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Major small/large bowel procedures w/o CC/MCC

MS-DRG 331 · negotiated-rate distribution across hospitals in CA

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Hospitals
64
Min
$93.03
Median
$18,463
Max
$92,846
Range multiplier
998.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield54164$90.00$22,533$126,9691410.8×
Health Net35108$15,703$26,832$109,7807.0×
Aetna4571$67.00$21,440$88,2981317.9×
UnitedHealthcare2471$68.48$32,305$188,4172751.4×
Kaiser Permanente3745$12,931$17,588$119,0339.2×
Cigna2341$16,250$31,780$130,1438.0×
Medicare3039$14,228$16,917$62,1764.4×
Humana3737$14,228$17,104$63,4844.5×
Molina2232$14,719$17,184$126,9698.6×
Anthem BCBS2127$14,228$16,712$23,8871.7×
brand new day1819$16,250$16,905$24,9171.5×
monarch health plan717$14,917$17,926$42,9842.9×
scan health plan1316$14,603$18,258$39,8672.7×
central health plan1414$16,228$18,325$19,7191.2×
la care health plan714$16,165$17,574$23,3041.4×
Empire BCBS1014$10,469$17,635$22,9532.2×
Multiplan1313$90.00$18,851$30,131334.8×
TRICARE712$16,165$22,854$25,1731.6×
heritage provider network811$15,703$24,917$36,1302.3×
WellCare1010$14,752$16,833$18,9361.3×
caremore910$16,250$17,369$24,9171.5×
healthcare partners810$16,580$21,926$46,7712.8×
First Health1010$61.30$63,699$102,9361679.2×
Bright Health58$15,298$24,917$32,3922.1×
caloptima37$14,795$24,917$24,9171.7×
providence health plan77$16,250$16,811$19,0341.2×
primecare medical network37$18,708$27,409$38,6212.1×
renal payer solutions66$16,165$16,211$17,3451.1×
family choice medical group36$24,917$28,654$32,3921.3×
employer direct healthcare66$21,014$21,075$23,8711.1×
emanate health26$16,737$17,854$36,7252.2×
national healthcare solutions, inc (nhsi)66$25,864$25,938$29,3801.1×
select health35$16,488$21,199$28,4041.7×
commercial | western health advantage | all plans55$10,710$10,710$10,7101.0×
commercial | hill physicians | all plans55$16,481$17,424$18,5851.1×
naphcare45$25,103$25,153$28,4621.1×
onecare55$15,703$16,999$18,9361.2×
alignment health plan44$15,703$24,917$24,9171.6×
centivo44$28,065$36,628$42,6061.5×
the health plan24$12,765$21,265$27,7782.2×
prime health services34$18,851$32,198$41,6662.2×
brandman centers44$16,250$16,811$17,9261.1×
alignment44$16,165$16,466$17,3451.1×
la care34$15,703$17,896$20,4511.3×
epic health plan24$16,737$20,461$25,7081.5×
aids healthcare foundation34$16,195$16,504$17,0091.1×
l.a care health plan24$16,195$16,436$17,5731.1×
orange county advantage medical group34$24,917$24,917$38,3961.5×
amvi/prospect medical group33$24,917$24,917$24,9171.0×
central health33$17,273$18,541$20,8291.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$57,730
Sharp Memorial HospitalSan DiegoCA4$158,711$119,033$53,962$92,846$126,969
Grossmont HospitalLa MesaCA2$158,711$119,033$63,484$87,291$111,098
Sharp Chula Vista Medical CenterChula VistaCA5$158,711$119,033$23,807$76,181$130,143
Redwood Memorial HospitalFortunaCA2$31,196$32,299$33,401
Scripps Mercy HospitalSan DiegoCA8$332,038$83,010$18,191$28,178$43,488
Central Valley Specialty HospitalModestoCA11$27,778$27,778$41,843
Uci Medical CenterOrangeCA34$98.00$27,409$188,417
Stanford Health CareStanfordCA1$25,199$25,199$25,199
Placentia Linda Community HospitalPlacentiaCA33$98.00$25,166$188,417
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$25,166$188,417
Centinela Hospital Medical CenterInglewoodCA26$17,572$16,676$24,521$31,842
Uc Davis Medical CenterSacramentoCA6$22,867$23,736$64,028
St Jude Medical Center FullertonFullertonCA6$62.80$22,716$88,298
Memorialcare Long Beach Med CtrLong BeachCA28$17,989$22,628$62,282
Memorialcare Orange Coast Med CtrFountain ValleyCA19$16,013$22,503$51,244
Providence Lttl Co Mary Mc TorranceTorranceCA18$17,221$22,388$102,936
Providence Lttl Co Mary Mc San PedroSan PedroCA17$16,999$22,316$102,936
Memorialcare Saddleback Med CtrLaguna HillsCA20$14,603$21,943$84,712
St. Marys Medical CenterSan FranciscoCA9$21,440$21,440$64,963
Saint Francis Memorial HospitalSan FranciscoCA9$20,604$20,604$62,429
Providence Cedars-Sinai Tarzana MediTarzanaCA19$16,811$20,005$102,936
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$16,811$20,005$102,936
Providence Holy Cross Med. CenterMission HillsCA19$17,926$19,719$102,936
Surprise Valley Health Care DistrictCedarvilleCA3$19,301$19,301$44,588
Tri-City Medical CenterOceansideCA12$111,061$66,637$14,719$19,082$22,078
Santa Rosa Memorial HospitalSanta RosaCA13$18,653$19,034$54,645
Queen Of The Valley Medical CenterNapaCA12$90.00$18,924$74,822
Dominican HospitalSanta CruzCA5$18,077$18,636$42,491
Methodist Hospital Of SacramentoSacramentoCA8$10,710$18,585$19,143
Sherman Oaks Hospital-HlthSherman OaksCA29$16,195$16,195$18,463$29,346
Encino HospitalEncinoCA26$16,164$16,165$18,428$29,291
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$18,376$41,949
Chino Valley Medical CenterChinoCA22$18,362$17,345$18,363$36,725
St. Joseph Hospital Of OrangeOrangeCA11$18,288$18,288$53,677
St. Joseph Hospital - EurekaEurekaCA11$18,288$18,288$53,677
Petaluma Valley HospitalPetalumaCA10$16,942$18,149$39,251
Mercy San Juan Medical CenterCarmichaelCA9$10,710$17,588$21,985
Sequoia HospitalRedwood CityCA10$17,520$17,520$60,445
Mercy General HospitalSacramentoCA7$10,710$17,424$17,946
Community Hospital Of San BernardinoSan BernardinoCA8$17,104$17,104$33,353
Montclair Hospital Medical CenterMontclairCA20$16,841$16,737$16,842$33,683
Sierra Nevada Memorial HospitalGrass ValleyCA7$16,835$16,835$16,835
Huntington Beach HospitalHuntington BeachCA15$16,184$16,184$16,751$29,326
St. Mary Medical CenterApple ValleyCA8$16,712$16,712$26,740
Mission Hospital Reg Medical CenterMission ViejoCA20$16,580$16,580$39,571
Mercy Hospital Of FolsomFolsomCA7$10,710$16,481$16,976
Woodland HealthcareWoodlandCA6$10,710$16,435$16,917
Marian Medical CenterSanta MariaCA5$16,412$16,412$16,412
Glendale Memorial Hospital & Hlth CtGlendaleCA3$16,328$16,328$19,594
Garden Grove Hospital Medical CenterGarden GroveCA18$16,227$16,227$16,309$30,586
Providence St Johns Health CenterSanta MonicaCA20$61.30$16,250$40,128
Northridge Medical Center - RoscoeNorthridgeCA6$16,138$16,138$19,366
Mercy Medical Center MercedMercedCA7$15,313$15,313$15,313
St. Bernardine Medical CenterSan BernardinoCA8$12,931$15,213$29,665
St. Johns Regional Medical CenterOxnardCA6$15,121$15,121$15,121
St Elizabeth Community HosptialRed BluffCA6$14,989$14,989$14,989
San Antonio Regional HospitalUplandCA10$12,765$14,752$34,829
Bakersfield Memorial HospitalBakersfieldCA7$14,432$14,432$19,628
St. Johns Pleasant Valley HospitalCamarilloCA7$14,228$14,228$28,456
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.