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PCI w drug-eluting stent w/o MCC

MS-DRG 247 · negotiated-rate distribution across hospitals in CA

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Hospitals
41
Min
$67.00
Median
$21,357
Max
$56,164
Range multiplier
838.3×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield3986$90.00$24,094$66,516739.1×
Medicare2127$9,689.00$19,361$71,5107.4×
Anthem BCBS1924$16,413$19,080$25,8791.6×
Health Net1023$24,290$50,608$85,8003.5×
Kaiser Permanente2022$14,828$17,526$24,6591.7×
Aetna1920$67.00$19,150$64,260959.1×
Cigna1218$7,345.00$28,774$83,66711.4×
Humana1616$16,413$18,988$24,6591.5×
UnitedHealthcare611$16,902$40,411$60,5353.6×
First Health88$61.30$123,523$123,5232015.1×
Multiplan66$92.00$98.00$24,169262.7×
commercial | hill physicians | all plans55$18,938$20,036$21,3571.1×
commercial | western health advantage | all plans55$12,900$12,900$12,9001.0×
first choice22$62.80$78.43$94.051.5×
commercial | naphcare | all plans22$34,016$35,950$37,8841.1×
commercial | epic health | all plans22$24,422$25,810$27,1991.1×
commercial | la care | all plans22$22,247$22,589$22,9321.0×
commercial | sutter health | all plans22$37,592$43,260$48,9281.3×
Bright Health22$17,587$19,905$22,2231.3×
Molina12$16,902$19,859$22,8171.4×
mountain health co-op11$64,511$64,511$64,5111.0×
pacific health coalition11$67.00$67.00$67.001.0×
phn / oscar11$23,662$23,662$23,6621.0×
prospect health11$16,902$16,902$16,9021.0×
providence11$20,976$20,976$20,9761.0×
commercial | clinicas | all plans11$32,826$32,826$32,8261.0×
astiva health clever care of ca11$16,902$16,902$16,9021.0×
commercial | hcla | preferred ipa11$23,887$23,887$23,8871.0×
commercial | la care | exchange11$22,722$22,722$22,7221.0×
commercial | oscar | all plans11$74,716$74,716$74,7161.0×
commercial | oscar | exchange11$71,284$71,284$71,2841.0×
commercial | redlands | all plans11$20,061$20,061$20,0611.0×
commercial | brown toland | all plans11$22,232$22,232$22,2321.0×
hn bronze and communitycare11$23,662$23,662$23,6621.0×
commercial | ballards rehab | all plans11$21,371$21,371$21,3711.0×
commercial | allcare | all plans11$17,607$17,607$17,6071.0×
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$64,511
St Jude Medical Center FullertonFullertonCA3$62.80$67.00$67.00
Uci Medical CenterOrangeCA3$98.00$56,164$66,516
Surprise Valley Health Care DistrictCedarvilleCA1$54,392$54,392$54,392
Dominican HospitalSanta CruzCA7$20,816$49,768$65,795
Placentia Linda Community HospitalPlacentiaCA2$98.00$48,067$66,181
Fountain Valley Reg Medical CenterFountain ValleyCA2$98.00$48,067$66,181
St. Joseph Hospital - EurekaEurekaCA3$20,251$47,811$62,082
St. Joseph Hospital Of OrangeOrangeCA3$20,251$47,811$62,082
Providence St Johns Health CenterSanta MonicaCA4$61.30$35,163$47,160
Providence Lttl Co Mary Mc TorranceTorranceCA3$27,992$33,131$123,523
Providence Cedars-Sinai Tarzana MediTarzanaCA3$23,763$32,980$123,523
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA3$23,763$32,980$123,523
Providence Lttl Co Mary Mc San PedroSan PedroCA3$27,419$31,420$123,523
Redwood Memorial HospitalFortunaCA2$19,536$29,856$38,631
Providence Holy Cross Med. CenterMission HillsCA4$13,001$28,134$123,523
Mission Hospital Reg Medical CenterMission ViejoCA4$16,552$26,853$45,767
Saint Francis Memorial HospitalSan FranciscoCA9$23,526$24,702$85,800
St. Marys Medical CenterSan FranciscoCA9$24,659$24,659$74,716
Glendale Memorial Hospital & Hlth CtGlendaleCA5$9,689.00$23,612$31,715
Santa Rosa Memorial HospitalSanta RosaCA1$15,236$21,858$63,531
Queen Of The Valley Medical CenterNapaCA3$90.00$21,567$46,253
Methodist Hospital Of SacramentoSacramentoCA8$12,900$21,357$21,998
Sequoia HospitalRedwood CityCA10$20,211$20,211$69,728
Mercy San Juan Medical CenterCarmichaelCA9$12,900$20,202$25,253
Petaluma Valley HospitalPetalumaCA1$14,171$19,697$23,791
Mercy General HospitalSacramentoCA7$12,900$19,465$20,638
Community Hospital Of San BernardinoSan BernardinoCA8$19,428$19,428$37,884
Sierra Nevada Memorial HospitalGrass ValleyCA7$19,361$19,361$19,361
St. Mary Medical CenterApple ValleyCA8$19,110$19,110$30,575
Marian Medical CenterSanta MariaCA5$18,867$18,867$18,867
Woodland HealthcareWoodlandCA6$12,900$18,845$19,398
Northridge Medical Center - RoscoeNorthridgeCA6$18,539$18,539$22,247
Mercy Hospital Of FolsomFolsomCA7$12,900$18,398$19,506
Mercy Medical Center MercedMercedCA7$17,607$17,607$17,607
St. Bernardine Medical CenterSan BernardinoCA8$14,828$17,444$34,016
St Elizabeth Community HosptialRed BluffCA6$17,426$17,426$17,426
St. Johns Regional Medical CenterOxnardCA6$17,403$17,403$17,403
Tri-City Medical CenterOceansideCA13$7,345.00$16,902$25,352
Bakersfield Memorial HospitalBakersfieldCA7$16,592$16,592$22,565
St. Johns Pleasant Valley HospitalCamarilloCA7$16,413$16,413$32,826

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.