▸ Hospital · CA · CCN 050158
Encino Hospital Medical Center
16237 VENTURA BLVD, ENCINO, CA, 91436
82 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
127
of 209 target codes
Payers
29
with negotiated rates
Rates published
7,250
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 26 | — | $13,459 | $6,349.14 | $14,267 | $24,388 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 27 | $371.85 | $227 | $128.08 | $148.3 | $340.74 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 26 | $600 | $107 | $21.77 | $107.92 | $161.88 |
| ED visit level 2 | CPT | 99282 | 26 | $1,200 | $196 | $34.97 | $196.51 | $294.77 |
| ED visit level 3 | CPT | 99283 | 26 | $1,800 | $349 | $51 | $349.37 | $524.06 |
| ED visit level 4 | CPT | 99284 | 26 | $2,600 | $534 | $51 | $534.03 | $801.05 |
| ED visit level 5 | CPT | 99285 | 26 | $3,800 | $762 | $51 | $762.2 | $1,143.3 |
| Critical care, first hour | CPT | 99291 | 26 | $5,000 | $1,057 | $174.42 | $1,057.2 | $1,585.8 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 27 | $2,817.9 | $133 | $51 | $133.8 | $296.47 |
| CT head with contrast | CPT | 70460 | 27 | $2,639.6 | $224 | $137.27 | $224.48 | $346.65 |
| CT head with and without contrast | CPT | 70470 | 27 | $3,865.7 | $224 | $163.9 | $224.48 | $346.65 |
| CT neck with contrast | CPT | 70491 | 27 | $4,253 | $224 | $184.4 | $224.48 | $346.65 |
| MRI brain without contrast | CPT | 70551 | 27 | $4,187.4 | $305 | $188.21 | $305.38 | $767.79 |
| MRI brain with and without contrast | CPT | 70553 | 27 | $4,543.5 | $446 | $316.79 | $446.5 | $1,435.35 |
| Chest X-ray single view | CPT | 71045 | 27 | $600 | $111 | $9.71 | $111.37 | $167.06 |
| Chest X-ray 2 views | CPT | 71046 | 27 | $503.2 | $111 | $18.13 | $111.37 | $167.06 |
| CT chest without contrast | CPT | 71250 | 27 | $4,172.9 | $133 | $133.32 | $133.8 | $350.49 |
| CT chest with contrast | CPT | 71260 | 27 | $4,172.9 | $224 | $170.83 | $224.48 | $381.84 |
| CT chest with and without contrast | CPT | 71270 | 27 | $3,264.8 | $224 | $208.88 | $224.48 | $381.84 |
| Lumbosacral spine X-ray | CPT | 72100 | 27 | $562.55 | $133 | $29.98 | $133.8 | $200.7 |
| CT cervical spine without contrast | CPT | 72125 | 27 | $1,121.65 | $133 | $51 | $133.8 | $350.49 |
| CT thoracic spine without contrast | CPT | 72128 | 27 | $4,253 | $133 | $132.34 | $133.8 | $350.49 |
| CT lumbar spine without contrast | CPT | 72131 | 27 | $4,093.6 | $133 | $131.98 | $133.8 | $350.49 |
| MRI cervical spine without contrast | CPT | 72141 | 27 | $4,181.6 | $305 | $181.08 | $305.38 | $867.15 |
| MRI thoracic spine without contrast | CPT | 72146 | 27 | $4,181.6 | $305 | $183.45 | $305.38 | $867.15 |
| MRI lumbar spine without contrast | CPT | 72148 | 27 | $4,181.6 | $305 | $181.42 | $305.38 | $867.15 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 27 | $4,404.5 | $446 | $281.85 | $446.5 | $1,027.55 |
| MRI cervical spine with and without contrast | CPT | 72156 | 27 | $5,235.1 | $446 | $319.01 | $446.5 | $1,462.81 |
| MRI lumbar spine with contrast | CPT | 72158 | 27 | $5,235.1 | $446 | $318.04 | $446.5 | $1,461.3 |
| CT pelvis without contrast | CPT | 72192 | 27 | $3,358.65 | $133 | $117.13 | $133.8 | $350.49 |
| CT pelvis with contrast | CPT | 72193 | 27 | $2,731.8 | $224 | $222.88 | $224.48 | $381.84 |
| Shoulder X-ray | CPT | 73030 | 27 | $505.62 | $111 | $25.59 | $111.37 | $167.06 |
| Humerus X-ray | CPT | 73060 | 27 | $316 | $111 | $21.46 | $111.37 | $167.06 |
| Hand X-ray 3 views | CPT | 73130 | 27 | $365.8 | $111 | $26.32 | $111.37 | $167.06 |
| MRI upper extremity joint without contrast | CPT | 73221 | 27 | $4,348.8 | $305 | $206.55 | $305.38 | $588.11 |
| Knee X-ray 1-2 views | CPT | 73560 | 27 | $311.5 | $111 | $20.19 | $111.37 | $167.06 |
| Ankle X-ray 3 views | CPT | 73610 | 27 | $477 | $111 | $26.32 | $111.37 | $167.06 |
| MRI lower extremity joint without contrast | CPT | 73721 | 27 | $4,348.8 | $305 | $206.2 | $305.38 | $588.11 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 27 | $3,562.9 | $446 | $300.2 | $446.5 | $669.75 |
| CT abdomen without contrast | CPT | 74150 | 27 | $3,762.8 | $133 | $116.66 | $133.8 | $350.49 |
| CT abdomen with contrast | CPT | 74160 | 27 | $3,762.8 | $224 | $221.59 | $224.48 | $381.84 |
| CT abdomen with and without contrast | CPT | 74170 | 27 | $4,035.6 | $224 | $224.48 | $255.65 | $381.84 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 27 | $5,409.95 | $305 | $101.1 | $305.38 | $458.07 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 28 | $6,017.5 | $446 | $30 | $446.5 | $669.75 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 27 | $6,950 | $446 | $233.05 | $446.5 | $669.75 |
| MRI abdomen without contrast | CPT | 74181 | 27 | $4,348.8 | $305 | $216.39 | $305.38 | $846.78 |
| MRI abdomen with and without contrast | CPT | 74183 | 27 | $4,579.1 | $446 | $263.48 | $446.5 | $669.75 |
| Abdominal ultrasound complete | CPT | 76700 | 27 | $1,576 | $133 | $82.35 | $133.8 | $200.7 |
| Abdominal ultrasound limited | CPT | 76705 | 27 | $1,513.25 | $133 | $60.12 | $133.8 | $200.7 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 27 | $1,056.6 | $133 | $79.89 | $133.8 | $200.7 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 27 | $825.1 | $133 | $90.65 | $133.8 | $200.7 |
| Transvaginal ultrasound | CPT | 76830 | 27 | $825.1 | $133 | $70.84 | $133.8 | $200.7 |
| Pelvic ultrasound complete | CPT | 76856 | 27 | $1,190 | $133 | $67.93 | $133.8 | $200.7 |
| Scrotal ultrasound | CPT | 76870 | 27 | $1,190 | $133 | $47.16 | $133.8 | $200.7 |
| EKG tracing only | CPT | 93005 | 28 | $610.3 | $75 | $23.52 | $75.5 | $113.25 |
| Transthoracic echocardiogram | CPT | 93307 | 27 | $2,976.9 | $305 | $129.18 | $305.38 | $458.07 |
| Stress echocardiogram | CPT | 93350 | 27 | $5,075.8 | $699 | $68.94 | $699.34 | $1,049.01 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 26 | — | $19,267 | $19,268 | $21,965 | $34,913 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 26 | — | $9,803 | $9,803.73 | $11,176 | $17,764 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 26 | — | $6,721 | $6,721.52 | $7,662.53 | $12,179 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 26 | — | $15,028 | $15,028 | $15,930 | $27,231 |
| COPD w MCC | MS-DRG | 190 | 26 | — | $10,724 | $10,725 | $11,368 | $19,434 |
| COPD w CC | MS-DRG | 191 | 26 | — | $8,221 | $8,221.48 | $9,372.49 | $14,897 |
| COPD w/o CC/MCC | MS-DRG | 192 | 26 | — | $6,320 | $5,975.59 | $6,699.75 | $11,453 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 26 | — | $7,870 | $7,870.61 | $8,378 | $14,262 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 26 | — | $6,192 | $6,192.84 | $6,673.76 | $11,221 |
| AMI discharged alive w MCC | MS-DRG | 280 | 26 | — | $15,419 | $15,420 | $17,578 | $27,940 |
| AMI discharged alive w CC | MS-DRG | 281 | 26 | — | $8,941 | $8,941.2 | $10,193 | $16,201 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 26 | — | $7,087 | $7,087.52 | $8,079.77 | $12,843 |
| Heart failure & shock w MCC | MS-DRG | 291 | 26 | — | $12,390 | $12,390 | $13,134 | $22,451 |
| Heart failure & shock w CC | MS-DRG | 292 | 26 | — | $8,278 | $8,278.23 | $9,437.18 | $15,000 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 26 | — | $5,601 | $5,601.74 | $6,247.69 | $10,150 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 26 | — | $11,635 | $11,446 | $12,334 | $21,084 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 26 | — | $7,206 | $6,336.01 | $7,639.09 | $13,059 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 26 | — | $5,602 | $5,382.45 | $5,938.85 | $10,152 |
| GI hemorrhage w CC | MS-DRG | 378 | 26 | — | $9,523 | $9,523.79 | $10,438 | $17,257 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 26 | — | $6,210 | $6,210.81 | $7,080.32 | $11,254 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 26 | — | $7,621 | $7,621.88 | $8,079.19 | $13,811 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 26 | — | $15,075 | $15,075 | $17,186 | $27,317 |
| Kidney/UTI w MCC | MS-DRG | 689 | 26 | — | $11,222 | $11,222 | $12,794 | $20,335 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 26 | — | $7,904 | $7,504.4 | $8,378.94 | $14,323 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 26 | — | $18,620 | $18,620 | $19,737 | $33,740 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 26 | — | $9,926 | $8,979.5 | $10,522 | $17,987 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 28 | $932.9 | $8 | $8.34 | $8.5 | $51 |
| Electrolyte panel | CPT | 80051 | 27 | $789.4 | $7 | $7.01 | $7.15 | $10.52 |
| Comprehensive metabolic panel | CPT | 80053 | 27 | $1,048.5 | $10 | $10.55 | $10.56 | $51 |
| Lipid panel | CPT | 80061 | 27 | $723.5 | $13 | $13.24 | $13.39 | $20.09 |
| Hepatic function panel | CPT | 80076 | 28 | $1,365.4 | $8 | $7.32 | $8.17 | $51 |
| Urinalysis non-automated | CPT | 81002 | 27 | $33 | $3 | $2.47 | $3.48 | $5.22 |
| Urinalysis automated | CPT | 81003 | 27 | $11.25 | $2 | $2.25 | $2.25 | $3.38 |
| Glucose quantitative | CPT | 82947 | 27 | $46.08 | $3 | $3.79 | $3.93 | $5.9 |
| Hemoglobin A1c | CPT | 83036 | 27 | $277.3 | $9 | $9.71 | $9.8 | $14.57 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 27 | $278.9 | $16 | $16.8 | $16.94 | $25.2 |
| Complete blood count with automated differential | CPT | 85025 | 28 | $310.5 | $7 | $7.75 | $7.81 | $51 |
| Complete blood count without differential | CPT | 85027 | 27 | $253.3 | $6 | $4.53 | $5.5 | $9.71 |
| Urine culture bacterial | CPT | 87086 | 28 | $76 | $8 | $6.48 | $8.07 | $30 |
| Urine culture identification | CPT | 87088 | 27 | $160.8 | $8 | $6.38 | $8.09 | $12.14 |
| Tissue exam by pathologist level IV | CPT | 88305 | 27 | $212 | $66 | $11.76 | $71 | $100.04 |
| office | ||||||||
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $341.07 | — | $82.05 | $82.05 | $87.79 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $341.07 | — | $9.85 | $17.21 | $18.41 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $341.07 | — | $16.37 | $16.37 | $39.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $341.07 | — | $34.43 | $34.43 | $73.75 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $341.07 | — | $53.79 | $53.79 | $109.05 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 27 | $2,230.47 | $1,160 | $321.48 | $1,160.81 | $1,741.22 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 27 | $1,234 | $1,190 | $78.5 | $1,190.22 | $1,234 |
| Colonoscopy diagnostic | CPT | 45378 | 27 | $6,490.3 | $1,190 | $423.48 | $1,190.22 | $1,785.33 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 26 | — | $43,720 | $43,720 | $46,583 | $79,221 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 26 | — | $22,920 | $22,920 | $26,129 | $41,532 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 26 | — | $16,164 | $16,165 | $18,428 | $29,291 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 26 | — | $16,247 | $16,247 | $18,522 | $29,440 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 26 | — | $13,165 | $13,166 | $15,009 | $23,857 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 26 | — | $32,471 | $32,472 | $37,018 | $68,340 |
| Major joint replacement w MCC | MS-DRG | 469 | 26 | — | $28,935 | $28,935 | $32,986 | $52,431 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 26 | — | $18,491 | $18,491 | $21,080 | $33,506 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 26 | — | $27,791 | $27,792 | $31,683 | $50,517 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 26 | — | $20,057 | $20,058 | $22,866 | $36,344 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 26 | — | $15,674 | $15,674 | $17,868 | $28,401 |
| Lap inguinal hernia repair | CPT | 49650 | 27 | $4,338.3 | $7,737 | $379.7 | $4,338.3 | $4,338.3 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 26 | — | $27,556 | $27,557 | $31,414 | $49,932 |
| OR procedure for obesity w CC | MS-DRG | 620 | 26 | — | $15,383 | $15,384 | $17,537 | $27,875 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 26 | — | $14,514 | $14,515 | $16,547 | $26,300 |
| Cataract surgery with lens implant | CPT | 66984 | 27 | $5,180.18 | $2,953 | $1,441.87 | $2,953.7 | $4,430.55 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 26 | — | $11,982 | $11,983 | $13,660 | $21,713 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 26 | — | $19,628 | $18,193 | $20,806 | $35,566 |
| Left heart catheterization | CPT | 93452 | 27 | $15,282 | $4,149 | $549.26 | $4,149.23 | $6,223.85 |
| Coronary angiography with cath | CPT | 93455 | 27 | $15,282 | $4,149 | $671.23 | $4,149.23 | $6,223.85 |
| Coronary angiography with bypass cath | CPT | 93458 | 27 | $15,282 | $4,149 | $693.51 | $4,149.23 | $6,223.85 |
Payer mix (top 29)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 127 | $224.48 |
| Health Net | 127 | $305.38 |
| aids healthcare foundation | 127 | $192.36 |
| Molina | 127 | $224.48 |
| la care health plan | 127 | $224.48 |
| employer direct healthcare | 122 | $625.1 |
| healthsmart preferred care network | 122 | $576.43 |
| imperial health plan ca | 122 | $473.29 |
| Aetna | 122 | $570.55 |
| alignment | 122 | $446.5 |
| americas choice provider network | 122 | $570.55 |
| brand new day | 122 | $458.07 |
| corvel | 122 | $558.79 |
| three rivers | 122 | $570.55 |
| TRICARE | 122 | $446.5 |
| usa senior care network | 122 | $446.5 |
| Workers Comp | 122 | $588.2 |
| zelis healthcare | 122 | $558.79 |
| Medicare | 122 | $446.5 |
| Multiplan | 122 | $570.55 |
| prime health services, inc. | 122 | $570.55 |
| provider network of america | 122 | $588.2 |
| provider select | 122 | $582.32 |
| renal payer solutions | 122 | $446.5 |
| managed health network | 116 | $446.5 |
| Anthem BCBS | 84 | $138.27 |
| traditional medi-cal | 84 | $94.42 |
| national healthcare solutions, inc (nhsi) | 43 | $19,825 |
| keenan | 6 | $30 |