California / UCLA West Valley Medical Center

CMS certification 050481 · West Hills, CA · 2 entries in CMS's price-transparency list

UCLA West Valley Medical Center: charges and Medicare payments

UCLA West Valley Medical Center reported 2,078 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 14.36 times what it was paid — among the higher ratios in California, number 3 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: 288 stays at an average charge of $297,149, 229% above the national average. It also billed 955 outpatient services, charging 20.85 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,078
  2. 2Charge ÷ paid, inpatient 14.36×
  3. 3Rank in CA (highest ratio = 1) 3 of 247
  4. 4CMS price-transparency actions 2
DRG 871$297,149DRG 291$184,028DRG 177$228,459DRG 193$210,315DRG 470$292,338DRG 689$167,864DRG 280$221,281DRG 682$166,696DRG 392$112,720DRG 683$131,761
Average charge per stay at UCLA West Valley Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 69 DRGs that can be compared with the national average, UCLA West Valley Medical Center charged more than the national average in 69 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC288$297,149+229%$19,519
291 Heart Failure and Shock with MCC103$184,028+226%$12,439
177 Respiratory Infections and Inflammations with MCC100$228,459+224%$16,076
193 Simple Pneumonia and Pleurisy with MCC82$210,315+252%$13,133
470 Major Hip and Knee Joint Replacement or Reattachment of...55$292,338+214%$20,759
689 Kidney and Urinary Tract Infections with MCC53$167,864+227%$12,452
280 Acute Myocardial Infarction, Discharged Alive with MCC52$221,281+192%$15,630
682 Renal Failure with MCC51$166,696+153%$13,928
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...49$112,720+181%$8,026
683 Renal Failure with CC48$131,761+224%$9,271
853 Infectious and Parasitic Diseases with O.R. Procedures with...48$612,524+168%$46,694
312 Syncope and Collapse42$112,843+148%$8,655
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...42$198,521+229%$13,074
690 Kidney and Urinary Tract Infections without MCC41$111,202+194%$8,006
698 Other Kidney and Urinary Tract Diagnoses with MCC40$205,365+180%$15,492
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC39$179,781+267%$11,005
189 Pulmonary Edema and Respiratory Failure37$194,318+238%$12,117
274 Percutaneous and Other Intracardiac Procedures without MCC37$550,038+251%$31,524
064 Intracranial Hemorrhage or Cerebral Infarction with MCC36$290,750+191%$18,907
322 Percutaneous Cardiovascular Procedures with Intraluminal...35$325,370+184%$22,095
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...28$99,764+169%$7,574
378 Gastrointestinal Hemorrhage with CC26$163,691+237%$13,772
377 Gastrointestinal Hemorrhage with MCC25$304,423+257%$22,061
309 Cardiac Arrhythmia and Conduction Disorders with CC24$94,861+163%$7,498
481 Hip and Femur Procedures except Major Joint with CC24$297,665+195%$19,872
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...23$220,163+295%$14,870
208 Respiratory System Diagnosis with Ventilator Support <=96...23$407,791+200%$26,347
313 Chest Pain23$104,294+161%$7,038
321 Percutaneous Cardiovascular Procedures with Intraluminal...21$516,143+215%$30,542
522 Hip Replacement with Principal Diagnosis of Hip Fracture...21$333,757+226%$22,580
305 Hypertension without MCC20$98,986+147%$7,590
552 Medical Back Problems without MCC20$122,267+150%$9,560
870 Septicemia or Severe Sepsis with MV >96 Hours20$972,533+201%$65,513
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC19$81,345+183%$6,122
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$175,930+188%$13,171
394 Other Digestive System Diagnoses with CC19$114,842+144%$9,359
603 Cellulitis without MCC19$109,429+193%$9,145
202 Bronchitis and Asthma with CC/MCC18$147,016+219%$9,542
329 Major Small and Large Bowel Procedures with MCC18$973,760+353%$60,359
190 Chronic Obstructive Pulmonary Disease with MCC17$202,535+300%$11,276
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...17$101,087+137%$8,945
308 Cardiac Arrhythmia and Conduction Disorders with MCC16$157,729+179%$11,852
194 Simple Pneumonia and Pleurisy with CC15$140,853+267%$8,683
286 Circulatory Disorders except AMI, with Cardiac...15$253,317+126%$21,069
393 Other Digestive System Diagnoses with MCC15$207,041+170%$15,907
884 Organic Disturbances and Intellectual Disability15$111,539+79%$16,982
432 Cirrhosis and Alcoholic Hepatitis with MCC14$346,643+262%$18,769
811 Red Blood Cell Disorders with MCC14$194,874+186%$12,935
812 Red Blood Cell Disorders without MCC14$103,160+132%$11,137
100 Seizures with MCC13$172,222+82%$18,568
389 Gastrointestinal Obstruction with CC13$109,937+182%$14,722
390 Gastrointestinal Obstruction without CC/MCC13$103,526+271%$5,740
468 Revision of Hip or Knee Replacement without CC/MCC13$367,084+196%$25,890
813 Coagulation Disorders13$146,462+83%$15,263
069 Transient Ischemia without Thrombolytic12$138,015+174%$8,060
092 Other Disorders of Nervous System with CC12$146,345+184%$10,235
205 Other Respiratory System Diagnoses with MCC12$159,776+81%$15,549
467 Revision of Hip or Knee Replacement with CC12$391,599+148%$32,416
643 Endocrine Disorders with MCC12$156,938+112%$14,473
699 Other Kidney and Urinary Tract Diagnoses with CC12$143,204+202%$10,024

Showing the 60 most frequent of 69 DRGs.

Outpatient services

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UCLA West Valley Medical Center charged $297,149 on average, 108% more than the California average of $143,063, and was paid $19,519 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), UCLA West Valley Medical Center charged $184,028 on average, 83% more than the California average of $100,739, and was paid $12,439 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), UCLA West Valley Medical Center charged $228,459 on average, 84% more than the California average of $124,302, and was paid $16,076 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), UCLA West Valley Medical Center charged $210,315 on average, 103% more than the California average of $103,761, and was paid $13,133 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $71,704 was 72% above the state average of $41,628. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $589,604 was 187% above the state average of $205,167. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $33,855 was 130% above the state average of $14,749. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $109,354 was 170% above the state average of $40,544.

Price-transparency record

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

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.