▸ Hospital · CA · CCN 050755

Sherman Oaks Hospital

4929 VAN NUYS BLVD, SHERMAN OAKS, CA, 91403

112 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
145
of 209 target codes
Payers
30
with negotiated rates
Rates published
13,219
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88529$13,477$6,390.79$13,747$24,421
Psychiatric diagnostic evaluationCPT9079130$658$227$128.08$227.16$352.1
Psychotherapy 30 minutesCPT9083231$525$227$18.98$227.16$352.1
Psychotherapy 45 minutesCPT9083431$876.68$227$67.16$227.16$352.1
Psychotherapy 60 minutesCPT9083731$912.33$227$38.01$227.16$352.1
emergency
ED visit level 1CPT9928129$600$107$21.77$77$167.28
ED visit level 2CPT9928229$1,200$196$34.97$196.51$304.59
ED visit level 3CPT9928329$1,800$349$51$349.37$541.52
ED visit level 4CPT9928429$2,600$534$51$534.03$827.75
ED visit level 5CPT9928529$3,800$762$51$762.2$1,181.41
Critical care, first hourCPT9929129$5,000$1,057$51$1,057.2$1,638.66
imaging
CT head without contrastCPT7045030$4,207$133$51$133.8$296.47
CT head with contrastCPT7046030$1,731$224$137.27$224.48$347.94
CT head with and without contrastCPT7047030$3,331$224$163.9$224.48$347.94
CT neck with contrastCPT7049130$1,953$224$184.4$224.48$347.94
MRI brain without contrastCPT7055130$2,800$305$188.21$305.38$767.79
MRI brain with contrastCPT7055230$2,800$446$276.68$446.5$926.42
MRI brain with and without contrastCPT7055330$3,450$446$316.79$446.5$1,435.35
Chest X-ray single viewCPT7104530$600$111$9.71$109$172.62
Chest X-ray 2 viewsCPT7104630$600$111$18.13$82$172.62
Chest X-ray 3 viewsCPT7104730$314$111$22.92$111.37$172.62
CT chest without contrastCPT7125030$1,942$133$133.32$133.8$350.49
CT chest with contrastCPT7126030$2,141$224$51$224.48$381.84
CT chest with and without contrastCPT7127030$2,379$224$208.88$224.48$381.84
MRI chest without contrastCPT7155030$2,800$305$305.38$355.46$867.15
MRI chest with and without contrastCPT7155230$3,450$446$387.38$446.5$692.08
Lumbosacral spine X-rayCPT7210030$562.55$133$29.98$133.8$207.39
CT cervical spine without contrastCPT7212530$2,067$133$51$133.8$350.49
CT thoracic spine without contrastCPT7212830$2,067$133$132.34$133.8$350.49
CT lumbar spine without contrastCPT7213130$2,067$133$131.98$133.8$350.49
MRI cervical spine without contrastCPT7214130$2,800$305$181.08$305.38$867.15
MRI thoracic spine without contrastCPT7214630$2,800$305$183.45$305.38$867.15
MRI lumbar spine without contrastCPT7214830$2,800$305$181.42$305.38$867.15
MRI lumbar spine with and without contrastCPT7214930$2,800$446$281.85$446.5$1,027.55
MRI cervical spine with and without contrastCPT7215630$3,450$446$319.01$446.5$1,462.81
MRI lumbar spine with contrastCPT7215830$3,450$446$318.04$446.5$1,461.3
CT pelvis without contrastCPT7219230$3,358.65$133$117.13$133.8$350.49
CT pelvis with contrastCPT7219330$2,001$224$222.88$224.48$381.84
Shoulder X-rayCPT7303030$505.62$111$25.59$111.37$172.62
Humerus X-rayCPT7306030$311.5$111$21.46$111.37$172.62
Hand X-ray 3 viewsCPT7313030$311.5$111$26.32$111.93$172.62
MRI upper extremity joint without contrastCPT7322130$1,893$305$206.55$305.38$588.11
MRI upper extremity joint with and without contrastCPT7322330$2,269$446$301.18$446.5$692.08
Knee X-ray 1-2 viewsCPT7356030$311.5$111$20.19$62$172.62
Ankle X-ray 3 viewsCPT7361030$311.5$111$26.32$111.37$172.62
MRI lower extremity joint without contrastCPT7372130$2,800$305$206.2$305.38$588.11
MRI lower extremity joint with and without contrastCPT7372330$3,450$446$300.2$446.5$692.08
CT abdomen without contrastCPT7415030$2,054$133$116.66$133.8$350.49
CT abdomen with contrastCPT7416030$2,149$224$221.59$224.48$381.84
CT abdomen with and without contrastCPT7417030$2,609$224$224.48$255.65$381.84
CT abdomen and pelvis without contrastCPT7417630$1,520.89$305$51$305.38$473.34
CT abdomen and pelvis with contrastCPT7417730$2,352.28$446$51$446.5$692.08
CT abdomen and pelvis with and without contrastCPT7417830$2,622.41$446$233.05$446.5$692.08
MRI abdomen without contrastCPT7418130$2,800$305$216.39$305.38$846.78
MRI abdomen with and without contrastCPT7418330$4,305.8$446$263.48$446.5$692.08
Abdominal ultrasound completeCPT7670030$1,040$133$51$133.8$207.39
Abdominal ultrasound limitedCPT7670530$1,513.25$133$51$133.8$207.39
Retroperitoneal ultrasound completeCPT7677030$740$133$79.89$133.8$207.39
Obstetric ultrasound after first trimesterCPT7680530$774$133$51$133.8$207.39
Transvaginal ultrasoundCPT7683030$638$133$70.84$133.8$207.39
Pelvic ultrasound completeCPT7685630$763$133$51$133.8$207.39
Scrotal ultrasoundCPT7687030$740$133$47.16$133.8$207.39
EKG tracing onlyCPT9300530$500$75$23.52$75.5$117.03
Transthoracic echocardiogramCPT9330730$2,000$305$82$105.59$473.34
Stress echocardiogramCPT9335030$1,040$699$68.94$82$1,040
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06429$19,312$19,313$22,016$34,994
Intracranial hemorrhage/CVA w CCMS-DRG06529$9,805$9,805.42$11,178$17,767
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06629$6,709$6,709.23$7,648.52$12,157
Respiratory infections & inflammations w MCCMS-DRG17729$15,053$15,053$15,355$27,654
COPD w MCCMS-DRG19029$10,730$10,731$10,945$19,444
COPD w CCMS-DRG19129$8,216$8,216$9,366.24$14,887
COPD w/o CC/MCCMS-DRG19229$6,306$6,014.8$6,432.54$11,427
Simple pneumonia & pleurisy w CCMS-DRG19429$7,863$7,863.53$8,432.97$14,249
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19529$6,178$6,178.16$6,717.54$11,195
AMI discharged alive w MCCMS-DRG28029$15,446$15,447$17,609$28,080
AMI discharged alive w CCMS-DRG28129$8,938$8,938.98$10,190$16,197
AMI discharged alive w/o CC/MCCMS-DRG28229$7,076$7,076.9$8,067.67$12,823
Heart failure & shock w MCCMS-DRG29129$12,403$12,404$12,962$22,476
Heart failure & shock w CCMS-DRG29229$8,273$8,273$9,431.22$14,991
Heart failure & shock w/o CC/MCCMS-DRG29329$5,584$5,584.38$6,288.68$10,119
Cardiac arrhythmia w MCCMS-DRG30829$11,645$11,521$11,879$21,102
Cardiac arrhythmia w CCMS-DRG30929$7,196$6,377.58$7,340.53$13,040
Cardiac arrhythmia w/o CC/MCCMS-DRG31029$5,585$5,417.76$5,697.04$10,121
GI hemorrhage w CCMS-DRG37829$9,524$9,524.21$10,506$17,258
GI hemorrhage w/o CC/MCCMS-DRG37929$6,196$6,196.21$7,063.68$11,228
Esophagitis/gastroenteritis w/o MCCMS-DRG39229$7,613$7,613.67$7,765.94$13,796
Fractures of femur w/o MCCMS-DRG53329$15,100$15,101$17,215$27,363
Kidney/UTI w MCCMS-DRG68929$11,230$11,230$12,803$20,350
Kidney/UTI w/o MCCMS-DRG69029$7,897$7,553.63$8,055.69$14,311
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87129$18,661$18,662$19,671$33,815
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87229$9,928$9,038.41$10,128$17,991
lab
Basic metabolic panel (BMP)CPT8004830$425$8$8.34$8.46$51
Electrolyte panelCPT8005130$61$7$7.01$7.15$10.87
Comprehensive metabolic panelCPT8005330$671$10$10.55$10.56$51
Lipid panelCPT8006130$109$13$13.24$13.39$20.75
Hepatic function panelCPT8007630$412.4$8$7.32$8.17$51
Urinalysis non-automatedCPT8100230$33$3$2.47$3.48$5.39
Urinalysis automatedCPT8100330$24$2$2.25$2.25$51
Glucose quantitativeCPT8294730$37$3$3.79$3.93$6.09
Hemoglobin A1cCPT8303630$77$9$5$8.32$15.05
Thyroid stimulating hormone (TSH)CPT8444330$180$16$3.71$16.8$51
Complete blood count with automated differentialCPT8502530$255$7$7.75$7.77$51
Complete blood count without differentialCPT8502730$100$6$4.53$5.5$10.03
Urine culture bacterialCPT8708630$200$8$6.48$6.77$51
Tissue exam by pathologist level IVCPT8830530$313.7$66$8.88$15$103.37
office
Office visit, new patient, 15-29 minCPT992027$811$49.2$49.2$53.67
Office visit, new patient, 30-44 minutesCPT992037$973$82.05$82.05$87.79
Office visit, new patient, 45-59 minCPT992047$1,191$98.83$98.83$105.75
Office visit, new patient, 60-74 minCPT992057$1,297$118.62$118.62$126.92
Office visit, established patient, 5 minCPT992117$325$9.85$17.21$18.41
Office visit, established patient, 10-19 minCPT992127$423$16.37$16.37$39.61
Office visit, established patient, 20-29 minutesCPT992137$487$34.43$34.43$73.75
Office visit, established patient, 30-39 minutesCPT992147$629$53.79$53.79$109.05
Office visit, established patient, 40-54 minCPT992157$973$82.05$82.05$160.36
preventive
Upper GI endoscopy diagnosticCPT4323530$2,112$1,160$321.48$1,160.81$1,799.26
Sigmoidoscopy diagnosticCPT4533030$1,234$1,190$78.5$1,190.22$1,234
surgery
Total shoulder arthroplastyCPT2347229$28,056$22,440$1,303.87$22,665$28,056
Total knee replacementCPT2744730$28,056$16,431$2,136.11$16,432$25,469
Shoulder arthroscopy with decompressionCPT298267$9,606$605.06$605.06$647.41
Shoulder arthroscopy with rotator cuff repairCPT2982730$27,016$9,286$494.04$9,286.97$14,395
Knee arthroscopy with meniscectomyCPT2988130$16,996$4,187$790.35$4,187.71$6,490.95
Major small/large bowel procedures w MCCMS-DRG32929$43,875$43,876$46,888$79,503
Major small/large bowel procedures w CCMS-DRG33029$22,981$22,982$26,199$41,643
Major small/large bowel procedures w/o CC/MCCMS-DRG33129$16,195$16,195$18,463$29,346
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41829$16,278$16,278$18,557$29,496
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41929$13,182$13,183$15,028$23,887
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42029$32,576$32,576$37,137$68,789
Major joint replacement w MCCMS-DRG46929$29,023$29,024$33,087$55,919
Major joint replacement w/o MCCMS-DRG47029$18,532$18,533$21,127$33,581
Lap cholecystectomy with cholangiographyCPT4756330$7,788$7,737$769.53$7,737.45$7,788
Hip & femur procedures except major joint w MCCMS-DRG48029$27,875$27,875$31,778$50,849
Hip & femur procedures except major joint w CCMS-DRG48129$20,105$20,106$22,921$36,432
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48229$15,702$15,702$17,901$28,453
Lap inguinal hernia repairCPT4965030$34,296$7,737$379.7$7,737.45$11,993
Lap salpingo-oophorectomyCPT5866130$18,696$7,737$701.38$7,737.45$11,993
OR procedure for obesity w MCCMS-DRG61929$27,638$27,639$31,508$50,081
OR procedure for obesity w CCMS-DRG62029$15,410$15,411$17,568$27,924
OR procedure for obesity w/o CC/MCCMS-DRG62129$14,537$14,538$16,573$26,342
Uterine & adnexa procedures w CC/MCCMS-DRG74329$11,994$11,994$13,674$21,734
Uterine & adnexa procedures w/o CC/MCCMS-DRG74429$19,674$18,312$20,068$35,650
PCI single major coronary arteryCPT9292030$24,770$7,284$435.12$7,284.43$11,291
PCI with drug-eluting stentCPT9292830$49,542$14,775$483.05$14,775$22,901
Left heart catheterizationCPT9345230$16,390$4,149$549.26$4,149.23$6,431.31
Coronary angiography with cathCPT9345530$15,282$4,149$671.23$4,149.23$6,431.31
Coronary angiography with bypass cathCPT9345830$15,282$4,149$693.51$4,149.23$6,431.31

Payer mix (top 30)

PayerCodes coveredMedian rate
Blue Cross Blue Shield145$170.83
aids healthcare foundation145$228.97
Health Net145$284.41
Molina145$224.48
l.a care health plan145$224.48
corvel135$348.13
elite health plan135$305.38
employer direct healthcare135$427.53
healthsmart preferred network135$359.13
imperial health plan135$305.38
Aetna135$390.22
alignment135$305.38
americas choice provider network135$355.46
brand new day135$308.43
ca foundation for medical center135$402.29
three rivers135$355.46
TRICARE135$305.38
usa senior care network135$305.38
Workers Comp135$402.29
zelis healthcare135$348.13
Medicare135$305.38
Multiplan135$355.46
naphcare135$473.34
prime health services135$355.46
provider network of america135$366.46
provider select135$362.79
renal payer solutions135$305.38
managed health network129$305.38
Anthem BCBS102$123.06
traditional medi-cal101$98.04