California / Uci Health-Placentia Linda
CMS certification 050589 · Placentia, CA
Uci Health-Placentia Linda: charges and Medicare payments
Uci Health-Placentia Linda reported 404 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 13.68 times what it was paid — among the higher ratios in California, number 7 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: 109 stays at an average charge of $255,766, 183% above the national average. It also billed 479 outpatient services, charging 18.79 times what Medicare paid.
- 1Medicare inpatient stays 404
- 2Charge ÷ paid, inpatient 13.68×
- 3Rank in CA (highest ratio = 1) 7 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Uci Health-Placentia Linda charged more than the national average in 17 (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 | 109 | $255,766 | +183% | $18,497 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $196,310 | +178% | $15,537 |
| 291 Heart Failure and Shock with MCC | 36 | $173,488 | +208% | $12,396 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $203,876 | +241% | $12,982 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $156,448 | +314% | $8,042 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $162,070 | +230% | $10,170 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $127,299 | +162% | $11,701 |
| 682 Renal Failure with MCC | 16 | $159,132 | +141% | $13,703 |
| 552 Medical Back Problems without MCC | 14 | $109,362 | +124% | $9,558 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $122,329 | +205% | $8,064 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $173,560 | +238% | $14,063 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $207,165 | +182% | $15,750 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $132,828 | +246% | $8,439 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $225,456 | +197% | $18,185 |
| 683 Renal Failure with CC | 12 | $120,164 | +195% | $8,826 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $186,858 | +85% | $19,810 |
| 603 Cellulitis without MCC | 11 | $127,658 | +242% | $8,423 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 219 | $81,240 | $3,366 |
| Level 5 Musculoskeletal Procedures | 40 | $161,783 | $16,148 |
| Level 1 Laparoscopy and Related Services | 37 | $85,517 | $6,946 |
| Level 4 Musculoskeletal Procedures | 34 | $99,414 | $8,792 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $16,104 | $1,994 |
| Level 3 Musculoskeletal Procedures | 21 | $64,989 | $3,980 |
| Level 1 Intraocular Procedures | 21 | $44,296 | $2,865 |
| Level 2 Upper GI Procedures | 19 | $21,576 | $2,340 |
| Level 2 Musculoskeletal Procedures | 14 | $40,580 | $1,976 |
| Level 4 Urology and Related Services | 14 | $62,540 | $4,286 |
| Level 1 Endovascular Procedures | 13 | $41,663 | $3,805 |
| Level 5 Urology and Related Services | 13 | $79,878 | $6,362 |
| Level 3 Vascular Procedures | 12 | $61,914 | $3,919 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uci Health-Placentia Linda charged $255,766 on average, 79% more than the California average of $143,063, and was paid $18,497 against a state average of $23,020. For Respiratory Infections and Inflammations with MCC (DRG 177), Uci Health-Placentia Linda charged $196,310 on average, 58% more than the California average of $124,302, and was paid $15,537 against a state average of $18,986. For Heart Failure and Shock with MCC (DRG 291), Uci Health-Placentia Linda charged $173,488 on average, 72% more than the California average of $100,739, and was paid $12,396 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uci Health-Placentia Linda charged $203,876 on average, 96% more than the California average of $103,761, and was paid $12,982 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $81,240 was 95% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $161,783 was 48% above the state average of $109,149. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $85,517 was 33% above the state average of $64,351. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $99,414 was 43% above the state average of $69,476.
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.