Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) in California: what insurers pay
Posted commercial rates at 26 California hospitals, each next to its own Medicare base rate.
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MS-DRG 194
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Good Samaritan Hospital San Jose | $9,428 | 1.1× | 3 | 2026-09-01 |
| Los Robles Hospital & Medical Center Thousand Oaks | $9,838 | 1.3× | 3 | 2026-09-01 |
| Usc Arcadia Hospital Arcadia | $10,670 | 1.4× | 4 | 2026-07-27 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego | $10,686 | 1.4× | 7 | 2026-04-01 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica | $10,798 | 1.4× | 1 | 2026-03-29 |
| Usc Verdugo Hills Hospital Glendale | $10,904 | 1.4× | 5 | 2026-04-01 |
| Scripps Green Hospital La Jolla | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Mercy Hospital San Diego | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Memorial Hospital La Jolla La Jolla | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Memorial Hospital - Encinitas Encinitas | $11,694 | 1.6× | 6 | 2026-03-30 |
| Providence Mission Hospital Mission Viejo | $12,316 | 1.6× | 4 | 2026-04-01 |
| Providence St. Jude Medical Center Fullerton | $13,362 | 1.8× | 4 | 2026-04-01 |
| Tri-City Medical Center Oceanside | $13,532 | 1.8× | 2 | 2026-05-29 |
| Providence St. Joseph Hospital Orange | $13,826 | 1.8× | 4 | 2026-04-01 |
| Providence Cedars Sinai Tarzana Medical Center Tarzana | $14,172 | 1.9× | 6 | 2026-04-01 |
| Providence Little Co Of Mary Med Ctr San Pedro San Pedro | $14,520 | 1.9× | 6 | 2026-04-01 |
| Providence Little Company Of Mary Med Ctr Torrance Torrance | $14,547 | 1.9× | 6 | 2026-04-01 |
| Providence Saint Joseph Medical Ctr Burbank | $14,984 | 2.0× | 6 | 2026-04-01 |
| Providence Holy Cross Medical Center Mission Hills | $15,040 | 2.0× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center Los Angeles | $15,113 | 2.0× | 1 | 2025-11-26 |
| Memorialcare Orange Coast Medical Center Fountain Valley | $15,508 | 2.1× | 5 | 2026-04-01 |
| Ucla West Valley Medical Center West Hills | $15,718 | 2.1× | 1 | 2026-03-29 |
| St Mary's Medical Center San Francisco | $15,736 | 1.8× | 2 | 2026-04-01 |
| Memorialcare Long Beach Medical Center Long Beach | $16,431 | 2.2× | 5 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian Newport Beach | $19,088 | 2.5× | 1 | 2026-04-01 |
| Keck Hospital Of Usc Los Angeles | $24,669 | 3.3× | 7 | 2026-04-01 |
MS-DRG 193
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Los Robles Hospital & Medical Center Thousand Oaks | $14,883 | 1.2× | 3 | 2026-09-01 |
| Scripps Green Hospital La Jolla | $19,074 | 1.6× | 6 | 2026-03-30 |
| Cedars-Sinai Medical Center Los Angeles | $24,650 | 2.0× | 1 | 2025-11-26 |
| Keck Hospital Of Usc Los Angeles | $40,234 | 3.3× | 7 | 2026-04-01 |
MS-DRG 195
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Los Robles Hospital & Medical Center Thousand Oaks | $8,873 | 1.5× | 3 | 2026-09-01 |
| Scripps Green Hospital La Jolla | $9,120 | 1.6× | 6 | 2026-03-30 |
| Cedars-Sinai Medical Center Los Angeles | $11,787 | 2.0× | 1 | 2025-11-26 |
| Keck Hospital Of Usc Los Angeles | $19,238 | 3.3× | 7 | 2026-04-01 |
Questions
How much do insurers pay for pneumonia (hospital stay) in California?
26 California hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 26 hospitals is $13,679, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.