Fullerton, CA, 92835
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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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 | 6 | — | — | $62.8 | $19,394 | 1.5× | $75,382 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $62.8 | $27,368 | 1.4× | $106,380 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $62.8 | $13,993 | 1.3× | $54,390 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $62.8 | $9,470.46 | 1.2× | $36,811 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $62.8 | $22,242 | 1.4× | $86,452 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $62.8 | $15,456 | 1.4× | $60,075 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $62.8 | $11,821 | 1.3× | $45,946 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $62.8 | $8,904.95 | 1.3× | $34,613 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $62.8 | $11,283 | 1.3× | $43,855 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $62.8 | $8,569.23 | 1.3× | $33,308 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $62.8 | $22,586 | 1.4× | $87,789 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $62.8 | $12,683 | 1.3× | $49,299 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $62.8 | $9,976.8 | 1.3× | $38,779 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $62.8 | $17,954 | 1.4× | $69,788 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $62.8 | $11,851 | 1.3× | $46,063 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $62.8 | $7,553.8 | 1.2× | $29,361 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $62.8 | $16,594 | 1.4× | $64,498 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $62.8 | $10,172 | 1.3× | $39,539 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $62.8 | $7,698.27 | 1.2× | $29,923 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $62.8 | $13,565 | 1.4× | $52,727 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $62.8 | $8,759.11 | 1.3× | $34,046 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $62.8 | $10,736 | 1.3× | $41,731 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $62.8 | $20,980 | 1.4× | $81,548 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $62.8 | $16,104 | 1.4× | $62,594 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $62.8 | $11,043 | 1.3× | $42,924 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $62.8 | $27,000 | 1.4× | $104,946 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $62.8 | $14,186 | 1.4× | $55,139 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 3 | — | — | $62.8 | $67 | 0.74× | $67 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 3 | — | — | $62.8 | $67 | 0.74× | $67 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $62.8 | $67 | 0.73× | $67 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $62.8 | $67 | 0.07× | $67 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $62.8 | $67 | 0.00× | $67 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $62.8 | $67 | 0.00× | $67 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $62.8 | $63,178 | 1.5× | $245,570 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $62.8 | $32,523 | 1.4× | $126,414 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $62.8 | $22,716 | 1.4× | $88,298 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $62.8 | $22,820 | 1.4× | $88,699 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $62.8 | $18,129 | 1.3× | $70,467 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $62.8 | $48,559 | 1.5× | $188,746 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $62.8 | $83,873 | 1.7× | $354,704 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $62.8 | $46,259 | 1.4× | $195,629 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $62.8 | $44,972 | 1.5× | $174,803 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $62.8 | $25,943 | 1.4× | $100,839 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $62.8 | $40,466 | 1.4× | $157,288 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $62.8 | $28,549 | 1.4× | $110,968 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $62.8 | $21,828 | 1.4× | $84,843 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $62.8 | $37,513 | 1.4× | $145,811 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $62.8 | $21,972 | 1.4× | $85,404 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $62.8 | $20,112 | 1.3× | $78,174 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $62.8 | $16,492 | 1.3× | $64,103 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $62.8 | $26,884 | 1.4× | $104,497 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 51 | $27,560 |
| first choice | 51 | $62.8 |
| pacific health coalition | 51 | $67 |
| Blue Cross Blue Shield | 45 | $32,323 |
| public education health trust | 45 | $15,196 |
| Cigna | 43 | $54,281 |
