3/100
#2,577 nationally
Palmdale Regional Medical Center
38600 Medical Center Drive, Palmdale, CA 93552 · (661) 382-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Palmdale Regional Medical Center billed $10.94 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.9x
- volume-weighted across all its priced work
- Procedures priced
- 57
- inpatient and outpatient combined
- Rank in CA
- #226
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 5% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 1% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
195 | $208,746 | $19,589 | +220% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
72 | $138,312 | $12,963 | +219% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
66 | $129,170 | $13,740 | +177% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
63 | $23,685 | $1,950 | +135% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
60 | $61,549 | $3,249 | +217% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
53 | $139,563 | $16,665 | +154% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $36,750 | $3,879 | +92% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
43 | $124,595 | $13,369 | +157% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
38 | $172,640 | $17,434 | +181% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
34 | $111,288 | $12,961 | +130% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$93,739 | $2,374 | +726% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$105,015 | $4,154 | +409% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$102,581 | $3,980 | +403% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$175,734 | $7,094 | +401% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$116,291 | $4,254 | +400% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$63,230 | $2,424 | +389% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$116,515 | $6,362 | +324% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$253,254 | $12,010 | +324% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$58,239 | $6,720 | +68% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$181,514 | $19,617 | +78% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$124,566 | $16,480 | +83% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$36,750 | $3,879 | +92% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$16,768 | $1,969 | +96% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$174,682 | $21,056 | +123% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$56,354 | $4,013 | +123% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$114,677 | $14,141 | +123% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.