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Fortuna, CA, 95440
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 2 | — | — | $22,567 | $25,541 | 2.0× | $28,516 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | — | — | $34,897 | $37,569 | 1.9× | $40,241 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | — | — | $18,574 | $19,574 | 1.8× | $20,575 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | — | — | $12,968 | $13,447 | 1.8× | $13,925 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | — | — | $32,703 | $33,183 | 2.1× | $33,662 |
| COPD w MCC | MS-DRG | 190 | 2 | — | — | $20,502 | $21,614 | 1.9× | $22,725 |
| COPD w CC | MS-DRG | 191 | 2 | — | — | $16,110 | $16,745 | 1.9× | $17,380 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | — | — | $12,676 | $12,885 | 1.8× | $13,094 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | — | — | $15,743 | $16,166 | 1.9× | $16,589 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | — | — | $12,131 | $12,365 | 1.9× | $12,600 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | — | — | $29,665 | $31,437 | 2.0× | $33,209 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | — | — | $17,003 | $17,826 | 1.8× | $18,649 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | — | — | $13,235 | $13,952 | 1.8× | $14,670 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | — | — | $24,461 | $25,430 | 2.0× | $26,399 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | — | $16,328 | $16,877 | 1.9× | $17,425 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | — | — | $11,107 | $11,506 | 1.9× | $11,905 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | — | — | $21,878 | $23,138 | 1.9× | $24,399 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | — | — | $13,671 | $14,314 | 1.8× | $14,957 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | — | $10,186 | $10,753 | 1.7× | $11,319 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | — | — | $18,118 | $19,032 | 1.9× | $19,946 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | — | — | $11,622 | $12,251 | 1.8× | $12,879 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | — | — | $13,944 | $14,865 | 1.8× | $15,786 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 2 | — | — | $25,769 | $28,308 | 1.9× | $30,848 |
| Kidney/UTI w MCC | MS-DRG | 689 | 2 | — | — | $20,272 | $21,975 | 1.9× | $23,678 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 2 | — | — | $14,451 | $15,344 | 1.8× | $16,237 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 2 | — | — | $34,080 | $36,889 | 2.0× | $39,699 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 2 | — | — | $18,636 | $19,747 | 1.9× | $20,858 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $19,536 | $40,231 | 1.5× | $60,600 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $19,536 | $29,856 | 1.6× | $38,631 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | — | — | $88,479 | $90,687 | 2.1× | $92,895 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | — | — | $46,316 | $47,068 | 2.0× | $47,820 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | — | — | $31,196 | $32,299 | 2.0× | $33,401 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | — | — | $30,794 | $32,174 | 2.0× | $33,553 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | — | — | $23,992 | $25,324 | 1.9× | $26,656 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | — | — | $64,104 | $67,752 | 2.1× | $71,399 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $31,618 | $80,372 | 1.6× | $134,178 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $31,618 | $54,841 | 1.6× | $74,003 |
| Major joint replacement w MCC | MS-DRG | 469 | 2 | — | — | $56,266 | $61,195 | 2.1× | $66,125 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | — | — | $34,658 | $36,402 | 1.9× | $38,146 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 2 | — | — | $19,190 | $39,100 | 1.4× | $59,499 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 2 | — | — | $19,190 | $30,627 | 1.5× | $41,977 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | — | — | $19,190 | $26,534 | 1.7× | $32,094 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 2 | — | — | $55,158 | $55,499 | 2.0× | $55,841 |
| OR procedure for obesity w CC | MS-DRG | 620 | 2 | — | — | $32,126 | $32,216 | 2.0× | $32,307 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 2 | — | — | $29,122 | $29,347 | 1.9× | $29,572 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 2 | — | — | $19,190 | $21,842 | 1.8× | $24,249 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 2 | — | — | $32,726 | $36,128 | 1.9× | $39,529 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 47 | $23,028 |
| Health Net | 47 | $28,516 |