USC Arcadia Hospital
USC Arcadia Hospital in Arcadia, CA charges 10.0x the Medicare reimbursement rate across 75 analyzed procedures, with 15% showing significant pricing variations.
Arcadia, CA 91007 · Acute Care Hospitals · CMS Rating: 3/5
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
F
Very high
Avg markup vs Medicare
9.97x
Charge / Medicare rate
Max markup
15.37x
Worst procedure
Procedures analyzed
75
With pricing data
Outlier procedures
14.7%
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $77,983 | $38,991 | — | 15.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $95,123 | $47,562 | — | 15.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $58,300 | $29,150 | — | 14.5x |
| DIABETES WITH CC | 638 | $68,149 | $34,074 | — | 13.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $39,783 | $19,892 | — | 13.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $60,654 | $30,327 | — | 13.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $133,826 | $66,913 | — | 13.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $149,893 | $74,946 | — | 12.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $65,845 | $32,923 | — | 12.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $88,098 | $44,049 | — | 12.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $69,232 | $34,616 | — | 12.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $103,624 | $51,812 | — | 12.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $104,812 | $52,406 | — | 11.9x |
| RENAL FAILURE WITH CC | 683 | $64,554 | $32,277 | — | 11.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $57,204 | $28,602 | — | 11.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $67,079 | $33,540 | — | 11.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $66,908 | $33,454 | — | 11.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $36,883 | $18,442 | — | 11.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $95,944 | $47,972 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $72,142 | $36,071 | — | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $137,071 | $68,536 | — | 11.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $91,751 | $45,875 | — | 11x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $50,220 | $25,110 | — | 11x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $67,882 | $33,941 | — | 10.9x |
| CHEST PAIN | 313 | $46,252 | $23,126 | — | 10.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $91,793 | $45,896 | — | 10.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $68,468 | $34,234 | — | 10.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $122,084 | $61,042 | — | 10.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $76,761 | $38,381 | — | 10.5x |
| DIABETES WITH MCC | 637 | $106,165 | $53,082 | — | 10.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $63,862 | $31,931 | — | 10.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $66,858 | $33,429 | — | 10.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $54,951 | $27,475 | — | 10.1x |
| RENAL FAILURE WITH MCC | 682 | $103,669 | $51,835 | — | 10.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $191,641 | $95,820 | — | 10x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $90,096 | $45,048 | — | 10x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $80,467 | $40,233 | — | 9.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $117,418 | $58,709 | — | 9.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $72,877 | $36,439 | — | 9.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $119,213 | $59,607 | — | 9.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $123,804 | $61,902 | — | 9.6x |
| CELLULITIS WITH MCC | 602 | $108,517 | $54,259 | — | 9.4x |
| SYNCOPE AND COLLAPSE | 312 | $55,254 | $27,627 | — | 9.4x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $147,543 | $73,771 | — | 9.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $157,676 | $78,838 | — | 9.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $313,273 | $156,636 | — | 9.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $76,190 | $38,095 | — | 9.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $144,918 | $72,459 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $48,383 | $24,192 | — | 9.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $111,979 | $55,990 | — | 9x |
Showing 50 of 75 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.
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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