77/100
#436 nationally
Pioneers Memorial Healthcare District
207 West Legion Road, Brawley, CA 92227 · (760) 351-3333
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Pioneers Memorial Healthcare District billed $2.64 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
- 2.6x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in CA
- #4
- 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 72% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 64% 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 |
|---|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
388 | $11,974 | $7,027 | -65% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
164 | $59,576 | $20,135 | -9% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
97 | $26,237 | $13,503 | -61% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
77 | $11,129 | $3,919 | -42% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
58 | $32,508 | $16,148 | -48% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
55 | $2,666 | $840 | -15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
54 | $5,604 | $1,957 | -44% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
53 | $52,473 | $13,109 | +8% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
52 | $32,151 | $11,038 | -18% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
46 | $8,854 | $1,969 | +3% |
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 |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$67,673 | $18,208 | +23% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$52,473 | $13,109 | +8% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$33,713 | $8,586 | +5% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$50,114 | $15,698 | +3% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,854 | $1,969 | +3% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$30,823 | $9,788 | -6% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$27,630 | $6,115 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$59,576 | $20,135 | -9% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$11,974 | $7,027 | -65% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$26,237 | $13,503 | -61% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$16,804 | $7,094 | -52% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$32,508 | $16,148 | -48% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$9,356 | $3,494 | -47% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,604 | $1,957 | -44% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$13,070 | $4,254 | -44% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$11,129 | $3,919 | -42% |
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.