Henry Mayo Newhall Hospital
HENRY MAYO NEWHALL HOSPITAL in Valencia, CA charges 11.5x the Medicare reimbursement rate across 47 analyzed procedures, with 77% showing significant price variations.
Valencia, CA 91355 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
11.49x
Charge / Medicare rate
Max markup
20.2x
Worst procedure
Procedures analyzed
47
With pricing data
Outlier procedures
76.6%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $67,441 | $33,721 | — | 20.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $97,989 | $48,995 | — | 17x |
| SYNCOPE AND COLLAPSE | 312 | $114,448 | $57,224 | — | 16x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $183,200 | $91,600 | — | 16x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $83,384 | $41,692 | — | 15.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $77,486 | $38,743 | — | 15.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $109,569 | $54,785 | — | 15.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $67,679 | $33,840 | — | 14.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $88,526 | $44,263 | — | 14.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $88,463 | $44,231 | — | 14.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $78,281 | $39,141 | — | 14.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $87,352 | $43,676 | — | 14.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $111,042 | $55,521 | — | 13.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $177,611 | $88,805 | — | 12.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $71,944 | $35,972 | — | 12.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $85,829 | $42,915 | — | 11.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $113,224 | $56,612 | — | 11.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $89,322 | $44,661 | — | 11.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $79,762 | $39,881 | — | 11.7x |
| RENAL FAILURE WITH CC | 683 | $78,677 | $39,338 | — | 11.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $118,099 | $59,050 | — | 11.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $69,324 | $34,662 | — | 11.5x |
| RENAL FAILURE WITH MCC | 682 | $132,442 | $66,221 | — | 11.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $117,538 | $58,769 | — | 11.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $122,679 | $61,339 | — | 11.3x |
| CELLULITIS WITHOUT MCC | 603 | $69,260 | $34,630 | — | 11.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $272,006 | $136,003 | — | 10.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $101,278 | $50,639 | — | 10.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $109,056 | $54,528 | — | 10.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $168,037 | $84,018 | — | 10.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $171,494 | $85,747 | — | 10.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $110,845 | $55,423 | — | 10.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $75,082 | $37,541 | — | 9.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $161,436 | $80,718 | — | 9.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $58,115 | $29,058 | — | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $160,993 | $80,496 | — | 9.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $72,185 | $36,092 | — | 8.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $158,713 | $79,357 | — | 8.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $131,701 | $65,850 | — | 8.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $372,985 | $186,493 | — | 8.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $122,061 | $61,031 | — | 8.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $128,785 | $64,392 | — | 8.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $654,321 | $327,161 | — | 8.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $394,249 | $197,125 | — | 8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $125,753 | $62,877 | — | 7.6x |
| CELLULITIS WITH MCC | 602 | $79,854 | $39,927 | — | 7.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $231,226 | $115,613 | — | 7.3x |
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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