Santa Monica, CA, 90404
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
Explore this hospital across cost reports, quality ratings, and non-profit filings.
vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 25 | — | — | $39.1 | $15,503 | 1.2× | $34,818 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 25 | — | — | $39.1 | $22,856 | 1.1× | $50,128 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 25 | — | — | $39.1 | $11,849 | 1.1× | $25,184 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 25 | — | — | $39.1 | $8,129.26 | 1.1× | $17,060 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 25 | — | — | $39.1 | $17,391 | 1.1× | $38,953 |
| COPD w MCC | MS-DRG | 190 | 25 | — | — | $39.1 | $12,359 | 1.1× | $27,611 |
| COPD w CC | MS-DRG | 191 | 25 | — | — | $39.1 | $9,470.82 | 1.1× | $21,013 |
| COPD w/o CC/MCC | MS-DRG | 192 | 25 | — | — | $39.1 | $7,212.91 | 1.0× | $16,003 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 25 | — | — | $39.1 | $9,054.13 | 1.1× | $20,088 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 25 | — | — | $39.1 | $7,003.14 | 1.0× | $15,666 |
| AMI discharged alive w MCC | MS-DRG | 280 | 25 | — | — | $39.1 | $17,846 | 1.1× | $39,985 |
| AMI discharged alive w CC | MS-DRG | 281 | 25 | — | — | $39.1 | $10,226 | 1.1× | $22,910 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 25 | — | — | $39.1 | $8,080.93 | 1.0× | $18,025 |
| Heart failure & shock w MCC | MS-DRG | 291 | 25 | — | — | $39.1 | $14,315 | 1.1× | $32,001 |
| Heart failure & shock w CC | MS-DRG | 292 | 25 | — | — | $39.1 | $9,514.3 | 1.1× | $21,163 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 25 | — | — | $39.1 | $6,406.31 | 1.0× | $14,109 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 25 | — | — | $39.1 | $13,335 | 1.1× | $30,012 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 25 | — | — | $39.1 | $8,227.66 | 1.1× | $18,339 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 25 | — | — | $39.1 | $6,467.44 | 1.0× | $14,111 |
| GI hemorrhage w CC | MS-DRG | 378 | 25 | — | — | $39.1 | $10,914 | 1.1× | $24,446 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 25 | — | — | $39.1 | $7,092.39 | 1.0× | $15,714 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 25 | — | — | $39.1 | $8,690.92 | 1.1× | $19,433 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 25 | — | — | $39.1 | $17,056 | 1.1× | $39,078 |
| Kidney/UTI w MCC | MS-DRG | 689 | 25 | — | — | $39.1 | $12,903 | 1.1× | $28,923 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 25 | — | — | $39.1 | $8,974.6 | 1.1× | $20,178 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 25 | — | — | $39.1 | $21,504 | 1.2× | $48,420 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 25 | — | — | $39.1 | $11,393 | 1.1× | $25,508 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 25 | — | — | $39.1 | $50,366 | 1.2× | $114,576 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 25 | — | — | $39.1 | $26,172 | 1.1× | $59,754 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 25 | — | — | $39.1 | $18,376 | 1.1× | $41,949 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 25 | — | — | $39.1 | $18,464 | 1.1× | $42,166 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 25 | — | — | $39.1 | $14,819 | 1.1× | $34,045 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 25 | — | — | $39.1 | $37,672 | 1.2× | $84,928 |
| Major joint replacement w MCC | MS-DRG | 469 | 25 | — | — | $39.1 | $33,561 | 1.1× | $75,608 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 25 | — | — | $39.1 | $20,999 | 1.1× | $48,081 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 25 | — | — | $39.1 | $32,152 | 1.1× | $72,594 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 25 | — | — | $39.1 | $22,943 | 1.1× | $52,209 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 25 | — | — | $39.1 | $17,737 | 1.1× | $40,656 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 30 | — | — | $39.1 | $31,203 | 1.1× | $71,974 |
| OR procedure for obesity w CC | MS-DRG | 620 | 30 | — | — | $39.1 | $18,754 | 1.2× | $50,058 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 30 | — | — | $39.1 | $17,701 | 1.2× | $50,058 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 25 | — | — | $39.1 | $13,487 | 1.1× | $30,927 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 25 | — | — | $39.1 | $22,020 | 1.2× | $51,077 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Workers Comp | 43 | $75 |
| affiliate health fund | 43 | $85 |
| Anthem BCBS | 43 | $17,610 |
| Blue Cross Blue Shield | 43 | $17,701 |
| centivo | 43 | $21,409 |
| central health plan | 43 | $13,522 |
| takecare hmo | 43 | $2,175 |
| uc care - ppo | 43 | $39.1 |
| uc ship | 43 | $40.4 |
| UnitedHealthcare | 43 | $77.83 |
| Aetna | 43 | $16,067 |
| gold coast health plan | 43 | $6,263.68 |
| healthsmart | 43 | $4,376.35 |
| la care covered ca | 43 | $15,775 |
| Medicare | 43 | $17,066 |
| Medicare Advantage | 43 | $15,127 |
| Multiplan | 43 | $90 |
| optum | 43 | $32,001 |
| prime health- ppo | 43 | $80 |
| primecare commercial | 43 | $65 |
| primecare transplant | 43 | $65 |
| private healthcare system phc- ppo | 43 | $75 |
| providence healthcare | 43 | $16,619 |
| redlands community general services | 43 | $58 |
| st. jude | 43 | $15,127 |
| Cigna | 3 | $36,682 |
| First Health | 3 | $17,642 |
| Kaiser Permanente | 3 | $25,857 |
| Health Net | 3 | $31,690 |
| healthcare partners hmo | 3 | $16,998 |
