▸ Hospital · CA · CCN 050278
Providence Holy Cross Medical Center
15031 RINALDI STREET, MISSION HILLS, CA, 91345-
297 bedsAcute Care Hospitals1
Compliance grade
C
77/100
Procedures tracked
51
of 209 target codes
Payers
20
with negotiated rates
Rates published
1,564
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 19 | — | — | $14,361 | $15,324 | $54,898 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $21,255 | $22,153 | $120,092 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $11,103 | $12,143 | $75,486 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $7,796.88 | $8,340.13 | $54,898 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $16,707 | $18,377 | $130,383 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $12,091 | $13,300 | $82,348 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $9,405.8 | $10,346 | $61,760 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $7,366.76 | $7,842.12 | $48,035 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $9,029.44 | $9,932.38 | $65,192 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $7,229.8 | $7,546.47 | $48,035 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $17,127 | $18,839 | $123,523 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $10,178 | $11,169 | $78,917 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $8,189.47 | $8,719.03 | $54,898 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $7,079 | $14,710 | $92,642 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $9,466.67 | $10,413 | $65,192 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $6,595.77 | $6,727.69 | $48,035 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $13,068 | $14,034 | $82,348 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $8,317.29 | $8,936.44 | $54,898 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $6,596.79 | $6,728.73 | $37,744 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $10,803 | $11,675 | $65,192 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $7,249.08 | $7,629.59 | $48,035 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $8,762.64 | $8,997.88 | $44,604 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $16,758 | $17,244 | $92,642 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $12,625 | $13,217 | $78,917 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $9,065.96 | $9,534.6 | $48,035 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $20,560 | $22,052 | $116,661 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $11,235 | $12,280 | $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 | 4 | — | — | $13,001 | $43,870 | $202,440 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 4 | — | — | $13,001 | $28,134 | $123,523 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $47,483 | $52,231 | $332,823 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $25,172 | $27,690 | $164,696 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $17,926 | $19,719 | $102,936 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $18,014 | $19,720 | $106,367 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $9,630 | $15,222 | $72,054 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $35,417 | $38,959 | $264,200 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $40,447 | $106,032 | $384,292 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $40,447 | $61,650 | $229,888 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $14,157 | $33,522 | $212,734 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $14,157 | $21,647 | $130,383 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $30,398 | $33,438 | $185,284 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $22,102 | $24,312 | $116,661 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $17,400 | $19,140 | $96,073 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $30,145 | $33,098 | $212,734 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $17,088 | $19,073 | $120,092 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $16,156 | $17,741 | $92,642 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $13,440 | $14,116 | $54,898 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $20,566 | $22,074 | $89,211 |
Payer mix (top 20)
| Payer | Codes covered | Median rate |
|---|---|---|
| First Health | 51 | $82,348 |
| Blue Cross Blue Shield | 47 | $18,116 |
| Cigna | 47 | $17,657 |
| UnitedHealthcare | 45 | $21,255 |
| central health plan | 43 | $15,265 |
| Empire BCBS | 43 | $13,877 |
| Health Net | 43 | $22,102 |
| Humana | 43 | $13,877 |
| Kaiser Permanente | 43 | $13,877 |
| la care health plan | 43 | $16,284 |
| Molina | 43 | $14,155 |
| monarch health plan | 43 | $13,877 |
| scan health plan | 43 | $13,877 |
| wellpoint | 43 | $13,877 |
| brand new day | 43 | $13,877 |
| brandman centers | 43 | $13,877 |
| caremore | 43 | $13,877 |
| Aetna | 43 | $18,166 |
| WellCare | 43 | $13,877 |
| Multiplan | 13 | $17,335 |