4101 TORRANCE BLVD, TORRANCE, CA, 90503-
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 18 | — | — | $14,392 | $17,417 | $54,898 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 18 | — | — | $20,466 | $26,606 | $120,092 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 18 | — | — | $10,570 | $13,741 | $75,486 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 18 | — | — | $7,347.55 | $9,393.92 | $54,898 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 18 | — | — | $16,033 | $20,843 | $130,383 |
| COPD w MCC | MS-DRG | 190 | 18 | — | — | $11,533 | $14,993 | $82,348 |
| COPD w CC | MS-DRG | 191 | 18 | — | — | $8,915.9 | $11,591 | $61,760 |
| COPD w/o CC/MCC | MS-DRG | 192 | 18 | — | — | $6,928.27 | $8,832.99 | $48,035 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 18 | — | — | $8,549.03 | $11,114 | $65,192 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 18 | — | — | $6,794.78 | $8,499.97 | $48,035 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | — | — | $16,442 | $21,375 | $123,523 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | — | — | $9,668.44 | $12,569 | $78,917 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | — | — | $7,730.25 | $9,896.16 | $54,898 |
| Heart failure & shock w MCC | MS-DRG | 291 | 18 | — | — | $13,275 | $17,257 | $92,642 |
| Heart failure & shock w CC | MS-DRG | 292 | 18 | — | — | $8,975.24 | $11,668 | $65,192 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 18 | — | — | $6,176.73 | $7,492.75 | $48,035 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 18 | — | — | $12,486 | $16,231 | $82,348 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 18 | — | — | $7,854.85 | $10,090 | $54,898 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 18 | — | — | $6,177.72 | $7,636.06 | $37,744 |
| GI hemorrhage w CC | MS-DRG | 378 | 18 | — | — | $10,278 | $13,361 | $65,192 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 18 | — | — | $6,813.56 | $8,688.32 | $48,035 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 18 | — | — | $8,288.96 | $10,650 | $44,604 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 18 | — | — | $16,082 | $19,888 | $92,642 |
| Kidney/UTI w MCC | MS-DRG | 689 | 18 | — | — | $12,054 | $15,646 | $78,917 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 18 | — | — | $8,584.63 | $10,954 | $48,035 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 18 | — | — | $19,789 | $25,725 | $116,661 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 18 | — | — | $10,699 | $13,908 | $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 | — | — | $44,007 | $52,087 | $202,440 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $27,992 | $33,131 | $123,523 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 18 | — | — | $46,033 | $59,843 | $332,823 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 18 | — | — | $24,285 | $31,570 | $164,696 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 18 | — | — | $17,221 | $22,388 | $102,936 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 18 | — | — | $17,307 | $22,500 | $106,367 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 18 | — | — | $14,086 | $17,983 | $72,054 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 18 | — | — | $34,272 | $44,553 | $264,200 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $94,777 | $112,179 | $384,292 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $55,368 | $65,535 | $229,888 |
| Major joint replacement w MCC | MS-DRG | 469 | 18 | — | — | $30,574 | $39,746 | $212,734 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 18 | — | — | $19,654 | $25,550 | $130,383 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | — | — | $29,379 | $38,192 | $185,284 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | — | — | $21,292 | $27,679 | $116,661 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | — | — | $16,708 | $21,651 | $96,073 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $29,132 | $37,210 | $212,734 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $16,405 | $21,326 | $120,092 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $15,496 | $19,949 | $92,642 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 18 | — | — | $12,849 | $15,942 | $54,898 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 18 | — | — | $20,843 | $25,258 | $89,211 |
| Payer | Codes covered | Median rate |
|---|---|---|
| First Health | 51 | $82,348 |
| Cigna | 47 | $32,368 |
| Blue Cross Blue Shield | 47 | $18,517 |
| Empire BCBS | 43 | $13,275 |
| Health Net | 43 | $21,337 |
| Humana | 43 | $13,275 |
| Kaiser Permanente | 43 | $13,275 |
| la care health plan | 43 | $15,583 |
| Molina | 43 | $13,275 |
| Multiplan | 43 | $23,814 |
| onecare | 43 | $13,275 |
| providence health plan | 43 | $13,275 |
| scan health plan | 43 | $13,275 |
| UnitedHealthcare | 43 | $19,789 |
| Aetna | 43 | $17,439 |
| WellCare | 43 | $13,275 |
| brand new day | 43 | $13,275 |
| central health plan | 43 | $14,602 |
