title 8, ccr section 9789.23. hospital cost to charge ......title 8, ccr section 9789.23. hospital...

Title 8, CCR Section 9789.23. Hospital Cost to Charge Ratios, Hospital Specific Outliers, and Hospital Composite Factors

Provider Number Name Composite

Hospital Specific Outlier Factor

Cost-to-Charge Ratio

050002 St Rose Hospital 14529.68 40226.61 0.208 050006 St Joseph Hospital 10972.17 33102.17 0.214 050007 Mills-Peninsula Medical Center 11936.50 40643.07 0.298 050008 California Pacific Medical Ctr-Davies Campus Hosp 13577.82 40685.47 0.276 050009 Queen Of The Valley Medical Center 13030.36 40772.11 0.189 050013 Adventist Health St Helena 12669.20 37708.21 0.159 050014 Sutter Amador Hospital 11474.78 37714.46 0.305 050017 Mercy General Hospital 12562.14 37757.08 0.172 050018 Pacific Alliance Medical Center 15077.04 31838.81 0.328 050022 Riverside Community Hospital 11668.30 31333.68 0.101 050024 Paradise Valley Hospital 12465.59 31337.85 0.233 050025 Uc San Diego Health Hillcrest - Hillcrest Med Ctr 13597.75 32311.53 0.316 050026 Grossmont Hospital 10906.89 31339.83 0.171 050028 Mad River Community Hospital 9916.27 32325.80 0.307 050030 Oroville Hospital 10978.28 31340.31 0.261 050036 Bakersfield Memorial Hospital 11166.64 31338.07 0.206 050038 Santa Clara Valley Medical Center 18837.26 41916.78 0.288 050039 Enloe Medical Center 9954.96 31338.96 0.173 050040 Lac/Olive View-Ucla Medical Center 16041.67 31829.40 0.213 050042 St Elizabeth Community Hospital 10158.71 33100.24 0.221 050043 Alta Bates Summit Medical Center 13855.54 40225.54 0.264 050045 El Centro Regional Medical Center 11637.67 31335.80 0.209 050047 California Pacific Medical Center- Van Ness Campus 14443.91 40675.75 0.275 050054 San Gorgonio Memorial Hospital 9614.97 31322.33 0.422 050055 California Pacific Medical Center - Mission Bernal 15201.03 40700.51 0.388 050056 Antelope Valley Hospital 11329.03 31831.44 0.215 050057 Kaweah Delta Medical Center 11788.25 31341.96 0.275 050058 Glendale Mem Hospital & Hlth Center 14387.52 34457.54 0.182 050060 Community Regional Medical Center 13019.13 31337.64 0.198 050063 Hollywood Presbyterian Medical Center 13860.14 31839.98 0.214 050067 Oak Valley Hospital District 9904.08 32265.94 0.439 050069 St Joseph Hospital 10261.06 31360.79 0.205 050070 Kaiser Foundation Hospital - South San Francisco 11513.14 40708.29 0.396 050071 Kaiser Foundation Hospital-Santa Clara 13626.31 42031.62 0.385 050072 Kaiser Foundation Hospital - Walnut Creek 11400.67 39854.88 0.437 050073 Kaiser Foundation Hospital And Rehab Center 11908.26 41518.08 0.427 050075 Kaiser Foundation Hospital - Oakland/Richmond 12962.98 40222.12 0.465 050076 Kaiser Foundation Hospital - San Francisco 13506.34 40834.08 0.432 050077 Scripps Mercy Hospital 11900.33 31337.73 0.169 050078 Providence Little Co Of Mary Med Ctr San Pedro 10390.44 31833.09 0.191 050082 St Johns Regional Medical Center 11212.75 34448.58 0.218 050084 St Joseph's Medical Center Of Stockton 13476.56 39550.28 0.151 050089 Community Hospital Of San Bernardino 13065.54 31365.72 0.205 050090 Sonoma Valley Hospital 11767.47 38826.33 0.262 050091 Community Hospital Of Huntington Park 9766.19 31833.12 0.134 050093 Saint Agnes Medical Center 10688.65 31337.56 0.242 050096 West Covina Medical Center, Inc 10637.36 31831.81 0.631 050099 San Antonio Regional Hospital 9862.69 31360.81 0.176 050100 Sharp Memorial Hospital 10293.49 31339.83 0.171

Effective November 1, 2019 Including 09/03/2019 and 10/25/2019 AD orders





050101 Sutter Solano Medical Center 14873.01 41497.31 0.265 050102 Parkview Community Hospital Medical Center 11431.82 31342.22 0.208 050103 White Memorial Medical Center 15277.78 34447.92 0.137 050104 Saint Francis Medical Center 13631.85 31835.83 0.231 050107 Marian Regional Medical Center 12047.69 34028.10 0.182 050108 Sutter Medical Center, Sacramento 13558.25 37723.67 0.267 050110 Lompoc Valley Medical Center 10440.74 34011.97 0.574 050112 Santa Monica - Ucla Med Ctr & Orthopaedic Hospital 11951.67 34439.67 0.415 050113 San Mateo Medical Center 12644.11 40693.23 0.750 050115 Palomar Health Downtown Campus 10123.47 31326.56 0.198 050116 Northridge Hospital Medical Center 12301.00 34450.44 0.150 050118 Doctors Hospital Of Manteca 10902.25 35534.19 0.114 050121 Adventist Health Hanford 11005.67 31337.84 0.326 050122 Dameron Hospital 12133.40 35536.58 0.175 050124 Usc Verdugo Hills Hospital 10310.70 31833.68 0.283 050125 Regional Medical Center Of San Jose 15492.40 41900.95 0.096 050126 Valley Presbyterian Hospital 13395.81 31836.23 0.351 050127 Woodland Memorial Hospital 11583.37 37715.48 0.243 050128 Tri-City Medical Center 10655.73 31339.92 0.211 050129 St Bernardine Medical Center 11584.11 31364.05 0.184 050131 Novato Community Hospital 11980.82 40758.19 0.367 050132 San Gabriel Valley Medical Center 12823.39 31828.65 0.135 050133 Adventist Health And Rideout 9916.27 32312.76 0.258 050135 Southern California Hospital At Hollywood 12169.59 31836.06 0.185 050136 Petaluma Valley Hospital 11926.39 38869.93 0.188 050137 Kaiser Foundation Hospital - Panorama City 10051.28 34462.21 0.419 050138 Kaiser Foundation Hospital - Los Angeles 11513.98 34462.25 0.390 050139 Kaiser Foundation Hospital - Downey 9515.08 32322.33 0.393 050140 Kaiser Foundation Hospital Fontana 9489.29 31362.67 0.385 050145 Community Hospital Of The Monterey Peninsula 12282.39 40463.70 0.285 050149 California Hospital Medical Center La 15163.44 34454.97 0.221 050150 Sierra Nevada Memorial Hospital 11558.11 37755.81 0.218 050152 Saint Francis Memorial Hospital 15407.51 40798.51 0.219 050153 O'connor Hospital 14810.31 41981.72 0.196 050158 Encino Hospital Medical Center 10412.51 31840.16 0.225 050159 Ventura County Medical Center 14296.84 34429.51 0.233 050167 San Joaquin General Hospital 15904.08 35550.83 0.220 050168 St Jude Medical Center 9636.32 31357.04 0.243 050169 Pih Health Hospital-Whittier 10068.05 31825.95 0.126 050174 Santa Rosa Memorial Hospital 13374.46 40770.05 0.173 050179 Emanuel Medical Center 11392.25 32282.66 0.113 050180 John Muir Medical Center - Walnut Creek Campus 12188.48 39790.85 0.145 050189 George L Mee Memorial Hospital 13726.18 40523.53 0.391 050191 St Mary Medical Center 13120.05 31833.45 0.237 050192 Adventist Health Reedley 10060.52 32330.24 0.579 050194 Watsonville Community Hospital 14904.49 41749.28 0.136 050195 Washington Hospital 13358.20 41605.15 0.198 050197 Sequoia Hospital 11882.23 41868.44 0.223 050204 Palmdale Regional Medical Center 10954.22 31819.66 0.144






050205 Glendora Community Hospital 9700.78 31826.81 0.325 050211 Alameda Hospital 12344.08 40280.68 0.301 050222 Sharp Chula Vista Medical Center 11226.79 31342.39 0.160 050224 Hoag Memorial Hospital Presbyterian 9250.87 31367.58 0.322 050225 Adventist Health Feather River 10409.21 32326.03 0.131 050226 Ahmc Anaheim Regional Medical Center 11599.80 31357.55 0.160 050228 Zuckerberg San Francisco General Hosp & Trauma Ctr 20920.28 40722.42 0.282 050230 Garden Grove Hospital & Medical Center 12867.96 31359.62 0.226 050231 Pomona Valley Hospital Medical Center 12296.95 31832.65 0.110 050232 French Hospital Medical Center 9226.76 31366.95 0.200 050234 Sharp Coronado Hospital And Hlthcr Ctr 9614.97 31341.08 0.221 050235 Providence Saint Joseph Medical Ctr 11689.88 34447.88 0.152 050236 Adventist Health Simi Valley 10526.91 34437.94 0.204 050238 Methodist Hospital Of Southern Ca 10544.73 31820.80 0.160 050239 Glendale Adventist Medical Center 13669.79 34451.46 0.156 050242 Dominican Hospital 13231.19 41749.88 0.183 050243 Desert Regional Medical Center 11847.72 31341.38 0.115 050245 Arrowhead Regional Medical Center 13853.18 31353.31 0.346 050248 Natividad Medical Center 17056.35 40502.59 0.207 050254 Marshall Medical Center 11583.37 37765.45 0.207 050257 Good Samaritan Hospital 11484.05 31343.49 0.420 050261 Sierra View Medical Center 11538.84 31335.34 0.265 050262 Ronald Reagan U C L A Medical Center 16590.36 34442.95 0.377 050272 Redlands Community Hospital 9849.39 31367.77 0.149 050276 Contra Costa Regional Medical Center 16544.18 39856.54 0.461 050278 Providence Holy Cross Medical Center 12259.64 34444.32 0.149 050279 Hi-Desert Medical Center 9622.21 31361.47 0.249 050280 Mercy Medical Center Redding 11426.37 33112.96 0.223 050281 Alhambra Hospital Medical Center 12683.07 31837.49 0.162 050283 Stanford Health Care - Valleycare 12125.99 40235.29 0.249 050289 Seton Medical Center 13034.24 40700.00 0.171 050290 Providence Saint John's Health Center 10027.80 34452.98 0.258 050291 Sutter Santa Rosa Regional Hospital 14032.25 38807.54 0.303 050292 Riverside University Health System-Medical Center 12526.23 31344.79 0.344 050295 Mercy Hospital 11084.99 31338.56 0.216 050296 Hazel Hawkins Memorial Hospital 11985.94 39046.09 0.284 050298 Barstow Community Hospital 9622.21 31353.74 0.118 050300 St Mary Medical Center 10907.42 31363.95 0.202 050301 Adventist Health Ukiah Valley 11087.39 32328.54 0.324 050305 Alta Bates Summit Medical Center - Alta Bates Camp 14731.34 40788.87 0.330 050308 El Camino Hospital 12313.90 41924.33 0.214 050309 Sutter Roseville Medical Center 11691.18 37741.09 0.234 050313 Sutter Tracy Community Hospital 10902.25 35527.67 0.274 050315 Kern Medical Center 15127.28 31343.71 0.337 050320 Highland Hospital 19467.01 40195.16 0.269 050324 Scripps Memorial Hospital La Jolla 9213.83 31332.55 0.167 050327 Loma Linda University Medical Center 13718.84 31362.82 0.160 050329 Corona Regional Medical Center 10902.80 31337.47 0.180 050334 Salinas Valley Memorial Hospital 14011.76 41661.87 0.230






050335 Adventist Health Sonora 10137.53 32327.85 0.196 050336 Adventist Health Lodi Memorial 11490.23 35521.49 0.131 050342 Pioneers Memorial Healthcare District 11676.34 31342.17 0.335 050348 University Of California Irvine Med Center 14394.40 31360.09 0.207 050350 Beverly Hospital 11904.50 31829.35 0.368 050351 Torrance Memorial Medical Center 9322.13 31822.65 0.174 050352 Barton Memorial Hospital 11583.37 37757.17 0.224 050353 Providence Little Company Of Mary Med Ctr Torrance 10387.84 31831.02 0.176 050357 Goleta Valley Cottage Hospital 9627.88 33994.23 0.312 050359 Tulare Regional Medical Center 10784.08 31339.02 0.383 050360 Marin General Hospital 12788.47 40801.63 0.193 050367 Northbay Medical Center 14157.42 41460.54 0.146 050373 Lac+usc Medical Center 17569.62 31829.40 0.213 050376 Lac/Harbor-Ucla Med Center 17096.69 31829.40 0.213 050378 Pacifica Hospital Of The Valley 14084.32 31830.57 0.479 050380 Good Samaritan Hospital 12522.66 41969.10 0.118 050382 Emanate Health Inter-Community Hospital 12043.01 31834.66 0.291 050390 Hemet Valley Medical Center 10945.31 31336.27 0.217 050393 Pih Hospital - Downey 11364.33 31824.44 0.169 050394 Community Memorial Hospital San Buenaventura 12065.64 34461.54 0.229 050396 Santa Barbara Cottage Hospital 11283.35 34015.59 0.288 050397 Coalinga Regional Medical Center 12475.22 31336.83 0.213 050407 Chinese Hospital 12516.48 40834.00 0.462 050411 Kaiser Foundation Hospital - South Bay 9078.54 31825.13 0.427 050414 Mercy Hospital Of Folsom 11423.77 37760.90 0.205 050417 Sutter Coast Hospital 9916.27 32299.22 0.302 050423 Palo Verde Hospital 10181.96 31335.70 0.389 050424 Scripps Green Hospital 10004.61 31332.73 0.190 050425 Kaiser Foundation Hospital - Sacramento 11133.00 37779.98 0.352 050426 West Anaheim Medical Center 11675.90 31359.49 0.171 050438 Huntington Memorial Hospital 11268.63 34447.49 0.195 050441 Stanford Health Care 17238.27 41958.61 0.151 050444 Mercy Medical Center 12060.72 32405.47 0.196 050454 Ucsf Medical Center 17358.87 40795.15 0.210 050455 Adventist Health Bakersfield 10728.05 31343.60 0.165 050457 St Mary's Medical Center 14946.48 40818.63 0.204 050464 Doctors Medical Center 12295.57 32287.65 0.093 050468 Memorial Hospital Of Gardena 12536.00 31833.25 0.155 050471 Good Samaritan Hospital 12453.40 31835.67 0.176 050481 West Hills Hospital & Medical Center 10956.93 34441.75 0.113 050485 Long Beach Memorial Medical Center 11796.10 31834.69 0.202 050488 Eden Medical Center 13283.28 40165.65 0.265 050492 Clovis Community Medical Center 10399.36 31326.28 0.188 050496 John Muir Medical Center - Concord Campus 12600.27 39831.54 0.147 050498 Sutter Auburn Faith Hospital 11159.83 37735.36 0.263 050502 Saint Vincent Medical Center 11968.88 31832.71 0.166 050503 Scripps Memorial Hospital - Encinitas 9198.43 31333.80 0.181 050506 Sierra Vista Regional Medical Center 10866.85 33673.22 0.147 050510 Kaiser Foundation Hospital 11667.36 40838.64 0.449






050512 Kaiser Foundation Hospital - Fremont 11470.01 40277.51 0.387 050515 Kaiser Foundation Hospital - Zion 9279.75 32321.32 0.434 050516 Mercy San Juan Medical Center 13081.78 37768.32 0.178 050517 Victor Valley Global Medical Center 11647.97 31350.52 0.263 050523 Sutter Delta Medical Center 13798.68 39832.40 0.256 050526 Huntington Beach Hospital 10882.07 31356.32 0.232 050528 Memorial Hospital Los Banos 18989.28 32312.14 0.293 050534 John F Kennedy Memorial Hospital 12059.74 31338.25 0.129 050537 Sutter Davis Hospital 11761.37 37757.08 0.258 050541 Kaiser Foundation Hospital - Redwood City 11515.48 40665.30 0.449 050543 College Hospital Costa Mesa 13599.20 31356.01 0.393 050546 Porterville Developmental Center 9496.24 31320.95 0.237 050547 Sonoma Developmental Center 11926.39 38813.03 0.225 050548 Fairview Developmental Center 9622.21 31369.30 1.071 050549 Los Robles Hospital & Medical Center 10112.09 34439.80 0.119 050551 Los Alamitos Medical Center 9439.15 31363.43 0.114 050557 Memorial Medical Center 10489.97 32270.92 0.225 050561 Kaiser Foundation Hospital - West La 10024.75 34445.60 0.437 050567 Mission Hospital Regional Med Center 9563.43 31358.91 0.214 050568 Madera Community Hospital 11427.99 31344.90 0.398 050570 Fountain Valley Regional Hospital & Medical Center 12698.37 31364.05 0.143 050573 Eisenhower Medical Center 10142.86 31337.11 0.160 050580 La Palma Intercommunity Hospital 11105.38 31352.57 0.222 050581 Lakewood Regional Medical Center 10745.38 31834.97 0.139 050586 Chino Valley Medical Center 11939.03 31353.74 0.236 050588 San Dimas Community Hospital 9766.19 31831.13 0.242 050589 Placentia Linda Hospital 9498.73 31360.83 0.147 050590 Methodist Hospital Of Sacramento 14696.35 37759.72 0.218 050597 Emanate Health Foothill Presbyterian Hospital 10275.89 31831.47 0.282 050599 University Of California Davis Medical Center 17054.21 37760.06 0.183 050603 Memorialcare Saddleback Medical Center 8910.05 31361.59 0.236 050604 Kaiser Foundation Hospital-San Jose 11936.43 41997.74 0.420 050608 Delano Regional Medical Center 12911.86 31336.83 0.213 050609 Kaiser Foundation Hospital - Orange County - Anahe 9146.28 31364.73 0.379 050616 St Johns Pleasant Valley Hospital 9746.62 34453.60 0.227 050624 Henry Mayo Newhall Hospital 9730.12 31824.55 0.223 050625 Cedars-Sinai Medical Center 12449.78 34438.79 0.139 050633 Twin Cities Community Hospital 9757.28 31371.81 0.142 050636 Pomerado Hospital 9614.97 31330.61 0.205 050641 East Los Angeles Doctors Hospital 13941.46 31834.51 0.154 050663 Los Angeles Community Hospital 13187.43 31831.55 0.217 050668 Laguna Honda Hospital & Rehabilitation Center 12516.48 40772.66 0.190 050674 Kaiser Foundation Hosp So Sacramento 11702.69 37768.43 0.357 050677 Kaiser Foundation Hospital - Woodland Hills 10115.47 34442.54 0.501 050678 Memorialcare Orange Coast Medical Center 10071.19 31362.76 0.212 050684 Menifee Valley Medical Center 9614.97 31334.54 0.238 050686 Kaiser Foundation Hospital, Riverside 9303.68 31342.32 0.528 050688 St Louise Regional Hospital 12875.47 41972.00 0.209 050689 San Ramon Regional Medical Center 11278.06 39825.01 0.169






050690 Kaiser Foundation Hospital-Santa Rosa 11086.55 38878.58 0.416 050696 Keck Hospital Of Usc 13123.37 34445.85 0.270 050697 Patients' Hospital Of Redding 9367.92 33115.45 0.306 050701 Southwest Healthcare System 10275.07 31333.59 0.212 050704 Mission Community Hospital 12931.18 31832.52 0.272 050708 Fresno Surgical Hospital 8866.69 31303.96 0.343 050709 Desert Valley Hospital 10768.39 31357.19 0.145 050710 Kaiser Foundation Hospital - Fresno 8874.00 31342.94 0.380 050714 Sutter Maternity & Surgery Center Of Santa Cruz 12801.17 41688.58 0.352 050717 Lac/Rancho Los Amigos National Rehabilitation Ctr 14164.27 31829.40 0.213 050723 Kaiser Foundation Hospital - Baldwin Park 9022.83 31836.03 0.421 050724 Bakersfield Heart Hospital 9416.43 31337.47 0.180 050726 Stanislaus Surgical Hospital 9133.20 32267.18 0.314 050727 Community Hospital Of Long Beach 10425.76 31834.69 0.202 050735 Whittier Hospital Medical Center 12031.71 31832.67 0.147 050736 Monterey Park Hospital 13168.68 31833.68 0.101 050737 Garfield Medical Center 13110.60 31831.02 0.128 050738 Greater El Monte Community Hospital 13640.46 31833.45 0.158 050739 Centinela Hospital Medical Center 11960.17 31819.97 0.163 050740 Cedar-Sinai Marina Del Rey Hospital 9571.78 31827.38 0.249 050742 Olympia Medical Center 11122.63 31825.91 0.160 050744 Anaheim Global Medical Center 11390.21 31365.39 0.244 050745 Chapman Global Medical Center 9622.21 31359.92 0.245 050746 Orange County Global Medical Center 11620.47 31365.59 0.201 050747 South Coast Global Medical Center 12834.10 31364.58 0.262 050748 Kaiser Foundation Hospital Manteca 10059.46 35553.37 0.403 050751 Miraclemile Medical Center 9180.16 31802.91 0.375 050754 Menlo Park Surgical Hospital 11508.32 40669.56 0.413 050755 Sherman Oaks Hospital 11075.33 31830.17 0.195 050757 Alvarado Hospital Medical Center 11109.05 31338.12 0.207 050758 Montclair Hospital Medical Center 12007.18 31358.11 0.190 050760 Kaiser Foundation Hospital - Antioch 11377.69 39833.93 0.461 050761 Providence Tarzana Medical Center 11452.87 34451.42 0.173 050763 Silver Lake Medical Center 11875.89 31823.62 0.385 050764 Shasta Regional Medical Center 10634.81 33093.26 0.153 050765 Kaiser Foundation Hospital-Moreno Valley 9058.25 31340.68 0.357 050766 Sutter Surgical Hospital - North Valley 8872.31 31332.16 0.382 050767 Kaiser Foundation Hospital - Vacaville 11777.01 41495.89 0.382 050769 Hoag Orthopedic Institute 8873.37 31357.68 0.242 050770 Loma Linda University Medical Center-Murrieta 9719.80 31324.73 0.197 050771 Coast Plaza Hospital 11440.56 31834.34 0.173 050772 Kaiser Foundation Hospital - Roseville 10939.89 37777.15 0.376 050773 San Leandro Hospital 12344.08 40291.44 0.276 050775 Temecula Valley Hospital 9703.95 31320.05 0.206 050776 College Medical Center 14364.79 31832.60 0.292 050777 Kaiser Foundation Hospital - San Leandro 11468.59 40207.63 0.447 050778 Loma Linda University Children's Hospital 13048.59 31371.53 0.222 050779 Martin Luther King, Jr. Community Hospital 13827.56 31821.24 0.145 050780 Foothill Regional Medical Center 11560.06 31365.91 0.449






050781 Sonoma Specialty Hospital 11671.45 38920.60 0.362 050782 Casa Colina Hospital 9649.56 31821.91 0.383 050783 Colusa Medical Center 9465.35 32320.39 0.244


title 8, ccr section 9789.23. hospital cost to charge ......title 8, ccr section 9789.23. hospital...

Documents