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Valley Presbyterian Hospital

Valley Presbyterian Hospital in Van Nuys, CA charges 4.7x the Medicare reimbursement rate across 36 analyzed procedures, based on our analysis of hospital pricing data.

Van Nuys, CA 91405 · Acute Care Hospitals · CMS Rating: 2/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

36 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.3x1.9x15.0x
4.7x
Medicare markup ratio
CA lowestValley Presbyterian Ho...CA highest
4.7x
Avg markup ratio
4.5x
Median markup
36
Procedures
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Pricing grade

C

Average

Avg markup vs Medicare

4.71x

Charge / Medicare rate

Max markup

7.62x

Worst procedure

Procedures analyzed

36

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
GASTROINTESTINAL HEMORRHAGE WITH CC378$66,026$33,0137.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$43,392$21,6967x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$56,059$28,0296.7x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$44,938$22,4696.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$44,513$22,2576.2x
SYNCOPE AND COLLAPSE312$41,694$20,8476x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$52,164$26,0825.9x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$107,024$53,5125.6x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$38,207$19,1035.4x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$53,668$26,8345x
MEDICAL BACK PROBLEMS WITHOUT MCC552$38,805$19,4024.9x
CELLULITIS WITHOUT MCC603$36,340$18,1704.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$30,377$15,1884.8x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$212,807$106,4034.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$92,156$46,0784.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$40,356$20,1784.6x
DIABETES WITH CC638$36,391$18,1954.6x
RENAL FAILURE WITH CC683$36,044$18,0224.6x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$76,560$38,2804.5x
CHEST PAIN313$26,430$13,2154.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$86,890$43,4454.3x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$29,561$14,7804.3x
RENAL FAILURE WITH MCC682$65,575$32,7884.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$75,880$37,9404.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$43,649$21,8254.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$48,667$24,3344.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$61,564$30,7824.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$78,774$39,3874.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$44,396$22,1983.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$30,827$15,4133.8x
HEART FAILURE AND SHOCK WITH MCC291$41,883$20,9413.6x
RED BLOOD CELL DISORDERS WITH MCC811$58,747$29,3743.5x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$227,132$113,5663.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$148,761$74,3813.4x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS207$172,868$86,4343.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$46,540$23,2702.8x

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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