▸ Hospital · CA · CCN 050078
Providence Little Co Of Mary Med Ctr San Pedro
1300 W SEVENTH STREET, SAN PEDRO, CA, 90732-
97 bedsAcute Care Hospitals1
Compliance grade
C
77/100
Procedures tracked
51
of 209 target codes
Payers
17
with negotiated rates
Rates published
1,510
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 17 | — | — | $14,272 | $17,335 | $54,898 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 17 | — | — | $20,126 | $26,273 | $120,092 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 17 | — | — | $10,588 | $13,822 | $75,486 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 17 | — | — | $7,482.14 | $9,560.35 | $54,898 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | — | — | $15,853 | $21,336 | $130,383 |
| COPD w MCC | MS-DRG | 190 | 17 | — | — | $11,517 | $15,151 | $82,348 |
| COPD w CC | MS-DRG | 191 | 17 | — | — | $8,993.77 | $11,708 | $61,760 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | — | — | $7,078.02 | $9,017.21 | $48,035 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | — | — | $8,640.17 | $11,212 | $65,192 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | — | — | $6,949.35 | $8,767.07 | $48,035 |
| AMI discharged alive w MCC | MS-DRG | 280 | 17 | — | — | $16,248 | $21,763 | $123,523 |
| AMI discharged alive w CC | MS-DRG | 281 | 17 | — | — | $9,719.09 | $12,608 | $78,917 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 17 | — | — | $7,850.99 | $9,950.77 | $54,898 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | — | — | $13,195 | $17,481 | $92,642 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | — | — | $9,050.96 | $11,761 | $65,192 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | — | — | $6,353.66 | $7,876.26 | $48,035 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | — | — | $12,435 | $16,312 | $82,348 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | — | — | $7,971.09 | $10,212 | $54,898 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | — | — | $6,354.61 | $7,668.48 | $37,744 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | — | — | $10,306 | $13,427 | $65,192 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | — | — | $6,967.46 | $8,737.29 | $48,035 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | — | — | $8,389.5 | $10,596 | $44,604 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 17 | — | — | $15,901 | $19,784 | $92,642 |
| Kidney/UTI w MCC | MS-DRG | 689 | 17 | — | — | $12,018 | $15,475 | $78,917 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 17 | — | — | $8,674.48 | $10,940 | $48,035 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 17 | — | — | $19,473 | $25,540 | $116,661 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 17 | — | — | $10,712 | $13,998 | $72,054 |
| maternity | ||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $68,623 | $68,623 | $68,623 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $48,035 | $48,035 | $48,035 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $41,175 | $41,175 | $41,175 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $30,881 | $30,881 | $30,881 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $43,107 | $49,395 | $202,440 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $27,419 | $31,420 | $123,523 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | — | — | $44,769 | $60,433 | $332,823 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | — | — | $23,807 | $31,604 | $164,696 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | — | — | $16,999 | $22,316 | $102,936 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | — | — | $17,082 | $22,421 | $106,367 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | — | — | $13,977 | $18,060 | $72,054 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | — | — | $33,432 | $45,814 | $264,200 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $92,838 | $106,383 | $384,292 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $54,236 | $62,148 | $229,888 |
| Major joint replacement w MCC | MS-DRG | 469 | 17 | — | — | $29,869 | $41,071 | $212,734 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 17 | — | — | $19,344 | $25,440 | $130,383 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 17 | — | — | $28,716 | $38,735 | $185,284 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 17 | — | — | $20,922 | $27,758 | $116,661 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 17 | — | — | $16,504 | $21,553 | $96,073 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 17 | — | — | $28,479 | $37,116 | $212,734 |
| OR procedure for obesity w CC | MS-DRG | 620 | 17 | — | — | $16,212 | $21,435 | $120,092 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 17 | — | — | $15,336 | $19,943 | $92,642 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 17 | — | — | $12,784 | $15,858 | $54,898 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 17 | — | — | $20,489 | $25,126 | $89,211 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| First Health | 51 | $82,348 |
| Blue Cross Blue Shield | 47 | $17,761 |
| Cigna | 47 | $40,629 |
| Empire BCBS | 43 | $13,195 |
| Health Net | 43 | $21,306 |
| Humana | 43 | $13,195 |
| Kaiser Permanente | 43 | $13,195 |
| la care health plan | 43 | $15,480 |
| Molina | 43 | $13,459 |
| Multiplan | 43 | $23,814 |
| onecare | 43 | $13,195 |
| scan health plan | 43 | $13,195 |
| UnitedHealthcare | 43 | $19,473 |
| Aetna | 43 | $19,953 |
| WellCare | 43 | $13,195 |
| brand new day | 43 | $13,195 |
| central health plan | 43 | $14,515 |