California / Ventura County Medical Center
CMS certification 050159 · Ventura, CA · 2 entries in CMS's price-transparency list
Ventura County Medical Center: charges and Medicare payments
Ventura County Medical Center reported 899 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 6.07 times what it was paid — mid-range in California, number 86 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: 153 stays at an average charge of $124,027, 37% above the national average. It also billed 368 outpatient services, charging 6.92 times what Medicare paid.
- 1Medicare inpatient stays 899
- 2Charge ÷ paid, inpatient 6.07×
- 3Rank in CA (highest ratio = 1) 86 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 34 DRGs that can be compared with the national average, Ventura County Medical Center charged more than the national average in 33 (97%). 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 | 153 | $124,027 | +37% | $22,689 |
| 885 Psychoses | 89 | $141,646 | +222% | $19,888 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $87,035 | +77% | $12,667 |
| 291 Heart Failure and Shock with MCC | 33 | $84,569 | +50% | $15,022 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 33 | $93,453 | 0% | $22,004 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $71,721 | +42% | $13,497 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $85,735 | +127% | $10,829 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $89,267 | +49% | $15,807 |
| 552 Medical Back Problems without MCC | 27 | $93,968 | +92% | $12,358 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 26 | $96,815 | +161% | $13,231 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $151,796 | +51% | $23,854 |
| 689 Kidney and Urinary Tract Infections with MCC | 25 | $102,297 | +99% | $14,809 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $256,078 | +12% | $54,997 |
| 312 Syncope and Collapse | 21 | $172,228 | +278% | $24,373 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $57,630 | +56% | $10,411 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $50,374 | +25% | $10,358 |
| 603 Cellulitis without MCC | 19 | $80,094 | +115% | $11,662 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $124,755 | +70% | $20,278 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $87,736 | +57% | $12,614 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 16 | $111,662 | +162% | $11,712 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $118,502 | +97% | $15,732 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 16 | $97,583 | +25% | $21,109 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 15 | $140,604 | +106% | $15,958 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $129,132 | +51% | $21,343 |
| 682 Renal Failure with MCC | 15 | $125,661 | +91% | $22,421 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $86,308 | +22% | $19,158 |
| 184 Major Chest Trauma with CC | 14 | $98,132 | +77% | $13,404 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $71,136 | +24% | $14,869 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $73,172 | +51% | $12,577 |
| 948 Signs and Symptoms without MCC | 14 | $60,604 | +59% | $10,168 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $160,498 | +61% | $23,422 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 11 | $157,622 | +115% | $17,568 |
| 445 Disorders of The Biliary Tract with CC | 11 | $71,482 | +23% | $13,677 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $65,089 | +37% | $12,232 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 155 | $29,471 | $3,344 |
| Level 1 Laparoscopy and Related Services | 43 | $30,463 | $7,094 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 41 | $6,054 | $1,993 |
| Level 3 Vascular Procedures | 28 | $19,414 | $3,919 |
| Level 4 Urology and Related Services | 21 | $20,134 | $4,286 |
| Level 4 Musculoskeletal Procedures | 20 | $37,282 | $8,792 |
| Level 5 Urology and Related Services | 14 | $27,464 | $6,362 |
| Level 3 Endovascular Procedures | 13 | $46,956 | $13,503 |
| Level 2 Upper GI Procedures | 11 | $7,403 | $2,233 |
| Level 3 Lower GI Procedures | 11 | $10,645 | $3,452 |
| Level 5 Gynecologic Procedures | 11 | $29,786 | $6,115 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ventura County Medical Center charged $124,027 on average, 13% less than the California average of $143,063, and was paid $22,689 against a state average of $23,020. For Psychoses (DRG 885), Ventura County Medical Center charged $141,646 on average, 175% more than the California average of $51,465, and was paid $19,888 against a state average of $15,642. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Ventura County Medical Center charged $87,035 on average, 14% more than the California average of $76,120, and was paid $12,667 against a state average of $12,552. For Heart Failure and Shock with MCC (DRG 291), Ventura County Medical Center charged $84,569 on average, 16% less than the California average of $100,739, and was paid $15,022 against a state average of $15,556. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,471 was 29% below the state average of $41,628. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $30,463 was 53% below the state average of $64,351. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,054 was 59% below the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,414 was 36% below the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ventura County Medical Center in Ventura, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-29 (CMS case 2171)
- Closure Notice — 2024-06-04 (CMS case 2171)
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.