Hospital · CCN 050112
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital
1250 16th Street, Santa Monica, CA 90404 · Los Angeles County
Part of University of California Health · 281 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
99 admission types 62 outpatient services
Billed per dollar paid, all admissions
4.67×
$468.2M billed against $100.3M paid across 3,245 Medicare discharges; the national figure is 5.03×.
—
of adults in Los Angeles County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
9.4%
uninsured in the county · state 7.5%
$86K
median household income
6.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (73 in the inpatient or outpatient file)ⓘ
26.5%
obesity in the countyⓘ
12.6%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
473
$145,259
$29,008
5.0× st 6.2×
291
Heart failure and shock with mcc
168
$108,691
$18,633
5.8× st 6.5×
177
Respiratory infections and inflammations with mcc
106
$102,145
$21,012
4.9× st 6.6×
467
Revision of hip or knee replacement with cc
82
$201,117
$42,336
4.8× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
82
$116,741
$22,698
5.1× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
75
$115,628
$21,271
5.4× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
66
$59,097
$12,512
4.7× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
61
$360,608
$89,927
4.0× st 6.2×
057
Degenerative nervous system disorders without mcc
61
$62,373
$16,154
3.9× st 5.7×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
60
$69,760
$15,938
4.4× st 5.9×
314
Other circulatory system diagnoses with mcc
57
$162,422
$31,089
5.2× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
53
$90,362
$20,385
4.4× st 5.7×
683
Renal failure with cc
49
$70,038
$12,014
5.8× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
48
$408,079
$94,440
4.3× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
44
$89,532
$18,475
4.8× st 6.5×
189
Pulmonary edema and respiratory failure
43
$108,486
$17,102
6.3× st 6.7×
193
Simple pneumonia and pleurisy with mcc
42
$77,828
$15,706
5.0× st 6.9×
689
Kidney and urinary tract infections with mcc
42
$61,111
$13,093
4.7× st 6.3×
377
Gastrointestinal hemorrhage with mcc
42
$118,186
$23,232
5.1× st 6.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
40
$55,858
$12,661
4.4× st 6.3×
682
Renal failure with mcc
39
$112,079
$18,659
6.0× st 6.1×
393
Other digestive system diagnoses with mcc
38
$106,166
$26,015
4.1× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
37
$49,673
$11,402
4.4× st 6.8×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
35
$148,497
$37,936
3.9× st 5.1×
481
Hip and femur procedures except major joint with cc
35
$100,158
$24,141
4.1× st 6.7×
840
Lymphoma and non-acute leukemia with mcc
34
$250,291
$56,349
4.4× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
33
$127,357
$24,875
5.1× st 6.9×
329
Major small and large bowel procedures with mcc
33
$296,297
$70,693
4.2× st 6.5×
690
Kidney and urinary tract infections without mcc
31
$47,098
$10,053
4.7× st 6.6×
180
Respiratory neoplasms with mcc
31
$140,737
$27,498
5.1× st 6.9×
389
Gastrointestinal obstruction with cc
30
$56,517
$11,061
5.1× st 6.9×
603
Cellulitis without mcc
30
$50,510
$11,667
4.3× st 5.9×
435
Malignancy of hepatobiliary system or pancreas with mcc
29
$122,352
$23,635
5.2× st 6.8×
480
Hip and femur procedures except major joint with mcc
27
$167,159
$39,835
4.2× st 6.8×
699
Other kidney and urinary tract diagnoses with cc
26
$80,120
$13,010
6.2× st 6.1×
091
Other disorders of nervous system with mcc
26
$116,297
$21,996
5.3× st 6.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
26
$162,781
$27,660
5.9× st 7.4×
378
Gastrointestinal hemorrhage with cc
26
$62,319
$11,872
5.2× st 6.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
25
$149,590
$35,220
4.2× st 7.1×
280
Acute myocardial infarction, discharged alive with mcc
25
$146,920
$24,462
6.0× st 6.6×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
25
$2,137,236
$554,836
3.9× st 4.8×
374
Digestive malignancy with mcc
24
$138,051
$29,067
4.7× st 7.0×
312
Syncope and collapse
23
$57,886
$10,657
5.4× st 7.2×
552
Medical back problems without mcc
23
$67,518
$11,780
5.7× st 7.5×
643
Endocrine disorders with mcc
22
$90,895
$19,661
4.6× st 6.5×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
22
$200,379
$39,375
5.1× st 6.3×
394
Other digestive system diagnoses with cc
22
$100,635
$18,066
5.6× st 6.9×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
21
$166,491
$26,730
6.2× st 7.0×
330
Major small and large bowel procedures with cc
21
$127,882
$27,468
4.7× st 6.9×
811
Red blood cell disorders with mcc
20
$96,157
$18,275
5.3× st 6.4×
602
Cellulitis with mcc
20
$75,505
$17,266
4.4× st 5.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$110,819
$17,718
6.3× st 7.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
20
$79,448
$14,640
5.4× st 7.4×
472
Cervical spinal fusion with cc
19
$173,859
$34,281
5.1× st 6.1×
466
Revision of hip or knee replacement with mcc
19
$320,893
$74,865
4.3× st 6.6×
056
Degenerative nervous system disorders with mcc
19
$231,401
$49,695
4.7× st 5.9×
812
Red blood cell disorders without mcc
19
$57,905
$11,198
5.2× st 6.4×
299
Peripheral vascular disorders with mcc
19
$96,514
$18,684
5.2× st 6.4×
196
Interstitial lung disease with mcc
17
$206,593
$40,333
5.1× st 7.0×
483
Major joint or limb reattachment procedures of upper extremities
17
$130,796
$32,790
4.0× st 6.2×
919
Complications of treatment with mcc
17
$84,520
$21,633
3.9× st 6.0×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$79,177
$16,043
4.9× st 6.9×
092
Other disorders of nervous system with cc
16
$72,742
$12,135
6.0× st 6.8×
178
Respiratory infections and inflammations with cc
16
$97,436
$12,963
7.5× st 7.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$86,837
$12,946
6.7× st 7.9×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
16
$165,719
$46,735
3.5× st 6.0×
309
Cardiac arrhythmia and conduction disorders with cc
16
$71,755
$10,181
7.0× st 7.2×
644
Endocrine disorders with cc
16
$68,693
$12,622
5.4× st 6.5×
388
Gastrointestinal obstruction with mcc
16
$132,999
$19,645
6.8× st 6.5×
375
Digestive malignancy with cc
15
$95,577
$17,918
5.3× st 6.9×
445
Disorders of the biliary tract with cc
15
$58,520
$13,122
4.5× st 7.0×
813
Coagulation disorders
15
$121,956
$27,303
4.5× st 5.8×
444
Disorders of the biliary tract with mcc
14
$86,543
$19,292
4.5× st 7.0×
460
Spinal fusion except cervical without mcc
14
$193,050
$43,229
4.5× st 5.6×
432
Cirrhosis and alcoholic hepatitis with mcc
14
$255,201
$42,519
6.0× st 5.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$44,169
$9,673
4.6× st 6.9×
190
Chronic obstructive pulmonary disease with mcc
14
$95,970
$20,540
4.7× st 7.1×
920
Complications of treatment with cc
13
$64,387
$12,168
5.3× st 6.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$114,742
$27,903
4.1× st 6.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
13
$68,640
$12,039
5.7× st 6.5×
354
Hernia procedures except inguinal and femoral with cc
13
$114,267
$20,386
5.6× st 8.3×
336
Peritoneal adhesiolysis with cc
13
$123,113
$25,251
4.9× st 6.7×
454
Combined anterior and posterior spinal fusion with cc
13
$309,380
$83,871
3.7× st 5.5×
519
Back and neck procedures except spinal fusion with cc
13
$99,821
$23,538
4.2× st 7.2×
841
Lymphoma and non-acute leukemia with cc
12
$101,508
$25,197
4.0× st 8.3×
843
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mc
12
$182,622
$29,083
6.3× st 5.4×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
12
$45,349
$11,050
4.1× st 6.9×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
12
$103,946
$26,917
3.9× st 6.8×
164
Major chest procedures with cc
12
$107,713
$29,704
3.6× st 6.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
12
$91,959
$19,455
4.7× st 5.5×
884
Organic disturbances and intellectual disability
11
$63,405
$20,107
3.2× st 5.3×
073
Cranial and peripheral nerve disorders with mcc
11
$182,157
$27,056
6.7× st 5.0×
074
Cranial and peripheral nerve disorders without mcc
11
$106,571
$13,019
8.2× st 6.2×
163
Major chest procedures with mcc
11
$140,048
$48,874
2.9× st 6.4×
191
Chronic obstructive pulmonary disease with cc
11
$62,454
$16,725
3.7× st 7.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
11
$71,925
$10,428
6.9× st 7.5×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$296,772
$74,480
4.0× st 5.7×
654
Major bladder procedures with cc
11
$189,870
$35,635
5.3× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$278,797
$73,284
3.8× st 6.3×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
702
$27,676
$3,346
8.3×
5115
Level 5 Musculoskeletal Procedures
346
$72,584
$15,737
4.6×
5431
Level 1 Nerve Procedures
296
$8,203
$2,367
3.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
266
$10,915
$1,978
5.5×
5375
Level 5 Urology and Related Services
238
$35,995
$6,308
5.7×
5361
Level 1 Laparoscopy and Related Services
185
$34,567
$6,972
5.0×
5114
Level 4 Musculoskeletal Procedures
183
$36,905
$8,676
4.3×
5183
Level 3 Vascular Procedures
162
$24,154
$3,919
6.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
159
$24,496
$4,197
5.8×
5165
Level 5 ENT Procedures
154
$36,737
$7,200
5.1×
5302
Level 2 Upper GI Procedures
153
$9,923
$2,315
4.3×
5193
Level 3 Endovascular Procedures
151
$58,992
$13,270
4.4×
5154
Level 4 Airway Endoscopy
141
$25,198
$4,511
5.6×
5191
Level 1 Endovascular Procedures
133
$23,269
$3,889
6.0×
5155
Level 5 Airway Endoscopy
132
$34,164
$8,310
4.1×
5164
Level 4 ENT Procedures
129
$13,576
$3,958
3.4×
5374
Level 4 Urology and Related Services
105
$22,100
$4,286
5.2×
5362
Level 2 Laparoscopy and Related Services
100
$48,372
$12,535
3.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
96
$18,885
$3,494
5.4×
5116
Level 6 Musculoskeletal Procedures
82
$83,926
$22,334
3.8×
5373
Level 3 Urology and Related Services
75
$19,865
$2,504
7.9×
5112
Level 2 Musculoskeletal Procedures
73
$10,200
$1,954
5.2×
5313
Level 3 Lower GI Procedures
69
$10,519
$3,411
3.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
54
$20,082
$4,686
4.3×
5113
Level 3 Musculoskeletal Procedures
54
$21,796
$3,980
5.5×
5153
Level 3 Airway Endoscopy
52
$10,657
$2,035
5.2×
5184
Level 4 Vascular Procedures
50
$71,480
$6,486
11.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
49
$40,536
$8,017
5.1×
5194
Level 4 Endovascular Procedures
44
$64,701
$21,503
3.0×
5462
Level 2 Neurostimulator and Related Procedures
43
$30,873
$8,407
3.7×
5376
Level 6 Urology and Related Services
40
$57,567
$11,313
5.1×
5192
Level 2 Endovascular Procedures
40
$35,085
$7,027
5.0×
5378
Level 8 Urology and Related Services
38
$75,304
$24,406
3.1×
5414
Level 4 Gynecologic Procedures
34
$17,106
$3,844
4.5×
5465
Level 5 Neurostimulator and Related Procedures
33
$117,185
$38,054
3.1×
5182
Level 2 Vascular Procedures
33
$17,692
$1,880
9.4×
5331
Complex GI Procedures
32
$28,796
$7,007
4.1×
5303
Level 3 Upper GI Procedures
32
$18,941
$4,708
4.0×
5627
Level 7 Radiation Therapy
24
$42,698
$9,568
4.5×
5416
Level 6 Gynecologic Procedures
22
$37,928
$9,285
4.1×
5415
Level 5 Gynecologic Procedures
21
$25,570
$6,115
4.2×
5461
Level 1 Neurostimulator and Related Procedures
14
$22,383
$4,183
5.4×
5491
Level 1 Intraocular Procedures
13
$11,353
$2,865
4.0×
5464
Level 4 Neurostimulator and Related Procedures
11
$78,781
$26,818
2.9×
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.