Los Angeles General Medical Center
Los Angeles General Medical Center, a government-owned hospital in Los Angeles, CA, charges 2.5x the Medicare reimbursement rate across 52 analyzed procedures.
Los Angeles, CA 90033 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
No credit card required. Results in 60 seconds.
Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
B
Good
Avg markup vs Medicare
2.51x
Charge / Medicare rate
Max markup
5.97x
Worst procedure
Procedures analyzed
52
With pricing data
Outlier procedures
1.9%
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 |
|---|---|---|---|---|---|
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $197,532 | $98,766 | — | 6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $349,516 | $174,758 | — | 4.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $289,803 | $144,901 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $341,565 | $170,782 | — | 3.7x |
| NON-EXTENSIVE BURNS | 935 | $135,962 | $67,981 | — | 3.7x |
| DIABETES WITH MCC | 637 | $107,152 | $53,576 | — | 3.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $144,634 | $72,317 | — | 3.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $288,672 | $144,336 | — | 3.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $130,067 | $65,033 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $63,560 | $31,780 | — | 3.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $69,332 | $34,666 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $111,980 | $55,990 | — | 3.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $89,929 | $44,965 | — | 3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $86,726 | $43,363 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $76,564 | $38,282 | — | 2.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,877 | $48,439 | — | 2.7x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $74,657 | $37,328 | — | 2.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,486 | $46,243 | — | 2.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $88,739 | $44,370 | — | 2.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $59,269 | $29,635 | — | 2.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $91,949 | $45,975 | — | 2.6x |
| RENAL FAILURE WITH CC | 683 | $56,474 | $28,237 | — | 2.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $109,859 | $54,930 | — | 2.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $63,668 | $31,834 | — | 2.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,126 | $32,563 | — | 2.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $84,600 | $42,300 | — | 2.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $62,843 | $31,421 | — | 2.4x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $72,028 | $36,014 | — | 2.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $81,578 | $40,789 | — | 2.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $74,947 | $37,473 | — | 2.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,406 | $21,203 | — | 2.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $48,525 | $24,262 | — | 2.1x |
| HYPERTENSION WITH MCC | 304 | $52,899 | $26,449 | — | 2.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $39,088 | $19,544 | — | 2.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $43,450 | $21,725 | — | 2x |
| DIABETES WITH CC | 638 | $43,706 | $21,853 | — | 2x |
| RENAL FAILURE WITH MCC | 682 | $57,525 | $28,762 | — | 2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $44,565 | $22,282 | — | 1.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,089 | $28,544 | — | 1.9x |
| CELLULITIS WITHOUT MCC | 603 | $41,115 | $20,558 | — | 1.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $50,699 | $25,349 | — | 1.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $40,564 | $20,282 | — | 1.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $56,488 | $28,244 | — | 1.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $34,051 | $17,025 | — | 1.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $36,362 | $18,181 | — | 1.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $37,144 | $18,572 | — | 1.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $33,379 | $16,689 | — | 1.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $77,903 | $38,952 | — | 1.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,907 | $15,453 | — | 1.5x |
| SEIZURES WITHOUT MCC | 101 | $32,326 | $16,163 | — | 1.5x |
Showing 50 of 52 procedures
How LOS ANGELES GENERAL MEDICAL CENTER 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.
Got a bill from LOS ANGELES GENERAL MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Los Angeles General Medical Center?
Free guides to help you take action
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