California / Usc Arcadia Hospital
CMS certification 050238 · Arcadia, CA · 4 entries in CMS's price-transparency list
Usc Arcadia Hospital: charges and Medicare payments
Usc Arcadia Hospital reported 3,108 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 7.44 times what it was paid — among the higher ratios in California, number 49 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: 503 stays at an average charge of $131,545, 46% above the national average. It also billed 1,448 outpatient services, charging 7.08 times what Medicare paid.
- 1Medicare inpatient stays 3,108
- 2Charge ÷ paid, inpatient 7.44×
- 3Rank in CA (highest ratio = 1) 49 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 87 DRGs that can be compared with the national average, Usc Arcadia Hospital charged more than the national average in 74 (85%). 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 | 503 | $131,545 | +46% | $16,571 |
| 291 Heart Failure and Shock with MCC | 208 | $93,514 | +66% | $10,679 |
| 177 Respiratory Infections and Inflammations with MCC | 129 | $126,352 | +79% | $14,938 |
| 193 Simple Pneumonia and Pleurisy with MCC | 129 | $103,492 | +73% | $11,210 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 81 | $111,398 | +20% | $15,910 |
| 689 Kidney and Urinary Tract Infections with MCC | 73 | $85,189 | +66% | $9,588 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 71 | $125,207 | +25% | $15,450 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 70 | $70,602 | +17% | $10,897 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 62 | $322,263 | +41% | $47,434 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $59,706 | +58% | $6,524 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 58 | $66,564 | +36% | $9,176 |
| 378 Gastrointestinal Hemorrhage with CC | 54 | $56,445 | +16% | $7,879 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 53 | $78,265 | +40% | $8,397 |
| 312 Syncope and Collapse | 52 | $56,072 | +23% | $7,746 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 48 | $90,703 | +24% | $13,772 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $52,091 | +41% | $7,339 |
| 682 Renal Failure with MCC | 44 | $113,383 | +72% | $13,440 |
| 377 Gastrointestinal Hemorrhage with MCC | 43 | $114,296 | +34% | $14,961 |
| 683 Renal Failure with CC | 43 | $53,869 | +32% | $8,324 |
| 313 Chest Pain | 41 | $45,727 | +15% | $6,461 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 40 | $112,315 | +10% | $17,797 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $119,802 | +19% | $17,710 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $84,401 | +47% | $10,693 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $87,553 | +73% | $9,338 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 35 | $398,433 | +23% | $57,945 |
| 252 Other Vascular Procedures with MCC | 32 | $131,064 | -23% | $30,393 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $47,781 | +19% | $7,134 |
| 389 Gastrointestinal Obstruction with CC | 31 | $45,999 | +18% | $6,191 |
| 393 Other Digestive System Diagnoses with MCC | 31 | $105,986 | +38% | $14,364 |
| 394 Other Digestive System Diagnoses with CC | 30 | $70,412 | +50% | $8,562 |
| 101 Seizures without MCC | 28 | $74,737 | +53% | $8,842 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $87,089 | +15% | $12,740 |
| 603 Cellulitis without MCC | 28 | $73,718 | +98% | $7,891 |
| 069 Transient Ischemia without Thrombolytic | 27 | $60,131 | +19% | $7,682 |
| 314 Other Circulatory System Diagnoses with MCC | 26 | $126,552 | +33% | $20,015 |
| 552 Medical Back Problems without MCC | 26 | $64,136 | +31% | $8,604 |
| 092 Other Disorders of Nervous System with CC | 22 | $68,364 | +33% | $9,800 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $41,795 | +16% | $6,888 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $95,248 | +56% | $11,006 |
| 202 Bronchitis and Asthma with CC/MCC | 21 | $69,360 | +50% | $9,093 |
| 638 Diabetes with CC | 21 | $63,658 | +53% | $8,505 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $118,812 | +4% | $16,629 |
| 100 Seizures with MCC | 19 | $115,203 | +22% | $17,850 |
| 180 Respiratory Neoplasms with MCC | 19 | $101,316 | +15% | $16,491 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $281,983 | +108% | $32,494 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $75,960 | +34% | $10,783 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 19 | $198,011 | -2% | $39,810 |
| 149 Dysequilibrium | 17 | $56,854 | +28% | $6,417 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $65,698 | +71% | $6,856 |
| 467 Revision of Hip or Knee Replacement with CC | 17 | $204,535 | +30% | $29,576 |
| 812 Red Blood Cell Disorders without MCC | 17 | $57,405 | +29% | $8,089 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $269,395 | +25% | $37,784 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $71,157 | +9% | $12,737 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $145,203 | +22% | $20,158 |
| 390 Gastrointestinal Obstruction without CC/MCC | 15 | $39,368 | +41% | $4,868 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $345,472 | +23% | $37,007 |
| 300 Peripheral Vascular Disorders with CC | 14 | $59,732 | +21% | $9,536 |
| 602 Cellulitis with MCC | 14 | $64,072 | +7% | $9,545 |
| 644 Endocrine Disorders with CC | 14 | $61,451 | +28% | $7,813 |
| 056 Degenerative Nervous System Disorders with MCC | 13 | $144,743 | +51% | $20,746 |
Showing the 60 most frequent of 87 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Usc Arcadia Hospital charged $131,545 on average, 8% less than the California average of $143,063, and was paid $16,571 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Usc Arcadia Hospital charged $93,514 on average, 7% less than the California average of $100,739, and was paid $10,679 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Usc Arcadia Hospital charged $126,352 on average, 2% more than the California average of $124,302, and was paid $14,938 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Usc Arcadia Hospital charged $103,492 on average, 0% less than the California average of $103,761, and was paid $11,210 against a state average of $15,112. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,464 was 22% below the state average of $109,149. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,808 was 21% below the state average of $41,628. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $36,407 was 43% below the state average of $64,351. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,927 was 53% below the state average of $14,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Usc Arcadia Hospital in Arcadia, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-21 (CMS case 2490)
- CAP Request — 2024-11-25 (CMS case 2490)
- Closure Notice — 2025-02-13 (CMS case 2490)
- Warning Notice — 2026-07-28 (CMS case 8357)
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.