Providence Holy Cross Medical Center
Providence Holy Cross Medical Center in Mission Hills, CA charges 7.3x the Medicare reimbursement rate across 60 analyzed procedures, with 17% showing significant pricing variations.
Mission Hills, CA 91346 · Acute Care Hospitals · CMS Rating: 4/5
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.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
7.28x
Charge / Medicare rate
Max markup
11.31x
Worst procedure
Procedures analyzed
60
With pricing data
Outlier procedures
16.7%
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 |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $205,729 | $102,864 | — | 11.3x |
| CHEST PAIN | 313 | $53,846 | $26,923 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $87,148 | $43,574 | — | 10x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $69,725 | $34,862 | — | 9.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $60,100 | $30,050 | — | 9.7x |
| DIABETES WITH MCC | 637 | $103,601 | $51,801 | — | 9.5x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $139,115 | $69,558 | — | 9x |
| SYNCOPE AND COLLAPSE | 312 | $60,658 | $30,329 | — | 8.9x |
| ENDOCRINE DISORDERS WITH CC | 644 | $82,863 | $41,431 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $54,065 | $27,032 | — | 8.8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $163,714 | $81,857 | — | 8.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $70,479 | $35,239 | — | 8.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $79,835 | $39,917 | — | 8.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $99,050 | $49,525 | — | 8.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $264,998 | $132,499 | — | 8.3x |
| RENAL FAILURE WITH CC | 683 | $59,648 | $29,824 | — | 8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $90,142 | $45,071 | — | 7.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $106,043 | $53,021 | — | 7.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $50,162 | $25,081 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $126,637 | $63,319 | — | 7.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $84,252 | $42,126 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $245,283 | $122,641 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $114,084 | $57,042 | — | 7.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $134,061 | $67,030 | — | 7.4x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $87,502 | $43,751 | — | 7.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $319,473 | $159,737 | — | 7.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $62,332 | $31,166 | — | 7.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $63,997 | $31,998 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $51,577 | $25,788 | — | 7.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $155,373 | $77,687 | — | 7.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $378,009 | $189,004 | — | 7.3x |
| RENAL FAILURE WITH MCC | 682 | $98,016 | $49,008 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $71,255 | $35,627 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,355 | $28,177 | — | 7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $81,705 | $40,853 | — | 6.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $58,962 | $29,481 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $454,072 | $227,036 | — | 6.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $289,438 | $144,719 | — | 6.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,428 | $50,714 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $57,454 | $28,727 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $62,769 | $31,385 | — | 6.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $88,597 | $44,298 | — | 6.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $95,867 | $47,933 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $91,294 | $45,647 | — | 6.3x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $105,524 | $52,762 | — | 6.3x |
| CELLULITIS WITHOUT MCC | 603 | $46,013 | $23,007 | — | 6.3x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $77,034 | $38,517 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $106,066 | $53,033 | — | 6.2x |
| OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 264 | $160,579 | $80,290 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $100,695 | $50,347 | — | 6.2x |
Showing 50 of 60 procedures
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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.
FAQ — nonprofit-religious hospital billing
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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