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PCI w drug-eluting stent w MCC

MS-DRG 246 · negotiated-rate distribution across hospitals in CA

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Hospitals
41
Min
$67.00
Median
$30,588
Max
$87,034
Range multiplier
1299.0×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield3985$90.00$37,358$104,7891164.3×
Medicare2127$9,689.00$29,704$112,41111.6×
Anthem BCBS1924$25,988$29,658$39,9651.5×
Health Net1023$24,290$60,600$110,4054.5×
Kaiser Permanente2022$23,138$27,533$38,7621.7×
Aetna1819$67.00$29,625$38,762578.5×
Cigna1218$7,345.00$44,868$130,46617.8×
Humana1717$25,988$29,614$47,4361.8×
UnitedHealthcare712$23,612$48,103$94,9604.0×
First Health88$61.30$202,440$202,4403302.4×
Multiplan66$92.00$98.00$37,847411.4×
commercial | hill physicians | all plans55$29,704$31,485$33,5031.1×
commercial | western health advantage | all plans55$20,116$20,116$20,1161.0×
first choice22$62.80$78.43$94.051.5×
commercial | naphcare | all plans22$53,081$55,410$57,7391.1×
commercial | epic health | all plans22$38,110$39,782$41,4531.1×
commercial | la care | all plans22$34,870$35,203$35,5361.0×
commercial | sutter health | all plans22$59,522$68,327$77,1311.3×
Bright Health22$27,617$31,221$34,8251.3×
Molina12$26,467$31,098$35,7301.3×
mountain health co-op11$101,197$101,197$101,1971.0×
pacific health coalition11$67.00$67.00$67.001.0×
phn / oscar11$37,053$37,053$37,0531.0×
prospect health11$26,467$26,467$26,4671.0×
providence11$32,905$32,905$32,9051.0×
commercial | clinicas | all plans11$51,976$51,976$51,9761.0×
astiva health clever care of ca11$26,467$26,467$26,4671.0×
commercial | hcla | preferred ipa11$37,017$37,017$37,0171.0×
commercial | la care | exchange11$35,520$35,520$35,5201.0×
commercial | oscar | all plans11$117,450$117,450$117,4501.0×
commercial | oscar | exchange11$110,084$110,084$110,0841.0×
commercial | redlands | all plans11$31,304$31,304$31,3041.0×
commercial | brown toland | all plans11$35,201$35,201$35,2011.0×
hn bronze and communitycare11$37,053$37,053$37,0531.0×
commercial | ballards rehab | all plans11$32,571$32,571$32,5711.0×
commercial | allcare | all plans11$27,662$27,662$27,6621.0×
Medicaid11$65,795$65,795$65,7951.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$101,197
Surprise Valley Health Care DistrictCedarvilleCA1$87,034$87,034$87,034
Fountain Valley Reg Medical CenterFountain ValleyCA2$98.00$76,108$104,789
Placentia Linda Community HospitalPlacentiaCA2$98.00$76,108$104,789
St. Joseph Hospital - EurekaEurekaCA3$20,251$75,072$97,386
St. Joseph Hospital Of OrangeOrangeCA3$20,251$75,072$97,386
St Jude Medical Center FullertonFullertonCA3$62.80$67.00$67.00
Uci Medical CenterOrangeCA4$98.00$60,809$104,789
Providence St Johns Health CenterSanta MonicaCA4$61.30$55,281$73,539
Dominican HospitalSanta CruzCA7$32,815$54,536$77,131
Providence Lttl Co Mary Mc TorranceTorranceCA3$44,007$52,087$202,440
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA3$37,358$51,638$202,440
Providence Cedars-Sinai Tarzana MediTarzanaCA3$37,358$51,638$202,440
Providence Lttl Co Mary Mc San PedroSan PedroCA3$43,107$49,395$202,440
Providence Holy Cross Med. CenterMission HillsCA4$13,001$43,870$202,440
Mission Hospital Reg Medical CenterMission ViejoCA4$16,552$42,216$71,794
Redwood Memorial HospitalFortunaCA2$19,536$40,231$60,600
St. Marys Medical CenterSan FranciscoCA9$38,762$38,762$117,450
Saint Francis Memorial HospitalSan FranciscoCA9$36,331$38,148$110,084
Methodist Hospital Of SacramentoSacramentoCA8$20,116$33,503$34,508
Sequoia HospitalRedwood CityCA10$32,001$32,001$110,405
Mercy San Juan Medical CenterCarmichaelCA9$20,116$31,659$39,574
Mercy General HospitalSacramentoCA7$20,116$30,588$32,430
Sierra Nevada Memorial HospitalGrass ValleyCA7$30,428$30,428$30,428
Marian Medical CenterSanta MariaCA5$29,625$29,625$29,625
St. Mary Medical CenterApple ValleyCA8$29,614$29,614$47,382
Community Hospital Of San BernardinoSan BernardinoCA8$29,610$29,610$57,739
Woodland HealthcareWoodlandCA6$20,116$29,403$30,265
Northridge Medical Center - RoscoeNorthridgeCA6$29,058$29,058$34,870
Mercy Hospital Of FolsomFolsomCA7$20,116$28,857$30,595
Glendale Memorial Hospital & Hlth CtGlendaleCA5$9,689.00$28,401$35,520
Mercy Medical Center MercedMercedCA7$27,662$27,662$27,662
St. Johns Regional Medical CenterOxnardCA6$27,404$27,404$27,404
St Elizabeth Community HosptialRed BluffCA6$27,397$27,397$27,397
St. Bernardine Medical CenterSan BernardinoCA8$23,138$27,221$53,081
Tri-City Medical CenterOceansideCA13$7,345.00$26,467$39,700
Bakersfield Memorial HospitalBakersfieldCA7$26,054$26,054$35,434
St. Johns Pleasant Valley HospitalCamarilloCA7$20,718$25,988$51,976
Santa Rosa Memorial HospitalSanta RosaCA1$15,236$21,858$99,879
Queen Of The Valley Medical CenterNapaCA3$90.00$21,567$72,716
Petaluma Valley HospitalPetalumaCA1$14,171$20,370$37,402

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.