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Kidney/UTI w MCC

MS-DRG 689 · negotiated-rate distribution across hospitals in CA

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Hospitals
64
Min
$93.03
Median
$12,803
Max
$44,567
Range multiplier
479.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield54160$90.00$15,974$48,825542.5×
Health Net35107$10,826$19,021$72,9836.7×
UnitedHealthcare2774$68.48$22,901$129,9071897.0×
Aetna4671$67.00$13,970$62,594934.2×
Kaiser Permanente3745$8,626.02$12,054$46,1225.3×
Cigna2440$11,271$22,243$69,5006.2×
Medicare3039$9,267.91$11,493$40,9884.4×
Humana3737$9,267.91$11,750$60,0106.5×
Molina2131$9,763.73$11,905$27,4782.8×
Anthem BCBS2127$9,267.91$11,102$16,4691.8×
brand new day1819$11,272$11,852$17,7391.6×
monarch health plan717$10,285$12,625$30,1762.9×
scan health plan1316$10,069$12,851$28,3832.8×
central health plan1414$11,322$12,798$13,8871.2×
la care health plan714$11,222$12,339$16,4121.5×
Empire BCBS913$11,604$12,625$16,1431.4×
Multiplan1313$90.00$13,072$21,360237.3×
TRICARE712$11,222$13,167$14,5031.3×
heritage provider network811$10,826$17,739$25,7222.4×
WellCare1010$10,171$11,711$13,2931.3×
First Health1010$61.30$48,050$78,9171287.4×
healthcare partners810$11,604$15,516$32,8352.8×
caremore99$11,272$12,625$17,7391.6×
Bright Health58$10,102$17,739$23,0612.3×
primecare medical network37$13,542$19,513$27,4962.0×
providence health plan77$11,272$11,672$13,3601.2×
renal payer solutions66$11,222$11,354$12,2131.1×
caloptima36$17,739$17,739$17,7391.0×
employer direct healthcare66$14,589$14,760$16,7891.2×
national healthcare solutions, inc (nhsi)66$17,956$18,167$20,6631.2×
emanate health26$11,734$12,563$25,8292.2×
family choice medical group36$17,739$20,400$23,0611.3×
select health35$11,368$14,616$19,9401.8×
commercial | western health advantage | all plans55$7,091.92$7,091.92$7,091.921.0×
onecare55$10,826$12,018$13,2931.2×
commercial | hill physicians | all plans55$10,904$11,493$12,2931.1×
naphcare45$17,407$17,548$20,0171.1×
alignment health plan44$10,826$17,739$17,7391.6×
centivo44$19,350$25,399$29,9101.5×
the health plan24$6,318.01$18,824$27,4784.3×
la care34$10,826$12,522$14,3571.3×
prime health services34$13,072$27,885$41,2163.2×
alignment44$11,222$11,482$12,2131.1×
managed health network44$11,222$11,309$22,4042.0×
l.a care health plan24$11,230$11,424$12,2361.1×
brandman centers44$11,272$11,672$12,6251.1×
aids healthcare foundation34$11,230$11,451$11,8501.1×
epic health plan24$11,734$14,371$18,0801.5×
citizens choice33$10,826$11,750$13,2931.2×
hemet community medical group33$17,739$17,739$17,7391.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Johns Regional Medical CenterOxnardCA6$9,940.34$9,940.34$9,940.34
St Elizabeth Community HosptialRed BluffCA6$9,740.48$9,740.48$9,740.48
Bakersfield Memorial HospitalBakersfieldCA7$9,530.51$9,530.51$12,961
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$38,754
St. Johns Pleasant Valley HospitalCamarilloCA7$9,267.91$9,267.91$18,536
Grossmont HospitalLa MesaCA1$80,013$60,010$44,567$44,567$44,567
Sharp Chula Vista Medical CenterChula VistaCA8$80,013$60,010$12,002$32,805$65,611
Sharp Memorial HospitalSan DiegoCA4$80,013$60,010$12,002$27,885$72,012
Central Valley Specialty HospitalModestoCA11$27,478$27,478$41,391
Redwood Memorial HospitalFortunaCA2$20,272$21,975$23,678
Scripps Mercy HospitalSan DiegoCA8$46,940$11,735$12,841$21,624$38,828
Placentia Linda Community HospitalPlacentiaCA33$98.00$17,917$129,907
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$17,917$129,907
Uci Medical CenterOrangeCA33$98.00$17,739$129,907
Stanford Health CareStanfordCA1$17,508$17,508$17,508
Uc Davis Medical CenterSacramentoCA6$15,960$16,567$44,688
St Jude Medical Center FullertonFullertonCA6$62.80$16,104$62,594
Memorialcare Long Beach Med CtrLong BeachCA28$12,629$15,952$44,152
Centinela Hospital Medical CenterInglewoodCA26$12,236$11,618$15,907$22,172
Memorialcare Orange Coast Med CtrFountain ValleyCA19$11,163$15,824$36,327
Providence Lttl Co Mary Mc TorranceTorranceCA18$12,054$15,646$78,917
Memorialcare Saddleback Med CtrLaguna HillsCA20$10,069$15,556$60,053
Providence Lttl Co Mary Mc San PedroSan PedroCA17$12,018$15,475$78,917
St. Marys Medical CenterSan FranciscoCA9$14,134$14,134$42,826
Saint Francis Memorial HospitalSan FranciscoCA9$13,970$13,970$42,330
Surprise Valley Health Care DistrictCedarvilleCA3$13,563$13,563$32,910
Santa Rosa Memorial HospitalSanta RosaCA13$13,093$13,360$38,513
Providence Cedars-Sinai Tarzana MediTarzanaCA19$11,672$13,282$78,917
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$11,672$13,282$78,917
Providence Holy Cross Med. CenterMission HillsCA19$12,625$13,217$78,917
Queen Of The Valley Medical CenterNapaCA12$90.00$13,207$53,041
Chino Valley Medical CenterChinoCA22$12,914$12,213$12,914$25,829
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$12,903$28,923
Petaluma Valley HospitalPetalumaCA10$11,010$12,808$27,825
Sherman Oaks Hospital-HlthSherman OaksCA29$11,230$11,230$12,803$20,350
Encino HospitalEncinoCA26$11,222$11,222$12,794$20,335
St. Joseph Hospital - EurekaEurekaCA11$12,757$12,757$38,052
St. Joseph Hospital Of OrangeOrangeCA11$12,757$12,757$38,052
Tri-City Medical CenterOceansideCA12$38,612$23,167$9,763.73$12,430$14,646
Methodist Hospital Of SacramentoSacramentoCA8$7,091.92$12,293$12,662
Dominican HospitalSanta CruzCA5$11,862$12,229$27,881
Community Hospital Of San BernardinoSan BernardinoCA8$11,830$11,830$23,068
Montclair Hospital Medical CenterMontclairCA20$11,806$11,734$11,806$23,613
Huntington Beach HospitalHuntington BeachCA15$11,386$11,387$11,785$20,633
Mercy San Juan Medical CenterCarmichaelCA9$7,091.92$11,653$14,566
Mission Hospital Reg Medical CenterMission ViejoCA20$11,604$11,604$28,052
Mercy General HospitalSacramentoCA7$7,091.92$11,493$11,838
Sequoia HospitalRedwood CityCA10$11,412$11,412$39,373
Garden Grove Hospital Medical CenterGarden GroveCA18$11,321$11,322$11,378$21,681
Providence St Johns Health CenterSanta MonicaCA20$61.30$11,272$28,447
St. Mary Medical CenterApple ValleyCA8$11,271$11,271$18,034
Sierra Nevada Memorial HospitalGrass ValleyCA7$11,102$11,102$11,102
Woodland HealthcareWoodlandCA6$7,091.92$10,966$11,288
Mercy Hospital Of FolsomFolsomCA7$7,091.92$10,904$11,231
Marian Medical CenterSanta MariaCA5$10,838$10,838$10,838
Glendale Memorial Hospital & Hlth CtGlendaleCA3$10,714$10,714$12,856
Northridge Medical Center - RoscoeNorthridgeCA6$10,689$10,689$12,827
San Antonio Regional HospitalUplandCA10$6,318.01$10,171$24,014
St. Bernardine Medical CenterSan BernardinoCA8$8,626.02$10,148$19,789
Mercy Medical Center MercedMercedCA7$10,104$10,104$10,104
Palmdale Regional Medical CenterPalmdaleCA0
Corona Regional Medical CenterCoronaCA0
Southwest Healthcare SystemWildomarCA0
Inland Valley Reg L Medical CenterWildomarCA0

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.