Hemet Global Medical Center
HEMET GLOBAL MEDICAL CENTER in Hemet, CA charges 4.1x the Medicare reimbursement rate across 27 analyzed procedures at this for-profit hospital.
Hemet, CA 92543 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
C
Average
Avg markup vs Medicare
4.12x
Charge / Medicare rate
Max markup
5.53x
Worst procedure
Procedures analyzed
27
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,449 | $32,724 | — | 5.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $207,500 | $103,750 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,623 | $34,812 | — | 5.3x |
| CELLULITIS WITHOUT MCC | 603 | $37,942 | $18,971 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,904 | $16,452 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,885 | $17,443 | — | 5x |
| RENAL FAILURE WITH CC | 683 | $39,357 | $19,678 | — | 5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $212,662 | $106,331 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $78,426 | $39,213 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $65,891 | $32,945 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $83,893 | $41,946 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $258,592 | $129,296 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,730 | $18,865 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,742 | $16,371 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $72,273 | $36,137 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,956 | $18,978 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,503 | $23,251 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,163 | $35,081 | — | 4.1x |
| RENAL FAILURE WITH MCC | 682 | $50,275 | $25,137 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,935 | $22,467 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $39,550 | $19,775 | — | 3.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,907 | $18,954 | — | 3.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $46,669 | $23,334 | — | 3.2x |
| DIABETES WITH MCC | 637 | $36,806 | $18,403 | — | 3.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $45,414 | $22,707 | — | 2.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 894 | $12,071 | $6,036 | — | 2.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 895 | $20,035 | $10,018 | — | 1.4x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use