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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in CA

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Hospitals
63
Min
$93.03
Median
$18,168
Max
$79,212
Range multiplier
851.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield55162$90.00$22,970$93,4661038.5×
Health Net35114$14,581$27,254$98,2946.7×
UnitedHealthcare2572$68.48$30,069$174,9602554.9×
Aetna4571$67.00$22,242$86,4521290.3×
Kaiser Permanente3745$13,932$17,977$87,6246.3×
Medicare3039$15,028$17,977$67,1014.5×
Cigna2339$15,105$31,116$93,6036.2×
Humana3738$13,698$17,210$58,4164.3×
Molina2131$15,028$15,942$35,2542.3×
Anthem BCBS2127$13,698$17,977$24,3601.8×
brand new day1819$15,105$15,742$23,2661.5×
monarch health plan717$13,852$16,707$40,0382.9×
scan health plan1316$13,560$17,015$37,2262.7×
Multiplan1414$90.00$20,108$64,258714.0×
central health plan1414$15,099$17,063$18,3771.2×
la care health plan714$15,028$16,370$21,7191.4×
Empire BCBS913$15,436$16,707$21,3871.4×
TRICARE712$14,998$15,146$16,5701.1×
heritage provider network811$14,581$23,266$33,7362.3×
WellCare1010$13,698$15,655$17,6381.3×
healthcare partners810$15,436$20,452$43,5662.8×
caremore910$15,105$17,218$23,2661.5×
First Health1010$61.30$77,601$130,3832127.0×
Bright Health58$16,506$23,266$30,2461.8×
providence health plan77$15,105$15,629$17,7291.2×
caloptima37$19,196$23,266$23,2661.2×
primecare medical network36$25,593$30,828$36,0621.4×
family choice medical group36$23,266$26,756$30,2461.3×
renal payer solutions66$15,028$15,090$16,1641.1×
employer direct healthcare66$19,537$19,617$22,2421.1×
emanate health26$15,587$16,637$34,2192.2×
national healthcare solutions, inc (nhsi)66$24,045$24,144$27,3751.1×
select health35$15,310$19,684$26,4571.7×
commercial | western health advantage | all plans55$11,990$11,990$11,9901.0×
commercial | hill physicians | all plans55$17,777$18,802$20,0481.1×
onecare55$14,581$15,853$17,6381.2×
naphcare45$23,333$23,404$26,5201.1×
alignment health plan44$14,581$23,266$23,2661.6×
centivo44$26,060$34,045$39,6861.5×
the health plan24$7,843.45$24,476$35,2544.5×
managed health network44$15,028$15,067$74,5395.0×
alignment44$15,028$15,320$16,1641.1×
l.a care health plan24$15,053$15,283$16,3451.1×
la care34$14,581$16,660$19,0491.3×
brandman centers44$15,105$15,629$16,7071.1×
aids healthcare foundation34$15,053$15,342$15,8231.1×
epic health plan24$15,587$19,060$23,9531.5×
prime health services34$17,522$36,762$52,8813.0×
citizens choice33$14,581$15,681$17,6381.2×
hemet community medical group33$23,266$23,266$23,2661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$60,132
Sharp Memorial HospitalSan DiegoCA5$116,832$87,624$17,525$79,212$93,466
Sharp Chula Vista Medical CenterChula VistaCA9$116,832$87,624$7,383.81$57,248$89,961
Central Valley Specialty HospitalModestoCA11$35,254$35,254$53,104
Redwood Memorial HospitalFortunaCA2$32,703$33,183$33,662
Scripps Mercy HospitalSan DiegoCA7$58,890$14,722$16,961$29,123$50,135
Placentia Linda Community HospitalPlacentiaCA33$98.00$23,499$174,960
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$23,499$174,960
Stanford Health CareStanfordCA1$23,430$23,430$23,430
Uci Medical CenterOrangeCA34$98.00$23,266$174,960
St. Marys Medical CenterSan FranciscoCA9$23,138$23,138$70,109
St Jude Medical Center FullertonFullertonCA6$62.80$22,242$86,452
Saint Francis Memorial HospitalSan FranciscoCA9$22,146$22,146$67,101
Uc Davis Medical CenterSacramentoCA6$21,278$22,087$59,579
Memorialcare Orange Coast Med CtrFountain ValleyCA19$14,897$21,616$50,173
Memorialcare Saddleback Med CtrLaguna HillsCA20$13,560$21,485$82,942
Providence Lttl Co Mary Mc San PedroSan PedroCA17$15,853$21,336$130,383
Centinela Hospital Medical CenterInglewoodCA26$16,345$15,512$21,249$29,618
Memorialcare Long Beach Med CtrLong BeachCA28$16,756$21,166$60,980
Providence Lttl Co Mary Mc TorranceTorranceCA18$16,033$20,843$130,383
Tri-City Medical CenterOceansideCA12$72,046$43,228$15,870$20,629$23,805
Dominican HospitalSanta CruzCA5$19,522$20,126$45,887
Methodist Hospital Of SacramentoSacramentoCA8$11,990$20,048$20,649
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$15,629$19,587$130,383
Providence Cedars-Sinai Tarzana MediTarzanaCA19$15,629$19,587$130,383
Mercy San Juan Medical CenterCarmichaelCA9$11,990$18,967$23,709
Sequoia HospitalRedwood CityCA10$18,940$18,940$65,342
Mercy General HospitalSacramentoCA7$11,990$18,802$19,366
Providence Holy Cross Med. CenterMission HillsCA19$16,707$18,377$130,383
Community Hospital Of San BernardinoSan BernardinoCA8$18,330$18,330$35,744
Sierra Nevada Memorial HospitalGrass ValleyCA7$18,168$18,168$18,168
Surprise Valley Health Care DistrictCedarvilleCA3$17,981$17,981$56,655
St. Mary Medical CenterApple ValleyCA8$17,977$17,977$28,763
Mercy Hospital Of FolsomFolsomCA7$11,990$17,777$18,311
Santa Rosa Memorial HospitalSanta RosaCA13$17,374$17,729$58,965
Marian Medical CenterSanta MariaCA5$17,707$17,707$17,707
Woodland HealthcareWoodlandCA6$11,990$17,707$18,226
Queen Of The Valley Medical CenterNapaCA12$90.00$17,609$73,258
Glendale Memorial Hospital & Hlth CtGlendaleCA3$17,596$17,596$21,115
Northridge Medical Center - RoscoeNorthridgeCA6$17,405$17,405$20,886
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$17,391$38,953
Chino Valley Medical CenterChinoCA22$17,109$15,006$17,109$34,219
St. Joseph Hospital Of OrangeOrangeCA11$17,016$17,016$52,556
St. Joseph Hospital - EurekaEurekaCA11$17,016$17,016$52,556
Petaluma Valley HospitalPetalumaCA10$16,582$16,921$38,431
Mercy Medical Center MercedMercedCA7$16,523$16,523$16,523
St. Bernardine Medical CenterSan BernardinoCA8$13,932$16,390$31,961
St. Johns Regional Medical CenterOxnardCA6$16,325$16,325$16,325
St Elizabeth Community HosptialRed BluffCA6$16,174$16,174$16,174
Encino HospitalEncinoCA26$15,028$15,028$15,930$27,231
Montclair Hospital Medical CenterMontclairCA20$15,683$15,587$15,683$31,367
Bakersfield Memorial HospitalBakersfieldCA7$15,572$15,572$21,177
Mission Hospital Reg Medical CenterMission ViejoCA20$15,436$15,436$38,744
St. Johns Pleasant Valley HospitalCamarilloCA7$13,003$15,381$30,762
Sherman Oaks Hospital-HlthSherman OaksCA29$15,053$15,053$15,355$27,654
Huntington Beach HospitalHuntington BeachCA15$15,080$14,998$15,156$27,327
Providence St Johns Health CenterSanta MonicaCA20$61.30$15,105$43,834
Garden Grove Hospital Medical CenterGarden GroveCA18$15,099$15,089$15,099$29,947
San Antonio Regional HospitalUplandCA10$7,843.45$13,698$32,342
Palmdale Regional Medical CenterPalmdaleCA0
Corona Regional Medical CenterCoronaCA0
Inland Valley Reg L Medical CenterWildomarCA0
Southwest Healthcare SystemWildomarCA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.