Sherman Oaks Hospital
Sherman Oaks Hospital in Sherman Oaks, CA charges 3.8x the Medicare reimbursement rate across 38 analyzed procedures, representing a moderate markup for this nonprofit-private facility.
Sherman Oaks, CA 91403 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.77x
Charge / Medicare rate
Max markup
7.44x
Worst procedure
Procedures analyzed
38
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 |
|---|---|---|---|---|---|
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $127,974 | $63,987 | — | 7.4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $88,168 | $44,084 | — | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $133,081 | $66,540 | — | 5.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $48,749 | $24,374 | — | 5.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $65,560 | $32,780 | — | 4.9x |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $82,788 | $41,394 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $39,963 | $19,982 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,780 | $16,390 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,791 | $35,396 | — | 4.3x |
| LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | 496 | $70,066 | $35,033 | — | 4.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $27,619 | $13,810 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,039 | $19,019 | — | 4.2x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $67,369 | $33,685 | — | 4.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $45,794 | $22,897 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $22,794 | $11,397 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $235,320 | $117,660 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $47,998 | $23,999 | — | 3.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $51,285 | $25,642 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $35,079 | $17,540 | — | 3.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $83,416 | $41,708 | — | 3.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $176,990 | $88,495 | — | 3.6x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $18,610 | $9,305 | — | 3.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,638 | $10,819 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $150,055 | $75,028 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $52,310 | $26,155 | — | 3.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,849 | $10,424 | — | 3.4x |
| SYNCOPE AND COLLAPSE | 312 | $24,289 | $12,144 | — | 3.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $49,042 | $24,521 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,075 | $17,538 | — | 3.2x |
| CELLULITIS WITH MCC | 602 | $35,008 | $17,504 | — | 3x |
| SEIZURES WITH MCC | 100 | $47,788 | $23,894 | — | 2.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $44,457 | $22,228 | — | 2.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $27,233 | $13,616 | — | 2.6x |
| DIABETES WITH MCC | 637 | $28,058 | $14,029 | — | 2.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $25,008 | $12,504 | — | 2.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $18,948 | $9,474 | — | 2.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $78,043 | $39,022 | — | 2.2x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $25,176 | $12,588 | — | 2x |
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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