ENLOE HEALTH
CHICO, CA 95926 · Acute Care Hospitals
163 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
163
With CMS pricing data
Avg Charge-to-Medicare Ratio
9.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
39%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from ENLOE HEALTH, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ENLOE HEALTH lists chargemaster rates that average 9.9x the corresponding Medicare reimbursement amount across 163 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 9.9x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at ENLOE HEALTH is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $97,949, while Medicare reimburses $4,984 for the same procedure — a ratio of 19.6x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
63 of 163 procedures (39%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
ENLOE HEALTH is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $97,949 | $4,984 | 19.6x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $139,627 | $7,782 | 17.9x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $109,237 | $6,320 | 17.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $114,651 | $6,646 | 17.3x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $81,655 | $5,007 | 16.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $54,548 | $3,433 | 15.9x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $156,188 | $10,593 | 14.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $52,169 | $3,564 | 14.6x | 1th | Compare your bill |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $87,564 | $6,047 | 14.5x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $128,589 | $8,932 | 14.4x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $75,431 | $5,317 | 14.2x | 1th | Compare your bill |
| CHEST PAIN | 313 | $74,309 | $5,332 | 13.9x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $181,999 | $13,195 | 13.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $200,377 | $14,719 | 13.6x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $81,122 | $6,037 | 13.4x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $110,915 | $8,415 | 13.2x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $225,904 | $17,372 | 13.0x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $144,669 | $11,309 | 12.8x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $106,425 | $8,371 | 12.7x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $533,287 | $42,109 | 12.7x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $154,406 | $12,564 | 12.3x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $84,552 | $6,964 | 12.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $59,424 | $4,901 | 12.1x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $65,752 | $5,433 | 12.1x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $69,711 | $5,786 | 12.1x | 1th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $96,129 | $8,090 | 11.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $147,157 | $12,519 | 11.8x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $104,936 | $8,921 | 11.8x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $71,490 | $6,111 | 11.7x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $65,277 | $5,594 | 11.7x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $63,311 | $5,457 | 11.6x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $280,150 | $24,503 | 11.4x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $184,266 | $16,194 | 11.4x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $228,606 | $20,117 | 11.4x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $74,960 | $6,617 | 11.3x | 1th | Compare your bill |
| ENDOCRINE DISORDERS WITH MCC | 643 | $147,268 | $13,025 | 11.3x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $733,639 | $64,892 | 11.3x | 1th | Compare your bill |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $63,205 | $5,600 | 11.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $63,337 | $5,624 | 11.3x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $61,855 | $5,496 | 11.3x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $67,671 | $6,044 | 11.2x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $141,002 | $12,754 | 11.1x | 1th | Compare your bill |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $116,208 | $10,510 | 11.1x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $146,007 | $13,267 | 11.0x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $64,066 | $5,833 | 11.0x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $87,098 | $7,947 | 11.0x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $64,652 | $5,942 | 10.9x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $111,462 | $10,253 | 10.9x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $79,059 | $7,283 | 10.9x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $114,923 | $10,643 | 10.8x | 1th | Compare your bill |
Showing 50 of 163 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 9.9x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ENLOE HEALTH
How much does ENLOE HEALTH charge compared to Medicare?
According to CMS IPPS data, ENLOE HEALTH's listed chargemaster rates average 9.9x the Medicare reimbursement amount across 163 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ENLOE HEALTH?
The procedure with the highest chargemaster-to-Medicare ratio at ENLOE HEALTH is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $97,949 compared to Medicare reimbursement of $4,984 — a ratio of 19.6x. Source: CMS IPPS Provider Summary.
Is ENLOE HEALTH expensive compared to other CA hospitals?
ENLOE HEALTH's average chargemaster-to-Medicare ratio is 9.9x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ENLOE HEALTH come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ENLOE HEALTH is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ENLOE HEALTH in CHICO, CA accept Medicare?
ENLOE HEALTH is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ENLOE HEALTH directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.