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Appendix A Hospital Composite Factors and Cost to Charge Rations

8 CA ADC § 9792.1 App. ABarclays Official California Code of Regulations

Barclays California Code of Regulations
Title 8. Industrial Relations
Division 1. Department of Industrial Relations
Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.5. Application of the Official Medical Fee Schedule (Treatment)
8 CCR § 9792.1 App. A
Appendix A Hospital Composite Factors and Cost to Charge Rations
Currentness
Provider Number
Hospital Name
Composite Factor (2001 Payment Impact File Data)
Capital Cost-to- Charge Ratio
Operating Cost-to- Charge Ratio
Total Cost-to- Charge Ratio
Hospital Specific Outlier Factor
50002
ST. ROSE HOSPITAL
7626.1
0.018
0.372
0.390
$ 19,640
50006
ST. JOSEPH HOSPITAL, EUREKA
4303.8
0.036
0.359
0.395
$ 14,357
50007
MILLS PENINSULA MEDICAL CENTER
5732.9
0.035
0.364
0.399
$ 18,837
50008
DAVIES MEDICAL CENTER
6366.3
0.039
0.317
0.356
$ 18,840
50009
QUEEN OF THE VALLEY
5214.8
0.041
0.357
0.398
$ 16,820
50013
ST. HELENA HOSPITAL
5286.9
0.024
0.430
0.454
$ 16,828
50014
SUTTER AMADOR HOSPITAL
4303.8
0.020
0.353
0.373
$ 14,357
50015
NORTHERN INYO HOSPITAL
4346.0
0.028
0.701
0.729
$ 14,357
50016
ARROYO GRANDE COMMUNITY HOSPITAL
4553.8
0.108
0.394
0.502
$ 15,187
50017
MERCY GENERAL HOSPITAL
5765.8
0.022
0.241
0.263
$ 16,548
50018
PACIFIC ALLIANCE MEDICAL CNTR.
8999.4
0.043
0.393
0.436
$ 16,631
50022
RIVERSIDE COMMUNITY
5171.4
0.044
0.337
0.381
$ 15,697
50024
PARADISE VALLEY HOSPITAL
7440.0
0.024
0.360
0.384
$ 16,363
50025
UCSD MEDICAL CENTER
8430.0
0.057
0.321
0.378
$ 16,395
50026
GROSSMONT HOSPITAL
5834.5
0.043
0.318
0.361
$ 16,384
50028
MAD RIVER COMMUNITY HOSPITAL
4303.8
0.026
0.418
0.444
$ 14,357
50029
ST.LUKE MEDICAL CENTER
6514.7
0.031
0.238
0.269
$ 16,637
50030
OROVILLE HOSPITAL
5185.6
0.048
0.495
0.543
$ 14,416
50032
WARRACK HOSPITAL
5159.2
0.033
0.500
0.533
$ 17,216
50033
MOUNT ZION MEDICAL CENTER OF UCSF
8623.8
0.042
0.407
0.449
$ 18,838
50036
MEMORIAL HOSPITAL
4314.7
0.055
0.358
0.413
$ 14,357
50038
SANTA CLARA VALLEY MEDICAL CENTER
9378.9
0.045
0.538
0.583
$ 18,192
50039
ENLOE MEDICAL CENTER
4630.0
0.026
0.434
0.460
$ 14,416
50040
LAC OLIVE VIEW/UCLA MEDICAL CENTER
10003.1
0.033
0.329
0.362
$ 16,628
50042
ST. ELIZABETH COMMUNITY HOSPITAL
4346.0
0.030
0.413
0.443
$ 14,357
50043
SUMMIT MEDICAL CENTER
7556.7
0.016
0.340
0.356
$ 19,640
50045
EL CENTRO REGIONAL MED. CTR.
5940.4
0.021
0.357
0.378
$ 14,381
50046
OJAI VALLEY COMMUNITY HOSPITAL
4494.1
0.059
0.675
0.734
$ 14,992
50047
CALIFORNIA PACIFIC MEDICAL CENTER
7124.8
0.029
0.373
0.402
$ 18,834
50051
ALTA DISTRICT HOSPITAL
4303.8
0.036
0.586
0.622
$ 14,357
50054
SAN GORGONIO MEMORIAL HOSPITAL
4981.7
0.024
0.330
0.354
$ 15,677
50055
ST. LUKES HOSPITAL
8503.5
0.026
0.360
0.386
$ 18,834
50056
ANTELOPE VALLEY HOSPITAL
6281.4
0.043
0.313
0.356
$ 16,639
50057
KAWEAH DELTA HEALTH CARE DISTRICT
5269.1
0.031
0.430
0.461
$ 14,357
50058
GLENDALE MEMORIAL HOSPITAL & HLTH CT
7144.1
0.031
0.278
0.309
$ 16,632
50060
FRESNO COMMUNITY HOSP & MED CENTER
5731.0
0.029
0.337
0.366
$ 14,607
50061
ST. FRANCIS MEDICAL CENTER
4530.4
0.057
0.356
0.413
$ 15,112
50063
QUEEN OF ANGELS - HLLYWD PRES MC
8430.2
0.033
0.296
0.329
$ 16,632
50065
WMC SANTA ANA
7039.7
0.057
0.314
0.371
$ 16,015
50066
BAY HARBOR HOSPITAL
5818.7
0.016
0.302
0.318
$ 16,614
50067
OAK VALLEY DISTRICT HOSPITAL
4468.6
0.029
0.359
0.388
$ 14,907
50068
LINDSAY DISTRICT HOSPITAL
4494.2
0.014
0.487
0.501
$ 14,357
50069
ST. JOSEPH HOSPITAL
5069.0
0.029
0.284
0.313
$ 16,629
50070
KFH - SSF
5729.5
0.039
0.361
0.400
$ 18,838
50071
KFH - SANTA CLARA
7040.9
0.039
0.361
0.400
$ 19,643
50072
KFH - WALNUT CREEK
6149.7
0.039
0.361
0.400
$ 19,643
50073
KFH - VALLEJO
5946.2
0.039
0.361
0.400
$ 19,587
50075
KFH - OAKLAND
7131.2
0.039
0.361
0.400
$ 19,643
50076
KFH - SAN FRANCISCO
7132.4
0.039
0.361
0.400
$ 19,643
50077
MERCY HOSPITAL
6346.8
0.034
0.300
0.334
$ 16,377
50078
SAN PEDRO PENINSULA
5498.4
0.028
0.268
0.296
$ 16,630
50079
DOCTORS MEDICAL CENTER-SAN PABLO
7288.6
0.021
0.289
0.310
$ 19,641
50082
ST. JOHN'S REGIONAL MEDICAL CENTER
5247.3
0.074
0.343
0.417
$ 14,990
50084
ST. JOSEPH'S MEDICAL CENTER
5020.2
0.022
0.260
0.282
$ 15,146
50088
SAN LUIS OBISPO GENERAL HOSPITAL
4755.3
0.025
0.735
0.760
$ 15,193
50089
COMMUNITY HOSPITAL OF SAN BERNARDINO
7291.2
0.046
0.315
0.361
$ 15,701
50090
SONOMA VALLEY HEALTH CARE DIST.
5159.2
0.055
0.437
0.492
$ 17,206
50091
COMMUNITY HOSPITALS OF HUNTINGTON PK
9079.1
0.032
0.277
0.309
$ 16,633
50092
GLENN MEDICAL CENTER
4730.9
0.050
0.747
0.797
$ 14,357
50093
SAINT AGNES MEDICAL CENTER
4603.7
0.043
0.353
0.396
$ 14,607
50096
DR'S HOSPITAL OF WEST COVINA
5406.7
0.039
0.304
0.343
$ 16,636
50097
GENERAL HOSPITAL
4303.8
0.033
0.367
0.400
$ 14,357
50099
SAN ANTONIO COMMUNITY HOSPITAL
5661.2
0.031
0.293
0.324
$ 15,688
50100
SHARP MEMORIAL HOSPITAL
5783.9
0.041
0.359
0.400
$ 16,377
50101
SUTTER SOLANO MEDICAL CENTER
6430.3
0.025
0.290
0.315
$ 16,823
50102
PARKVIEW COMMUNITY HOSPITAL
5928.8
0.024
0.340
0.364
$ 15,676
50103
WHITE MEMORIAL MEDICAL CENTER
8308.7
0.044
0.335
0.379
$ 16,637
50104
ST. FRANCIS MEDICAL CENTER
7922.8
0.022
0.271
0.293
$ 16,623
50107
MARIAN MEDICAL CENTER
5215.2
0.058
0.378
0.436
$ 15,112
50108
SUTTER COMMUNITY HOSPITAL
5789.3
0.036
0.278
0.314
$ 16,559
50110
LOMPOC DISTRICT HOSPITAL
4530.4
0.042
0.436
0.478
$ 15,113
50111
TEMPLE COMMUNITY HOSPITAL
7509.1
0.016
0.285
0.301
$ 16,615
50112
SANTA MONICA HOSPITAL
5570.3
0.039
0.355
0.394
$ 16,631
50113
SAN MATEO COUNTY GENERAL HOSPITAL
6178.8
0.028
0.886
0.914
$ 18,828
50114
SHERMAN OAKS HOSP AND HLTH CENTER
5268.7
0.047
0.430
0.477
$ 16,631
50115
PALOMAR MEDICAL CENTER
5573.1
0.044
0.342
0.386
$ 16,382
50116
NORTHRIDGE HOSPITAL MEDICAL CENTER
5974.7
0.029
0.275
0.304
$ 16,630
50117
MERCY HOSPITAL & HEALTH SYSTEM
4954.2
0.021
0.308
0.329
$ 14,357
50118
DOCTORS HOSPITAL OF MANTECA
4540.3
0.029
0.225
0.254
$ 15,145
50121
HANFORD COMMUNITY MEDICAL CENTER
4303.8
0.021
0.391
0.412
$ 14,357
50122
DAMERON HOSPITAL
5554.0
0.015
0.280
0.295
$ 15,147
50124
VERDUGO HILLS HOSPITAL
5057.3
0.053
0.310
0.363
$ 16,648
50125
ALEXIAN BROS. HOSPITAL
7865.2
0.032
0.280
0.312
$ 18,198
50126
VALLEY PRESBYTERIAN HOSPITAL
6606.0
0.047
0.312
0.359
$ 16,643
50127
WOODLAND MEMORIAL HOSPITAL
4896.1
0.046
0.476
0.522
$ 14,704
50128
TRI-CITY MEDICAL CENTER
5188.6
0.043
0.309
0.352
$ 16,385
50129
ST. BERNARDINE MEDICAL CENTER
6071.7
0.072
0.392
0.464
$ 15,713
50131
NOVATO COMMUNITY HOSPITAL
5729.5
0.026
0.464
0.490
$ 18,831
50132
SAN GABRIEL VALLEY MEDICAL CENTER
5928.3
0.038
0.251
0.289
$ 16,643
50133
RIDEOUT MEMORIAL HOSPITAL
5334.9
0.044
0.443
0.487
$ 15,225
50135
HOLLYWOOD COMM. HOSP OF HOLLYWOOD
6497.7
0.027
0.377
0.404
$ 16,620
50136
PETALUMA VALLEY HOSPITAL
5159.2
0.036
0.489
0.525
$ 17,214
50137
KAISER FOUNDATION HOSPITALS-PANORAMA
5088.3
0.039
0.361
0.400
$ 16,631
50138
KAISER FOUNDATION HOSPITALS - SUNSET
5938.5
0.039
0.361
0.400
$ 16,631
50139
KAISER FOUND. HOSPITALS - BELLFLOWER
5118.5
0.039
0.361
0.400
$ 16,631
50140
KAISER FOUND. HOSPITALS - FONTANA
5082.3
0.039
0.361
0.400
$ 15,689
50144
BROTMAN MEDICAL CENTER
6207.8
0.050
0.318
0.368
$ 16,644
50145
COMMUNITY HOSP. MONTEREY PENINSULA
5869.7
0.032
0.463
0.495
$ 19,113
50148
PLUMAS DISTRICT HOSPITAL MCARE RPT
4346.0
0.034
0.466
0.500
$ 14,357
50149
CALIFORNIA HOSPITAL MEDICAL CENTER
8562.6
0.035
0.353
0.388
$ 16,628
50150
SIERRA NEVADA MEMORIAL HOSPITAL
4948.0
0.073
0.459
0.532
$ 16,500
50152
SAINT FRANCIS MEMORIAL HOSPITAL
7135.7
0.032
0.292
0.324
$ 18,839
50153
O'CONNOR HOSPITAL
5991.8
0.036
0.363
0.399
$ 18,195
50155
MONROVIA COMMUNITY HOSPITAL
5408.9
0.039
0.314
0.353
$ 16,635
50158
ENCINO-TARZANA REG MED CENTER
5071.9
0.038
0.361
0.399
$ 16,630
50159
VENTURA COUNTY MEDICAL CENTER
7638.6
0.024
0.504
0.528
$ 14,993
50167
SAN JOAQUIN GENERAL HOSPITAL
7581.0
0.048
0.451
0.499
$ 15,146
50168
ST. JUDE MEDICAL CENTER
4875.0
0.022
0.282
0.304
$ 15,983
50169
PRESBYTERIAN INTERCOMMUNITY
5662.7
0.041
0.290
0.331
$ 16,640
50170
LONG BEACH COMMUNITY MEDICAL CENTER
5651.6
0.032
0.333
0.365
$ 16,627
50172
REDWOOD MEMORIAL HOSPITAL
4303.8
0.036
0.428
0.464
$ 14,357
50173
ANAHEIM GENERAL HOSPITAL
6486.4
0.013
0.275
0.288
$ 15,972
50174
SANTA ROSA MEMORIAL HOSPITAL
5179.2
0.039
0.462
0.501
$ 17,212
50175
WHITTIER HOSPITAL MEDICAL CENTER
6697.3
0.039
0.291
0.330
$ 16,638
50177
SANTA PAULA MEMORIAL HOSPITAL
4693.0
0.028
0.546
0.574
$ 14,993
50179
EMANUEL MEDICAL CENTER
5133.3
0.038
0.353
0.391
$ 14,907
50180
JOHN MUIR MEDICAL CENTER
5985.2
0.036
0.305
0.341
$ 19,644
50186
SCRIPPS HOSPITAL - EAST COUNTY
5747.0
0.051
0.370
0.421
$ 16,384
50188
COMM HOSP.& REHAB- LOS GATOS
5534.0
0.045
0.253
0.298
$ 18,209
50189
GEORGE L. MEE MEMORIAL HOSPITAL
6039.3
0.036
0.493
0.529
$ 19,112
50191
ST MARY MEDICAL CENTER
7071.6
0.039
0.255
0.294
$ 16,643
50192
SIERRA KINGS DISTRICT HOSPITAL
4572.4
0.038
0.520
0.558
$ 14,607
50193
SOUTH COAST MEDICAL CENTER
4867.8
0.027
0.268
0.295
$ 15,991
50194
WATSONVILLE COMMUNITY HOSPITAL
6816.0
0.030
0.387
0.417
$ 18,694
50195
WASHINGTON HOSPITAL DISTRICT
6805.6
0.024
0.336
0.360
$ 19,641
50196
CENTRAL VALLEY GENERAL HOSP
4456.1
0.021
0.382
0.403
$ 14,357
50197
SEQUOIA HEALTH SERVICES
5739.1
0.030
0.449
0.479
$ 18,833
50204
LANCASTER HOSPITAL
5201.4
0.022
0.251
0.273
$ 16,625
50205
HUNTINGTON EAST VALLEY HOSPITAL
7228.2
0.044
0.419
0.463
$ 16,630
50207
FREMONT MEDICAL CENTER
5423.3
0.030
0.494
0.524
$ 15,226
50211
ALAMEDA HOSPITAL
6385.2
0.014
0.250
0.264
$ 19,641
50213
UNIVERSITY MEDICAL CENTER
7604.5
0.021
0.439
0.460
$ 14,607
50214
GRANADA HILLS COMMUNITY HOSPITAL
6473.8
0.022
0.303
0.325
$ 16,620
50215
SAN JOSE MEDICAL CENTER
7139.9
0.130
0.425
0.555
$ 18,227
50217
FAIRCHILD MEDICAL CENTER
4346.0
0.045
0.616
0.661
$ 14,357
50219
COAST PLAZA DOCTORS HOSPITAL
6698.9
0.023
0.288
0.311
$ 16,622
50222
SHARP CHULA VISTA MEDICAL CTR
6376.7
0.044
0.326
0.370
$ 16,384
50224
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
4869.0
0.036
0.380
0.416
$ 15,989
50225
FEATHER RIVER HOSPITAL
4510.5
0.047
0.450
0.497
$ 14,416
50226
ANAHEIM MEMORIAL MEDICAL CENTER
5034.2
0.052
0.299
0.351
$ 16,013
50228
SAN FRANCISCO GENERAL HOSPITAL
10776.1
0.016
0.535
0.551
$ 18,827
50230
GARDEN GROVE MEDICAL CENTER
6972.4
0.029
0.262
0.291
$ 15,994
50231
POMONA VALLEY HOSPITAL MED CTR
6615.4
0.024
0.264
0.288
$ 16,626
50232
FRENCH HOSPITAL MEDICAL CENTER
4562.2
0.033
0.262
0.295
$ 15,190
50234
SHARP CORONADO HOSPITAL
4979.7
0.035
0.464
0.499
$ 16,365
50235
PROVIDENCE SAINT JOSEPH MED CTR
5361.5
0.046
0.403
0.449
$ 16,632
50236
SIMI VALLEY HOSPITAL
5177.0
0.036
0.326
0.362
$ 16,582
50238
METHODIST HOSPITAL OF SOUTHERN CA
5065.0
0.042
0.353
0.395
$ 16,634
50239
GLENDALE ADVENTIST MEDICAL CENTER
7355.8
0.052
0.607
0.659
$ 16,624
50240
CENTINELA HOSPITAL MEDICAL CENTER
6795.9
0.049
0.298
0.347
$ 16,646
50242
DOMINICAN SANTA CRUZ HOSPITAL
6176.1
0.034
0.331
0.365
$ 18,686
50243
DESERT HOSPITAL
5437.4
0.044
0.260
0.304
$ 15,708
50245
ARROWHEAD REGIONAL MEDICAL CENTER
8153.0
0.015
0.476
0.491
$ 15,662
50248
NATIVIDAD MEDICAL CENTER
8830.3
0.016
0.393
0.409
$ 19,124
50251
LASSEN COMMUNITY HOSPITAL
4730.9
0.039
0.476
0.515
$ 14,357
50253
LINCOLN LLC
6066.4
0.028
0.301
0.329
$ 15,988
50254
MARSHALL HOSPITAL
5033.6
0.085
0.431
0.516
$ 16,577
50256
ORTHOPAEDIC HOSPITAL
6853.0
0.046
0.447
0.493
$ 16,629
50257
GOOD SAMARITAN HOSPITAL
4494.2
0.080
0.320
0.400
$ 14,358
50260
MOUNTAINS COMMUNITY HOSPITAL
4770.8
0.042
0.460
0.502
$ 15,684
50261
SIERRA VIEW DISTRICT HOSPITAL
5092.2
0.064
0.390
0.454
$ 14,357
50262
UCLA MEDICAL CENTER
7975.2
0.039
0.387
0.426
$ 16,629
50264
SAN LEANDRO HOSPITAL
5974.6
0.039
0.337
0.376
$ 19,644
50267
DANIEL FREEMAN MEMORIAL HOSP
6571.3
0.023
0.248
0.271
$ 16,626
50270
SMH - CHULA VISTA
6795.5
0.036
0.305
0.341
$ 16,379
50272
REDLANDS COMMUNITY HOSPITAL
4783.7
0.035
0.292
0.327
$ 15,693
50276
CONTRA COSTA REGIONAL MEDICAL CNTR
9454.0
0.017
0.666
0.683
$ 19,639
50277
PACIFIC HOSPITAL OF LONG BEACH
7263.8
0.024
0.387
0.411
$ 16,617
50278
PROVIDENCE HOLY CROSS MEDICAL CENTER
5769.4
0.039
0.282
0.321
$ 16,639
50279
HI - DESERT MEDICAL CENTER
4817.5
0.054
0.491
0.545
$ 15,690
50280
MERCY MEDICAL CENTER
5635.0
0.029
0.296
0.325
$ 16,206
50281
ALHAMBRA HOSPITAL
7401.6
0.039
0.320
0.359
$ 16,635
50282
MARTIN LUTHER HOSPITAL
5945.2
0.038
0.321
0.359
$ 15,996
50283
VALLEY MEMORIAL HOSPITAL
5974.6
0.035
0.269
0.304
$ 19,644
50289
SETON MEDICAL CENTER
6749.3
0.036
0.357
0.393
$ 18,837
50290
SAINT JOHN'S HOSPITAL
5063.8
0.027
0.307
0.334
$ 16,625
50291
SUTTER COMMUNITY HOSPITAL SANTA ROSA
8312.9
0.039
0.499
0.538
$ 17,213
50292
RIVERSIDE COUNTY REGIONAL MED CENTER
7310.5
0.018
0.480
0.498
$ 15,664
50293
PACIFIC COAST HOSPITAL
7084.4
0.112
0.835
0.947
$ 18,842
50295
MERCY HOSPITAL
4464.2
0.055
0.314
0.369
$ 14,358
50296
HAZEL HAWKINS MEM. HOSPITAL
5541.7
0.036
0.442
0.478
$ 18,491
50298
BARSTOW COMMUNITY HOSPITAL
4770.8
0.036
0.282
0.318
$ 15,696
50299
NHMC-SHERMAN WAY CAMPUS
7150.0
0.042
0.351
0.393
$ 16,634
50300
ST. MARY REGIONAL
5606.9
0.040
0.325
0.365
$ 15,694
50301
UKIAH VALLEY MEDICAL CENTER
5263.3
0.034
0.486
0.520
$ 16,961
50305
ALTA BATES MEDICAL CENTER
7233.9
0.028
0.278
0.306
$ 19,643
50308
EL CAMINO HOSPITAL
5542.8
0.031
0.335
0.366
$ 18,194
50309
SUTTER ROSEVILLE MEDICAL CENTER
5237.1
0.035
0.287
0.322
$ 16,557
50312
REDDING MEDICAL CENTER
5071.6
0.015
0.361
0.376
$ 16,211
50313
SUTTER TRACY COMMUNITY HOSPITAL
4540.3
0.058
0.301
0.359
$ 15,144
50315
KERN MEDICAL CENTER
7908.4
0.030
0.574
0.604
$ 14,357
50320
ALAMEDA COUNTY MEDICAL CENTER
10196.1
0.017
0.608
0.625
$ 19,639
50324
SCRIPPS MEMORIAL HOSPITAL - LA JOLLA
4990.5
0.034
0.280
0.314
$ 16,380
50325
TUOLUMNE GENERAL HOSPITAL
4303.8
0.022
0.419
0.441
$ 14,357
50327
LOMA LINDA UNIVERSITY MEDICAL CTR.
7076.6
0.036
0.289
0.325
$ 15,695
50329
CORONA REGIONAL MEDICAL CENTER
5574.6
0.028
0.274
0.302
$ 15,687
50331
HEALDSBURG GENERAL HOSPITAL
5159.2
0.024
0.459
0.483
$ 17,218
50333
SENECA DISTRICT HOSPITAL
4346.0
0.021
0.532
0.553
$ 14,357
50334
SALINAS VALLEY MEMORIAL HOSPITAL
6197.3
0.023
0.442
0.465
$ 19,120
50335
SONORA COMMUNITY HOSPITAL
4303.8
0.039
0.460
0.499
$ 14,357
50336
LODI MEMORIAL HOSPITAL
4748.4
0.030
0.312
0.342
$ 15,146
50337
DESERT PALMS COMMUNITY HOSPITAL
5057.3
0.042
0.394
0.436
$ 16,630
50342
PIONEERS MEM. HOSPITAL
4456.1
0.033
0.426
0.459
$ 14,357
50345
HOSPITAL NAME NOT AVAILABLE
4781.9
0.051
0.497
0.548
$ 15,687
50348
UCI MEDICAL CENTER
8187.6
0.027
0.322
0.349
$ 15,985
50349
CORCORAN DISTRICT HOSPITAL
4456.1
0.030
0.429
0.459
$ 14,357
50350
BEVERLY COMMUNITY HOSPITAL
6431.8
0.023
0.305
0.328
$ 16,621
50351
TORRANCE MEMORIAL MEDICAL CENTER
5063.4
0.031
0.323
0.354
$ 16,627
50352
BARTON MEMORIAL HOSPITAL
5083.0
0.070
0.516
0.586
$ 16,561
50353
LITTLE COMPANY OF MARY HOSPITAL
5067.1
0.033
0.295
0.328
$ 16,632
50355
SIERRA VALLEY DISTRICT HOSPITAL
4346.0
0.111
0.640
0.751
$ 14,358
50357
GOLETA VALLEY COTTAGE HOSPITAL
4540.5
0.036
0.351
0.387
$ 15,113
50359
TULARE DISTRICT HOSPITAL
5249.7
0.041
0.430
0.471
$ 14,357
50360
MARIN GENERAL HOSPITAL
5875.4
0.050
0.425
0.475
$ 18,840
50366
MARK TWAIN ST. JOSEPH'S HOSPITAL
4346.0
0.022
0.346
0.368
$ 14,357
50367
NORTHBAY MEDICAL CENTER
6561.2
0.034
0.233
0.267
$ 16,816
50369
QUEEN OF THE VALLEY HOSPITAL
6821.2
0.023
0.356
0.379
$ 16,618
50373
LAC+USC MEDICAL CENTER
9863.6
0.016
0.347
0.363
$ 16,612
50376
HARBOR-UCLA MEDICAL CENTER
10439.6
0.039
0.296
0.335
$ 16,637
50377
CHOWCHILLA DISTRICT MEMORIAL HOSP
4378.7
0.032
0.642
0.674
$ 14,607
50378
PACIFICA OF THE VALLEY
8053.4
0.059
0.476
0.535
$ 16,635
50379
WEST SIDE DISTRICT HOSPITAL
4346.0
0.127
0.832
0.959
$ 14,357
50380
GOOD SAMARITAN HOSPITAL
5539.0
0.106
0.556
0.662
$ 18,211
50382
INTER-COMMUNITY MEDICAL CENTER
6123.9
0.026
0.340
0.366
$ 16,621
50385
PALM DRIVE HOSPITAL
5159.2
0.030
0.494
0.524
$ 17,216
50388
SOUTHERN INYO HOSPITAL
4346.0
0.055
0.753
0.808
$ 14,357
50390
HEMET VALLEY MEDICAL CENTER
5342.1
0.029
0.308
0.337
$ 15,685
50391
SANTA TERESITA HOSPITAL
5281.0
0.026
0.410
0.436
$ 16,617
50392
TRINITY HOSPITAL
4730.9
0.015
0.610
0.625
$ 14,357
50393
DOWNEY COMMUNITY HOSPITAL
5960.7
0.087
0.716
0.803
$ 16,635
50394
COMM MEM HOSP OF SAN BUENAVENTURA
4498.9
0.026
0.406
0.432
$ 14,993
50396
SANTA BARBARA COTTAGE HOSPITAL
5094.9
0.022
0.245
0.267
$ 15,113
50397
COALINGA REGIONAL MEDICAL CENTER
4421.6
0.085
0.483
0.568
$ 14,607
50401
WASHINGTON MEDICAL CENTER
5057.3
0.042
0.290
0.332
$ 16,641
50404
BIGGS-GRIDLEY MEMORIAL HOSP.-CARE
4321.4
0.015
0.424
0.439
$ 14,416
50406
MAYERS MEMORIAL HOSPITAL MCARE RPT
4905.9
0.040
0.524
0.564
$ 16,208
50407
CHINESE HOSPITAL
5983.1
0.034
0.513
0.547
$ 18,833
50410
SANGER GENERAL HOSPITAL
4572.4
0.032
0.443
0.475
$ 14,607
50411
KAISER FOUNDATION HOSPITALS -HARBOR
5104.8
0.039
0.361
0.400
$ 16,631
50414
MERCY HOSPITAL OF FOLSOM
5033.6
0.072
0.326
0.398
$ 16,583
50417
SUTTER COAST HOSPITAL
4346.0
0.068
0.439
0.507
$ 14,357
50419
MERCY MEDICAL CENTER MT. SHASTA
4905.9
0.053
0.517
0.570
$ 16,206
50420
ROBERT F. KENNEDY MEDICAL CENTER
7318.8
0.036
0.392
0.428
$ 16,626
50423
PALO VERDE HOSPITAL
5030.7
0.053
0.390
0.443
$ 15,698
50424
GREEN HOSPITAL OF SCRIPPS CLINIC
5539.0
0.042
0.408
0.450
$ 16,374
50425
KFH - SACRAMENTO
5398.6
0.039
0.361
0.400
$ 16,553
50426
WEST ANAHEIM MEDICAL CENTER
5079.2
0.024
0.242
0.266
$ 15,990
50427
AVALON MUNICIPAL HOSPITAL
5106.9
0.039
0.610
0.649
$ 16,617
50430
MODOC MEDICAL CENTER
4730.9
0.019
0.557
0.576
$ 14,357
50432
GARFIELD MEDICAL CTR.
8463.2
0.016
0.361
0.377
$ 16,611
50433
INDIAN VALLEY HOSPITAL
4346.0
0.020
0.563
0.583
$ 14,357
50434
COLUSA COMMUNITY HOSPITAL
4730.9
0.039
0.596
0.635
$ 14,357
50435
FALLBROOK DISTRICT HOSPITAL
5028.5
0.024
0.374
0.398
$ 16,362
50438
HUNTINGTON MEMORIAL HOSPITAL
6155.8
0.028
0.332
0.360
$ 16,624
50440
HOWARD MEMORIAL HOSPITAL
4303.8
0.049
0.433
0.482
$ 14,357
50441
STANFORD UNIVERSITY HOSPITAL
8212.0
0.032
0.327
0.359
$ 18,195
50443
JOHN C. FREMONT HOSPITAL
4346.0
0.027
0.518
0.545
$ 14,357
50444
SUTTER MERCED MEDICAL CENTER
6086.4
0.033
0.340
0.373
$ 14,357
50446
TEHACHAPI VALLEY HOSP. DIST.
4346.0
0.051
0.974
1.025
$ 14,357
50447
VILLA VIEW COMMUNITY HOSPITAL
7531.8
0.068
0.374
0.442
$ 16,397
50448
RIDGECREST REGIONAL HOSPITAL
4346.0
0.045
0.442
0.487
$ 14,357
50449
VALLEY COMMUNITY HOSPITAL
4530.4
0.059
0.240
0.299
$ 15,110
50454
UC SAN FRANCISCO MEDICAL CENTER
9962.8
0.033
0.324
0.357
$ 18,838
50455
SAN JOAQUIN COMMUNITY HOSPITAL
5021.5
0.022
0.352
0.374
$ 14,357
50456
GARDENA PHYSICIANS HOSP. INC.
5057.3
0.048
0.694
0.742
$ 16,619
50457
ST. MARY MEDICAL CENTER
6681.9
0.033
0.272
0.305
$ 18,840
50464
DOCTORS MEDICAL CENTER OF MODESTO
5775.5
0.018
0.361
0.379
$ 14,907
50468
MEMORIAL HOSPITAL OF GARDENA
6576.1
0.022
0.310
0.332
$ 16,620
50469
COLORADO RIVER MEDICAL CENTER
4817.5
0.022
0.777
0.799
$ 15,661
50470
SELMA DISTRICT HOSPITAL
4618.3
0.022
0.615
0.637
$ 14,607
50471
GOOD SAMARITAN HOSPITAL
6314.2
0.016
0.293
0.309
$ 16,614
50476
SUTTER LAKESIDE HOSPITAL
4346.0
0.040
0.418
0.458
$ 14,357
50477
MIDWAY HOSPITAL MEDICAL CENTER
5687.7
0.052
0.234
0.286
$ 16,661
50478
SANTA YNEZ VALLEY COTTAGE HOSPITAL
4574.9
0.053
0.424
0.477
$ 15,112
50481
WEST HILLS REG MEDICAL CENTER
5065.2
0.025
0.249
0.274
$ 16,628
50482
JEROLD PHELPS COMMUNITY HOSPITAL
4730.9
0.029
0.661
0.690
$ 14,357
50485
LONG BEACH MEMORIAL MEDICAL CENTER
6475.2
0.038
0.401
0.439
$ 16,627
50488
EDEN MEDICAL CENTER
6177.8
0.026
0.327
0.353
$ 19,642
50491
SANTA ANA HOSPITAL MEDICAL CENTER
5078.2
0.129
0.371
0.500
$ 16,056
50492
CLOVIS COMMUNITY HOSPITAL
4663.9
0.087
0.400
0.487
$ 14,606
50494
TAHOE FOREST HOSPITAL
4996.6
0.050
0.539
0.589
$ 16,507
50496
MT. DIABLO MEDICAL CENTER
6186.0
0.032
0.265
0.297
$ 19,644
50497
DOS PALOS MEMORIAL HOSPITAL
4303.8
0.039
0.365
0.404
$ 14,357
50498
SUTTER AUBURN FAITH HOSPITAL
5033.6
0.026
0.320
0.346
$ 16,545
50502
ST. VINCENT MEDICAL CENTER
6665.5
0.031
0.297
0.328
$ 16,630
50503
SCRIPPS MEMORIAL HOSPITAL-ENCINITAS
4979.7
0.031
0.302
0.333
$ 16,374
50506
SIERRA VISTA REGIONAL MED CTR
4935.5
0.027
0.253
0.280
$ 15,191
50510
KFH - SAN RAFAEL
5977.4
0.039
0.361
0.400
$ 19,643
50512
KFH - HAYWARD
6050.0
0.039
0.361
0.400
$ 19,643
50515
KAISER FOUND. HOSPITALS -SAN DIEGO
5093.3
0.039
0.361
0.400
$ 16,376
50516
MERCY SAN JUAN HOSPITAL
5633.1
0.025
0.243
0.268
$ 16,551
50517
VICTOR VALLEY COMMUNITY HOSPITAL
5987.7
0.030
0.281
0.311
$ 15,689
50522
DOCTORS HOSPITAL OF PINOLE
5974.6
0.023
0.261
0.284
$ 19,642
50523
SUTTER DELTA MEDICAL CENTER
7027.7
0.029
0.303
0.332
$ 19,643
50526
HUNTINGTON BEACH MEDICAL CENTER
5932.9
0.033
0.248
0.281
$ 16,001
50528
MEMORIAL HOSPITAL-LOS BANOS
4538.5
0.031
0.292
0.323
$ 14,357
50531
BELLFLOWER MEDICAL CENTER
7475.7
0.015
0.258
0.273
$ 16,616
50534
JOHN F. KENNEDY MEMORIAL HOSP.
6752.0
0.025
0.212
0.237
$ 15,692
50535
COASTAL COMMUNITIES HOSPITAL
7877.0
0.038
0.320
0.358
$ 15,996
50537
SUTTER DAVIS HOSPITAL
4407.9
0.080
0.284
0.364
$ 14,703
50539
REDBUD COMMUNITY HOSPITAL
4346.0
0.036
0.359
0.395
$ 14,357
50541
KFH - REDWOOD CITY
5976.1
0.039
0.361
0.400
$ 19,643
50542
KERN VALLEY HOSPITAL DISTRICT
4346.0
0.083
0.447
0.530
$ 14,358
50543
COLLEGE HOSPITAL COSTA MESA
7210.1
0.026
0.260
0.286
$ 15,990
50545
LANTERMAN DEVELOPMENTAL CENTER
5281.0
0.039
0.687
0.726
$ 16,615
50546
PORTERVILLE DEVELOPMENTAL CENTER
4303.8
0.014
0.365
0.379
$ 14,357
50547
SONOMA DEVELOPMENTAL CENTER
5387.6
0.039
0.782
0.821
$ 17,218
50549
LOS ROBLES MEDICAL CENTER
4977.9
0.029
0.389
0.418
$ 16,586
50550
CHAPMAN MEDICAL CENTER
5626.9
0.040
0.315
0.355
$ 15,999
50551
LOS ALAMITOS MEDICAL CTR.
4875.4
0.027
0.255
0.282
$ 15,992
50552
MOTION PICTURE AND TELEVISION FUND
5057.3
0.082
0.946
1.028
$ 16,624
50557
MEMORIAL HOSPITAL MODESTO
5018.9
0.017
0.211
0.228
$ 14,907
50559
DANIEL FREEMAN MARINA HOSPITAL
5069.8
0.035
0.291
0.326
$ 16,634
50561
KAISER FOUND. HOSPITAL - WEST LA
5088.7
0.039
0.361
0.400
$ 16,631
50564
PACIFICA HOSPITAL
4863.3
0.064
0.446
0.510
$ 16,004
50566
EASTERN PLUMAS DISTRICT HOSP
4346.0
0.032
0.387
0.419
$ 14,357
50567
MISSION HOSP REGIONAL MEDICAL CTR
4873.4
0.035
0.274
0.309
$ 15,999
50568
MADERA COMMUNITY HOSPITAL
5863.2
0.020
0.470
0.490
$ 14,607
50569
MENDOCINO COAST DISTRICT HOSPITAL
5133.1
0.053
0.598
0.651
$ 16,958
50570
FOUNTAIN VALLEY REG MEDICAL CENTER
6380.7
0.013
0.273
0.286
$ 15,973
50571
SUBURBAN MEDICAL CENTER
8142.0
0.038
0.230
0.268
$ 16,647
50573
EISENHOWER MEMORIAL HOSPITAL
4779.7
0.064
0.328
0.392
$ 15,716
50575
TRI-CITY REGIONAL MEDICAL CENTER
6475.1
0.039
0.365
0.404
$ 16,630
50577
SANTA MARTA HOSPITAL
7722.8
0.023
0.458
0.481
$ 16,613
50578
MARTIN LUTHER KING, JR./DREW MEDICAL
10471.7
0.019
0.338
0.357
$ 16,615
50579
CENTURY CITY HOSP
5317.2
0.055
0.235
0.290
$ 16,664
50580
LAPALMA INTERCOMMUNITY HOSPITAL
5889.6
0.033
0.257
0.290
$ 15,999
50581
LAKEWOOD REGIONAL MED. CTR.
5585.0
0.031
0.250
0.281
$ 16,635
50583
ALVARADO COMMUNITY HOSPITAL
5628.4
0.035
0.245
0.280
$ 16,386
50584
US FAMILYCARE MEDICAL CENTER
5954.8
0.043
0.239
0.282
$ 15,712
50585
SAN CLEMENTE HOSPITAL
4863.3
0.094
0.510
0.604
$ 16,016
50586
CHINO VALLEY MEDICAL CENTER
5966.5
0.035
0.329
0.364
$ 15,689
50588
SAN DIMAS COMMUNITY HOSPITAL
5057.3
0.028
0.235
0.263
$ 16,634
50589
PLACENTIA LINDA COMMUNITY HOSPITAL
4872.5
0.041
0.311
0.352
$ 16,000
50590
METHODIST HOSPITAL OF SACRAMENTO
6464.5
0.028
0.356
0.384
$ 16,544
50591
MONTEREY PARK HOSPITAL
7802.9
0.036
0.222
0.258
$ 16,646
50592
BREA COMMUNITY HOSPITAL
4876.0
0.029
0.285
0.314
$ 15,991
50594
WESTERN MEDICAL CENTER ANAHEIM
6282.6
0.062
0.302
0.364
$ 16,022
50597
FOOTHILL PRESBYTERIAN HOSPITAL
5389.1
0.031
0.398
0.429
$ 16,622
50598
MISSION BAY MEMORIAL HOSPITAL
4979.7
0.027
0.352
0.379
$ 16,366
50599
UC DAVIS MEDICAL CENTER
9301.9
0.039
0.361
0.400
$ 16,553
50601
TARZANA ENCINO REGIONAL MED CTR
5670.2
0.028
0.361
0.389
$ 16,622
50603
SADDLEBACK MEMORIAL MEDICAL CENTER
4871.2
0.026
0.387
0.413
$ 15,979
50604
KFH - SANTA TERESA
5536.5
0.039
0.361
0.400
$ 18,196
50608
DELANO REGIONAL MEDICAL CNT.
6006.5
0.029
0.266
0.295
$ 14,357
50609
KAISER FOUNDATION HOSPITALS -ANAHEIM
5468.5
0.039
0.361
0.400
$ 16,631
50613
SETON COASTSIDE HOSPITAL
5729.5
0.039
0.365
0.404
$ 18,838
50615
GREATER EL MONTE COMMUNITY HOSPITAL
8024.6
0.048
0.244
0.292
$ 16,655
50616
ST. JOHN'S PLEASANT VALLEY HOSPITAL
4494.1
0.027
0.347
0.374
$ 14,992
50618
BEAR VALLEY COMMUNITY HOSPITAL
4817.5
0.042
0.645
0.687
$ 15,674
50623
HIGH DESERT HOSPITAL
5281.0
0.027
0.486
0.513
$ 16,615
50624
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
5067.0
0.051
0.302
0.353
$ 16,647
50625
CEDARS-SINAI MEDICAL CENTER
6622.9
0.025
0.275
0.300
$ 16,626
50630
INLAND VALLEY REGIONAL MEDICAL CENTER
4770.8
0.047
0.358
0.405
$ 15,697
50633
TWIN CITIES COMMUNITY HOSPITAL
4553.8
0.024
0.235
0.259
$ 15,191
50636
POMERADO HOSPITAL
4979.7
0.043
0.347
0.390
$ 16,380
50638
SOUTHERN MONO HEALTH CARE DISTRICT
4346.0
0.098
0.863
0.961
$ 14,357
50641
EAST LA DOCTOR'S HOSPITAL
7814.3
0.041
0.389
0.430
$ 16,630
50643
HOSPITAL NAME NOT AVAILABLE
5710.0
0.036
0.606
0.642
$ 3,953
50644
LOS ANGELES METROPOLITAN MED CNTR
8106.8
0.039
0.234
0.273
$ 16,647
50662
AGNEWS DEVELOPMENTAL CENTER
5778.9
0.039
0.906
0.945
$ 18,184
50663
LOS ANGELES COMMUNITY HOSPITAL
8162.8
0.018
0.327
0.345
$ 16,615
50667
NELSON M. HOLDERMAN
5042.8
0.024
1.182
1.206
$ 16,833
50668
LAGUNA HONDA HOSPITAL
5729.5
0.022
0.998
1.020
$ 18,826
50670
NORTH COAST HEALTH CARE CENTERS
5159.2
0.058
0.371
0.429
$ 17,201
50674
KFH - SOUTH SACRAMENTO
5474.7
0.039
0.361
0.400
$ 16,553
50676
SURPRISE VALLEY COMM HOSPITAL
4346.0
0.062
0.804
0.866
$ 14,357
50677
KAISER FOUND. HOSP. - WOODLAND HILLS
5392.0
0.039
0.361
0.400
$ 16,631
50678
ORANGE COAST MEMORIAL MEDICAL CENTER
4867.4
0.033
0.452
0.485
$ 15,981
50680
VACAVALLEY HOSPITAL
5042.8
0.034
0.218
0.252
$ 16,815
50682
KINGSBURG MEDICAL CENTER
4572.4
0.086
0.361
0.447
$ 14,606
50684
MENIFEE VALLEY MEDICAL CENTER
4770.8
0.048
0.265
0.313
$ 15,712
50685
SOUTH VALLEY HOSPITAL
5534.0
0.027
0.427
0.454
$ 18,188
50686
KAISER FOUND. HOSPITALS - RIVERSIDE
5140.1
0.039
0.361
0.400
$ 15,993
50688
SAINT LOUISE HOSPITAL
5534.0
0.089
0.417
0.506
$ 18,214
50689
SAN RAMON REG. MEDICAL CENTER
5981.9
0.087
0.308
0.395
$ 19,651
50690
KFH - SANTA ROSA
5161.2
0.039
0.361
0.400
$ 17,208
50693
IRVINE MEDICAL CENTER
5021.5
0.129
0.300
0.429
$ 16,073
50694
MORENO VALLEY COMMUNITY HOSPITAL
4981.7
0.063
0.278
0.341
$ 15,725
50695
ST. DOMINIC'S HOSPITAL
4540.3
0.072
0.380
0.452
$ 15,144
50696
USC UNIVERSITY HOSPITAL
6232.7
0.071
0.278
0.349
$ 16,669
50697
PATIENT'S HOSPITAL OF REDDING
4858.2
0.076
0.486
0.562
$ 16,202
50699
REDDING SPECIALTY HOSPITAL
4858.2
0.060
0.533
0.593
$ 16,205
50701
SHARP HEALTHCARE MURRIETA
4979.7
0.045
0.370
0.415
$ 16,380
50704
MISSION COMMUNITY HOSPITAL
7949.1
0.030
0.369
0.399
$ 16,623
50707
RECOVERY INN OF MENLO PARK
5729.5
0.113
0.749
0.862
$ 18,844
50708
FRESNO SURGERY CENTER
4378.7
0.100
0.498
0.598
$ 14,607
50709
DESERT VALLEY HOSPITAL
4770.8
0.057
0.312
0.369
$ 15,712
50710
KFH - FRESNO
4379.7
0.036
0.361
0.397
$ 14,607
50713
LINCOLN HOSPITAL MEDICAL CENTER
5281.0
0.036
0.491
0.527
$ 16,621
50714
SUTTER MATERNITY & SURGERY CENTER
5726.4
0.039
0.776
0.815
$ 19,120
50717
RANCHO LOS AMIGOS NATL. REHAB. CTR.
7608.2
0.040
0.405
0.445
$ 16,628
50718
VALLEY PLAZA DOCTORS HOSPITAL
4981.7
0.036
0.361
0.397
$ 15,687
50719
THE HEART HOSPITAL
4770.8
0.039
0.365
0.404
$ 15,689
50720
TUSTIN HOSPITAL & MEDICAL CENTER
5078.2
0.039
0.361
0.400
$ 15,993
50721
HOSPITAL NAME NOT AVAILABLE
5057.3
0.036
0.382
0.418
$ 16,627
50722
HOSPITAL NAME NOT AVAILABLE
4979.7
0.036
0.365
0.401
$ 16,373
50723
HOSPITAL NAME NOT AVAILABLE
5057.3
0.036
0.365
0.401
$ 16,628
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 8, § 9792.1 App. A, 8 CA ADC § 9792.1 App. A
End of Document