Hospital · CCN 050455
Adventist Health Bakersfield
2615 Chester Avenue, Bakersfield, CA 93301 · Kern County
Part of Adventist Health · 254 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
79 admission types 50 outpatient services 1 Medicare-file findings
Billed per dollar paid, all admissions
6.62×
$305.4M billed against $46.2M paid across 2,588 Medicare discharges; the national figure is 5.03×.
—
of adults in Kern County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.7%
uninsured in the county · state 7.5%
$68K
median household income
5.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
36.0%
obesity in the countyⓘ
13.3%
diagnosed diabetes (PLACES)
6.2%
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
433
$132,222
$18,809
7.0× st 6.2×
291
Heart failure and shock with mcc
217
$83,684
$12,317
6.8× st 6.5×
193
Simple pneumonia and pleurisy with mcc
105
$92,154
$12,799
7.2× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
87
$71,094
$10,140
7.0× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
67
$312,435
$45,477
6.9× st 6.2×
177
Respiratory infections and inflammations with mcc
55
$109,644
$15,791
6.9× st 6.6×
280
Acute myocardial infarction, discharged alive with mcc
52
$122,708
$17,914
6.9× st 6.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
50
$97,627
$18,252
5.3× st 7.4×
378
Gastrointestinal hemorrhage with cc
49
$61,387
$10,022
6.1× st 6.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
48
$124,827
$17,808
7.0× st 7.8×
698
Other kidney and urinary tract diagnoses with mcc
46
$105,786
$15,482
6.8× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
46
$68,509
$10,072
6.8× st 7.9×
189
Pulmonary edema and respiratory failure
41
$85,430
$12,412
6.9× st 6.7×
683
Renal failure with cc
40
$63,810
$8,892
7.2× st 6.7×
377
Gastrointestinal hemorrhage with mcc
37
$86,207
$16,781
5.1× st 6.4×
274
Percutaneous and other intracardiac procedures without mcc
37
$160,630
$31,329
5.1× st 5.6×
689
Kidney and urinary tract infections with mcc
36
$80,489
$11,143
7.2× st 6.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
36
$91,159
$12,664
7.2× st 5.7×
314
Other circulatory system diagnoses with mcc
36
$127,530
$20,532
6.2× st 6.1×
481
Hip and femur procedures except major joint with cc
35
$121,061
$18,938
6.4× st 6.7×
690
Kidney and urinary tract infections without mcc
35
$57,185
$8,080
7.1× st 6.6×
281
Acute myocardial infarction, discharged alive with cc
34
$54,550
$9,048
6.0× st 7.8×
682
Renal failure with mcc
34
$78,119
$14,443
5.4× st 6.1×
308
Cardiac arrhythmia and conduction disorders with mcc
33
$75,654
$11,961
6.3× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
33
$49,783
$7,628
6.5× st 7.2×
190
Chronic obstructive pulmonary disease with mcc
30
$88,413
$10,816
8.2× st 7.1×
069
Transient ischemia without thrombolytic
28
$61,201
$8,078
7.6× st 9.5×
870
Septicemia or severe sepsis with mv >96 hours
28
$529,022
$72,722
7.3× st 6.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
27
$165,733
$28,125
5.9× st 7.4×
100
Seizures with mcc
27
$105,867
$18,273
5.8× st 6.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
24
$273,614
$47,529
5.8× st 5.4×
312
Syncope and collapse
24
$63,643
$8,741
7.3× st 7.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$60,398
$7,831
7.7× st 6.3×
603
Cellulitis without mcc
22
$62,398
$8,675
7.2× st 5.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
21
$122,878
$22,064
5.6× st 6.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$157,679
$19,517
8.1× st 6.9×
435
Malignancy of hepatobiliary system or pancreas with mcc
20
$93,533
$17,692
5.3× st 6.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
20
$47,400
$7,948
6.0× st 6.8×
304
Hypertension with mcc
20
$78,018
$11,532
6.8× st 5.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
18
$49,984
$8,242
6.1× st 9.0×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
18
$118,109
$22,984
5.1× st 7.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
17
$104,876
$18,598
5.6× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
17
$277,192
$44,307
6.3× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
16
$84,362
$10,839
7.8× st 7.7×
270
Other major cardiovascular procedures with mcc
16
$216,796
$48,698
4.5× st 6.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
16
$43,789
$5,723
7.7× st 7.6×
243
Permanent cardiac pacemaker implant with cc
16
$153,075
$22,418
6.8× st 6.7×
637
Diabetes with mcc
15
$71,988
$14,171
5.1× st 6.3×
371
Major gastrointestinal disorders and peritoneal infections with mcc
15
$97,596
$14,542
6.7× st 6.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$246,253
$28,034
8.8× st 7.4×
699
Other kidney and urinary tract diagnoses with cc
14
$57,417
$10,186
5.6× st 6.1×
480
Hip and femur procedures except major joint with mcc
14
$179,531
$26,692
6.7× st 6.8×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$116,670
$18,059
6.5× st 7.6×
673
Other kidney and urinary tract procedures with mcc
13
$136,517
$33,683
4.1× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$124,644
$15,327
8.1× st 7.2×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$119,949
$16,667
7.2× st 7.9×
394
Other digestive system diagnoses with cc
13
$61,429
$9,201
6.7× st 6.9×
163
Major chest procedures with mcc
13
$260,147
$42,819
6.1× st 6.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$78,935
$12,772
6.2× st 6.5×
388
Gastrointestinal obstruction with mcc
13
$108,190
$14,485
7.5× st 6.5×
242
Permanent cardiac pacemaker implant with mcc
13
$156,675
$32,176
4.9× st 6.5×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$78,956
$17,087
4.6× st 5.6×
101
Seizures without mcc
12
$68,884
$9,192
7.5× st 6.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$51,174
$7,004
7.3× st 8.8×
236
Coronary bypass without cardiac catheterization without mcc
12
$438,263
$39,045
11.2× st 7.2×
299
Peripheral vascular disorders with mcc
12
$90,580
$14,729
6.2× st 6.4×
300
Peripheral vascular disorders with cc
12
$88,001
$10,356
8.5× st 6.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$314,769
$45,186
7.0× st 5.5×
389
Gastrointestinal obstruction with cc
12
$61,796
$9,050
6.8× st 6.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
11
$358,126
$61,191
5.9× st 5.5×
917
Poisoning and toxic effects of drugs with mcc
11
$73,075
$15,316
4.8× st 6.2×
092
Other disorders of nervous system with cc
11
$62,093
$10,097
6.2× st 6.8×
305
Hypertension without mcc
11
$66,765
$7,634
8.7× st 7.3×
313
Chest pain
11
$55,966
$7,325
7.6× st 7.7×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$84,679
$19,149
4.4× st 5.6×
445
Disorders of the biliary tract with cc
11
$53,367
$10,879
4.9× st 7.0×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$378,848
$56,662
6.7× st 5.7×
638
Diabetes with cc
11
$72,793
$9,107
8.0× st 6.3×
194
Simple pneumonia and pleurisy with cc
11
$52,643
$8,315
6.3× st 7.5×
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
5191
Level 1 Endovascular Procedures
747
$22,161
$3,974
5.6×
8011
Comprehensive Observation Services
473
$40,693
$3,328
12.2×
5115
Level 5 Musculoskeletal Procedures
325
$124,753
$15,975
7.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
214
$5,816
$1,971
3.0×
5183
Level 3 Vascular Procedures
179
$16,588
$3,829
4.3×
5193
Level 3 Endovascular Procedures
158
$73,472
$13,428
5.5×
5361
Level 1 Laparoscopy and Related Services
120
$64,150
$6,914
9.3×
5114
Level 4 Musculoskeletal Procedures
90
$78,929
$8,635
9.1×
5223
Level 3 Pacemaker and Similar Procedures
89
$67,701
$13,108
5.2×
5182
Level 2 Vascular Procedures
82
$6,468
$1,969
3.3×
5213
Level 3 Electrophysiologic Procedures
71
$147,336
$29,114
5.1×
5373
Level 3 Urology and Related Services
69
$14,663
$2,468
5.9×
5302
Level 2 Upper GI Procedures
67
$12,124
$2,339
5.2×
5375
Level 5 Urology and Related Services
65
$56,733
$6,362
8.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
65
$13,589
$3,452
3.9×
5192
Level 2 Endovascular Procedures
57
$36,268
$6,932
5.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
48
$50,293
$4,183
12.0×
5154
Level 4 Airway Endoscopy
36
$33,175
$4,604
7.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
36
$40,563
$8,017
5.1×
5331
Complex GI Procedures
35
$22,016
$7,007
3.1×
5303
Level 3 Upper GI Procedures
35
$15,406
$4,708
3.3×
5113
Level 3 Musculoskeletal Procedures
34
$39,827
$3,980
10.0×
5116
Level 6 Musculoskeletal Procedures
34
$170,317
$22,851
7.5×
5374
Level 4 Urology and Related Services
32
$41,321
$4,286
9.6×
5153
Level 3 Airway Endoscopy
31
$23,912
$2,087
11.5×
5232
Level 2 ICD and Similar Procedures
29
$243,681
$38,990
6.3×
5194
Level 4 Endovascular Procedures
28
$107,858
$20,735
5.2×
5224
Level 4 Pacemaker and Similar Procedures
27
$120,787
$23,891
5.1×
5112
Level 2 Musculoskeletal Procedures
23
$16,167
$1,933
8.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
22
$25,570
$4,686
5.5×
5313
Level 3 Lower GI Procedures
19
$9,842
$3,307
3.0×
5184
Level 4 Vascular Procedures
14
$40,899
$6,274
6.5×
5212
Level 2 Electrophysiologic Procedures
13
$73,527
$8,729
8.4×
5362
Level 2 Laparoscopy and Related Services
13
$92,304
$12,637
7.3×
5231
Level 1 ICD and Similar Procedures
12
$163,090
$28,895
5.6×
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 236
info
inp_charge_10x_payment
average charge $438,263 is 11.2× the total payment
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.