California / Tenet Health Central Coast Sierra Vista Rmc
CMS certification 050506 · San Luis Obispo, CA
Tenet Health Central Coast Sierra Vista Rmc: charges and Medicare payments
Tenet Health Central Coast Sierra Vista Rmc reported 520 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 10.77 times what it was paid — among the higher ratios in California, number 17 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: 122 stays at an average charge of $213,178, 136% above the national average. It also billed 831 outpatient services, charging 11.92 times what Medicare paid.
- 1Medicare inpatient stays 520
- 2Charge ÷ paid, inpatient 10.77×
- 3Rank in CA (highest ratio = 1) 17 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 23 DRGs that can be compared with the national average, Tenet Health Central Coast Sierra Vista Rmc charged more than the national average in 23 (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 | 122 | $213,178 | +136% | $18,780 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $155,896 | +161% | $12,816 |
| 291 Heart Failure and Shock with MCC | 29 | $151,364 | +168% | $12,624 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 28 | $417,726 | +80% | $42,764 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $271,496 | +172% | $20,273 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $151,027 | +114% | $15,589 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $149,035 | +167% | $10,119 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $120,926 | +110% | $12,164 |
| 472 Cervical Spinal Fusion with CC | 19 | $236,812 | +66% | $28,787 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $198,616 | +97% | $19,926 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $190,256 | +216% | $12,724 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 18 | $521,970 | +87% | $62,488 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $208,023 | +103% | $20,580 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $102,106 | +170% | $7,624 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $117,365 | +139% | $10,043 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $511,176 | +123% | $51,534 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $124,145 | +156% | $9,776 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $104,774 | +146% | $8,925 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $148,843 | +144% | $12,603 |
| 683 Renal Failure with CC | 12 | $116,072 | +185% | $8,902 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $89,848 | +124% | $7,864 |
| 552 Medical Back Problems without MCC | 11 | $102,331 | +109% | $9,316 |
| 682 Renal Failure with MCC | 11 | $196,410 | +198% | $15,210 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tenet Health Central Coast Sierra Vista Rmc charged $213,178 on average, 49% more than the California average of $143,063, and was paid $18,780 against a state average of $23,020. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tenet Health Central Coast Sierra Vista Rmc charged $155,896 on average, 50% more than the California average of $103,761, and was paid $12,816 against a state average of $15,112. For Heart Failure and Shock with MCC (DRG 291), Tenet Health Central Coast Sierra Vista Rmc charged $151,364 on average, 50% more than the California average of $100,739, and was paid $12,624 against a state average of $15,556. For Craniotomy and Endovascular Intracranial Procedures with MCC (DRG 025), Tenet Health Central Coast Sierra Vista Rmc charged $417,726 on average, 9% more than the California average of $384,874, and was paid $42,764 against a state average of $59,908. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,159 was 10% above the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $23,085 was 24% below the state average of $30,190. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $70,408 was 69% above the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $26,014 was 37% above the state average of $19,034.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.