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Simple pneumonia & pleurisy w CC

MS-DRG 194 · negotiated-rate distribution across hospitals in CA

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Hospitals
64
Min
$93.03
Median
$9,329.21
Max
$48,327
Range multiplier
519.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield54159$90.00$11,191$34,944388.3×
Health Net35108$7,519.60$14,255$50,6916.7×
Aetna4772$67.00$11,491$50,482753.5×
UnitedHealthcare2469$68.48$15,614$90,2291317.6×
Kaiser Permanente3644$6,818.96$9,006.25$33,4674.9×
Cigna2339$7,895.94$15,250$50,4826.4×
Medicare3039$7,185.92$8,848.68$32,0954.5×
Humana3636$7,064.25$8,772.12$23,1983.3×
Molina2232$7,683.88$8,464.36$29,5503.8×
Anthem BCBS2127$7,064.25$8,695.55$12,3041.7×
brand new day1819$7,895.94$8,425.03$12,8721.6×
monarch health plan717$7,143.62$8,993.65$21,4903.0×
scan health plan1316$6,993.23$9,184.81$20,5952.9×
la care health plan714$7,870.61$8,834.81$11,7381.5×
central health plan1414$7,994.54$9,005.43$9,932.381.2×
Multiplan1313$90.00$9,161.39$14,965166.3×
Empire BCBS913$8,229.47$9,006.25$11,5251.4×
TRICARE712$7,863.53$8,384.79$9,131.011.2×
heritage provider network811$7,519.60$12,872$18,6642.5×
WellCare1010$7,064.25$8,258.98$9,467.001.3×
First Health1010$61.30$38,611$65,1921063.5×
healthcare partners810$8,229.47$11,169$23,3832.8×
caremore99$7,895.94$9,029.44$12,8721.6×
Bright Health58$7,921.35$12,872$16,7342.1×
caloptima37$10,014$12,872$12,8721.3×
providence health plan77$7,895.94$8,229.47$9,512.301.2×
primecare medical network36$14,159$17,055$19,9521.4×
renal payer solutions66$7,863.53$8,064.07$8,732.241.1×
employer direct healthcare66$10,223$10,483$11,9861.2×
national healthcare solutions, inc (nhsi)66$12,582$12,903$14,7521.2×
emanate health26$8,341.61$8,976.01$18,4402.2×
family choice medical group36$12,872$14,803$16,7341.3×
select health35$7,895.58$10,151$14,2011.8×
commercial | western health advantage | all plans55$5,633.73$5,633.73$5,633.731.0×
onecare55$7,519.60$8,549.03$9,467.001.3×
commercial | hill physicians | all plans55$8,563.41$9,003.71$9,652.211.1×
naphcare45$12,188$12,392$14,2911.2×
alignment health plan44$7,519.60$12,872$12,8721.7×
centivo44$13,439$17,784$21,3011.6×
the health plan24$4,737.26$15,131$23,1984.9×
la care34$7,519.60$8,877.75$10,2241.4×
alignment44$7,863.53$8,106.11$8,732.241.1×
l.a care health plan24$7,863.53$8,025.44$8,617.001.1×
prime health services34$9,153.15$22,103$34,7973.8×
brandman centers44$7,895.94$8,186.01$9,029.441.1×
aids healthcare foundation34$7,863.53$8,024.41$8,351.091.1×
epic health plan24$8,341.61$10,240$12,9081.5×
citizens choice33$7,519.60$8,288.49$9,467.001.3×
hemet community medical group33$12,872$12,872$12,8721.0×
central health33$8,271.56$9,117.34$10,4141.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$8,186.01$9,935.94$65,192
Providence Cedars-Sinai Tarzana MediTarzanaCA19$8,186.01$9,935.94$65,192
Providence Holy Cross Med. CenterMission HillsCA19$9,029.44$9,932.38$65,192
Surprise Valley Health Care DistrictCedarvilleCA3$9,671.65$9,671.65$27,503
Methodist Hospital Of SacramentoSacramentoCA8$5,633.73$9,652.21$9,941.78
Tri-City Medical CenterOceansideCA12$48,384$29,030$7,683.88$9,637.67$11,526
Community Hospital Of San BernardinoSan BernardinoCA8$9,615.85$9,615.85$18,751
Dominican HospitalSanta CruzCA5$9,252.63$9,538.79$21,748
Santa Rosa Memorial HospitalSanta RosaCA13$9,322.05$9,512.30$27,576
Queen Of The Valley Medical CenterNapaCA12$90.00$9,329.21$37,162
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$28,385
Chino Valley Medical CenterChinoCA22$9,219.00$8,732.24$9,219.77$18,440
Petaluma Valley HospitalPetalumaCA10$8,549.74$9,186.62$19,495
Mercy San Juan Medical CenterCarmichaelCA9$5,633.73$9,161.71$11,452
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$9,054.13$20,088
St. Joseph Hospital - EurekaEurekaCA11$9,006.25$9,006.25$26,660
St. Joseph Hospital Of OrangeOrangeCA11$9,006.25$9,006.25$26,660
Mercy General HospitalSacramentoCA7$5,633.73$9,003.71$9,273.82
St. Mary Medical CenterApple ValleyCA8$8,987.12$8,987.12$14,379
Sequoia HospitalRedwood CityCA10$8,848.68$8,848.68$30,528
Sierra Nevada Memorial HospitalGrass ValleyCA7$8,695.55$8,695.55$8,695.55
Woodland HealthcareWoodlandCA6$5,633.73$8,670.28$8,924.63
Mercy Hospital Of FolsomFolsomCA7$5,633.73$8,563.41$8,820.31
Marian Medical CenterSanta MariaCA5$8,499.16$8,499.16$8,499.16
Sherman Oaks Hospital-HlthSherman OaksCA29$7,863.00$7,863.53$8,432.97$14,249
Northridge Medical Center - RoscoeNorthridgeCA6$8,401.80$8,401.80$10,082
Montclair Hospital Medical CenterMontclairCA20$8,391.00$8,341.61$8,391.58$16,783
Glendale Memorial Hospital & Hlth CtGlendaleCA3$8,385.65$8,385.65$10,063
Encino HospitalEncinoCA26$7,870.00$7,870.61$8,378.00$14,262
Huntington Beach HospitalHuntington BeachCA15$8,133.00$8,133.59$8,239.94$14,738
Mission Hospital Reg Medical CenterMission ViejoCA20$8,229.47$8,229.47$19,654
Garden Grove Hospital Medical CenterGarden GroveCA18$7,994.00$7,994.54$8,034.52$15,191
St. Bernardine Medical CenterSan BernardinoCA8$6,818.96$8,022.31$15,644
Mercy Medical Center MercedMercedCA7$7,917.28$7,917.28$7,917.28
Providence St Johns Health CenterSanta MonicaCA20$61.30$7,895.94$20,596
St. Johns Regional Medical CenterOxnardCA6$7,765.70$7,765.70$7,765.70
St Elizabeth Community HosptialRed BluffCA6$7,564.15$7,564.15$7,564.15
Bakersfield Memorial HospitalBakersfieldCA7$7,472.97$7,472.97$10,163
St. Johns Pleasant Valley HospitalCamarilloCA7$7,185.92$7,185.92$14,372
San Antonio Regional HospitalUplandCA10$4,737.26$7,064.25$16,679
Sharp Memorial HospitalSan DiegoCA4$61,563$46,173$29,550$48,327$50,482
Grossmont HospitalLa MesaCA1$61,563$46,173$36,938$36,938$36,938
Sharp Chula Vista Medical CenterChula VistaCA4$61,563$46,173$18,284$29,550$43,094
Central Valley Specialty HospitalModestoCA11$23,198$23,198$34,944
Redwood Memorial HospitalFortunaCA2$15,743$16,166$16,589
Scripps Mercy HospitalSan DiegoCA7$40,555$10,139$9,213.14$13,323$20,825
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$13,001$90,229
Placentia Linda Community HospitalPlacentiaCA33$98.00$13,001$90,229
Uci Medical CenterOrangeCA33$98.00$12,872$90,229
Stanford Health CareStanfordCA1$12,292$12,292$12,292
Uc Davis Medical CenterSacramentoCA6$11,276$11,705$31,573
St Jude Medical Center FullertonFullertonCA6$62.80$11,283$43,855
Memorialcare Long Beach Med CtrLong BeachCA28$8,993.65$11,276$30,933
Providence Lttl Co Mary Mc San PedroSan PedroCA17$8,640.17$11,212$65,192
Centinela Hospital Medical CenterInglewoodCA26$8,617.00$8,187.34$11,202$15,614
Saint Francis Memorial HospitalSan FranciscoCA9$11,186$11,186$33,893
Memorialcare Orange Coast Med CtrFountain ValleyCA19$7,874.07$11,120$25,451
Providence Lttl Co Mary Mc TorranceTorranceCA18$8,549.03$11,114$65,192
St. Marys Medical CenterSan FranciscoCA9$11,067$11,067$33,533
Memorialcare Saddleback Med CtrLaguna HillsCA20$6,993.23$10,899$42,074
Southwest Healthcare SystemWildomarCA0
Inland Valley Reg L Medical CenterWildomarCA0
Palmdale Regional Medical CenterPalmdaleCA0
Corona Regional Medical CenterCoronaCA0

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.