Los Angeles Community Hospital
Los Angeles Community Hospital charges 3.4x the Medicare reimbursement rate across 45 analyzed procedures, reflecting the pricing structure at this for-profit healthcare facility in Los Angeles.
Los Angeles, CA 90023 · 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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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
3.35x
Charge / Medicare rate
Max markup
5.25x
Worst procedure
Procedures analyzed
45
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $82,814 | $41,407 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,558 | $16,779 | — | 5.1x |
| DIABETES WITH CC | 638 | $35,399 | $17,700 | — | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $202,399 | $101,200 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $243,486 | $121,743 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,040 | $13,520 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,568 | $18,784 | — | 4.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $64,449 | $32,225 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,216 | $35,608 | — | 4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $32,087 | $16,044 | — | 4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $51,290 | $25,645 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $30,052 | $15,026 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $59,989 | $29,995 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,787 | $12,394 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,238 | $19,619 | — | 3.6x |
| COMPLICATED PEPTIC ULCER WITH MCC | 380 | $59,585 | $29,792 | — | 3.6x |
| CELLULITIS WITHOUT MCC | 603 | $26,341 | $13,170 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,417 | $20,709 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $34,961 | $17,481 | — | 3.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $24,736 | $12,368 | — | 3.5x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $23,046 | $11,523 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $44,995 | $22,497 | — | 3.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,310 | $15,155 | — | 3.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,482 | $11,241 | — | 3.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $49,885 | $24,943 | — | 3.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $29,560 | $14,780 | — | 3.2x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $37,384 | $18,692 | — | 3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,546 | $21,273 | — | 3x |
| SEIZURES WITHOUT MCC | 101 | $23,326 | $11,663 | — | 2.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $36,631 | $18,316 | — | 2.9x |
| DIABETES WITH MCC | 637 | $34,247 | $17,123 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $31,981 | $15,991 | — | 2.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 562 | $35,612 | $17,806 | — | 2.8x |
| CELLULITIS WITH MCC | 602 | $33,653 | $16,826 | — | 2.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $41,235 | $20,617 | — | 2.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $23,873 | $11,936 | — | 2.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $28,614 | $14,307 | — | 2.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $36,572 | $18,286 | — | 2.5x |
| SEIZURES WITH MCC | 100 | $43,810 | $21,905 | — | 2.5x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | 604 | $32,948 | $16,474 | — | 2.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $27,485 | $13,742 | — | 2.3x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $31,818 | $15,909 | — | 2.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $33,614 | $16,807 | — | 2.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $63,653 | $31,826 | — | 2.1x |
| PSYCHOSES | 885 | $20,388 | $10,194 | — | 1.7x |
How LOS ANGELES COMMUNITY HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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