enclosure 2 file 34 inpatient consolidation paid …enclosure 2 file 34 inpatient consolidation paid...
TRANSCRIPT
Enclosure 2 FILE 34 INPATIENT CONSOLIDATION PAID CLAIMS
FISCAL YEAR 2015-16 BY COUNTY OF TAR AND PROVIDER NUMBER
AS OF MARCH 2017
Threshold amount = The higher figure of 5% of Amount Paid or $20,000. DSH = Disproportionate Share Hospital. If Neg. Rate = Y (yes) MHP must negotiate with the hospital provider. *BHC FREMONT HOSPITAL (NPI: 1245346741) = RATE NEGOTIATION DELEGATED BY ALAMEDA TO SANTA CLARA PER TITLE 9, SECTION 1820.110(a).
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Alameda 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Alameda 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Alameda 1215373626 CHLB LLC Long Beach Los Angeles Y Alameda 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Alameda 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Alameda 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Alameda 1245346741 BHC FREMONT HOSP * Fremont Alameda * Alameda 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Alameda 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Alameda 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Alameda 1457489502 ALTA BATES SUMMIT MED CT Berkeley Alameda Y Alameda 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Alameda 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Alameda 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Alameda 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Alameda 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Alameda 1932243003 DIGNITY HEALTH San Francisco San Francisco Threshold: $229,221
Amador 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Amador 1215373626 CHLB LLC Long Beach Los Angeles Y Amador 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Amador 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Amador 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Threshold:$20,000
Butte 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Butte 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Butte 1720078082 ST HELENA HOSPITAL Deer Park Napa Butte 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Butte 1922116037 DIGNITY HEALTH Woodland Yolo Butte 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $59,455
Calaveras 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Calaveras 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Calaveras 1245346741 BHC FREMONT HOSP * Fremont Alameda Calaveras 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Calaveras 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Calaveras 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Calaveras 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Threshold: $20,000
Colusa 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Colusa 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Threshold: $20,000
Contra Costa 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Contra Costa 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Contra Costa 1215373626 CHLB LLC Long Beach Los Angeles Y Contra Costa 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Contra Costa 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Y Contra Costa 1245346741 BHC FREMONT HOSP * Fremont Alameda Contra Costa 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Contra Costa 1457489502 ALTA BATES SUMMIT MED CT Berkeley Alameda Contra Costa 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Contra Costa 1568445419 GROSSMONT HOSP La Mesa San Diego Y Contra Costa 1720078082 ST HELENA HOSPITAL Deer Park Napa Contra Costa 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Contra Costa 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $187,086
Del Norte 1215373626 CHLB LLC Long Beach Los Angeles Y Del Norte 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Del Norte 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Del Norte 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Del Norte 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Threshold: $20,000
El Dorado 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento El Dorado 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa El Dorado 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y El Dorado 1568445419 GROSSMONT HOSP La Mesa San Diego Y El Dorado 1720078082 ST HELENA HOSPITAL Deer Park Napa El Dorado 1730287319 BHC HEALTH SERVICES OF NV Reno State of Nevada El Dorado 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y El Dorado 1932243003 DIGNITY HEALTH San Francisco San Francisco Threshhold: $20,000
Fresno 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Fresno 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Y Fresno 1215373626 CHLB LLC Long Beach Los Angeles Y Fresno 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Fresno 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Fresno 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Fresno 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Fresno 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Fresno 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Fresno 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Fresno 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Fresno 1568445419 GROSSMONT HOSP La Mesa San Diego Y Fresno 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Fresno 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Fresno 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Fresno 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Fresno 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Threshold: $964,089
Glenn 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Glenn 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Glenn 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $20,000
Humboldt 1215373626 CHLB LLC Long Beach Los Angeles Y Humboldt 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Humboldt 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Humboldt 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Humboldt 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Humboldt 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Humboldt 1932243003 DIGNITY HEALTH San Francisco San Francisco Humboldt 1952350944 SUTTER VALLEY HOSPITALS Sacramento Sacramento Threshold: $20,000
Imperial 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Imperial 1154308005 SCRIPPSHEALTH San Diego San Diego Y Imperial 1205816931 HELIX HEALTHCARE INC La Mesa San Diego Imperial 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Imperial 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Imperial 1346384468 SHARP MEMORIAL HOSPITAL San Diego San Diego Imperial 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Imperial 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Imperial 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Imperial 1568445419 GROSSMONT HOSP La Mesa San Diego Y Imperial 1598722027 AURORA SAN DIEGO, LLC San Diego San Diego Imperial 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Imperial 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $20,000
Inyo 1215373626 CHLB LLC Long Beach Los Angeles Y Inyo 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Inyo 1730287319 BHC HEALTH SERVICES OF NV Reno State of Nevada Threshold: $20,000
Kern 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Kern 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Kern 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Kern 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Kern 1215373626 CHLB LLC Long Beach Los Angeles Y Kern 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Kern 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Kern 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Kern 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Kern 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Kern 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Kern 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Kern 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Kern 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Kern 1568445419 GROSSMONT HOSP La Mesa San Diego Y Kern 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Y Kern 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Kern 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Kern 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Kern 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $129,781
Kings 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Y Kings 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Kings 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Kings 1568445419 GROSSMONT HOSP La Mesa San Diego Y Kings 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Kings 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Threshold: $58,062
Lake 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Lake 1720078082 ST HELENA HOSPITAL Deer Park Napa Lake 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Lake 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Lake 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $67,639
Lassen 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Lassen 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Lassen 1730287319 BHC HEALTH SERVICES OF NV Reno State of Neveda Lassen 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Threshold: $20,000
Los Angeles 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Y Los Angeles 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Y Los Angeles 1154308005 SCRIPPSHEALTH San Diego San Diego Y Los Angeles 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Los Angeles 1215373626 CHLB LLC Long Beach Los Angeles Y Y Los Angeles 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Y Los Angeles 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Los Angeles 1245203447 DEL AMO HOSPITAL INC Torrance Los Angeles Y Los Angeles 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Los Angeles 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Y Los Angeles 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Los Angeles 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Y Los Angeles 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Los Angeles 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Y Los Angeles 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Los Angeles 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Y Los Angeles 1568445419 GROSSMONT HOSP La Mesa San Diego Y Los Angeles 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Los Angeles 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Los Angeles 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Los Angeles 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Y Los Angeles 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Los Angeles 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Los Angeles 1922135680 EAST VALLEY HOSP MED CTR Los Angeles Los Angeles Y Y Los Angeles 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Y Los Angeles 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Y Threshold:$5,412,245
Madera 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Madera 1104906569 FRESNO COMMUNITY HOSPITAL Fresno Fresno Madera 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Madera 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Madera 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Madera 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Madera 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Madera 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $41,392
Marin 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Marin 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Marin 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Marin 1942267869 MARIN GENERAL HOSP Greenbrae Marin Y Threshold: $93,700
Mariposa 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Mariposa 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Mariposa 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Mariposa 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $20,00
Mendocino 1215373626 CHLB LLC Long Beach Los Angeles Y Mendocino 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Mendocino 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Mendocino 1720078082 ST HELENA HOSPITAL Deer Park Napa Mendocino 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Mendocino 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Mendocino 1942267869 MARIN GENERAL HOSP Greenbrae Marin Threshold: $59,118
Merced 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Merced 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Merced 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Merced 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Merced 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Merced 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Merced 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Merced 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Merced 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $85,63
Modoc 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Modoc 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Threshold: $20,000
Monterey 1215373626 CHLB LLC Long Beach Los Angeles Y Monterey 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Monterey 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Monterey 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Monterey 1245346741 BHC FREMONT HOSP * Fremont Alameda Monterey 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Monterey 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Monterey 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Monterey 1679562169 COMMUNITY HOSP MONTEREY Monterey Monterey Y Monterey 1720032790 GOOD SAMARITAN HOSP, LP San Jose Santa Clara Monterey 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Monterey 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Monterey 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Monterey 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Monterey 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Monterey 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Monterey 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $136,636
Napa 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Napa 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Napa 1720078082 ST HELENA HOSPITAL Deer Park Napa Y Napa 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Napa 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $36,352
Nevada 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Nevada 1154308005 SCRIPPSHEALTH San Diego San Diego Y Nevada 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Nevada 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Nevada 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Nevada 1568445419 GROSSMONT HOSP La Mesa San Diego Y Nevada 1720078082 ST HELENA HOSPITAL Deer Park Napa Nevada 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Nevada 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Nevada 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $20,000
Orange 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Orange 1154308005 SCRIPPSHEALTH San Diego San Diego Y Orange 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Orange 1215373626 CHLB LLC Long Beach Los Angeles Y Orange 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Orange 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Orange 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Orange 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Orange 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Orange 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Y Orange 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Orange 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Orange 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Orange 1568445419 GROSSMONT HOSP La Mesa San Diego Y Orange 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Orange 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Orange 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Orange 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Orange 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Y Orange 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Orange 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $1,353,690
Placer 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Placer 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Placer 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Placer 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Placer 1922116037 DIGNITY HEALTH Woodland Yolo Placer 1952350944 SUTTER VALLEY HOSPITALS Sacramento Sacramento Threshold: $36,047
Plumas 1730287319 BHC HEALTH SERVICES OF NV Reno State of Nevada Plumas 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Threshold: $20,000
Riverside 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Riverside 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Riverside 1154308005 SCRIPPSHEALTH San Diego San Diego Y Riverside 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Riverside 1215373626 CHLB LLC Long Beach Los Angeles Y Riverside 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Riverside 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Riverside 1346236015 UHS CORONA INC Corona Riverside Y Riverside 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Riverside 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Riverside 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Riverside 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Riverside 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Riverside 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Riverside 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Riverside 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Riverside 1568445419 GROSSMONT HOSP La Mesa San Diego Y Riverside 1619934114 AURORA CHARTER OAK Covina Los Angeles Riverside 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Riverside 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventrua Y Riverside 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Riverside 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Riverside 1922135680 EAST VALLEY HOSP MED CTR Glendora Los Angeles Y Riverside 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $345,819
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Sacramento 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Sacramento 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Sacramento 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Y Sacramento 1154308005 SCRIPPSHEALTH San Diego San Diego Y Sacramento 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Sacramento 1215373626 CHLB LLC Long Beach Los Angeles Y Sacramento 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Sacramento 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Sacramento 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Sacramento 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Sacramento 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Sacramento 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Sacramento 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Y Sacramento 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Sacramento 1568445419 GROSSMONT HOSP La Mesa San Diego Y Sacramento 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Sacramento 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Sacramento 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Sacramento 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Sacramento 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Sacramento 1922116037 DIGNITY HEALTH Woodland Yolo Sacramento 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Sacramento 1952350944 SUTTER VALLEY HOSPITALS Sacramento Sacramento Y Threshold: $572,605
San Benito 1245346741 BHC FREMONT HOSP * Fremont Alameda San Benito 1265581086 STANFORD HOSPITAL Stanford Santa Clara San Benito 1720032790 GOOD SAMARITAN HOSP, LP San Jose Santa Clara San Benito 1780926964 TELECARE CORPORATION Santa Cruz Santa Cruz Threshold: $20,000
San Bernardino 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y San Bernardino 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y San Bernardino 1154308005 SCRIPPSHEALTH San Diego San Diego Y San Bernardino 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y San Bernardino 1215373626 CHLB LLC Long Beach Los Angeles Y San Bernardino 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y San Bernardino 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Y San Bernardino 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y San Bernardino 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y San Bernardino 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y San Bernardino 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y San Bernardino 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y San Bernardino 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y San Bernardino 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y San Bernardino 1568445419 GROSSMONT HOSP La Mesa San Diego Y San Bernardino 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Bernardino 1902825128 CANYON RIDGE HOSPITAL Chino San Bernardino Y San Bernardino 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y San Bernardino 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Y San Bernardino 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y San Bernardino 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Threshold: $654,788
San Diego 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y San Diego 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y San Diego 1154308005 SCRIPPSHEALTH San Diego San Diego Y Y San Diego 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y San Diego 1215373626 CHLB LLC Long Beach Los Angeles Y San Diego 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y San Diego 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y San Diego 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Y San Diego 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y San Diego 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Y San Diego 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y San Diego 1457321317 PALOMAR HEALTH Escondido San Diego Y San Diego 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y San Diego 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y San Diego 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y San Diego 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y San Diego 1568445419 GROSSMONT HOSP La Mesa San Diego Y Y San Diego 1770558710 TRI-CITY MEDICAL CTR Oceanside San Diego Y San Diego 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Diego 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
San Diego 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y San Diego 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y San Diego 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y San Diego 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $ 1,650,974
San Francisco 1013061597 MISSION COMM HOSP Y San Francisco 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y San Francisco 1104984392 CALIFORNIA PACIFIC MED San Francisco San Francisco Y San Francisco 1154308005 SCRIPPSHEALTH San Diego San Diego Y San Francisco 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y San Francisco 1215373626 CHLB LLC Long Beach Los Angeles Y San Francisco 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y San Francisco 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa San Francisco 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y San Francisco 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y San Francisco 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y San Francisco 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y San Francisco 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y San Francisco 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y San Francisco 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y San Francisco 1598872004 PENINSULA MEDICAL CENTER Burlingame San Mateo San Francisco 1780708362 ST FRANCIS MEM HOSP San Francisco San Francisco Y San Francisco 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y San Francisco 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Francisco 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Threshold: $ 227,189
San Joaquin 1215373626 CHLB LLC Long Beach Los Angeles Y San Joaquin 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa San Joaquin 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare San Joaquin 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y San Joaquin 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus San Joaquin 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y San Joaquin 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Joaquin 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $109,765
San Luis Obispo 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y San Luis Obispo 1215373626 CHLB LLC Long Beach Los Angeles Y San Luis Obispo 1265581086 STANFORD HOSPITAL Stanford Santa Clara San Luis Obispo 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y San Luis Obispo 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y San Luis Obispo 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y San Luis Obispo 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y San Luis Obispo 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Luis Obispo 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y San Luis Obispo 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y San Luis Obispo 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y San Luis Obispo 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $41,420
San Mateo 1154308005 SCRIPPSHEALTH San Diego San Diego Y San Mateo 1215373626 CHLB LLC Long Beach Los Angeles Y San Mateo 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y San Mateo 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa San Mateo 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y San Mateo 1245346741 BHC FREMONT HOSP * Fremont Alameda San Mateo 1265581086 STANFORD HOSPITAL Stanford Santa Clara San Mateo 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y San Mateo 1598872004 PENINSULA MEDICAL CENTER Burlingame San Mateo Y San Mateo 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y San Mateo 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y San Mateo 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $232,494
Santa Barbara 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Santa Barbara 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Santa Barbara 1154308005 SCRIPPSHEALTH San Diego San Diego Y Santa Barbara 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y Santa Barbara 1215373626 CHLB LLC Long Beach Los Angeles Y Santa Barbara 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Santa Barbara 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Santa Barbara 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Santa Barbara 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Santa Barbara 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Santa Barbara 1568445419 GROSSMONT HOSP La Mesa San Diego Y Santa Barbara 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Santa Barbara 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Santa Barbara 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Santa Barbara 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Santa Barbara 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $47,997
Santa Clara 1154308005 SCRIPPSHEALTH San Diego San Diego Y Santa Clara 1215373626 CHLB LLC Long Beach Los Angeles Y Santa Clara 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Santa Clara 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Santa Clara 1245346741 BHC FREMONT HOSP * Fremont Alameda Santa Clara 1265581086 STANFORD HOSPITAL Stanford Santa Clara Y Santa Clara 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Santa Clara 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Santa Clara 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Santa Clara 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Santa Clara 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Santa Clara 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Santa Clara 1720032790 GOOD SAMARITAN HOSP, LP San Jose Santa Clara Y Santa Clara 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Santa Clara 1851458434 EL CAMINO HOSP Mountain View Santa Clara Y Santa Clara 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Santa Clara 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Santa Clara 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $277,247
Santa Cruz 1154308005 SCRIPPSHEALTH San Diego San Diego Y Santa Cruz 1215373626 CHLB LLC Long Beach Los Angeles Y Santa Cruz 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Santa Cruz 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Santa Cruz 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Santa Cruz 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Santa Cruz 1780926964 TELECARE CORPORATION Santa Cruz Santa Cruz Y Santa Cruz 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Santa Cruz 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Santa Cruz 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Threshold: $225,351
Shasta 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Shasta 1154308005 SCRIPPSHEALTH San Diego San Diego Y Shasta 1215373626 CHLB LLC Long Beach Los Angeles Y Shasta 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Shasta 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Shasta 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Shasta 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Shasta 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Shasta 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Shasta 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $38,515
Siskiyou 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Siskiyou 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Siskiyou 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Siskiyou 1730287319 BHC HEALTH SERVICES OF NV Reno State of Nevada Siskiyou 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Siskiyou 1942267869 MARIN GENERAL HOSP Greenbrae Marin Threshold: $20,000
Solano 1215373626 CHLB LLC Long Beach Los Angeles Y Solano 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Solano 1245346741 BHC FREMONT HOSP * Freomont Alameda Solano 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Solano 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Solano 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Solano 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Solano 1720078082 ST HELENA HOSPITAL Deer Park Napa Solano 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Y Solano 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Threshold: $83,785
Sonoma 1215373626 CHLB LLC Long Beach Los Angeles Y Sonoma 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Sonoma 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Sonoma 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Sonoma 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Sonoma 1568445419 GROSSMONT HOSP La Mesa San Diego Y Sonoma 1720078082 ST HELENA HOSPITAL Deer Park Napa Sonoma 1780708362 ST FRANCIS MEM HOSP San Francisco San Francisco Sonoma 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Sonoma 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Sonoma 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Sonoma 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Y Sonoma 1942267869 MARIN GENERAL HOSP Greenbrae Marin Threshold: $223,769
Stanislaus 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Stanislaus 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Stanislaus 1215373626 CHLB LLC Long Beach Los Angeles Y Stanislaus 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Stanislaus 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Stanislaus 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Stanislaus 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Stanislaus 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Stanislaus 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Stanislaus 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Y Stanislaus 1568445419 GROSSMONT HOSP La Mesa San Diego Y Stanislaus 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Stanislaus 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Stanislaus 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Threshold: $279,312
Sutter/Yuba 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Sutter/Yuba 1215962782 JOHN MUIR BEHAVIORAL Concord Contra Costa Sutter/Yuba 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Sutter/Yuba 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Sutter/Yuba 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Sutter/Yuba 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Sutter/Yuba 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Sutter/Yuba 1952350944 SUTTER VALLEY HOSPITALS Sacramento Sacramento Threshold: $20,000
Tehama 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Tehama 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Tehama 1720078082 ST HELENA HOSPITAL Deer Park Napa Tehama 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Tehama 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Tehama 1922378215 AURORA BEHAVIORAL HEALTHCARE Santa Rosa Sonoma Threshold: $20,000
Trinity 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Threshold: $20,000
Tulare 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Tulare 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Tulare 1366419517 ANTELOPE VALLEY HEALTHCARE Lancaster Los Angeles Y Tulare 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare T Tulare 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Tulare 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Tulare 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Tulare 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Tulare 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Tulare 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Threshold: $318,264
Tuolumne 1467413708 KAWEAH DELTA DIST HOSP Visalia Tulare Tuolumne 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Tuolumne 1548399736 DOCTORS MEDICAL CENTER Modesto Stanislaus Tuolumne 1720078082 ST HELENA HOSPITAL Deer Park Napa Tuolumne 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Tuolumne 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Tuolumne 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Threshold: $47,764
Ventura 1013061597 MISSION COMM HOSP Panorama City Los Angeles Y Ventura 1023010113 SOUTHERN CALIFORNIA Van Nuys Los Angeles Y Ventura 1154500510 UNIVERSITY OF CA IRVINE Irvine Orange Y
TAR COUNTY PROVIDER NUMBER PROVIDER NAME PROVIDER CITY PROVIDER
COUNTY DSH NEG RATE
Ventura 1194758623 BHC ALHAMBRA HOSP Rosemead Los Angeles Ventura 1215373626 CHLB LLC Long Beach Los Angeles Y Ventura 1215927470 WHITE MEMORIAL MED CTR Los Angeles Los Angeles Y Ventura 1235290818 SAN BERNARDINO COMMUNITY San Bernardino San Bernardino Y Ventura 1356410351 PRIME HLTHCARE PARADISE VLY National City San Diego Y Ventura 1376641969 REGENTS OF THE UNIV CA San Diego San Diego Y Ventura 1427293216 SUCCESS HEALTHCARE 1, LLC Rosemead Los Angeles Y Ventura 1457470700 WESTERN MEDICAL CENTER Anaheim Orange Y Ventura 1487697215 ST FRANCIS MEDICAL CTR Lynwood Los Angeles Y Ventura 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Ventura 1548328750 PACIFICA OF THE VALLEY Sun Valley Los Angeles Y Ventura 1891841722 GOOD SAMARITAN HOSP Bakersfield Kern Y Ventura 1902863418 AURORA VISTA DEL MAR LLC Ventura Ventura Y Y Ventura 1922001809 ALTA LOS ANGELES Los Angeles Los Angeles Y Ventura 1922015833 LOMA LINDA UNIVERSITY Redlands San Bernardino Y Ventura 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Ventura 1922116037 DIGNITY HEALTH Woodland Yolo Ventura 1942247291 PROVIDENCE HEALTH SYSTEM San Pedro Los Angeles Y Ventura 1952308363 THE REGENTS OF THE Los Angeles Los Angeles Y Threshold: $131,475
Yolo 1083709653 BHC HERITAGE OAKS HOSP Sacramento Sacramento Yolo 1154308005 SCRIPPSHEALTH San Diego San Diego Y Yolo 1215373626 CHLB LLC Long Beach Los Angeles Y Yolo 1528066685 BHC SIERRA VISTA HOSPITAL Sacramento Sacramento Y Yolo 1851381990 ST HELENA HOSP CTR FOR Vallejo Solano Y Yolo 1922039205 COLLEGE HOSP COSTA MESA Costa Mesa Orange Y Yolo 1922116037 DIGNITY HEALTH Woodland Yolo Y Yolo 1952350944 SUTTER VALLEY HOSPITALS Sacramento Sacramento Threshold: $147,794