms without MCC	11	$75,748	+99%	$11,297

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	327	$42,473	$3,349
Level 1 Endovascular Procedures	247	$34,804	$4,001
Level 5 Musculoskeletal Procedures	118	$81,856	$16,047
Level 3 Endovascular Procedures	74	$81,695	$13,377
Level 3 Airway Endoscopy	51	$14,767	$2,054
Level 4 Airway Endoscopy	33	$39,289	$4,604
Level 3 Pacemaker and Similar Procedures	25	$54,521	$12,649
Level 1 Laparoscopy and Related Services	25	$51,787	$7,094
Level 4 Urology and Related Services	24	$22,084	$4,286
Level 4 Musculoskeletal Procedures	22	$55,889	$8,792
Level 2 Endovascular Procedures	21	$53,402	$7,027
Level 2 Pacemaker and Similar Procedures	21	$39,061	$10,187
Level 3 Vascular Procedures	19	$36,257	$3,919
Level 4 Endovascular Procedures	19	$126,971	$21,504
Level 6 Musculoskeletal Procedures	15	$111,576	$22,851
Level 5 Airway Endoscopy	15	$47,548	$8,413
Level 2 Upper GI Procedures	13	$21,038	$2,339
Level 5 Urology and Related Services	13	$27,568	$6,362
Level 4 Pacemaker and Similar Procedures	12	$181,588	$23,891
Level 5 Neurostimulator and Related Procedures	12	$198,462	$38,054
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	11	$35,068	$4,253

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Temecula Valley Hospital charged $150,252 on average, 5% more than the California average of $143,063, and was paid $26,199 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Temecula Valley Hospital charged $90,225 on average, 10% less than the California average of $100,739, and was paid $17,400 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Temecula Valley Hospital charged $90,842 on average, 12% less than the California average of $103,761, and was paid $17,061 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Temecula Valley Hospital charged $151,935 on average, 22% more than the California average of $124,302, and was paid $22,855 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,473 was 2% above the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,804 was 14% below the state average of $40,544. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $81,856 was 25% below the state average of $109,149. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $81,695 was 24% below the state average of $107,140.

Price-transparency record

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

Warning Notice — 2023-03-10 (CMS case 1253)
Closure Notice — 2023-06-21 (CMS case 1253)
Met Requirements — 2025-04-01 (CMS case 3498)
Met Requirements — 2025-05-29 (CMS case 4749)

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.