37/100
#1,693 nationally
Pih Health Downey Hospital
11500 Brookshire Avenue, Downey, CA 90241 · (562) 904-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Pih Health Downey Hospital billed $5.36 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
- 5.4x
- volume-weighted across all its priced work
- Procedures priced
- 43
- inpatient and outpatient combined
- Rank in CA
- #78
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 27% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 43% 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 |
269 | $109,056 | $19,954 | +67% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
171 | $31,774 | $3,365 | +64% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
143 | $70,138 | $15,750 | +12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
101 | $68,477 | $13,302 | +58% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
56 | $61,816 | $11,204 | +58% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
39 | $79,823 | $14,871 | +45% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
37 | $60,213 | $12,805 | +29% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
34 | $83,426 | $15,703 | +36% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
31 | $89,920 | $13,391 | +85% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
24 | $25,820 | $4,013 | about average |
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 |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$89,920 | $13,391 | +85% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$57,753 | $8,686 | +79% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$53,205 | $8,525 | +74% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$307,281 | $47,767 | +73% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$70,989 | $10,119 | +72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$109,056 | $19,954 | +67% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$31,774 | $3,365 | +64% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$30,430 | $3,919 | +59% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$41,311 | $13,108 | -20% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,533 | $3,494 | -18% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$68,119 | $19,842 | -16% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$30,756 | $7,094 | -12% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$35,159 | $8,792 | -12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$25,820 | $4,013 | about average |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$21,220 | $4,999 | about average |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$162,532 | $35,287 | +12% |
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.