▸ Hospital · CA · CCN 050586
Chino Valley Medical Center
5451 WALNUT AVENUE, CHINO, CA, 91710
112 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
153
of 209 target codes
Payers
28
with negotiated rates
Rates published
6,850
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 22 | — | $15,379 | $6,919.79 | $15,380 | $30,760 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 26 | $754.88 | $107 | $21.77 | $107.92 | $215.84 |
| ED visit level 2 | CPT | 99282 | 27 | $1,290.44 | $196 | $30 | $196.51 | $393.02 |
| ED visit level 3 | CPT | 99283 | 26 | $2,284.44 | $349 | $51 | $349.37 | $698.74 |
| ED visit level 4 | CPT | 99284 | 26 | $3,409.93 | $534 | $51 | $534.03 | $1,068.06 |
| ED visit level 5 | CPT | 99285 | 26 | $5,058.67 | $762 | $51 | $762.2 | $1,524.4 |
| Critical care, first hour | CPT | 99291 | 25 | $7,580.38 | $1,057 | $51 | $1,057.2 | $2,114.4 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 25 | $6,964.38 | $133 | $51 | $133.8 | $296.47 |
| CT head with contrast | CPT | 70460 | 25 | $3,855.5 | $224 | $137.27 | $224.48 | $448.96 |
| CT head with and without contrast | CPT | 70470 | 25 | $5,598.75 | $224 | $163.9 | $224.48 | $448.96 |
| CT neck with contrast | CPT | 70491 | 25 | $4,639.75 | $224 | $184.4 | $224.48 | $448.96 |
| MRI brain without contrast | CPT | 70551 | 25 | $5,922.5 | $305 | $188.21 | $305.38 | $767.79 |
| MRI brain with contrast | CPT | 70552 | 25 | $2,151.33 | $446 | $276.68 | $446.5 | $926.42 |
| MRI brain with and without contrast | CPT | 70553 | 25 | $8,453.75 | $446 | $316.79 | $446.5 | $1,435.35 |
| Chest X-ray single view | CPT | 71045 | 25 | $745.25 | $111 | $9.71 | $111.37 | $222.74 |
| Chest X-ray 2 views | CPT | 71046 | 25 | $1,036.75 | $111 | $18.13 | $111.37 | $222.74 |
| CT chest without contrast | CPT | 71250 | 25 | $6,179.25 | $133 | $127.11 | $133.8 | $350.49 |
| CT chest with contrast | CPT | 71260 | 25 | $5,910.7 | $224 | $170.83 | $224.48 | $448.96 |
| CT chest with and without contrast | CPT | 71270 | 25 | $5,614.11 | $224 | $208.88 | $224.48 | $448.96 |
| MRI chest without contrast | CPT | 71550 | 25 | $5,103 | $305 | $290.11 | $305.38 | $867.15 |
| MRI chest with and without contrast | CPT | 71552 | 25 | $3,491.88 | $446 | $387.38 | $446.5 | $893 |
| Lumbosacral spine X-ray | CPT | 72100 | 25 | $1,105.02 | $133 | $29.98 | $133.8 | $267.6 |
| CT cervical spine without contrast | CPT | 72125 | 25 | $5,885 | $133 | $51 | $133.8 | $350.49 |
| CT thoracic spine without contrast | CPT | 72128 | 25 | $5,260 | $133 | $127.11 | $133.8 | $350.49 |
| CT lumbar spine without contrast | CPT | 72131 | 25 | $5,260 | $133 | $127.11 | $133.8 | $350.49 |
| MRI cervical spine without contrast | CPT | 72141 | 25 | $6,197.5 | $305 | $181.08 | $305.38 | $867.15 |
| MRI thoracic spine without contrast | CPT | 72146 | 25 | $6,197.5 | $305 | $183.45 | $305.38 | $867.15 |
| MRI lumbar spine without contrast | CPT | 72148 | 25 | $6,378.75 | $305 | $181.42 | $305.38 | $867.15 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 25 | $1,785.65 | $446 | $281.85 | $446.5 | $1,027.55 |
| MRI cervical spine with and without contrast | CPT | 72156 | 25 | $6,821.37 | $446 | $319.01 | $446.5 | $1,462.81 |
| MRI lumbar spine with contrast | CPT | 72158 | 25 | $8,359.59 | $446 | $318.04 | $446.5 | $1,461.3 |
| CT pelvis without contrast | CPT | 72192 | 25 | $5,617.5 | $133 | $117.13 | $133.8 | $350.49 |
| CT pelvis with contrast | CPT | 72193 | 25 | $4,823.75 | $224 | $213.26 | $224.48 | $448.96 |
| Shoulder X-ray | CPT | 73030 | 25 | $1,068.38 | $111 | $25.59 | $111.37 | $222.74 |
| Humerus X-ray | CPT | 73060 | 25 | $882.06 | $111 | $21.46 | $111.37 | $222.74 |
| Hand X-ray 3 views | CPT | 73130 | 25 | $1,092.15 | $111 | $26.32 | $111.37 | $222.74 |
| MRI upper extremity joint without contrast | CPT | 73221 | 25 | $6,378.75 | $305 | $206.55 | $305.38 | $610.76 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 25 | $1,785.65 | $446 | $301.18 | $446.5 | $893 |
| Knee X-ray 1-2 views | CPT | 73560 | 25 | $838.24 | $111 | $20.19 | $111.37 | $222.74 |
| Ankle X-ray 3 views | CPT | 73610 | 25 | $948.44 | $111 | $26.32 | $111.37 | $222.74 |
| MRI lower extremity joint without contrast | CPT | 73721 | 25 | $6,378.75 | $305 | $206.2 | $305.38 | $610.76 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 25 | $3,491.88 | $446 | $300.2 | $446.5 | $893 |
| CT abdomen without contrast | CPT | 74150 | 25 | $6,743 | $133 | $116.66 | $133.8 | $350.49 |
| CT abdomen with contrast | CPT | 74160 | 25 | $5,759.3 | $224 | $213.26 | $224.48 | $448.96 |
| CT abdomen with and without contrast | CPT | 74170 | 25 | $6,717.5 | $224 | $213.26 | $224.48 | $448.96 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 25 | $7,926.11 | $305 | $51 | $305.38 | $610.76 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 25 | $9,567.25 | $446 | $51 | $446.5 | $893 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 25 | $10,298 | $446 | $233.05 | $446.5 | $893 |
| MRI abdomen without contrast | CPT | 74181 | 25 | $5,095 | $305 | $216.39 | $305.38 | $846.78 |
| MRI abdomen with and without contrast | CPT | 74183 | 25 | $6,358.26 | $446 | $263.48 | $446.5 | $893 |
| Abdominal ultrasound complete | CPT | 76700 | 25 | $2,556.13 | $133 | $51 | $133.8 | $267.6 |
| Abdominal ultrasound limited | CPT | 76705 | 25 | $2,051.09 | $133 | $60.12 | $133.8 | $267.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 25 | $2,103.49 | $133 | $79.89 | $133.8 | $267.6 |
| Obstetric ultrasound first trimester | CPT | 76801 | 25 | $1,235 | $133 | $47.84 | $133.8 | $267.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 25 | $1,479 | $133 | $90.65 | $133.8 | $267.6 |
| Transvaginal ultrasound | CPT | 76830 | 25 | $1,535 | $133 | $70.84 | $133.8 | $267.6 |
| Pelvic ultrasound complete | CPT | 76856 | 25 | $2,142.15 | $133 | $51 | $133.8 | $267.6 |
| Scrotal ultrasound | CPT | 76870 | 25 | $1,599.75 | $133 | $47.16 | $133.8 | $267.6 |
| Diagnostic mammography unilateral | CPT | 77065 | 25 | $844.9 | $94 | $84.3 | $94.37 | $188.74 |
| Diagnostic mammography bilateral | CPT | 77066 | 25 | $1,060 | $121 | $108.06 | $121.01 | $242.02 |
| Screening mammography bilateral | CPT | 77067 | 25 | $589.51 | $99 | $88.39 | $99.86 | $199.72 |
| EKG tracing only | CPT | 93005 | 25 | $699.88 | $75 | $23.52 | $75.5 | $151 |
| Transthoracic echocardiogram complete | CPT | 93306 | 25 | $4,329.67 | $699 | $177.42 | $699.34 | $1,398.68 |
| Transthoracic echocardiogram | CPT | 93307 | 25 | $2,600.03 | $305 | $129.18 | $305.38 | $610.76 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 22 | — | $21,783 | $20,567 | $21,783 | $43,566 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 22 | — | $11,350 | $10,740 | $11,351 | $22,701 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 22 | — | $7,953 | $7,539.09 | $7,953.12 | $15,906 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 22 | — | $17,109 | $15,006 | $17,109 | $34,219 |
| COPD w MCC | MS-DRG | 190 | 22 | — | $12,366 | $11,078 | $12,366 | $24,732 |
| COPD w CC | MS-DRG | 191 | 22 | — | $9,606 | $8,399.35 | $9,606.54 | $19,213 |
| COPD w/o CC/MCC | MS-DRG | 192 | 22 | — | $7,511 | $5,886.62 | $7,511.09 | $15,022 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 22 | — | $9,219 | $8,732.24 | $9,219.77 | $18,440 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 22 | — | $7,370 | $6,263.82 | $7,370.36 | $14,741 |
| AMI discharged alive w MCC | MS-DRG | 280 | 22 | — | $17,541 | $16,571 | $17,541 | $35,082 |
| AMI discharged alive w CC | MS-DRG | 281 | 22 | — | $10,399 | $9,843.88 | $10,400 | $20,800 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 22 | — | $8,356 | $7,919.13 | $8,356.57 | $16,713 |
| Heart failure & shock w MCC | MS-DRG | 291 | 22 | — | $14,201 | $12,378 | $14,202 | $28,404 |
| Heart failure & shock w CC | MS-DRG | 292 | 22 | — | $9,669 | $9,155.49 | $9,669.09 | $19,338 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 22 | — | $6,718 | $4,382.47 | $6,718.79 | $13,438 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 22 | — | $13,370 | $12,475 | $13,370 | $26,740 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 22 | — | $8,487 | $6,897.52 | $8,487.93 | $16,976 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 22 | — | $6,719 | $5,463 | $6,719.83 | $13,440 |
| GI hemorrhage w CC | MS-DRG | 378 | 22 | — | $11,042 | $10,217 | $11,042 | $22,084 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 22 | — | $7,390 | $6,901 | $7,390.16 | $14,780 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 22 | — | $8,945 | $7,700.66 | $8,945.59 | $17,891 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 22 | — | $17,161 | $16,213 | $17,162 | $34,323 |
| Kidney/UTI w MCC | MS-DRG | 689 | 22 | — | $12,914 | $12,213 | $12,914 | $25,829 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 22 | — | $9,257 | $6,983.4 | $9,257.3 | $18,515 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 22 | — | $21,068 | $19,856 | $21,069 | $42,138 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 22 | — | $11,486 | $9,443.9 | $11,486 | $22,972 |
| Hospital discharge, >30 min | CPT | 99239 | 7 | $571.9 | — | $76.6 | $79.28 | $571.9 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 25 | $809.88 | $8 | $8.04 | $8.46 | $51 |
| Electrolyte panel | CPT | 80051 | 25 | $284 | $7 | $6.66 | $7.01 | $14.02 |
| Comprehensive metabolic panel | CPT | 80053 | 25 | $1,150.88 | $10 | $10.03 | $10.56 | $51 |
| Lipid panel | CPT | 80061 | 25 | $827.75 | $13 | $12.72 | $13.39 | $51 |
| Renal function panel | CPT | 80069 | 25 | $534.88 | $8 | $8.25 | $8.68 | $17.36 |
| Hepatic function panel | CPT | 80076 | 25 | $548.63 | $8 | $7.32 | $8.17 | $51 |
| Urinalysis non-automated | CPT | 81002 | 25 | $81.03 | $3 | $2.47 | $3.48 | $51 |
| Urinalysis automated | CPT | 81003 | 25 | $126.73 | $2 | $2.14 | $2.25 | $4.5 |
| Glucose quantitative | CPT | 82947 | 25 | $158.21 | $3 | $3.73 | $3.93 | $51 |
| Hemoglobin A1c | CPT | 83036 | 25 | $215.88 | $9 | $9.22 | $9.71 | $51 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 25 | $434.5 | $16 | $15.96 | $16.8 | $33.6 |
| Complete blood count with automated differential | CPT | 85025 | 25 | $301.13 | $7 | $7.38 | $7.77 | $51 |
| Complete blood count without differential | CPT | 85027 | 25 | $158.35 | $6 | $6.15 | $6.47 | $12.94 |
| Urine culture bacterial | CPT | 87086 | 25 | $522.5 | $8 | $6.48 | $8.07 | $51 |
| Tissue exam by pathologist level IV | CPT | 88305 | 25 | $757.23 | $66 | $11.76 | $66.69 | $133.38 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 7 | $1,025 | — | $19.62 | $19.62 | $34.34 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 7 | $2,921 | — | $1,639.5 | $1,994.02 | $2,891.33 |
| Vaginal delivery only | CPT | 59409 | 25 | $15,632 | $4,143 | $780.72 | $4,143.08 | $8,286.16 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 25 | $6,026.29 | $1,160 | $321.48 | $1,160.81 | $2,321.62 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 25 | $6,026.29 | $1,160 | $335.91 | $1,160.81 | $2,321.62 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 25 | $5,910.28 | $1,190 | $78.5 | $1,190.22 | $2,380.44 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 25 | $5,112.7 | $1,190 | $103.61 | $1,190.22 | $2,380.44 |
| Colonoscopy diagnostic | CPT | 45378 | 25 | $6,501.3 | $1,190 | $423.48 | $1,190.22 | $2,380.44 |
| Colonoscopy with biopsy | CPT | 45380 | 25 | $7,723.01 | $1,531 | $473.68 | $1,531.54 | $3,063.08 |
| Colonoscopy with polyp removal | CPT | 45385 | 25 | $8,495.31 | $1,531 | $51 | $1,531.54 | $3,063.08 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 24 | $31,500 | $22,440 | $1,303.87 | $22,441 | $31,500 |
| Total knee replacement | CPT | 27447 | 25 | $33,450 | $16,431 | $2,136.11 | $16,432 | $32,864 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | $10,201 | — | $605.06 | $605.06 | $877.34 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 25 | $13,960 | $9,286 | $494.04 | $9,286.97 | $13,960 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 25 | $14,650 | $4,187 | $790.35 | $4,187.71 | $8,375.42 |
| ACL reconstruction | CPT | 29888 | 25 | $15,970 | $9,286 | $967.66 | $9,286.97 | $15,970 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 22 | — | $48,737 | $45,957 | $48,737 | $97,474 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 22 | — | $25,809 | $24,359 | $25,809 | $51,618 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 22 | — | $18,362 | $17,345 | $18,363 | $36,725 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 22 | — | $18,453 | $17,430 | $18,453 | $36,907 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 22 | — | $15,056 | $14,231 | $15,057 | $30,114 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 22 | — | $36,337 | $34,276 | $36,338 | $74,483 |
| Laparoscopic appendectomy | CPT | 44970 | 25 | $16,761 | $7,737 | $391.98 | $7,737.45 | $15,475 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $59,197 | $59,197 | $59,197 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $41,861 | $41,861 | $41,861 |
| Major joint replacement w MCC | MS-DRG | 469 | 22 | — | $32,439 | $30,605 | $32,440 | $64,879 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 22 | — | $20,927 | $19,760 | $20,927 | $41,854 |
| Laparoscopic cholecystectomy | CPT | 47562 | 25 | $12,778 | $7,737 | $51 | $7,737.45 | $12,778 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 25 | $10,875 | $7,737 | $769.53 | $7,737.45 | $10,875 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 22 | — | $31,179 | $29,417 | $31,179 | $62,358 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 22 | — | $22,653 | $21,387 | $22,654 | $45,307 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 22 | — | $17,821 | $16,835 | $17,822 | $35,643 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | $13,000 | — | $1,162.9 | $1,162.9 | $1,686.21 |
| Vaginal hysterectomy | CPT | 58260 | 25 | $13,500 | $6,402 | $1,162.9 | $6,402.45 | $12,805 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 25 | $41,193 | $13,604 | $616.65 | $13,605 | $27,210 |
| Lap salpingo-oophorectomy | CPT | 58661 | 25 | $32,399 | $7,737 | $701.38 | $7,737.45 | $15,475 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 22 | — | $30,919 | $29,173 | $30,920 | $61,839 |
| OR procedure for obesity w CC | MS-DRG | 620 | 22 | — | $17,501 | $16,533 | $17,501 | $35,003 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 22 | — | $16,543 | $15,631 | $16,543 | $33,087 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 22 | — | $13,752 | $13,002 | $13,753 | $27,505 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 22 | — | $22,180 | $19,828 | $22,180 | $44,361 |
| PCI single major coronary artery | CPT | 92920 | 25 | $29,530 | $7,284 | $435.12 | $7,284.43 | $14,569 |
| PCI with drug-eluting stent | CPT | 92928 | 25 | $59,846 | $14,775 | $483.05 | $14,775 | $29,550 |
| PCI bypass graft | CPT | 92937 | 25 | $36,925 | $14,775 | $482.46 | $14,775 | $29,550 |
| Left heart catheterization | CPT | 93452 | 25 | $14,792 | $4,149 | $549.26 | $4,149.23 | $8,298.46 |
| Coronary angiography with cath | CPT | 93455 | 25 | $15,282 | $4,149 | $671.23 | $4,149.23 | $8,298.46 |
| Coronary angiography with bypass cath | CPT | 93458 | 25 | $18,229 | $4,149 | $693.51 | $4,149.23 | $8,298.46 |
Payer mix (top 28)
| Payer | Codes covered | Median rate |
|---|---|---|
| vantage care | 151 | $281.85 |
| Blue Cross Blue Shield | 151 | $281.85 |
| Health Net | 151 | $446.5 |
| Empire BCBS | 151 | $446.5 |
| Molina | 151 | $305.38 |
| TRICARE | 148 | $446.5 |
| brand new day | 147 | $450.97 |
| imperial health plan of ca | 146 | $473.29 |
| worker compensation | 146 | $588.2 |
| alignment | 146 | $446.5 |
| central health plan | 146 | $446.5 |
| choice physicians network | 146 | $446.5 |
| emanate health | 146 | $893 |
| employer direct healthcare | 146 | $625.1 |
| epic health plan | 146 | $7,008.8 |
| Medicare | 146 | $446.5 |
| naphcare | 146 | $692.08 |
| neighborhood | 146 | $455.43 |
| prime healthcare services | 146 | $446.5 |
| renal payer solutions | 146 | $446.5 |
| Aetna | 146 | $570.55 |
| traditional medi-cal | 107 | $155.03 |
| Anthem BCBS | 107 | $346.65 |
| citrus valley physicians group | 103 | $224.48 |
| rios | 103 | $213.26 |
| national healthcare solutions, inc (nhsi) | 43 | $22,723 |
| city of chino p.d. | 5 | $102 |
| keenan | 1 | $30 |