▸ Payer

commercial | la care | all plans

Negotiated rates published by hospitals for commercial | la care | all plans across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

165

States

Rate rows

336

Median neg. rate

$628.14

Top procedures for commercial | la care | all plans

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$4,196.58
Total hip replacement	CPT	27130	2	$18,272
Total knee replacement	CPT	27447	2	$18,272
Total shoulder arthroplasty	CPT	23472	2	$18,272
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$9,281.84
ACL reconstruction	CPT	29888	2	$9,281.84
Heart failure & shock w MCC	MS-DRG	291	2	$14,865
Heart failure & shock w CC	MS-DRG	292	2	$10,429
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$7,430.84
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	$22,589
PCI w drug-eluting stent w MCC	MS-DRG	246	2	$35,203
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$9,358.37
Cardiac arrhythmia w MCC	MS-DRG	308	2	$14,126
Cardiac arrhythmia w CC	MS-DRG	309	2	$9,190.71
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$7,094.43
AMI discharged alive w MCC	MS-DRG	280	2	$18,575
AMI discharged alive w CC	MS-DRG	281	2	$11,164
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$8,923.34
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$10,433
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$8,262.56
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$21,229
COPD w MCC	MS-DRG	190	2	$13,296
COPD w CC	MS-DRG	191	2	$10,657
COPD w/o CC/MCC	MS-DRG	192	2	$8,589.11
GI hemorrhage w CC	MS-DRG	378	2	$11,854
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	$7,949.16
Major small/large bowel procedures w MCC	MS-DRG	329	2	$54,510
Major small/large bowel procedures w CC	MS-DRG	330	2	$28,902
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$19,710
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	$19,475

Loading procedures...

Top 20 cheapest hospitals for commercial | la care | all plans

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St. Mary Medical Center	Apple Valley	CA	$6,830.61
Northridge Medical Center - Roscoe	Northridge	CA	$6,830.97

Loading hospitals...

States covered

States with hospitals publishing rates for commercial | la care | all plans.

State	Hospitals	Avg rate
CA	2	$6,830.79

Loading state coverage...