The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
Explore this hospital across cost reports, quality ratings, and non-profit filings.
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 | 35 | — | — | $98 | $20,988 | 1.6× | $156,386 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 35 | — | — | $98 | $29,423 | 1.5× | $225,152 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 34 | — | — | $98 | $15,679 | 1.5× | $113,113 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 33 | — | — | $98 | $11,203 | 1.5× | $76,625 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 34 | — | — | $98 | $23,266 | 1.5× | $174,960 |
| COPD w MCC | MS-DRG | 190 | 34 | — | — | $98 | $17,017 | 1.5× | $124,018 |
| COPD w CC | MS-DRG | 191 | 33 | — | — | $98 | $13,381 | 1.5× | $94,382 |
| COPD w/o CC/MCC | MS-DRG | 192 | 33 | — | — | $98 | $10,621 | 1.5× | $71,878 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 33 | — | — | $98 | $12,872 | 1.5× | $90,229 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 33 | — | — | $98 | $10,540 | 1.6× | $70,367 |
| AMI discharged alive w MCC | MS-DRG | 280 | 34 | — | — | $98 | $23,835 | 1.5× | $179,595 |
| AMI discharged alive w CC | MS-DRG | 281 | 34 | — | — | $98 | $14,932 | 1.5× | $102,902 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 33 | — | — | $98 | $11,969 | 1.5× | $80,958 |
| Heart failure & shock w MCC | MS-DRG | 291 | 34 | — | — | $98 | $19,436 | 1.5× | $143,734 |
| Heart failure & shock w CC | MS-DRG | 292 | 34 | — | — | $98 | $13,464 | 1.5× | $95,054 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 33 | — | — | $98 | $9,768.63 | 1.6× | $63,369 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 34 | — | — | $98 | $18,340 | 1.5× | $134,800 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 34 | — | — | $98 | $12,146 | 1.6× | $82,369 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 34 | — | — | $98 | $9,578.46 | 1.5× | $63,381 |
| GI hemorrhage w CC | MS-DRG | 378 | 33 | — | — | $98 | $15,273 | 1.5× | $109,799 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 33 | — | — | $98 | $10,566 | 1.5× | $70,580 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 36 | — | — | $98 | $12,511 | 1.6× | $87,284 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 33 | — | — | $98 | $23,335 | 1.5× | $175,520 |
| Kidney/UTI w MCC | MS-DRG | 689 | 33 | — | — | $98 | $17,739 | 1.5× | $129,907 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 34 | — | — | $98 | $13,051 | 1.6× | $90,632 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 36 | — | — | $98 | $28,482 | 1.5× | $217,482 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 35 | — | — | $98 | $15,858 | 1.5× | $114,569 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $98 | $98 | 1.1× | $98 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $98 | $98 | 1.1× | $98 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $98 | $98 | 1.1× | $98 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $98 | $98 | 0.10× | $98 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 4 | — | — | $98 | $60,809 | 2.2× | $104,789 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $98 | $56,164 | 3.1× | $66,516 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 35 | — | — | $98 | $64,933 | 1.5× | $305,493 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 35 | — | — | $98 | $35,422 | 1.5× | $268,391 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 34 | — | — | $98 | $27,409 | 1.7× | $188,417 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 35 | — | — | $98 | $25,036 | 1.5× | $189,392 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 34 | — | — | $98 | $21,281 | 1.6× | $152,915 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 33 | — | — | $98 | $49,084 | 1.5× | $381,459 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $98 | $211,416 | 4.3× | $397,262 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $98 | $123,099 | 3.7× | $409,538 |
| Major joint replacement w MCC | MS-DRG | 469 | 33 | — | — | $98 | $43,897 | 1.5× | $339,597 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 35 | — | — | $98 | $28,296 | 1.5× | $215,960 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 33 | — | — | $98 | $41,802 | 1.5× | $326,061 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 34 | — | — | $98 | $31,181 | 1.5× | $234,500 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 33 | — | — | $98 | $25,414 | 1.6× | $182,607 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 33 | — | — | $98 | $42,289 | 1.6× | $323,273 |
| OR procedure for obesity w CC | MS-DRG | 620 | 33 | — | — | $98 | $24,615 | 1.5× | $179,170 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 34 | — | — | $98 | $23,646 | 1.6× | $168,880 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 33 | — | — | $98 | $19,221 | 1.6× | $138,909 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 34 | — | — | $98 | $29,946 | 1.6× | $229,417 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Multiplan | 51 | $98 |
| Blue Cross Blue Shield | 47 | $32,070 |
| Aetna | 46 | $34,939 |
| UnitedHealthcare | 45 | $49,880 |
| Cigna | 45 | $72,117 |
| Humana | 44 | $18,902 |
| Health Net | 44 | $35,608 |
| heritage provider network | 44 | $23,266 |
| Bright Health | 43 | $22,791 |
| caloptima | 43 | $15,679 |
| caremore | 43 | $18,844 |
| ahmc | 43 | $29,153 |
| family choice medical group | 43 | $22,791 |
| greater newport physicians medical group | 43 | $19,436 |
| healthcare partners | 43 | $20,562 |
| hemet community medical group | 43 | $19,436 |
| amvi/prospect medical group | 43 | $19,436 |
| allied pacific of california | 43 | $19,436 |
| brand new day | 43 | $19,999 |
| redlands community hospital | 43 | $19,436 |
| scan health plan | 43 | $24,019 |
| seaside health plan | 43 | $26,238 |
| st. joseph | 43 | $18,592 |
| st. mary choice medical group | 43 | $19,999 |
| alpha care medical group | 43 | $19,436 |
| Kaiser Permanente | 43 | $29,168 |
| memorialcare medical foundation | 43 | $19,436 |
| alignment health plan | 43 | $19,436 |
| orange county advantage medical group | 43 | $19,999 |
| Oscar Health | 43 | $32,537 |
