California / Uci Health-Lakewood
CMS certification 050581 · Lakewood, CA
Uci Health-Lakewood: charges and Medicare payments
Uci Health-Lakewood reported 1,209 Medicare inpatient stays across 45 DRGs in 2024. Across them it charged 12.34 times what it was paid — among the higher ratios in California, number 12 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: 224 stays at an average charge of $291,834, 223% above the national average. It also billed 381 outpatient services, charging 11.72 times what Medicare paid.
- 1Medicare inpatient stays 1,209
- 2Charge ÷ paid, inpatient 12.34×
- 3Rank in CA (highest ratio = 1) 12 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 45 DRGs that can be compared with the national average, Uci Health-Lakewood charged more than the national average in 45 (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 | 224 | $291,834 | +223% | $20,596 |
| 291 Heart Failure and Shock with MCC | 84 | $211,897 | +276% | $14,263 |
| 193 Simple Pneumonia and Pleurisy with MCC | 52 | $139,055 | +133% | $13,306 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $123,888 | +105% | $12,764 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $124,359 | +154% | $10,473 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $568,190 | +148% | $50,108 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $104,932 | +177% | $8,461 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 34 | $743,873 | +130% | $63,048 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $226,488 | +208% | $16,388 |
| 683 Renal Failure with CC | 29 | $110,822 | +172% | $9,243 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $271,510 | +172% | $19,329 |
| 682 Renal Failure with MCC | 26 | $140,854 | +114% | $13,232 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $141,675 | +176% | $11,822 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $195,684 | +240% | $12,507 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $282,242 | +300% | $17,742 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $109,861 | +126% | $10,243 |
| 552 Medical Back Problems without MCC | 21 | $112,378 | +130% | $9,798 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $91,948 | +148% | $8,111 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $172,503 | +210% | $11,706 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $108,619 | +183% | $8,619 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $145,965 | +189% | $11,127 |
| 313 Chest Pain | 19 | $100,119 | +151% | $7,649 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $101,694 | +153% | $8,196 |
| 603 Cellulitis without MCC | 18 | $94,260 | +153% | $8,715 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $218,982 | +189% | $15,598 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $177,514 | +90% | $18,049 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $276,774 | +224% | $19,797 |
| 637 Diabetes with MCC | 16 | $171,310 | +158% | $20,026 |
| 069 Transient Ischemia without Thrombolytic | 15 | $115,708 | +129% | $7,837 |
| 252 Other Vascular Procedures with MCC | 15 | $360,136 | +111% | $33,650 |
| 100 Seizures with MCC | 14 | $185,768 | +97% | $19,518 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $146,200 | +54% | $18,455 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 14 | $117,028 | +22% | $19,534 |
| 638 Diabetes with CC | 14 | $110,763 | +166% | $8,544 |
| 092 Other Disorders of Nervous System with CC | 13 | $109,085 | +112% | $10,709 |
| 394 Other Digestive System Diagnoses with CC | 13 | $110,934 | +136% | $9,756 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 13 | $105,918 | +122% | $9,962 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $96,351 | +103% | $10,524 |
| 389 Gastrointestinal Obstruction with CC | 12 | $97,377 | +150% | $8,352 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $131,899 | +72% | $16,492 |
| 101 Seizures without MCC | 11 | $94,180 | +93% | $9,536 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $115,168 | +103% | $12,419 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $143,599 | +135% | $13,117 |
| 811 Red Blood Cell Disorders with MCC | 11 | $186,377 | +173% | $15,956 |
| 812 Red Blood Cell Disorders without MCC | 11 | $92,845 | +109% | $9,213 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 83 | $60,672 | $3,333 |
| Level 1 Endovascular Procedures | 40 | $57,058 | $4,013 |
| Level 3 Vascular Procedures | 37 | $48,740 | $3,919 |
| Level 5 Musculoskeletal Procedures | 31 | $148,738 | $15,679 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $15,119 | $1,958 |
| Level 4 Urology and Related Services | 28 | $41,709 | $4,287 |
| Level 3 Electrophysiologic Procedures | 25 | $174,045 | $29,114 |
| Level 3 Endovascular Procedures | 20 | $143,075 | $12,828 |
| Level 5 Urology and Related Services | 20 | $54,888 | $6,362 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $29,710 | $3,494 |
| Level 2 Vascular Procedures | 14 | $23,369 | $1,969 |
| Level 2 Upper GI Procedures | 13 | $21,199 | $2,339 |
| Level 4 Musculoskeletal Procedures | 12 | $85,824 | $8,792 |
| Level 3 Musculoskeletal Procedures | 11 | $55,487 | $3,980 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uci Health-Lakewood charged $291,834 on average, 104% more than the California average of $143,063, and was paid $20,596 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Uci Health-Lakewood charged $211,897 on average, 110% more than the California average of $100,739, and was paid $14,263 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uci Health-Lakewood charged $139,055 on average, 34% more than the California average of $103,761, and was paid $13,306 against a state average of $15,112. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Uci Health-Lakewood charged $123,888 on average, 40% more than the California average of $88,573, and was paid $12,764 against a state average of $15,580. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $60,672 was 46% above the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $57,058 was 41% above the state average of $40,544. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $48,740 was 61% above the state average of $30,190. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $148,738 was 36% above the state average of $109,149.
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.