38/100
#1,658 nationally
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital
1250 16Th Street, Santa Monica, CA 90404 · (310) 319-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Santa Monica - Ucla Med Ctr & Orthopaedic Hospital billed $4.71 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
- 4.7x
- volume-weighted across all its priced work
- Procedures priced
- 143
- inpatient and outpatient combined
- Rank in CA
- #74
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 37% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 21% of U.S. hospitals.
Better than 14% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
702 | $27,676 | $3,346 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
473 | $145,259 | $29,008 | +123% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
346 | $72,584 | $15,737 | +16% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
296 | $8,203 | $2,367 | -28% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
266 | $10,915 | $1,978 | +8% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
238 | $35,995 | $6,308 | +31% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
185 | $34,567 | $6,972 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
183 | $36,905 | $8,676 | -7% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
168 | $108,691 | $18,633 | +150% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
162 | $24,154 | $3,919 | +26% |
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 |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$255,201 | $42,519 | +219% |
|
Cranial and Peripheral Nerve Disorders with Major Complications
MS-DRG 073 · Inpatient stay |
$182,157 | $27,056 | +181% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$231,401 | $49,695 | +169% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$97,436 | $12,963 | +162% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$100,635 | $18,066 | +159% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$206,593 | $40,333 | +158% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$108,691 | $18,633 | +150% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$166,491 | $26,730 | +143% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$10,519 | $3,411 | -37% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$64,701 | $21,503 | -32% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$13,576 | $3,958 | -28% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$42,698 | $9,568 | -28% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,203 | $2,367 | -28% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
$140,048 | $48,874 | -21% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$48,372 | $12,535 | -19% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$20,082 | $4,686 | -16% |
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.