California / Valley Presbyterian Hospital
CMS certification 050126 · Van Nuys, CA · 5 entries in CMS's price-transparency list
Valley Presbyterian Hospital: charges and Medicare payments
Valley Presbyterian Hospital reported 1,127 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 3.63 times what it was paid — among the lower ratios in California, number 196 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: 282 stays at an average charge of $88,719, 2% below the national average. It also billed 498 outpatient services, charging 5.75 times what Medicare paid.
- 1Medicare inpatient stays 1,127
- 2Charge ÷ paid, inpatient 3.63×
- 3Rank in CA (highest ratio = 1) 196 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 35 DRGs that can be compared with the national average, Valley Presbyterian Hospital charged more than the national average in 5 (14%). 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 | 282 | $88,719 | -2% | $23,207 |
| 291 Heart Failure and Shock with MCC | 109 | $54,982 | -2% | $14,957 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $42,936 | -12% | $11,127 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 46 | $231,206 | -28% | $81,037 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $52,508 | -12% | $14,541 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $184,061 | -20% | $59,729 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $48,027 | -20% | $13,822 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $65,628 | -7% | $19,814 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 28 | $64,462 | +27% | $12,292 |
| 682 Renal Failure with MCC | 28 | $64,184 | -3% | $16,125 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $33,608 | -16% | $8,868 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $36,330 | -4% | $8,958 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $92,587 | +8% | $20,004 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $66,657 | +16% | $13,707 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $50,794 | -33% | $17,195 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $36,303 | -2% | $8,815 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $57,292 | -22% | $17,009 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $114,232 | 0% | $20,878 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 21 | $71,157 | -24% | $20,822 |
| 313 Chest Pain | 20 | $33,721 | -16% | $8,167 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $39,868 | -22% | $12,639 |
| 312 Syncope and Collapse | 17 | $40,811 | -10% | $9,725 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $144,888 | -11% | $38,101 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $85,948 | -14% | $23,965 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $85,900 | -9% | $24,221 |
| 394 Other Digestive System Diagnoses with CC | 15 | $51,677 | +10% | $10,545 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $34,543 | -10% | $9,048 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $112,163 | +46% | $21,553 |
| 603 Cellulitis without MCC | 14 | $32,535 | -13% | $9,842 |
| 683 Renal Failure with CC | 14 | $27,319 | -33% | $9,356 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $47,022 | -16% | $11,111 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $35,510 | -30% | $10,279 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $21,789 | -40% | $8,661 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $46,095 | -5% | $10,751 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $28,888 | -32% | $9,545 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 133 | $18,774 | $3,347 |
| Level 4 Musculoskeletal Procedures | 60 | $36,733 | $8,792 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 45 | $9,034 | $1,949 |
| Level 3 Vascular Procedures | 38 | $19,858 | $3,816 |
| Level 1 Endovascular Procedures | 34 | $15,809 | $4,013 |
| Level 5 Musculoskeletal Procedures | 29 | $82,327 | $16,148 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 27 | $21,887 | $3,493 |
| Level 3 Musculoskeletal Procedures | 23 | $18,678 | $3,980 |
| Level 2 Endovascular Procedures | 19 | $24,117 | $7,027 |
| Level 3 Endovascular Procedures | 18 | $75,676 | $13,503 |
| Level 2 Upper GI Procedures | 13 | $11,798 | $2,340 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 12 | $19,371 | $8,018 |
| Level 2 Vascular Procedures | 12 | $8,373 | $1,851 |
| Level 1 Laparoscopy and Related Services | 12 | $21,148 | $7,094 |
| Level 1 Intraocular Procedures | 12 | $11,150 | $2,865 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $16,746 | $4,254 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Valley Presbyterian Hospital charged $88,719 on average, 38% less than the California average of $143,063, and was paid $23,207 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Valley Presbyterian Hospital charged $54,982 on average, 45% less than the California average of $100,739, and was paid $14,957 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Valley Presbyterian Hospital charged $42,936 on average, 44% less than the California average of $76,120, and was paid $11,127 against a state average of $12,552. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Valley Presbyterian Hospital charged $231,206 on average, 53% less than the California average of $487,018, and was paid $81,037 against a state average of $81,331. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,774 was 55% below the state average of $41,628. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $36,733 was 47% below the state average of $69,476. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,034 was 39% below the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,858 was 34% below the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Valley Presbyterian Hospital in Van Nuys, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-03-13 (CMS case 1633)
- CAP Request — 2024-06-17 (CMS case 1633)
- Closure Notice — 2024-07-24 (CMS case 1633)
- Met Requirements — 2025-07-31 (CMS case 6068)
- Met Requirements — 2026-01-07 (CMS case 6765)
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.