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Major joint replacement w MCC

MS-DRG 469 · negotiated-rate distribution across hospitals in CA

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Hospitals
63
Min
$93.03
Median
$33,087
Max
$195,784
Range multiplier
2104.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield55161$90.00$43,860$236,0932623.3×
Health Net35107$28,302$52,431$230,3348.1×
UnitedHealthcare2674$68.48$60,799$339,5974959.1×
Aetna4569$67.00$35,904$174,8032609.0×
Kaiser Permanente3745$22,861$31,608$195,7848.6×
Cigna2342$18,779$54,964$181,6839.7×
Medicare3039$25,669$29,903$111,0464.3×
Humana3636$25,669$30,092$54,8992.1×
Molina2131$26,147$30,574$54,8992.1×
Anthem BCBS2127$25,669$29,330$43,0531.7×
brand new day1819$28,866$30,092$43,4621.5×
monarch health plan717$26,887$31,624$76,0792.8×
scan health plan1316$26,321$32,229$69,5402.6×
la care health plan714$28,935$31,099$41,1121.4×
central health plan1414$28,904$32,580$34,7871.2×
Multiplan1414$90.00$33,732$59,650662.8×
Empire BCBS913$29,438$31,624$40,5491.4×
TRICARE712$28,580$40,170$44,2451.5×
heritage provider network811$28,302$43,462$63,0202.2×
WellCare1010$26,588$30,069$33,5151.3×
First Health1010$61.30$130,725$212,7343470.4×
healthcare partners810$29,438$38,489$82,7822.8×
caremore99$29,113$31,624$43,4621.5×
Bright Health58$27,283$43,462$56,5012.1×
providence health plan77$29,113$30,092$33,6971.2×
primecare medical network36$47,809$57,588$67,3671.4×
caloptima36$43,462$43,462$43,4621.0×
renal payer solutions66$28,580$28,980$30,6051.1×
employer direct healthcare66$37,154$37,674$42,1711.1×
national healthcare solutions, inc (nhsi)66$45,728$46,367$51,9031.1×
emanate health26$29,664$31,522$64,8792.2×
family choice medical group36$43,462$49,982$56,5011.3×
select health35$29,717$38,207$50,2721.7×
commercial | western health advantage | all plans55$19,907$19,907$19,9071.0×
onecare55$28,302$30,046$33,5151.2×
commercial | hill physicians | all plans55$29,345$31,103$33,0981.1×
naphcare45$44,800$44,987$50,2811.1×
alignment health plan44$28,302$43,462$43,4621.5×
centivo44$50,583$65,641$75,4081.5×
the health plan24$15,267$40,743$54,8993.6×
la care34$28,302$31,780$36,1961.3×
alignment44$28,935$29,344$30,6051.1×
l.a care health plan24$29,024$29,384$31,3621.1×
prime health services34$33,784$63,684$82,3482.4×
brandman centers44$29,113$30,092$31,6241.1×
aids healthcare foundation34$29,024$29,559$30,3401.0×
epic health plan24$29,664$36,199$45,4151.5×
citizens choice33$28,302$30,046$33,5151.2×
hemet community medical group33$43,462$43,462$43,4621.0×
central health33$31,132$33,050$36,8661.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$109,170
Redwood Memorial HospitalFortunaCA2$56,266$61,195$66,125
Central Valley Specialty HospitalModestoCA11$54,899$54,899$82,696
Stanford Health CareStanfordCA1$45,072$45,072$45,072
St Jude Medical Center FullertonFullertonCA6$62.80$44,972$174,803
Uci Medical CenterOrangeCA33$98.00$43,897$339,597
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$43,897$339,597
Placentia Linda Community HospitalPlacentiaCA33$98.00$43,897$339,597
Memorialcare Saddleback Med CtrLaguna HillsCA20$26,321$43,442$167,706
Memorialcare Orange Coast Med CtrFountain ValleyCA19$28,543$43,179$101,448
Centinela Hospital Medical CenterInglewoodCA26$31,362$29,745$43,100$57,732
Uc Davis Medical CenterSacramentoCA6$40,713$42,261$113,998
Providence Lttl Co Mary Mc San PedroSan PedroCA17$29,869$41,071$212,734
Scripps Mercy HospitalSan DiegoCA7$175,818$43,954$32,014$40,580$69,603
Memorialcare Long Beach Med CtrLong BeachCA28$31,839$40,218$123,299
Providence Lttl Co Mary Mc TorranceTorranceCA18$30,574$39,746$212,734
St. Marys Medical CenterSan FranciscoCA9$38,292$38,292$116,024
Providence Cedars-Sinai Tarzana MediTarzanaCA19$30,092$36,865$212,734
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$30,092$36,865$212,734
Saint Francis Memorial HospitalSan FranciscoCA9$35,904$35,904$108,790
Tri-City Medical CenterOceansideCA12$48,994$29,397$26,147$34,426$39,221
Surprise Valley Health Care DistrictCedarvilleCA3$34,127$34,127$94,415
Queen Of The Valley Medical CenterNapaCA12$90.00$33,697$148,125
Santa Rosa Memorial HospitalSanta RosaCA13$33,020$33,693$107,553
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$33,561$75,608
Providence Holy Cross Med. CenterMission HillsCA20$14,157$33,522$212,734
Dominican HospitalSanta CruzCA5$32,414$33,417$76,190
Methodist Hospital Of SacramentoSacramentoCA8$19,907$33,098$34,090
Sherman Oaks Hospital-HlthSherman OaksCA29$29,023$29,024$33,087$55,919
Encino HospitalEncinoCA26$28,935$28,935$32,986$52,431
St. Joseph Hospital Of OrangeOrangeCA11$32,580$32,580$106,265
St. Joseph Hospital - EurekaEurekaCA11$32,580$32,580$106,265
Chino Valley Medical CenterChinoCA22$32,439$30,605$32,440$64,879
Petaluma Valley HospitalPetalumaCA10$30,557$31,948$77,705
Sequoia HospitalRedwood CityCA10$31,608$31,608$109,048
Mercy San Juan Medical CenterCarmichaelCA9$19,907$31,277$39,096
Mercy General HospitalSacramentoCA7$19,907$31,103$32,036
Sierra Nevada Memorial HospitalGrass ValleyCA7$30,059$30,059$30,059
Montclair Hospital Medical CenterMontclairCA20$29,851$29,664$29,852$59,704
Huntington Beach HospitalHuntington BeachCA15$28,579$28,580$29,580$51,787
Mission Hospital Reg Medical CenterMission ViejoCA20$28,839$29,438$78,339
Mercy Hospital Of FolsomFolsomCA7$19,907$29,345$30,225
Community Hospital Of San BernardinoSan BernardinoCA8$29,270$29,270$57,076
Marian Medical CenterSanta MariaCA5$29,266$29,266$29,266
St. Mary Medical CenterApple ValleyCA8$29,263$29,263$46,821
Providence St Johns Health CenterSanta MonicaCA20$61.30$29,113$79,441
Woodland HealthcareWoodlandCA6$19,907$29,050$29,903
Garden Grove Hospital Medical CenterGarden GroveCA18$28,903$28,903$29,048$60,555
Northridge Medical Center - RoscoeNorthridgeCA6$28,707$28,707$34,449
Mercy Medical Center MercedMercedCA7$27,327$27,327$27,327
St. Johns Regional Medical CenterOxnardCA6$27,071$27,071$27,071
St Elizabeth Community HosptialRed BluffCA6$27,035$27,035$27,035
St. Bernardine Medical CenterSan BernardinoCA8$22,861$26,895$52,445
San Antonio Regional HospitalUplandCA10$15,267$26,588$62,775
Bakersfield Memorial HospitalBakersfieldCA7$25,738$25,738$35,004
St. Johns Pleasant Valley HospitalCamarilloCA7$20,718$25,669$51,337
Sharp Memorial HospitalSan DiegoCA4$287,918$215,938$97,892$195,784$230,334
Glendale Memorial Hospital & Hlth CtGlendaleCA4$7,094.00$18,867$35,056
Sharp Chula Vista Medical CenterChula VistaCA6$287,918$215,938$97,892$187,147$236,093
Palmdale Regional Medical CenterPalmdaleCA0
Inland Valley Reg L Medical CenterWildomarCA0
Corona Regional Medical CenterCoronaCA0
Southwest Healthcare SystemWildomarCA0

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.