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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in CA

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Hospitals
64
Min
$93.03
Median
$14,070
Max
$67,828
Range multiplier
729.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield55164$90.00$17,809$66,935743.7×
Health Net34107$6,378.87$21,207$80,75112.7×
UnitedHealthcare2471$68.48$24,848$143,7342098.9×
Aetna4671$67.00$16,022$69,7881041.6×
Kaiser Permanente3644$9,738.56$13,235$50,5325.2×
Medicare3140$10,550$12,994$60,6885.8×
Cigna2239$12,448$24,293$76,8976.2×
Humana3636$10,550$13,089$33,4663.2×
Molina2333$11,044$13,275$71,3986.5×
Anthem BCBS2127$10,550$12,584$18,2221.7×
brand new day1819$12,448$13,046$19,4361.6×
monarch health plan717$11,380$13,877$33,2032.9×
scan health plan1316$11,140$14,129$31,0972.8×
la care health plan714$12,390$13,576$18,0411.5×
central health plan1414$12,481$14,120$15,2651.2×
Multiplan1414$90.00$14,430$23,814264.6×
Empire BCBS1014$12,780$13,971$30,1482.4×
TRICARE712$12,378$12,829$14,0351.1×
heritage provider network811$11,979$19,436$28,1822.4×
healthcare partners811$12,780$19,436$36,1282.8×
WellCare1010$11,253$12,921$14,6271.3×
First Health1010$61.30$55,713$92,6421511.3×
caremore99$12,448$13,877$19,4361.6×
caloptima39$9,813.78$19,436$19,4362.0×
Bright Health58$11,445$19,436$25,2662.2×
providence health plan77$12,448$12,886$14,7011.2×
primecare medical network37$12,841$21,379$30,1252.3×
renal payer solutions66$12,390$12,501$13,4251.1×
employer direct healthcare66$16,107$16,251$18,4631.1×
emanate health26$12,917$13,814$28,4042.2×
family choice medical group36$19,436$22,351$25,2661.3×
national healthcare solutions, inc (nhsi)66$19,825$20,001$22,7231.1×
commercial | western health advantage | all plans55$8,532.38$8,532.38$8,532.381.0×
commercial | hill physicians | all plans55$12,346$13,026$13,9191.1×
select health35$12,578$16,171$21,9401.7×
naphcare45$19,226$19,345$22,0131.1×
onecare55$11,979$13,195$14,6271.2×
alignment health plan44$11,979$19,436$19,4361.6×
centivo44$21,409$28,052$32,9101.5×
the health plan24$6,861.54$22,360$33,4664.9×
st. joseph34$12,841$19,436$19,4361.5×
managed health network44$12,390$12,462$68,7205.5×
l.a care health plan24$12,404$12,608$13,4971.1×
brandman centers44$12,448$12,886$13,8771.1×
alignment44$12,390$12,660$13,4251.1×
la care34$11,979$13,792$15,7971.3×
epic health plan24$12,917$15,810$19,8831.5×
aids healthcare foundation34$12,404$12,645$13,0691.1×
prime health services34$14,438$32,930$50,1993.5×
central health33$13,177$14,252$16,0891.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$43,237
Sharp Memorial HospitalSan DiegoCA6$89,247$66,935$35,699$67,828$80,322
Grossmont HospitalLa MesaCA1$89,247$66,935$60,688$60,688$60,688
Sharp Chula Vista Medical CenterChula VistaCA5$89,247$66,935$26,506$43,954$60,242
Central Valley Specialty HospitalModestoCA11$33,466$33,466$50,412
Redwood Memorial HospitalFortunaCA2$24,461$25,430$26,399
Scripps Mercy HospitalSan DiegoCA8$44,649$11,162$14,105$23,558$41,187
Placentia Linda Community HospitalPlacentiaCA33$98.00$19,630$143,734
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$19,630$143,734
Uci Medical CenterOrangeCA34$98.00$19,436$143,734
Stanford Health CareStanfordCA1$19,325$19,325$19,325
Uc Davis Medical CenterSacramentoCA6$17,592$18,261$49,258
St Jude Medical Center FullertonFullertonCA6$62.80$17,954$69,788
Memorialcare Long Beach Med CtrLong BeachCA28$13,895$17,552$49,225
Centinela Hospital Medical CenterInglewoodCA26$13,497$12,813$17,546$24,457
Providence Lttl Co Mary Mc San PedroSan PedroCA17$13,195$17,481$92,642
Memorialcare Orange Coast Med CtrFountain ValleyCA19$12,309$17,374$40,501
Memorialcare Saddleback Med CtrLaguna HillsCA20$11,140$17,343$66,954
Providence Lttl Co Mary Mc TorranceTorranceCA18$13,275$17,257$92,642
St. Marys Medical CenterSan FranciscoCA9$16,022$16,022$48,547
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$12,886$15,811$92,642
Providence Cedars-Sinai Tarzana MediTarzanaCA19$12,886$15,811$92,642
Saint Francis Memorial HospitalSan FranciscoCA9$15,684$15,684$47,524
Surprise Valley Health Care DistrictCedarvilleCA3$14,919$14,919$41,175
Providence Holy Cross Med. CenterMission HillsCA20$7,079.00$14,710$92,642
Santa Rosa Memorial HospitalSanta RosaCA13$14,407$14,701$42,939
Queen Of The Valley Medical CenterNapaCA12$90.00$14,558$59,137
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$14,315$32,001
Chino Valley Medical CenterChinoCA22$14,201$12,378$14,202$28,404
Tri-City Medical CenterOceansideCA12$47,445$28,467$11,044$14,149$16,566
Petaluma Valley HospitalPetalumaCA10$13,284$14,070$31,023
St. Joseph Hospital - EurekaEurekaCA11$14,064$14,064$42,425
St. Joseph Hospital Of OrangeOrangeCA11$14,064$14,064$42,425
Methodist Hospital Of SacramentoSacramentoCA8$8,532.38$13,919$14,337
Dominican HospitalSanta CruzCA5$13,468$13,885$31,657
Community Hospital Of San BernardinoSan BernardinoCA8$13,193$13,193$25,726
Mercy San Juan Medical CenterCarmichaelCA9$8,532.38$13,187$16,483
Encino HospitalEncinoCA26$12,390$12,390$13,134$22,451
Mercy General HospitalSacramentoCA7$8,532.38$13,026$13,417
Montclair Hospital Medical CenterMontclairCA20$12,996$12,917$12,996$25,992
Sequoia HospitalRedwood CityCA10$12,991$12,991$44,818
Sherman Oaks Hospital-HlthSherman OaksCA29$12,403$12,404$12,962$22,476
Glendale Memorial Hospital & Hlth CtGlendaleCA3$12,866$12,866$15,440
Mission Hospital Reg Medical CenterMission ViejoCA20$12,780$12,780$31,276
Huntington Beach HospitalHuntington BeachCA16$12,520$12,521$12,704$22,687
St. Mary Medical CenterApple ValleyCA8$12,677$12,677$20,284
Sierra Nevada Memorial HospitalGrass ValleyCA7$12,584$12,584$12,584
Garden Grove Hospital Medical CenterGarden GroveCA18$12,480$12,481$12,543$24,172
Providence St Johns Health CenterSanta MonicaCA20$61.30$12,448$31,716
Woodland HealthcareWoodlandCA6$8,532.38$12,379$12,743
Mercy Hospital Of FolsomFolsomCA7$8,532.38$12,346$12,716
Marian Medical CenterSanta MariaCA5$12,279$12,279$12,279
Northridge Medical Center - RoscoeNorthridgeCA6$12,097$12,097$14,517
St Elizabeth Community HosptialRed BluffCA6$11,753$11,753$11,753
St. Bernardine Medical CenterSan BernardinoCA8$9,738.56$11,457$22,341
Mercy Medical Center MercedMercedCA7$11,450$11,450$11,450
St. Johns Regional Medical CenterOxnardCA6$11,279$11,279$11,279
San Antonio Regional HospitalUplandCA10$6,861.54$11,253$26,570
Bakersfield Memorial HospitalBakersfieldCA7$10,797$10,797$14,684
St. Johns Pleasant Valley HospitalCamarilloCA7$10,550$10,550$21,099
Southwest Healthcare SystemWildomarCA0
Corona Regional Medical CenterCoronaCA0
Inland Valley Reg L Medical CenterWildomarCA0
Palmdale Regional Medical CenterPalmdaleCA0

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.