▸ 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
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 29 | — | $13,477 | $6,390.79 | $13,747 | $24,421 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 30 | $658 | $227 | $128.08 | $227.16 | $352.1 |
| Psychotherapy 30 minutes | CPT | 90832 | 31 | $525 | $227 | $18.98 | $227.16 | $352.1 |
| Psychotherapy 45 minutes | CPT | 90834 | 31 | $876.68 | $227 | $67.16 | $227.16 | $352.1 |
| Psychotherapy 60 minutes | CPT | 90837 | 31 | $912.33 | $227 | $38.01 | $227.16 | $352.1 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 29 | $600 | $107 | $21.77 | $77 | $167.28 |
| ED visit level 2 | CPT | 99282 | 29 | $1,200 | $196 | $34.97 | $196.51 | $304.59 |
| ED visit level 3 | CPT | 99283 | 29 | $1,800 | $349 | $51 | $349.37 | $541.52 |
| ED visit level 4 | CPT | 99284 | 29 | $2,600 | $534 | $51 | $534.03 | $827.75 |
| ED visit level 5 | CPT | 99285 | 29 | $3,800 | $762 | $51 | $762.2 | $1,181.41 |
| Critical care, first hour | CPT | 99291 | 29 | $5,000 | $1,057 | $51 | $1,057.2 | $1,638.66 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 30 | $4,207 | $133 | $51 | $133.8 | $296.47 |
| CT head with contrast | CPT | 70460 | 30 | $1,731 | $224 | $137.27 | $224.48 | $347.94 |
| CT head with and without contrast | CPT | 70470 | 30 | $3,331 | $224 | $163.9 | $224.48 | $347.94 |
| CT neck with contrast | CPT | 70491 | 30 | $1,953 | $224 | $184.4 | $224.48 | $347.94 |
| MRI brain without contrast | CPT | 70551 | 30 | $2,800 | $305 | $188.21 | $305.38 | $767.79 |
| MRI brain with contrast | CPT | 70552 | 30 | $2,800 | $446 | $276.68 | $446.5 | $926.42 |
| MRI brain with and without contrast | CPT | 70553 | 30 | $3,450 | $446 | $316.79 | $446.5 | $1,435.35 |
| Chest X-ray single view | CPT | 71045 | 30 | $600 | $111 | $9.71 | $109 | $172.62 |
| Chest X-ray 2 views | CPT | 71046 | 30 | $600 | $111 | $18.13 | $82 | $172.62 |
| Chest X-ray 3 views | CPT | 71047 | 30 | $314 | $111 | $22.92 | $111.37 | $172.62 |
| CT chest without contrast | CPT | 71250 | 30 | $1,942 | $133 | $133.32 | $133.8 | $350.49 |
| CT chest with contrast | CPT | 71260 | 30 | $2,141 | $224 | $51 | $224.48 | $381.84 |
| CT chest with and without contrast | CPT | 71270 | 30 | $2,379 | $224 | $208.88 | $224.48 | $381.84 |
| MRI chest without contrast | CPT | 71550 | 30 | $2,800 | $305 | $305.38 | $355.46 | $867.15 |
| MRI chest with and without contrast | CPT | 71552 | 30 | $3,450 | $446 | $387.38 | $446.5 | $692.08 |
| Lumbosacral spine X-ray | CPT | 72100 | 30 | $562.55 | $133 | $29.98 | $133.8 | $207.39 |
| CT cervical spine without contrast | CPT | 72125 | 30 | $2,067 | $133 | $51 | $133.8 | $350.49 |
| CT thoracic spine without contrast | CPT | 72128 | 30 | $2,067 | $133 | $132.34 | $133.8 | $350.49 |
| CT lumbar spine without contrast | CPT | 72131 | 30 | $2,067 | $133 | $131.98 | $133.8 | $350.49 |
| MRI cervical spine without contrast | CPT | 72141 | 30 | $2,800 | $305 | $181.08 | $305.38 | $867.15 |
| MRI thoracic spine without contrast | CPT | 72146 | 30 | $2,800 | $305 | $183.45 | $305.38 | $867.15 |
| MRI lumbar spine without contrast | CPT | 72148 | 30 | $2,800 | $305 | $181.42 | $305.38 | $867.15 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 30 | $2,800 | $446 | $281.85 | $446.5 | $1,027.55 |
| MRI cervical spine with and without contrast | CPT | 72156 | 30 | $3,450 | $446 | $319.01 | $446.5 | $1,462.81 |
| MRI lumbar spine with contrast | CPT | 72158 | 30 | $3,450 | $446 | $318.04 | $446.5 | $1,461.3 |
| CT pelvis without contrast | CPT | 72192 | 30 | $3,358.65 | $133 | $117.13 | $133.8 | $350.49 |
| CT pelvis with contrast | CPT | 72193 | 30 | $2,001 | $224 | $222.88 | $224.48 | $381.84 |
| Shoulder X-ray | CPT | 73030 | 30 | $505.62 | $111 | $25.59 | $111.37 | $172.62 |
| Humerus X-ray | CPT | 73060 | 30 | $311.5 | $111 | $21.46 | $111.37 | $172.62 |
| Hand X-ray 3 views | CPT | 73130 | 30 | $311.5 | $111 | $26.32 | $111.93 | $172.62 |
| MRI upper extremity joint without contrast | CPT | 73221 | 30 | $1,893 | $305 | $206.55 | $305.38 | $588.11 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 30 | $2,269 | $446 | $301.18 | $446.5 | $692.08 |
| Knee X-ray 1-2 views | CPT | 73560 | 30 | $311.5 | $111 | $20.19 | $62 | $172.62 |
| Ankle X-ray 3 views | CPT | 73610 | 30 | $311.5 | $111 | $26.32 | $111.37 | $172.62 |
| MRI lower extremity joint without contrast | CPT | 73721 | 30 | $2,800 | $305 | $206.2 | $305.38 | $588.11 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 30 | $3,450 | $446 | $300.2 | $446.5 | $692.08 |
| CT abdomen without contrast | CPT | 74150 | 30 | $2,054 | $133 | $116.66 | $133.8 | $350.49 |
| CT abdomen with contrast | CPT | 74160 | 30 | $2,149 | $224 | $221.59 | $224.48 | $381.84 |
| CT abdomen with and without contrast | CPT | 74170 | 30 | $2,609 | $224 | $224.48 | $255.65 | $381.84 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 30 | $1,520.89 | $305 | $51 | $305.38 | $473.34 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 30 | $2,352.28 | $446 | $51 | $446.5 | $692.08 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 30 | $2,622.41 | $446 | $233.05 | $446.5 | $692.08 |
| MRI abdomen without contrast | CPT | 74181 | 30 | $2,800 | $305 | $216.39 | $305.38 | $846.78 |
| MRI abdomen with and without contrast | CPT | 74183 | 30 | $4,305.8 | $446 | $263.48 | $446.5 | $692.08 |
| Abdominal ultrasound complete | CPT | 76700 | 30 | $1,040 | $133 | $51 | $133.8 | $207.39 |
| Abdominal ultrasound limited | CPT | 76705 | 30 | $1,513.25 | $133 | $51 | $133.8 | $207.39 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 30 | $740 | $133 | $79.89 | $133.8 | $207.39 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 30 | $774 | $133 | $51 | $133.8 | $207.39 |
| Transvaginal ultrasound | CPT | 76830 | 30 | $638 | $133 | $70.84 | $133.8 | $207.39 |
| Pelvic ultrasound complete | CPT | 76856 | 30 | $763 | $133 | $51 | $133.8 | $207.39 |
| Scrotal ultrasound | CPT | 76870 | 30 | $740 | $133 | $47.16 | $133.8 | $207.39 |
| EKG tracing only | CPT | 93005 | 30 | $500 | $75 | $23.52 | $75.5 | $117.03 |
| Transthoracic echocardiogram | CPT | 93307 | 30 | $2,000 | $305 | $82 | $105.59 | $473.34 |
| Stress echocardiogram | CPT | 93350 | 30 | $1,040 | $699 | $68.94 | $82 | $1,040 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 29 | — | $19,312 | $19,313 | $22,016 | $34,994 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 29 | — | $9,805 | $9,805.42 | $11,178 | $17,767 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 29 | — | $6,709 | $6,709.23 | $7,648.52 | $12,157 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 29 | — | $15,053 | $15,053 | $15,355 | $27,654 |
| COPD w MCC | MS-DRG | 190 | 29 | — | $10,730 | $10,731 | $10,945 | $19,444 |
| COPD w CC | MS-DRG | 191 | 29 | — | $8,216 | $8,216 | $9,366.24 | $14,887 |
| COPD w/o CC/MCC | MS-DRG | 192 | 29 | — | $6,306 | $6,014.8 | $6,432.54 | $11,427 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 29 | — | $7,863 | $7,863.53 | $8,432.97 | $14,249 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 29 | — | $6,178 | $6,178.16 | $6,717.54 | $11,195 |
| AMI discharged alive w MCC | MS-DRG | 280 | 29 | — | $15,446 | $15,447 | $17,609 | $28,080 |
| AMI discharged alive w CC | MS-DRG | 281 | 29 | — | $8,938 | $8,938.98 | $10,190 | $16,197 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 29 | — | $7,076 | $7,076.9 | $8,067.67 | $12,823 |
| Heart failure & shock w MCC | MS-DRG | 291 | 29 | — | $12,403 | $12,404 | $12,962 | $22,476 |
| Heart failure & shock w CC | MS-DRG | 292 | 29 | — | $8,273 | $8,273 | $9,431.22 | $14,991 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 29 | — | $5,584 | $5,584.38 | $6,288.68 | $10,119 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 29 | — | $11,645 | $11,521 | $11,879 | $21,102 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 29 | — | $7,196 | $6,377.58 | $7,340.53 | $13,040 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 29 | — | $5,585 | $5,417.76 | $5,697.04 | $10,121 |
| GI hemorrhage w CC | MS-DRG | 378 | 29 | — | $9,524 | $9,524.21 | $10,506 | $17,258 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 29 | — | $6,196 | $6,196.21 | $7,063.68 | $11,228 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 29 | — | $7,613 | $7,613.67 | $7,765.94 | $13,796 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 29 | — | $15,100 | $15,101 | $17,215 | $27,363 |
| Kidney/UTI w MCC | MS-DRG | 689 | 29 | — | $11,230 | $11,230 | $12,803 | $20,350 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 29 | — | $7,897 | $7,553.63 | $8,055.69 | $14,311 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 29 | — | $18,661 | $18,662 | $19,671 | $33,815 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 29 | — | $9,928 | $9,038.41 | $10,128 | $17,991 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 30 | $425 | $8 | $8.34 | $8.46 | $51 |
| Electrolyte panel | CPT | 80051 | 30 | $61 | $7 | $7.01 | $7.15 | $10.87 |
| Comprehensive metabolic panel | CPT | 80053 | 30 | $671 | $10 | $10.55 | $10.56 | $51 |
| Lipid panel | CPT | 80061 | 30 | $109 | $13 | $13.24 | $13.39 | $20.75 |
| Hepatic function panel | CPT | 80076 | 30 | $412.4 | $8 | $7.32 | $8.17 | $51 |
| Urinalysis non-automated | CPT | 81002 | 30 | $33 | $3 | $2.47 | $3.48 | $5.39 |
| Urinalysis automated | CPT | 81003 | 30 | $24 | $2 | $2.25 | $2.25 | $51 |
| Glucose quantitative | CPT | 82947 | 30 | $37 | $3 | $3.79 | $3.93 | $6.09 |
| Hemoglobin A1c | CPT | 83036 | 30 | $77 | $9 | $5 | $8.32 | $15.05 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 30 | $180 | $16 | $3.71 | $16.8 | $51 |
| Complete blood count with automated differential | CPT | 85025 | 30 | $255 | $7 | $7.75 | $7.77 | $51 |
| Complete blood count without differential | CPT | 85027 | 30 | $100 | $6 | $4.53 | $5.5 | $10.03 |
| Urine culture bacterial | CPT | 87086 | 30 | $200 | $8 | $6.48 | $6.77 | $51 |
| Tissue exam by pathologist level IV | CPT | 88305 | 30 | $313.7 | $66 | $8.88 | $15 | $103.37 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $811 | — | $49.2 | $49.2 | $53.67 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $973 | — | $82.05 | $82.05 | $87.79 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $1,191 | — | $98.83 | $98.83 | $105.75 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $1,297 | — | $118.62 | $118.62 | $126.92 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $325 | — | $9.85 | $17.21 | $18.41 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $423 | — | $16.37 | $16.37 | $39.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $487 | — | $34.43 | $34.43 | $73.75 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $629 | — | $53.79 | $53.79 | $109.05 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $973 | — | $82.05 | $82.05 | $160.36 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 30 | $2,112 | $1,160 | $321.48 | $1,160.81 | $1,799.26 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 30 | $1,234 | $1,190 | $78.5 | $1,190.22 | $1,234 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 29 | $28,056 | $22,440 | $1,303.87 | $22,665 | $28,056 |
| Total knee replacement | CPT | 27447 | 30 | $28,056 | $16,431 | $2,136.11 | $16,432 | $25,469 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | $9,606 | — | $605.06 | $605.06 | $647.41 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 30 | $27,016 | $9,286 | $494.04 | $9,286.97 | $14,395 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 30 | $16,996 | $4,187 | $790.35 | $4,187.71 | $6,490.95 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 29 | — | $43,875 | $43,876 | $46,888 | $79,503 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 29 | — | $22,981 | $22,982 | $26,199 | $41,643 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 29 | — | $16,195 | $16,195 | $18,463 | $29,346 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 29 | — | $16,278 | $16,278 | $18,557 | $29,496 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 29 | — | $13,182 | $13,183 | $15,028 | $23,887 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 29 | — | $32,576 | $32,576 | $37,137 | $68,789 |
| Major joint replacement w MCC | MS-DRG | 469 | 29 | — | $29,023 | $29,024 | $33,087 | $55,919 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 29 | — | $18,532 | $18,533 | $21,127 | $33,581 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 30 | $7,788 | $7,737 | $769.53 | $7,737.45 | $7,788 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 29 | — | $27,875 | $27,875 | $31,778 | $50,849 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 29 | — | $20,105 | $20,106 | $22,921 | $36,432 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 29 | — | $15,702 | $15,702 | $17,901 | $28,453 |
| Lap inguinal hernia repair | CPT | 49650 | 30 | $34,296 | $7,737 | $379.7 | $7,737.45 | $11,993 |
| Lap salpingo-oophorectomy | CPT | 58661 | 30 | $18,696 | $7,737 | $701.38 | $7,737.45 | $11,993 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 29 | — | $27,638 | $27,639 | $31,508 | $50,081 |
| OR procedure for obesity w CC | MS-DRG | 620 | 29 | — | $15,410 | $15,411 | $17,568 | $27,924 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 29 | — | $14,537 | $14,538 | $16,573 | $26,342 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 29 | — | $11,994 | $11,994 | $13,674 | $21,734 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 29 | — | $19,674 | $18,312 | $20,068 | $35,650 |
| PCI single major coronary artery | CPT | 92920 | 30 | $24,770 | $7,284 | $435.12 | $7,284.43 | $11,291 |
| PCI with drug-eluting stent | CPT | 92928 | 30 | $49,542 | $14,775 | $483.05 | $14,775 | $22,901 |
| Left heart catheterization | CPT | 93452 | 30 | $16,390 | $4,149 | $549.26 | $4,149.23 | $6,431.31 |
| Coronary angiography with cath | CPT | 93455 | 30 | $15,282 | $4,149 | $671.23 | $4,149.23 | $6,431.31 |
| Coronary angiography with bypass cath | CPT | 93458 | 30 | $15,282 | $4,149 | $693.51 | $4,149.23 | $6,431.31 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 145 | $170.83 |
| aids healthcare foundation | 145 | $228.97 |
| Health Net | 145 | $284.41 |
| Molina | 145 | $224.48 |
| l.a care health plan | 145 | $224.48 |
| corvel | 135 | $348.13 |
| elite health plan | 135 | $305.38 |
| employer direct healthcare | 135 | $427.53 |
| healthsmart preferred network | 135 | $359.13 |
| imperial health plan | 135 | $305.38 |
| Aetna | 135 | $390.22 |
| alignment | 135 | $305.38 |
| americas choice provider network | 135 | $355.46 |
| brand new day | 135 | $308.43 |
| ca foundation for medical center | 135 | $402.29 |
| three rivers | 135 | $355.46 |
| TRICARE | 135 | $305.38 |
| usa senior care network | 135 | $305.38 |
| Workers Comp | 135 | $402.29 |
| zelis healthcare | 135 | $348.13 |
| Medicare | 135 | $305.38 |
| Multiplan | 135 | $355.46 |
| naphcare | 135 | $473.34 |
| prime health services | 135 | $355.46 |
| provider network of america | 135 | $366.46 |
| provider select | 135 | $362.79 |
| renal payer solutions | 135 | $305.38 |
| managed health network | 129 | $305.38 |
| Anthem BCBS | 102 | $123.06 |
| traditional medi-cal | 101 | $98.04 |