54/100
#1,144 nationally
Sierra View Medical Center
465 W Putnam Ave, Porterville, CA 93257 · (559) 784-1110
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sierra View Medical Center billed $3.58 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
- 3.6x
- volume-weighted across all its priced work
- Procedures priced
- 42
- inpatient and outpatient combined
- Rank in CA
- #19
- 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 53% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 26% 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 |
225 | $63,370 | $21,848 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
120 | $33,356 | $4,013 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
107 | $9,752 | $1,956 | -3% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
88 | $7,197 | $2,504 | -44% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
48 | $3,628 | $840 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
45 | $14,126 | $4,286 | -32% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
43 | $120,890 | $13,244 | +79% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
41 | $46,420 | $14,780 | +7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
41 | $51,836 | $15,794 | -17% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
41 | $22,339 | $3,919 | +17% |
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 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$29,654 | $2,865 | +152% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$120,890 | $13,244 | +79% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$76,254 | $13,297 | +58% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$43,006 | $6,362 | +57% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$80,521 | $12,339 | +56% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$33,356 | $4,013 | +32% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$109,559 | $23,797 | +31% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,339 | $3,919 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,197 | $2,504 | -44% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$33,994 | $15,702 | -40% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$25,866 | $9,457 | -37% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$21,167 | $9,547 | -32% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$30,802 | $12,109 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,126 | $4,286 | -32% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$49,073 | $18,892 | -31% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$24,064 | $10,942 | -30% |
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.