last updated 3/7/2017...feb 13, 2017 · 106361323 comm hosp of san bernardino no no no no no...
TRANSCRIPT
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106164029 ADVENTIST MEDICAL CENTER No No No No No 33.48% 1.2477 10,640$ 12,474$ 11,712$ Transition N/A 958.13$ 823.83$
106100793 ADVENTIST MEDICAL CENTER-SELMA COMMUNITY HOSP No No No Yes Yes 33.48% 1.2477 10,640$ 12,474$ 11,712$ Transition N/A 958.13$ 823.83$
106010846 ALAMEDA CO MED CTR Yes No No No No 40.33% 1.665 6,289$ 9,200$ N/A N/A N/A N/A N/A
106010735 ALAMEDA HOSP No Yes No No No 25.99% 1.665 6,289$ 9,200$ N/A Non-Transition N/A 958.13$ 823.83$
106190017 ALHAMBRA HOSP No No No No No 20.79% 1.2477 6,289$ 7,373$ 5,215$ Transition 1,210$ 958.13$ 823.83$
106010739 ALTA BATES SUMMIT MED CTR-ALTA BATES No No No No No 27.08% 1.665 6,289$ 9,200$ 12,719$ Transition 1,510$ 958.13$ 823.83$
106010937 ALTA BATES SUMMIT MED CTR-HAWTHORNE No No No No No 23.66% 1.665 6,289$ 9,200$ 7,492$ Transition 1,510$ 958.13$ 823.83$
106010844 ALTA BATES SUMMIT MED CTR-HERRICK CAMPUS No No No No No 27.08% 1.665 6,289$ 9,200$ 12,719$ Transition 1,510$ 958.13$ 823.83$
106013626 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS No No No No No 23.66% 1.665 6,289$ 9,200$ 7,492$ Transition N/A 958.13$ 823.83$
106374063 ALVARADO HOSP MED CTR No No No No No 21.05% 1.2477 6,289$ 7,373$ 4,368$ Transition 1,210$ 958.13$ 823.83$
106370652 ALVARADO HOSP MED CTR No No No No No 21.05% 1.2477 6,289$ 7,373$ 4,368$ Transition 1,210$ 958.13$ 823.83$
106301097 ANAHEIM GEN HOSP No No No No No 15.22% 1.2508 6,289$ 7,387$ N/A N/A N/A 958.13$ 823.83$
106301098 ANAHEIM MEM MED CTR No No No No No 15.00% 1.2508 6,289$ 7,387$ 15,980$ Transition N/A 958.13$ 823.83$
106190034 ANTELOPE VALLEY HOSP MED CTR No Yes No No No 30.02% 1.2477 6,289$ 7,373$ 7,390$ Transition N/A 958.13$ 823.83$
106364231 ARROWHEAD REG MED CTR Yes No No No No 24.67% 1.2477 6,289$ 7,373$ N/A N/A N/A N/A N/A
106400466 ARROYO GRANDE COMM HOSP No No No No No 22.09% 1.2559 6,289$ 7,409$ N/A Non-Transition 1,216$ 958.13$ 823.83$
106154101 BAKERSFIELD HEART HOSP No No No No No 20.44% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106150722 BAKERSFIELD MEM HOSP-34TH ST No No No No No 22.24% 1.2477 6,289$ 7,373$ 9,675$ Transition N/A 958.13$ 823.83$
106364121 BALLARD REHABILITATION HOSP No No No No No 83.00% 1.2477 N/A N/A N/A Non-Transition 1,415$ 958.13$ 823.83$
106184008 BANNER LASSEN MED CTR No No No Yes Yes 47.35% 1.2477 10,640$ 12,474$ 16,419$ Transition N/A 958.13$ 823.83$
106190052 BARLOW RESP HOSP No No No No No 20.82% 1.2477 6,289$ 7,373$ 7,239$ Transition N/A 958.13$ 823.83$
106361105 BARSTOW COMM HOSP No No No Yes Yes 19.77% 1.2477 10,640$ 12,474$ N/A N/A N/A 958.13$ 823.83$
106090793 BARTON MEM HOSP No No No Yes Yes 37.44% 1.4887 10,640$ 14,259$ N/A Non-Transition N/A 958.13$ 823.83$
106361110 BEAR VALLEY COMM HOSP No Yes No Yes Yes 84.08% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106190066 BELLFLOWER MED CTR No No No No No 27.80% 1.2477 6,289$ 7,373$ 5,434$ Transition N/A 958.13$ 823.83$
106190081 BEVERLY HOSP No No No No No 40.33% 1.2477 6,289$ 7,373$ 5,594$ Transition N/A 958.13$ 823.83$
106040802 BIGGS GRIDLEY MEM HOSP No No No Yes Yes 33.81% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106380929 CA PACIFIC MED CTR No No Yes No No 24.74% 1.6269 6,289$ 9,033$ 4,855$ Transition N/A 958.13$ 823.83$
106380777 CA PACIFIC MED CTR - CALIFORNIA WEST No No Yes No No 24.74% 1.6269 6,289$ 9,033$ 4,855$ Transition N/A 958.13$ 823.83$
106380933 CA PACIFIC MED CTR-DAVIES CAMPUS No No No No No 22.14% 1.6269 6,289$ 9,033$ N/A Non-Transition 1,482$ 958.13$ 823.83$
106190125 CALIFORNIA HOSP MED CTR-LA No No Yes No No 24.40% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106190137 CASA COLINA HOSP FOR REHAB MED No No No No No 51.61% 1.2477 N/A N/A N/A Non-Transition 1,210$ 958.13$ 823.83$
106190045 CATALINA ISLAND MED CTR No No No Yes Yes 90.00% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106190555 CEDARS-SINAI MED CTR No No Yes No No 24.06% 1.2477 6,289$ 7,373$ 5,149$ Transition 1,210$ 958.13$ 823.83$
106190148 CENTINELA FREEMAN REG MED CTR-CENTINEL No No No No No 16.35% 1.2477 6,289$ 7,373$ 6,034$ Transition 1,210$ 958.13$ 823.83$
106190500 CENTINELA FREEMAN REG MED CTR-MARINA No No No No No 20.33% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106160787 CENTRAL VALLEY GEN HOSP No No No No No 69.71% 1.2477 6,289$ 7,373$ 12,533$ Transition N/A 958.13$ 823.83$
106500954 CENTRAL VALLEY SPECIALTY HOSPITAL No No No No No 21.90% 1.3401 6,289$ 7,778$ N/A Non-Transition 1,276$ 958.13$ 823.83$
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106301140 CHAPMAN MED CTR No No No No No 18.96% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304113 CHILDRENS HOSP AT MISSION No No No No No 35.07% 1.2477 $ 6,289 $ 7,373 $ 20,227 Transition N/A $ 958.13 $ 823.83
106204019 CHILDRENS HOSP CENTRAL CALIFORNIA No No Yes No No 25.37% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106010776 CHILDRENS HOSP OAKLAND No No Yes No No 31.17% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition $ 2,666 $ 958.13 $ 823.83
106190170 CHILDRENS HOSP OF LA No No Yes No No 38.21% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106300032 CHILDRENS HOSP OF ORANGE CO No No Yes No No 23.16% 1.2477 $ 6,289 $ 7,373 $ 5,161 Transition N/A $ 958.13 $ 823.83
106370673 CHILDRENS HOSP-SAN DIEGO No No Yes No No 29.22% 1.2477 $ 6,289 $ 7,373 $ 5,987 Transition $ 2,158 $ 958.13 $ 823.83
106382715 CHINESE HOSP No No No No No 39.61% 1.6269 $ 6,289 $ 9,033 $ 7,720 Transition N/A $ 958.13 $ 823.83
106361144 CHINO VALLEY MED CTR No No No No No 23.43% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190176 CITY OF HOPE HELFORD CLINIC RES HOSP No No No No No 29.26% 1.2477 $ 6,289 $ 7,373 $ 5,225 Transition N/A $ 958.13 $ 823.83
106100005 CLOVIS COMM MED CTR No No No No No 30.11% 1.2477 $ 6,289 $ 7,373 $ 8,293 Transition N/A $ 958.13 $ 823.83
106100697 COALINGA REG MED CTR No Yes No Yes Yes 87.75% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106190766 COAST PLAZA DRS HOSP No No No No No 23.18% 1.2477 $ 6,289 $ 7,373 $ 5,041 Transition N/A $ 958.13 $ 823.83
106301258 COASTAL COMM HOSP No No No No No 32.26% 1.2508 $ 6,289 $ 7,387 $ 6,739 Transition N/A $ 958.13 $ 804.96
106301155 COLLEGE HOSP COSTA MESA No No No No No 28.76% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190587 COLLEGE MEDICAL CENTER No No No No No 31.95% 1.2477 $ 6,289 $ 7,373 $ 3,920 Transition N/A $ 958.13 $ 823.83
106361458 COLORADO RIVER MED CTR No No No Yes Yes 70.34% 1.2477 $ 10,640 $ 12,474 $ 17,092 Transition N/A $ 958.13 $ 823.83
106060870 COLUSA REG MED CTR No No No Yes Yes 30.92% 1.2477 $ 10,640 $ 12,474 $ 11,908 Transition N/A $ 958.13 $ 823.83
106190197 COMM AND MISSION HOSP OF HUNT PK No No No No No 30.13% 1.2477 $ 6,289 $ 7,373 $ 5,197 Transition N/A $ 958.13 $ 823.83
106190475 COMM HOSP OF LONG BEACH No No No No No 17.55% 1.2477 $ 6,289 $ 7,373 $ 16,833 Transition N/A $ 958.13 $ 823.83
106270744 COMM HOSP OF MONTEREY PENINSULA No No No No No 31.45% 1.5678 $ 6,289 $ 8,774 $ 18,975 Transition $ 1,440 $ 958.13 $ 823.83
106361323 COMM HOSP OF SAN BERNARDINO No No No No No 27.32% 1.2477 $ 6,289 $ 7,373 $ 6,207 Transition N/A $ 958.13 $ 784.06
106560473 COMM MEM HOSP OF SAN BUENAVENTURA No No No No No 27.33% 1.3019 $ 6,289 $ 7,610 $ 4,101 Transition N/A $ 958.13 $ 823.83
106100717 COMM REG MED CTR-FRESNO No No Yes No No 22.37% 1.2477 $ 6,289 $ 7,373 $ 8,500 Transition $ 1,641 $ 958.13 $ 823.83
106070924 CONTRA COSTA REG MED CTR Yes No No No No 63.73% 1.6439 $ 6,289 $ 9,107 N/A N/A N/A N/A N/A
106331152 CORONA REG MED CTR No No No No No 26.99% 1.2477 $ 6,289 $ 7,373 $ 5,150 Transition $ 1,210 $ 958.13 $ 823.83
106190413 CV-INTERCOMMUNITY CAMPUS No No No No No 31.39% 1.2477 $ 6,289 $ 7,373 $ 6,483 Transition N/A $ 958.13 $ 823.83
106190636 CV-QUEEN OF VALLEY CAMPUS No No Yes No No 31.39% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106390846 DAMERON HOSP No No No No No 20.40% 1.3505 $ 6,289 $ 7,823 N/A Non-Transition N/A $ 958.13 $ 823.83
106150706 DELANO REG MED CTR No No No No No 42.41% 1.2477 $ 6,289 $ 7,373 $ 6,759 Transition N/A $ 958.13 $ 757.80
106331164 DESERT REG MED CTR No No No No No 14.94% 1.2477 $ 6,289 $ 7,373 $ 6,781 Transition $ 1,435 $ 958.13 $ 823.83
106364144 DESERT VALLEY HOSP No No No No No 22.03% 1.2477 $ 6,289 $ 7,373 $ 8,617 Transition N/A $ 958.13 $ 823.83
106440755 DOMINICAN HOSP-SANTA CRUZ No No No No No 28.66% 1.7276 $ 6,289 $ 9,474 $ 7,272 Transition $ 1,555 $ 958.13 $ 823.83
106441807 DOMINICAN HOSP-SANTA CRUZ/FREDERICK No No No No No 28.66% 1.7276 $ 6,289 $ 9,474 $ 7,272 Transition $ 1,555 $ 958.13 $ 823.83
106190243 DOWNEY REG MED CTR No No No No No 16.20% 1.2477 $ 6,289 $ 7,373 $ 6,560 Transition N/A $ 958.13 $ 823.83
106392287 DRS HOSP OF MANTECA No No No No No 13.28% 1.3505 $ 6,289 $ 7,823 $ 12,334 Transition N/A $ 958.13 $ 823.83
106190857 DRS HOSP OF WEST COVINA No No No No No 18.33% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 609.23
106500852 DRS MED CTR No No No No No 11.45% 1.3505 $ 6,289 $ 7,823 $ 7,529 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106070904 DRS MED CTR-SAN PABLO/PINOLE No Yes No No No 22.74% 1.6439 $ 6,289 $ 9,107 $ 5,516 Transition N/A $ 958.13 $ 823.83
106190256 EAST LA DRS HOSP No No No No No 20.91% 1.2477 $ 6,289 $ 7,373 $ 5,544 Transition N/A $ 958.13 $ 823.83
106190328 EAST VALLEY HOSP MED CTR No No No No No 26.92% 1.2477 $ 6,289 $ 7,373 $ 5,298 Transition N/A $ 958.13 $ 823.83
106320859 EASTERN PLUMAS HOSP No Yes No Yes Yes 45.77% 1.2477 $ 10,640 $ 12,474 $ 10,582 Transition N/A $ 958.13 $ 823.83
106010805 EDEN MED CTR No No No No No 31.73% 1.665 $ 6,289 $ 9,200 $ 13,603 Transition N/A $ 958.13 $ 823.83
106331168 EISENHOWER MEM HOSP No No No No No 14.84% 1.2477 $ 6,289 $ 7,373 $ 10,794 Transition N/A $ 958.13 $ 823.83
106430763 EL CAMINO HOSP No Yes No No No 26.68% 1.665 $ 6,289 $ 9,200 $ 4,866 Transition $ 1,510 $ 958.13 $ 823.83
106130699 EL CENTRO COMM HOSP No Yes No No No 22.09% 1.2477 $ 6,289 $ 7,373 $ 9,713 Transition N/A $ 958.13 $ 823.83
106500867 EMANUEL MED CTR No No No No No 19.51% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106190280 ENCINO HOSP MED CTR No No No No No 28.02% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106040962 ENLOE MED CTR No No No No No 23.91% 1.2477 $ 6,289 $ 7,373 $ 10,789 Transition $ 1,378 $ 958.13 $ 823.83
106044011 ENLOE REHABILLITATION CENTER No No No No No 23.91% 1.2477 $ 6,289 $ 7,373 $ 10,789 Transition $ 1,378 $ 958.13 $ 823.83
106474007 FAIRCHILD MED CTR No No No Yes Yes 58.38% 1.2477 $ 10,640 $ 12,474 $ 14,423 Transition N/A $ 958.13 $ 823.83
106370705 FALLBROOK HOSP DIST No Yes No Yes Yes 21.90% 1.2477 $ 10,640 $ 12,474 $ 6,149 Transition N/A $ 958.13 $ 823.83
106040875 FEATHER RIVER HOSP No No No No No 16.12% 1.2477 $ 6,289 $ 7,373 $ 11,399 Transition N/A $ 958.13 $ 823.83
106190298 FOOTHILL PRES HOSP No No No No No 30.51% 1.2477 $ 6,289 $ 7,373 $ 4,539 Transition N/A $ 958.13 $ 823.83
106301357 FOOTHILL REGIONAL MED CTR No No No No No 2.31% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301175 FOUNTAIN VALLEY REG HOSP-EUCLID No No No No No 20.31% 1.2508 $ 6,289 $ 7,387 $ 9,402 Transition N/A $ 958.13 $ 823.83
106304039 FOUNTAIN VALLEY REG HOSP-WARNER No No No No No 20.31% 1.2508 $ 6,289 $ 7,387 $ 9,402 Transition N/A $ 958.13 $ 823.83
106230949 FRANK R HOWARD MEM HOSP No No No Yes Yes 36.12% 1.2477 $ 10,640 $ 12,474 $ 13,581 Transition N/A $ 958.13 $ 823.83
106510882 FREMONT MEDICAL CENTER No No No No No 24.45% 1.2799 $ 6,289 $ 7,514 $ 12,345 Transition N/A $ 958.13 $ 823.83
106400480 FRENCH HOSP MED CTR No No No No No 36.41% 1.2559 $ 6,289 $ 7,409 N/A Non-Transition N/A $ 958.13 $ 823.83
106105029 FRESNO HEART HOSP No No No No No 29.57% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106104047 FRESNO SURGERY CTR No No No No No 28.30% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301283 GARDEN GROVE HOSP AND MED CTR No No No No No 21.33% 1.2508 $ 6,289 $ 7,387 $ 5,507 Transition N/A $ 958.13 $ 823.83
106190315 GARFIELD MED CTR No No No No No 15.79% 1.2477 $ 6,289 $ 7,373 $ 6,988 Transition $ 1,382 $ 958.13 $ 823.83
106270777 GEORGE L MEE MEM HOSP No No No Yes Yes 36.71% 1.5678 $ 10,640 $ 14,845 $ 17,886 Transition N/A $ 958.13 $ 823.83
106190323 GLENDALE ADV MED CTR-WILSON TERRACE No No No No No 19.78% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106190522 GLENDALE MEM HOSP AND HLTH CTR No No No No No 19.33% 1.2477 $ 6,289 $ 7,373 $ 6,563 Transition $ 1,210 $ 958.13 $ 823.83
106110889 GLENN MED CTR No No No Yes Yes 55.89% 1.2477 $ 10,640 $ 12,474 $ 18,583 Transition N/A $ 958.13 $ 823.83
106420483 GOLETA VALLEY COTTAGE HOSP No No No No No 29.98% 1.2488 $ 6,289 $ 7,378 N/A Non-Transition N/A $ 958.13 $ 823.83
106150775 GOOD SAMARITAN HOSP-BAKERSFIELD No No No No No 20.96% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190392 GOOD SAMARITAN HOSP-LA No No Yes No No 20.78% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106430779 GOOD SAMARITAN HOSP-SAN JOSE No No Yes No No 26.09% 1.665 $ 6,289 $ 9,200 $ 5,097 Transition $ 1,510 $ 958.13 $ 823.83
106190352 GREATER EL MONTE COMM HOSP No No No No No 15.88% 1.2477 $ 6,289 $ 7,373 $ 4,605 Transition N/A $ 958.13 $ 823.83
106370714 GROSSMONT HOSP No No No No No 23.94% 1.2477 $ 6,289 $ 7,373 $ 6,219 Transition $ 1,210 $ 958.13 $ 823.83
106350784 HAZEL HAWKINS MEM HOSP No Yes No Yes Yes 37.20% 1.665 $ 10,640 $ 15,565 N/A Non-Transition N/A $ 958.13 $ 823.83
106490964 HEALDSBURG DIST HOSP No Yes No Yes Yes 17.81% 1.6337 $ 10,640 $ 15,333 N/A Non-Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106304159 HEALTHBRIDGE CHILDRENS HOSP-ORANGE No No No No No 38.80% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106154022 HEALTHSOUTH BAKERSFIELD REHAB HOSP No No No No No 52.35% 1.2477 N/A N/A N/A Non-Transition $ 1,371 $ 958.13 $ 823.83
106304079 HEALTHSOUTH TUSTIN REHAB HOSP No No No No No 52.81% 1.2477 N/A N/A N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106331194 HEMET VALLEY MED CTR No No No No No 22.87% 1.2477 $ 6,289 $ 7,373 $ 5,651 Transition N/A $ 958.13 $ 823.83
106190949 HENRY MAYO NEWHALL MEM HOSP No No No No No 19.47% 1.2477 $ 6,289 $ 7,373 $ 5,335 Transition $ 1,210 $ 958.13 $ 823.83
106362041 HI-DESERT MED CTR No Yes No Yes Yes 31.32% 1.2477 $ 10,640 $ 12,474 $ 10,384 Transition N/A $ 958.13 $ 642.71
106301205 HOAG MEM HOSP PRESBYTERIAN No No No No No 59.88% 1.2508 $ 6,289 $ 7,387 $ 14,475 Transition N/A $ 958.13 $ 823.83
106304460 HOAG ORTHOPEDIC No No No No No 48.94% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190380 HOLLYWOOD COMM HOSP OF HOLLYWOOD No No No No No 18.08% 1.2477 $ 6,289 $ 7,373 $ 5,297 Transition N/A $ 958.13 $ 823.83
106190382 HOLLYWOOD PRES MED CTR No No No No No 21.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106301209 HUNTINGTON BEACH HOSP No No No No No 16.00% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190400 HUNTINGTON MEM HOSP No No Yes No No 22.96% 1.2477 $ 6,289 $ 7,373 $ 7,260 Transition $ 1,210 $ 958.13 $ 823.83
106304045 IRVINE REG HOSP AND MED CTR No No No No No 20.00% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A $ 958.13 $ 823.83
106121031 JEROLD PHELPS COMM HOSP No Yes No Yes Yes 100.00% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106220733 JOHN C FREMONT HCARE DIST No Yes No Yes Yes 60.66% 1.2477 $ 10,640 $ 12,474 $ 7,610 Transition N/A $ 958.13 $ 823.83
106331216 JOHN F KENNEDY MEM HOSP No No No No No 19.91% 1.2477 $ 6,289 $ 7,373 $ 6,193 Transition N/A $ 958.13 $ 823.83
106071018 JOHN MUIR MED CTR-CONCORD CAMPUS No No No No No 19.58% 1.6439 $ 6,289 $ 9,107 $ 13,751 Transition N/A $ 958.13 $ 823.83
106070988 JOHN MUIR MED CTR-WALNUT CREEK CAMPUS No No No No No 22.18% 1.6439 $ 6,289 $ 9,107 $ 11,850 Transition $ 1,494 $ 958.13 $ 823.83
106314024 KAISER HOSPITAL - ROSEVILLE No No Yes No No 46.17% 1.4887 $ 6,289 $ 8,428 $ 12,457 Transition N/A $ 958.13 $ 823.83
106364265 KAISER ONTARIO MEDICAL CENTER CAMPUS No No Yes No No 54.67% 1.2477 $ 6,289 $ 7,373 $ 11,002 Transition $ 1,210 $ 958.13 $ 823.83
106301132 KAISER-ANAHEIM No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304306 KAISER-ANAHEIM-IRVINE No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304409 KAISER-ANAHEIM-Orange No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106074097 KAISER-ANTIOCH No No No No No 72.85% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106196035 KAISER-BALDWIN PARK No No No No No 53.45% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106196403 KAISER-DOWNEY No No Yes No No 51.35% 1.2477 $ 6,289 $ 7,373 $ 13,992 Transition N/A $ 958.13 $ 823.83
106361223 KAISER-FONTANA No No Yes No No 54.67% 1.2477 $ 6,289 $ 7,373 $ 11,002 Transition $ 1,210 $ 958.13 $ 823.83
106014132 KAISER-FREMONT No No No No No 62.61% 1.665 $ 6,289 $ 9,200 $ 11,255 Transition N/A $ 958.13 $ 823.83
106104062 KAISER-FRESNO No No No No No 65.57% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106380857 KAISER-GEARY SF No No No No No 44.17% 1.6269 $ 6,289 $ 9,033 N/A Non-Transition N/A $ 958.13 $ 823.83
106190431 KAISER-HARBOR CITY No No No No No 54.03% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106010858 KAISER-HAYWARD No No No No No 62.61% 1.665 $ 6,289 $ 9,200 $ 11,255 Transition N/A $ 958.13 $ 823.83
106394009 KAISER-MANTECA No No No No No 35.35% 1.3505 $ 6,289 $ 7,823 N/A Non-Transition N/A $ 958.13 $ 823.83
106504042 KAISER-MODESTO No No No No No 35.35% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106334048 KAISER-MORENO VALLEY No No No No No 96.97% 1.2477 $ 6,289 $ 7,373 $ 4,571 Transition N/A $ 958.13 $ 823.83
106010856 KAISER-OAKLAND/RICHMOND No No Yes No No 46.51% 1.665 $ 6,289 $ 9,200 $ 12,861 Transition N/A $ 958.13 $ 823.83
106190432 KAISER-PANORAMA CITY No No No No No 49.47% 1.3019 $ 6,289 $ 7,610 $ 17,276 Transition N/A $ 958.13 $ 823.83
106410804 KAISER-REDWOOD CITY No No No No No 64.67% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106480989 KAISER-REHAB CENTER VALLEJO No No No No No 68.99% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition $ 2,564 $ 958.13 $ 823.83
106074093 KAISER-RICHMOND No No Yes No No 46.51% 1.6648 $ 6,289 $ 9,199 $ 12,861 Transition N/A $ 958.13 $ 823.83
106334025 KAISER-RIVERSIDE No No No No No 61.33% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106340913 KAISER-SACRAMENTO/ROSEVILLE-MORSE No No No No No 53.18% 1.4887 $ 6,289 $ 8,428 $ 12,457 Transition N/A $ 958.13 $ 823.83
106370730 KAISER-SAN DIEGO No No No No No 52.61% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106014337 KAISER-SAN LEANDRO No No No No No 21.90% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106210992 KAISER-SAN RAFAEL No No No No No 32.76% 1.6337 $ 6,289 $ 9,063 N/A Non-Transition N/A $ 958.13 $ 823.83
106430805 KAISER-SANTA CLARA No No Yes No No 48.21% 1.665 $ 6,289 $ 9,200 N/A N/A N/A $ 958.13 $ 823.83
106494019 KAISER-SANTA ROSA No No No No No 52.53% 1.6337 $ 6,289 $ 9,063 $ 18,752 Transition N/A $ 958.13 $ 823.83
106431506 KAISER-SANTA TERESA COMM HOSP No No No No No 64.21% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106342344 KAISER-SOUTH SACRAMENTO No No No No No 49.06% 1.4887 $ 6,289 $ 8,428 N/A Non-Transition N/A $ 958.13 $ 823.83
106410806 KAISER-SOUTH SF No No No No No 57.00% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
106190429
KAISER-SUNSET No No Yes No No 48.65% 1.2477 $ 6,289 $ 7,373 $ 6,859 Transition N/A $ 958.13 $ 823.83
106484044 KAISER-VACAVILLE No No No No No 69.29% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106070990 KAISER-WALNUT CREEK No No No No No 59.24% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106190434 KAISER-WEST LA No No No No No 74.39% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106191450 KAISER-WOODLAND HILLS No No No No No 55.33% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106540734 KAWEAH DELTA DIST HOSP No Yes No No No 25.10% 1.2477 $ 6,289 $ 7,373 $ 8,757 Transition $ 1,210 $ 958.13 $ 760.47
106544075 KAWEAH DELTA REHABILITATION HOSPITAL No Yes No No No 25.10% 1.2477 $ 6,289 $ 7,373 $ 8,757 Transition $ 1,210 $ 958.13 $ 760.47
106210993 KENTFIELD REHAB HOSP No No No No No 59.67% 1.6269 $ 6,289 $ 9,033 $ 20,355 Transition $ 1,482 $ 958.13 $ 823.83
106150736 KERN MED CTR Yes No No No No 37.75% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106150737 KERN VALLEY HCARE DIST No Yes No Yes Yes 30.57% 1.2477 $ 10,640 $ 12,474 $ 6,473 Transition N/A $ 958.13 $ 823.83
106190049 KINDRED HOSPITAL BALDWIN PARK No No No No No 19.30% 1.2477 $ 6,289 $ 7,373 $ 11,822 Transition N/A $ 958.13 $ 823.83
106364188 KINDRED RANCHO No No No No No 19.64% 1.2477 $ 6,289 $ 7,373 $ 23,218 Transition N/A $ 958.13 $ 823.83
106332172 KINDRED RIVERSIDE No No No No No 24.32% 1.2477 $ 6,289 $ 7,373 $ 26,383 Transition N/A $ 958.13 $ 823.83
106190196 KINDRED SOUTH BAY No No No No No 20.04% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301127 KINDRED-BREA No No No No No 21.87% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190305 KINDRED-LA No No No No No 18.99% 1.2477 $ 6,289 $ 7,373 $ 3,916 Transition N/A $ 958.13 $ 823.83
106190449 KINDRED-LA MIRADA/SGV/SNTA ANA No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106361274 KINDRED-ONTARIO No No No No No 18.71% 1.2477 $ 6,289 $ 7,373 $ 10,514 Transition N/A $ 958.13 $ 823.83
106370721 KINDRED-SAN DIEGO No No No No No 34.05% 1.2477 $ 6,289 $ 7,373 $ 4,596 Transition N/A $ 958.13 $ 823.83
106190458 KINDRED-SAN GABRIEL VALLEY No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106301167 KINDRED-SANTA ANA No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106010887 KINDRED-SF BAY AREA No No No No No 28.70% 1.6439 $ 6,289 $ 9,107 $ 5,887 Transition N/A $ 958.13 $ 823.83
106301380 KINDRED-WESTMINSTER No No No No No 27.03% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190198 LA COMM HOSP No No No No No 16.51% 1.2477 $ 6,289 $ 7,373 $ 7,037 Transition N/A $ 958.13 $ 823.83
106190854 LA METRO MED CTR No No No No No 27.01% 1.2477 $ 6,289 $ 7,373 $ 6,537 Transition N/A $ 958.13 $ 823.83
106301234 LA PALMA INTERCOMMUNITY HOSP No No No No No 22.90% 1.2508 $ 6,289 $ 7,387 $ 6,854 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106191227 LAC-HARBOR-UCLA MED CTR Yes No Yes No No 34.23% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191231 LAC-OLIVE VIEW-UCLA MED CTR Yes No No No No 40.63% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191306 LAC-RANCHO LOS AMIGOS NATL REHAB CTR Yes No No No No 44.88% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191228 LAC-USC MED CTR Yes No Yes No No 40.68% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106380865 LAGUNA HONDA HOSP AND REHAB CTR Yes No No No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106190240 LAKEWOOD REG MED CTR No No No No No 15.01% 1.2477 $ 6,289 $ 7,373 $ 3,798 Transition $ 1,210 $ 958.13 $ 823.83
106190470 LITTLE CO OF MARY HOSP No No No No No 15.45% 1.2477 $ 6,289 $ 7,373 $ 6,878 Transition N/A $ 958.13 $ 823.83
106190680 LITTLE CO OF MARY-SAN PEDRO HOSP No No No No No 14.84% 1.2477 $ 6,289 $ 7,373 $ 5,937 Transition $ 1,210 $ 958.13 $ 823.83
106390923 LODI MEM HOSP No No No No No 13.04% 1.3505 $ 6,289 $ 7,823 $ 9,660 Transition $ 1,284 $ 958.13 $ 823.83
106390922 LODI MEM HOSP - WEST No No No No No 13.04% 1.3505 $ 6,289 $ 7,823 $ 9,660 Transition $ 1,284 $ 958.13 $ 823.83
106334589 LOMA LINDA MURRIETTA No No No No No 35.48% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition N/A $ 958.13 $ 823.83
106364502 LOMA LINDA UNIV CHILDRENS HOSP No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 2,158 $ 958.13 $ 823.83
106364268 LOMA LINDA UNIV HEART AND SURGICAL HOSPITAL No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106361245 LOMA LINDA UNIV MED CTR No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106361246 LOMA LINDA UNIV MED CTR No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106420491 LOMPOC HCARE DIST No Yes No Yes Yes 99.36% 1.2488 $ 10,640 $ 12,482 N/A Non-Transition N/A $ 958.13 $ 823.83
106190525 LONG BEACH MEM MED CTR No No No No No 20.20% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,613 $ 958.13 $ 823.83
106301248 LOS ALAMITOS MED CTR No No No No No 20.24% 1.2508 $ 6,289 $ 7,387 $ 4,467 Transition N/A $ 958.13 $ 823.83
106560492 LOS ROBLES HOSP AND MED CTR No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106564018 LOS ROBLES HOSP AND MED CTR-EAST CAMPUS No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106434040 LSP CHILDRENS HOSP AT STANFORD No No Yes No No 21.64% 1.665 $ 6,289 $ 9,200 $ 5,315 Transition N/A $ 958.13 $ 823.83
106121002 MAD RIVER COMM HOSP No No No No No 40.63% 1.2477 $ 6,289 $ 7,373 $ 10,089 Transition N/A $ 958.13 $ 823.83
106201281 MADERA COMM HOSP No No No No No 52.75% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106260011 MAMMOTH HOSP No Yes No Yes Yes 82.57% 1.2477 $ 10,640 $ 12,474 $ 43,404 Transition N/A $ 958.13 $ 823.83
106420493 MARIAN MED CTR No No No No No 27.66% 1.2488 $ 6,289 $ 7,378 $ 9,906 Transition N/A $ 958.13 $ 823.83
106211006 MARIN GEN HOSP No Yes No No No 24.93% 1.6337 $ 6,289 $ 9,063 $ 8,736 Transition N/A $ 958.13 $ 823.83
106050932 MARK TWAIN ST JOSEPHS HOSP No No No Yes Yes 37.16% 1.2477 $ 10,640 $ 12,474 $ 13,381 Transition N/A $ 958.13 $ 823.83
106090933 MARSHALL MED CTR No No No Yes Yes 20.02% 1.4887 $ 10,640 $ 14,259 N/A Non-Transition N/A $ 958.13 $ 823.83
106191230 MARTIN LUTHER KING, JR. COMM HOSP No No No No No 21.90% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106450936 MAYERS MEM HOSP No Yes No Yes Yes 73.41% 1.439 $ 10,640 $ 13,891 N/A Non-Transition N/A $ 958.13 $ 823.83
106240924 MEM HOSP LOS BANOS No No No Yes Yes 33.84% 1.2477 $ 10,640 $ 12,474 $ 15,313 Transition N/A $ 958.13 $ 823.83
106500939 MEM HOSP MED CTR-MODESTO No No No No No 22.07% 1.3401 $ 6,289 $ 7,778 $ 5,564 Transition N/A $ 958.13 $ 823.83
106190521 MEM HOSP OF GARDENA No No No No No 20.86% 1.2477 $ 6,289 $ 7,373 $ 4,422 Transition N/A $ 958.13 $ 805.02
106231013 MENDOCINO COAST DIST HOSP No Yes No Yes Yes 48.68% 1.2477 $ 10,640 $ 12,474 $ 14,422 Transition N/A $ 958.13 $ 823.83
106334018 MENIFEE VALLEY MED CTR No No No No No 35.92% 1.2477 $ 6,289 $ 7,373 $ 4,854 Transition N/A $ 958.13 $ 823.83
106414018 MENLO PARK SURGICAL HOSP No No No No No 100.00% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
106340947 MERCY GEN HOSP No No No No No 22.70% 1.4887 $ 6,289 $ 8,428 $ 5,693 Transition $ 1,383 $ 958.13 $ 823.83
106344029 MERCY HOSP OF FOLSOM No No No No No 27.59% 1.4887 $ 6,289 $ 8,428 $ 4,881 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106150761 MERCY HOSP-BAKERSFIELD No No No No No 23.50% 1.2477 $ 6,289 $ 7,373 $ 8,568 Transition N/A $ 958.13 $ 823.83
106240942 MERCY MED CTR MERCED No No No No No 24.95% 1.2879 $ 6,289 $ 7,549 N/A Non-Transition N/A $ 958.13 $ 823.83
106470871 MERCY MED CTR-MT SHASTA No No No Yes Yes 64.72% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106450949 MERCY MED CTR-REDDING No No No No No 25.36% 1.439 $ 6,289 $ 8,211 $ 10,800 Transition N/A $ 958.13 $ 823.83
106340950 MERCY SAN JUAN HOSP No No No No No 22.19% 1.4887 $ 6,289 $ 8,428 $ 7,856 Transition N/A $ 958.13 $ 823.83
106154108 MERCY SOUTHWEST HOSPITAL No No No No No 23.50% 1.2477 $ 6,289 $ 7,373 $ 8,568 Transition N/A $ 958.13 $ 823.83
106340951 METHODIST HOSP OF SACRAMENTO No No No No No 20.09% 1.4887 $ 6,289 $ 8,428 $ 8,015 Transition N/A $ 958.13 $ 823.83
106190529 METHODIST HOSP OF SO CAL No No No No No 22.45% 1.2477 $ 6,289 $ 7,373 $ 6,382 Transition $ 1,210 $ 958.13 $ 823.83
106196168 MILLER CHILDRENS HOSP No No Yes No No 27.38% 1.2477 $ 6,289 $ 7,373 $ 8,890 Transition N/A $ 958.13 $ 823.83
106410742 MILLS HEALTH CENTER No No No No No 27.70% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106410852 MILLS PENINSULA No No No No No 27.70% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106190681 MIRACLE MILE No No No No No 100.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190524 MISSION COMM HOSP-PANORAMA CAMPUS No No No No No 36.49% 1.2477 $ 6,289 $ 7,373 $ 3,786 Transition N/A $ 958.13 $ 823.83
106301337 MISSION HOSP LAGUNA BEACH No No No No No 53.05% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106301262 MISSION HOSP REG MED CTR No No No No No 53.05% 1.2508 $ 6,289 $ 7,387 $ 15,211 Transition $ 1,212 $ 958.13 $ 823.83
106250956 MODOC MED CTR No Yes No Yes Yes 49.91% 1.2477 $ 10,640 $ 12,474 $ 10,503 Transition N/A $ 958.13 $ 823.83
106190541 MONROVIA MEM HOSP No No No No No 100.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106361166 MONTCLAIR HOSP MED CTR No No No No No 27.47% 1.2477 $ 6,289 $ 7,373 $ 5,666 Transition N/A $ 958.13 $ 823.83
106190547 MONTEREY PARK HOSP No No No No No 12.85% 1.2477 $ 6,289 $ 7,373 $ 5,623 Transition N/A $ 958.13 $ 823.83
106361266 MOUNTAINS COMM HOSP No Yes No Yes Yes 59.86% 1.2477 $ 10,640 $ 12,474 $ 14,373 Transition N/A $ 958.13 $ 823.83
106274043 NATIVIDAD MED CTR Yes No No No No 19.12% 1.5678 $ 6,289 $ 8,774 N/A N/A N/A N/A N/A
106481357 NORTH BAY MEDICAL CENTER No No No No No 19.63% 1.6215 $ 6,289 $ 9,009 $ 17,018 Transition N/A $ 958.13 $ 823.83
106484001 NORTH BAY VACAVALLEY HOSP No No No No No 19.63% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106141273 NORTHERN INYO HOSP No Yes No Yes Yes 82.54% 1.2477 $ 10,640 $ 12,474 $ 25,684 Transition N/A $ 958.13 $ 823.83
106190568 NORTHRIDGE HOSP MED CTR No No No No No 18.72% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition $ 1,701 $ 958.13 $ 823.83
106190570 NORWALK COMMUNITY HOSPITAL No No No No No 16.51% 1.2477 $ 6,289 $ 7,373 $ 7,037 Transition N/A $ 958.13 $ 823.83
106214034 NOVATO COMM HOSP No No No No No 30.80% 1.6337 $ 6,289 $ 9,063 $ 6,102 Transition N/A $ 958.13 $ 823.83
106500967 OAK VALLEY DIST HOSP No Yes No Yes No 34.65% 1.3401 $ 6,289 $ 7,778 $ 4,806 Transition N/A $ 958.13 $ 823.83
106430837 O'CONNOR HOSP-SAN JOSE No No No No No 23.75% 1.665 $ 6,289 $ 9,200 $ 4,875 Transition N/A $ 958.13 $ 823.83
106560501 OJAI VALLEY COMM HOSP No No No Yes Yes 24.36% 1.3019 $ 10,640 $ 12,876 N/A Non-Transition N/A $ 958.13 $ 823.83
106190534 OLYMPIA MED CTR No No No No No 7.05% 1.2477 $ 6,289 $ 7,373 $ 6,505 Transition N/A $ 958.13 $ 823.83
106300225 ORANGE COAST MEM MED CTR No No No No No 27.49% 1.2508 $ 6,289 $ 7,387 $ 21,067 Transition N/A $ 958.13 $ 823.83
106040937 OROVILLE HOSP No No No No No 17.92% 1.2477 $ 6,289 $ 7,373 $ 5,976 Transition N/A $ 958.13 $ 823.83
106190307 PACIFIC ALLIANCE MED CTR No No No No No 42.99% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106190696 PACIFICA HOSP OF THE VALLEY No No No No No 41.44% 1.2477 $ 6,289 $ 7,373 $ 5,384 Transition N/A $ 958.13 $ 815.30
106491338 PALM DRIVE HOSP No Yes No Yes No 56.51% 1.6337 $ 6,289 $ 9,063 $ 12,583 Transition N/A $ 958.13 $ 823.83
106196405 PALMDALE REGIONAL MEDICAL CTR No No No No No 18.96% 1.2477 $ 6,289 $ 7,373 $ 7,920 Transition $ 1,210 $ 958.13 $ 823.83
106331288 PALO VERDE HOSP No Yes No Yes Yes 45.76% 1.2477 $ 10,640 $ 12,474 $ 16,470 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106370755 PALOMAR MED CTR No Yes No No No 24.29% 1.2477 $ 6,289 $ 7,373 $ 6,525 Transition $ 1,210 $ 958.13 $ 823.83
106370759 PARADISE VALLEY HOSP No No No No No 21.39% 1.2477 $ 6,289 $ 7,373 $ 4,093 Transition $ 1,210 $ 958.13 $ 823.83
106331293 PARKVIEW COMM HOSP MED CTR No No No No No 26.75% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106454013 PATIENTS HOSP OF REDDING No No No No No 25.51% 1.439 $ 6,289 $ 8,211 N/A Non-Transition N/A $ 958.13 $ 823.83
106410852 PENINSULA MED CTR No No No No No 31.44% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106491001 PETALUMA VALLEY HOSP No No No No No 23.31% 1.6337 $ 6,289 $ 9,063 $ 14,204 Transition N/A $ 958.13 $ 823.83
106130760 PIONEERS MEM HOSP No Yes No Yes No 31.33% 1.2477 $ 6,289 $ 7,373 $ 10,643 Transition N/A $ 958.13 $ 823.83
106301297 PLACENTIA LINDA HOSP No No No No No 17.16% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106320986 PLUMAS DIST HOSP No Yes No Yes Yes 66.79% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106370977 POMERADO HOSP No Yes No No No 29.25% 1.2477 $ 6,289 $ 7,373 $ 6,299 Transition N/A $ 958.13 $ 823.83
106190630 POMONA VALLEY HOSP MED CTR No No Yes No No 15.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190631 PRESBYTERIAN INTERCOMM HOSP No No No No No 12.88% 1.2477 $ 6,289 $ 7,373 $ 10,298 Transition $ 1,210 $ 958.13 $ 823.83
106190468 PROMISE HOSP OF EAST LA-EAST LA No No No No No 21.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190599 PROMISE HOSP OF EAST LA-EAST LA-SUBURBAN CAMPUS No No No No No 21.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106370787 PROMISE HOSP OF SAN DIEGO No No No No No 36.60% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190385 PROVIDENCE HOLY CROSS MED CTR No No No No No 10.80% 1.2477 $ 6,289 $ 7,373 $ 6,016 Transition $ 1,210 $ 958.13 $ 823.30
106190758 PROVIDENCE ST JOSEPH MED CTR No No No No No 13.62% 1.2477 $ 6,289 $ 7,373 $ 6,768 Transition $ 1,210 $ 958.13 $ 823.83
106190517 PROVIDENCE TARZANA MED CTR No No Yes No No 18.42% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106281047 QUEEN OF THE VALLEY HOSP-NAPA No No No No No 32.79% 1.6337 $ 6,289 $ 9,063 $ 18,596 Transition $ 1,487 $ 958.13 $ 823.83
106361308 REDLANDS COMM HOSP No No No No No 20.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106121051 REDWOOD MEM HOSP No No No Yes Yes 38.06% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106100797 REEDLEY COMMUNITY HOSPITAL No No No Yes Yes 43.60% 1.2477 $ 10,640 $ 12,474 $ 8,386 Transition N/A $ 958.13 $ 823.83
106430705 REG MED CTR OF SAN JOSE No No No No No 20.18% 1.665 $ 6,289 $ 9,200 $ 14,221 Transition N/A $ 958.13 $ 823.83
106424047 REHAB INSTITUTE OF SANTA BARBARA No No No No No 37.00% 1.2488 N/A N/A N/A N/A $ 1,211 $ 958.13 $ 823.83
106580996 RIDEOUT MEM HOSP No No No No No 24.45% 1.2799 $ 6,289 $ 7,514 $ 12,345 Transition N/A $ 958.13 $ 823.83
106150782 RIDGECREST REG HOSP No No No Yes Yes 46.27% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106334487 RIVERSIDE CO REG MED CTR Yes No No No No 25.77% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106331312 RIVERSIDE COMM HOSP No No No No No 17.02% 1.2477 $ 6,289 $ 7,373 $ 5,688 Transition N/A $ 958.13 $ 823.83
106301317 SADDLEBACK MEM MED CTR No No No No No 23.80% 1.2508 $ 6,289 $ 7,387 $ 13,563 Transition $ 1,212 $ 958.13 $ 823.83
106301325 SADDLEBACK MEM MED CTR-SAN CLEMENTE No No No No No 23.80% 1.2508 $ 6,289 $ 7,387 $ 13,563 Transition $ 1,212 $ 958.13 $ 823.83
106270875 SALINAS VALLEY MEM HOSP No Yes No No No 44.73% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106361318 SAN ANTONIO COMM HOSP No No No No No 23.06% 1.2477 $ 6,289 $ 7,373 $ 9,772 Transition N/A $ 958.13 $ 823.83
106190673 SAN DIMAS COMM HOSP No No No No No 20.23% 1.2477 $ 6,289 $ 7,373 $ 13,031 Transition N/A $ 958.13 $ 823.83
106190200 SAN GABRIEL VALLEY MED CTR No No No No No 18.36% 1.2477 $ 6,289 $ 7,373 $ 6,564 Transition N/A $ 958.13 $ 823.83
106331326 SAN GORGONIO MEM HOSP No Yes No Yes Yes 31.39% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106150788 SAN JOAQUIN COMM HOSP No No No No No 21.85% 1.2477 $ 6,289 $ 7,373 $ 7,804 Transition N/A $ 958.13 $ 823.83
106391010 SAN JOAQUIN GEN HOSP Yes No No No No 22.25% 1.3505 $ 6,289 $ 7,823 N/A N/A N/A N/A N/A
106104023 SAN JOAQUIN VALLEY REHAB HOSP No No No No No 57.14% 1.2477 N/A N/A N/A Non-Transition $ 1,401 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106013619 SAN LEANDRO HOSP No Yes No No No 39.67% 1.6215 $ 6,289 $ 9,009 $ 11,445 Transition N/A $ 958.13 $ 823.83
106410782 SAN MATEO MED CTR Yes No No No No 67.82% 1.6356 $ 6,289 $ 9,071 N/A N/A N/A N/A N/A
106074017 SAN RAMON REG MED CTR No No No No No 18.89% 1.6439 $ 6,289 $ 9,107 $ 15,365 Transition $ 1,494 $ 958.13 $ 823.83
106074011 SAN RAMON REG MED CTR SOUTH BUILDING No No No No No 18.89% 1.6439 $ 6,289 $ 9,107 $ 15,365 Transition $ 1,494 $ 958.13 $ 823.83
106420514 SANTA BARBARA COTTAGE HOSP No No Yes No No 41.95% 1.2488 $ 6,289 $ 7,378 $ 11,760 Transition $ 2,108 $ 958.13 $ 823.83
106430883 SANTA CLARA VALLEY MED CTR Yes No Yes No No 32.21% 1.7276 $ 6,289 $ 9,474 N/A N/A N/A N/A N/A
106190687 SANTA MONICA - UCLA MEDICAL CENTER Yes No No No No 31.85% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106491064 SANTA ROSA MEM HOSP-MONTGOMERY No No No No No 20.08% 1.6337 $ 6,289 $ 9,063 $ 16,061 Transition $ 1,487 $ 958.13 $ 823.83
106490907 SANTA ROSA MEM HOSP-SOTOYOME No No No No No 20.08% 1.6337 $ 6,289 $ 9,063 $ 16,061 Transition $ 1,487 $ 958.13 $ 823.83
106420522 SANTA YNEZ VALLEY COTTAGE HOSP No No No Yes Yes 54.00% 1.2488 $ 10,640 $ 12,482 N/A Non-Transition N/A $ 958.13 $ 823.83
106371256 SCRIPPS GREEN HOSP No No No No No 20.85% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106371394 SCRIPPS MEM HOSP-ENCINITAS No No No No No 24.78% 1.2477 $ 6,289 $ 7,373 $ 6,714 Transition $ 1,427 $ 958.13 $ 823.83
106370771 SCRIPPS MEM HOSP-LA JOLLA No No No No No 21.40% 1.2477 $ 6,289 $ 7,373 $ 3,984 Transition N/A $ 958.13 $ 823.83
106370744 SCRIPPS MERCY HOSP/CV No No No No No 22.59% 1.2477 $ 6,289 $ 7,373 $ 6,270 Transition N/A $ 958.13 $ 823.83
106370658 SCRIPPS MERCY HOSP-CHULA VISTA No No No No No 22.59% 1.2477 $ 6,289 $ 7,373 $ 6,270 Transition N/A $ 958.13 $ 823.83
106321016 SENECA HCARE DIST No Yes No Yes Yes 43.66% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106410891 SEQUOIA HOSP No No No No No 19.12% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106410817 SETON MED CTR No No No No No 18.66% 1.6356 $ 6,289 $ 9,071 $ 7,686 Transition N/A $ 958.13 $ 823.83
106410828 SETON MED CTR-COASTSIDE No No No No No 18.66% 1.6356 $ 6,289 $ 9,071 $ 7,686 Transition N/A $ 958.13 $ 823.83
106380939 SF GENERAL HOSP Yes No No No No 27.44% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106370875 SHARP CHULA VISTA MED CTR No No No No No 19.04% 1.2477 $ 6,289 $ 7,373 $ 6,155 Transition N/A $ 958.13 $ 823.83
106370689 SHARP CORONADO HOSP AND HCARE CTR No No No No No 22.48% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 706.89
106370695 SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106370694 SHARP MEM HOSP No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106370694 SHARP MEM HOSP No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106450940 SHASTA REG MED CTR No No No No No 15.88% 1.439 $ 6,289 $ 8,211 $ 8,443 Transition N/A $ 958.13 $ 823.83
106190708 SHERMAN OAKS HOSP No No No No No 22.14% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190712 SHRINERS HOSPITAL- LA No No No No No 37.82% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106344114 SHRINERS HOSPITAL- SACRAMENTO No No No No No 34.35% 1.4887 $ 6,289 $ 8,429 N/A Non-Transition $ 2,467 $ 958.13 $ 823.83
106291023 SIERRA NEVADA MEM HOSP No No No Yes Yes 34.42% 1.4887 $ 10,640 $ 14,259 N/A Non-Transition N/A $ 958.13 $ 823.83
106540798 SIERRA VIEW DIST HOSP No Yes No No No 27.93% 1.2477 $ 6,289 $ 7,373 $ 9,195 Transition N/A $ 958.13 $ 776.82
106400524 SIERRA VIST REG MED CTR No No No No No 18.94% 1.2559 $ 6,289 $ 7,409 $ 5,186 Transition N/A $ 958.13 $ 823.83
106190661 SILVER LAKE MED CTR No No No No No 26.27% 1.2477 $ 6,289 $ 7,373 $ 5,392 Transition N/A $ 958.13 $ 823.83
106560525 SIMI VALLEY HOSP AND HCARE-SYCAMORE No No No No No 29.97% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106491076 SONOMA VALLEY HOSP No Yes No No No 49.31% 1.6337 $ 6,289 $ 9,063 $ 13,784 Transition N/A $ 958.13 $ 823.83
106554011 SONORA REG MED CTR No No No Yes Yes 21.09% 1.315 $ 10,640 $ 12,973 N/A Non-Transition N/A $ 958.13 $ 823.83
106190110 SOUTHERN CA HOSPITAL AT CULVER CITY No No No No No 12.36% 1.2477 $ 6,289 $ 7,373 $ 4,132 Transition $ 1,210 $ 958.13 $ 823.83
106190380 SOUTHERN CA HOSPITAL AT HOLLYWOOD No No No No No 18.08% 1.2477 $ 6,289 $ 7,373 $ 5,297 Transition $ 1,210 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106141338 SOUTHERN INYO HOSP No Yes No Yes Yes 64.34% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106334068 SOUTHWEST HCARE SYSTEM No No No No No 51.83% 1.2477 $ 6,289 $ 7,373 $ 4,949 Transition N/A $ 958.13 $ 823.83
106334001 SOUTHWEST HCARE SYSTEM-WILDOMAR No No No No No 51.83% 1.2477 $ 6,289 $ 7,373 $ 4,949 Transition N/A $ 958.13 $ 823.83
106100899 ST AGNES MED CTR No No No No No 25.56% 1.2477 $ 6,289 $ 7,373 $ 8,359 Transition N/A $ 958.13 $ 823.83
106361339 ST BERNARDINE MED CTR No No No No No 24.96% 1.2477 $ 6,289 $ 7,373 $ 5,738 Transition N/A $ 958.13 $ 823.83
106521041 ST ELIZABETH COMM HOSP No No No Yes Yes 29.10% 1.3913 $ 10,640 $ 13,538 $ 11,891 Transition N/A $ 958.13 $ 823.83
106190754 ST FRANCIS MED CTR No No No No No 43.50% 1.2477 $ 6,289 $ 7,373 $ 5,923 Transition N/A $ 958.13 $ 823.83
106380960 ST FRANCIS MEM HOSP No No No No No 21.67% 1.6269 $ 6,289 $ 9,033 $ 4,831 Transition $ 1,482 $ 958.13 $ 823.83
106281078 ST HELENA HOSP No No No No No 22.02% 1.5215 $ 6,289 $ 8,572 $ 10,277 Transition N/A $ 958.13 $ 823.83
106560508 ST JOHN'S PLEASANT VALLEY HOSP No No No No No 14.94% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106560529 ST JOHN'S REG MED CTR No No No No No 30.21% 1.3019 $ 6,289 $ 7,610 $ 6,606 Transition $ 1,802 $ 958.13 $ 823.83
106121080 ST JOSEPH HOSP-EUREKA No No No No No 26.61% 1.3913 $ 6,289 $ 8,002 $ 10,223 Transition $ 1,534 $ 958.13 $ 823.83
106301340 ST JOSEPH HOSP-ORANGE No No No No No 30.74% 1.2508 $ 6,289 $ 7,387 $ 4,987 Transition N/A $ 958.13 $ 823.83
106391042 ST JOSEPHS MED CTR OF STOCKTON No No No No No 20.77% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106301342 ST JUDE MED CTR No No No No No 21.39% 1.2508 $ 6,289 $ 7,387 $ 5,559 Transition $ 1,212 $ 958.13 $ 823.83
106434138 ST LOUISE REG HOSP No No No No No 23.53% 1.665 $ 6,289 $ 9,200 $ 17,277 Transition N/A $ 958.13 $ 823.83
106380964 ST LUKES HOSP No No No No No 30.41% 1.6269 $ 6,289 $ 9,033 $ 8,208 Transition N/A $ 958.13 $ 823.83
106190053 ST MARY MED CTR No No No No No 23.37% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106361343 ST MARY REG MED CTR No No No Yes No 24.06% 1.2477 $ 6,289 $ 7,373 $ 10,422 Transition N/A $ 958.13 $ 823.83
106380965 ST MARYS MED CTR-SF No No No No No 16.87% 1.6269 $ 6,289 $ 9,033 $ 4,733 Transition $ 1,482 $ 958.13 $ 823.83
106010967 ST ROSE HOSP No No No No No 20.94% 1.665 $ 6,289 $ 9,200 $ 7,192 Transition N/A $ 958.13 $ 823.83
106190762 ST VINCENT MED CTR No No No No No 19.05% 1.2477 $ 6,289 $ 7,373 $ 4,465 Transition $ 1,210 $ 958.13 $ 823.83
106171049 ST. HELENA HOSPITAL - CLEARLAKE No No No Yes Yes 39.45% 1.2477 $ 10,640 $ 12,474 $ 16,001 Transition N/A $ 958.13 $ 823.83
106190756 ST. JOHN'S HEALTH CTR No No No No No 31.02% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106430905 STANFORD HOSP No No No No No 19.35% 1.665 $ 6,289 $ 9,200 $ 5,094 Transition $ 1,510 $ 958.13 $ 823.83
106504038 STANISLAUS SURGICAL HOSP No No No No No 90.00% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106250955 SURPRISE VALLEY COMM HOSP No Yes No Yes Yes 89.00% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106034002 SUTTER AMADOR HOSP No No No Yes Yes 32.04% 1.2773 $ 10,640 $ 12,694 N/A Non-Transition N/A $ 958.13 $ 823.83
106310791 SUTTER AUBURN FAITH HOSP No No No No No 25.87% 1.4887 $ 6,289 $ 8,428 $ 12,522 Transition N/A $ 958.13 $ 823.83
106084001 SUTTER COAST HOSP No No No Yes Yes 39.94% 1.2477 $ 10,640 $ 12,474 $ 13,037 Transition N/A $ 958.13 $ 823.83
106574010 SUTTER DAVIS HOSP No No No No No 41.08% 1.4887 $ 6,289 $ 8,428 $ 15,109 Transition N/A $ 958.13 $ 823.83
106070934 SUTTER DELTA MED CTR No No No No No 24.73% 1.6439 $ 6,289 $ 9,107 $ 12,853 Transition N/A $ 958.13 $ 823.83
106341051 SUTTER GEN HOSP No No Yes No No 23.22% 1.5558 $ 6,289 $ 8,722 $ 6,926 Transition N/A $ 958.13 $ 823.83
106171395 SUTTER LAKESIDE HOSP No No No Yes Yes 34.52% 1.2477 $ 10,640 $ 12,474 $ 15,154 Transition N/A $ 958.13 $ 823.83
106444012 SUTTER MATERNITY AND SRG CTR OF S CRUZ No No No No No 56.79% 1.7276 $ 6,289 $ 9,474 $ 22,474 Transition N/A $ 958.13 $ 823.83
106490919 SUTTER MED CTR OF SANTA ROSA No No No No No 34.58% 1.6337 $ 6,289 $ 9,063 $ 16,156 Transition N/A $ 958.13 $ 823.83
106341052 SUTTER MEMORIAL HOSPITAL No No Yes No No 23.22% 1.5558 $ 6,289 $ 8,722 $ 6,926 Transition N/A $ 958.13 $ 823.83
106311000 SUTTER ROSEVILLE MED CTR No No No No No 24.31% 1.4887 $ 6,289 $ 8,428 $ 12,047 Transition $ 1,383 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106481094 SUTTER SOLANO MED CTR No No No No No 34.45% 1.6337 $ 6,289 $ 9,063 $ 19,067 Transition N/A $ 958.13 $ 823.83
106514030 SUTTER SURG HOSP-NORTH VALLEY No No No No No 34.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106391056 SUTTER TRACY COMM HOSP No No No No No 24.81% 1.3505 $ 6,289 $ 7,823 $ 5,703 Transition N/A $ 958.13 $ 823.83
106291053 TAHOE FOREST HOSP No Yes No Yes Yes 51.20% 1.4887 $ 10,640 $ 14,259 $ 19,375 Transition N/A $ 958.13 $ 823.83
106150808 TEHACHAPI HOSP No Yes No Yes Yes 98.00% 1.2477 $ 10,640 $ 12,474 $ 21,746 Transition N/A $ 958.13 $ 823.83
106334564 TEMECULA VALLEY HOSPITAL No No No No No 22.30% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190784 TEMPLE COMM HOSP No No No No No 23.15% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106120981 THE GENERAL HOSPITAL No No No No No 26.61% 1.3913 N/A N/A N/A Non-Transition $ 1,534 $ 958.13 $ 823.83
106564121 THOUSAND OAKS SURGICAL HOSPITAL No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106190422 TORRANCE MEM MED CTR No No No No No 19.77% 1.2477 $ 6,289 $ 7,373 $ 5,605 Transition N/A $ 958.13 $ 823.83
106364451 TOTALLY KIDS REHAB HOSP No No No No No 21.90% 1.2477 $ 1 $ 1 N/A N/A $ 2,158 $ 958.13 $ 823.83
106370780 TRI-CITY MED CTR No Yes No No No 34.13% 1.2477 $ 6,289 $ 7,373 $ 8,384 Transition $ 1,210 $ 958.13 $ 823.83
106190159 TRI-CITY REG MED CTR No No No No No 27.08% 1.2477 $ 6,289 $ 7,373 $ 3,847 Transition N/A $ 958.13 $ 823.83
106531059 TRINITY HOSP No Yes No Yes Yes 69.63% 1.2477 $ 10,640 $ 12,474 $ 14,141 Transition N/A $ 958.13 $ 823.83
106540816 TULARE DIST HOSP No Yes No No No 34.21% 1.2477 $ 6,289 $ 7,373 $ 10,334 Transition N/A $ 958.13 $ 823.83
106400548 TWIN CITIES COMM HOSP No No No Yes Yes 17.15% 1.2559 $ 10,640 $ 12,535 $ 6,375 Transition N/A $ 958.13 $ 823.83
106341006 UC DAVIS MED CTR Yes No Yes No No 19.71% 1.4887 $ 6,289 $ 8,428 N/A N/A N/A N/A N/A
106301279 UC IRVINE MED CTR Yes No Yes No No 21.37% 1.2508 $ 6,289 $ 7,387 N/A N/A N/A N/A N/A
106190796 UCLA MED CTR Yes No Yes No No 32.75% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106370782 UCSD MED CTR Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106370782 UCSD MED CTR Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106374141 UCSD-LA JOLLA, JOHN M & SALLY B. THORNTON HOSPITAL Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106381154 UCSF MED CTR Yes No Yes No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106380895 UCSF MED CTR AT MOUNT ZION Yes No Yes No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106231396 UKIAH VALLEY MED CTR/HOSP DR No No No Yes Yes 34.86% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106191216 USC KENNETH NORRIS JR CANCER HOSP No No No No No 16.80% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106194219 USC UNIVERSITY HOSP No No No No No 16.80% 1.2477 $ 6,289 $ 7,373 $ 4,134 Transition $ 1,210 $ 958.13 $ 823.83
106014050 VALLEY CARE MEDICAL CENTER No No No No No 20.93% 1.665 $ 6,289 $ 9,200 $ 15,059 Transition N/A $ 958.13 $ 823.83
106010983 VALLEY MEM HOSP-LIVERMORE No No No No No 20.93% 1.665 $ 6,289 $ 9,200 $ 15,059 Transition N/A $ 958.13 $ 823.83
106190812 VALLEY PRES HOSP No No No No No 31.73% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106560481 VENTURA CO MED CTR Yes No Yes No No 25.35% 1.3019 $ 6,289 $ 7,610 N/A N/A N/A N/A N/A
106560521 VENTURA CO MED CTR-SANTA PAULA HOSPITAL Yes No Yes No No 25.35% 1.3019 $ 6,289 $ 7,610 N/A N/A N/A N/A N/A
106190818 VERDUGO HILLS HOSP No No No No No 25.31% 1.2477 $ 6,289 $ 7,373 $ 5,057 Transition N/A $ 958.13 $ 823.83
106454012 VIBRA HOSP OF NORTHERN CA No No No No No 43.00% 1.439 $ 6,289 $ 8,211 N/A Non-Transition $ 1,347 $ 958.13 $ 823.83
106344035 VIBRA HOSPITAL OF SACRAMENTO No No No No No 35.00% 1.4887 $ 6,289 $ 8,428 N/A Non-Transition N/A $ 958.13 $ 823.83
106374094 VIBRA OF SAN DIEGO No No No No No 27.76% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106361370 VICTOR VALLEY GLOBAL MEDICAL CENTER No No No Yes No 36.90% 1.2477 $ 6,289 $ 7,373 $ 8,792 Transition N/A $ 958.13 $ 823.83
106010987 WASHINGTON HOSP-FREMONT No Yes No No No 20.81% 1.665 $ 6,289 $ 9,200 $ 5,701 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106444013 WATSONVILLE COMM HOSP No No No No No 19.45% 1.7276 $ 6,289 $ 9,474 $ 14,200 Transition N/A $ 958.13 $ 823.83
106301379 WEST ANAHEIM MED CTR No No No No No 16.00% 1.2508 $ 6,289 $ 7,387 $ 4,513 Transition N/A $ 958.13 $ 823.83
106190859 WEST HILLS HOSP AND MED CTR No No No No No 19.33% 1.3019 $ 6,289 $ 7,610 $ 8,561 Transition N/A $ 958.13 $ 823.83
106301188 WESTERN MED CTR-ANAHEIM No No No No No 33.76% 1.2508 $ 6,289 $ 7,387 $ 7,242 Transition N/A $ 958.13 $ 823.83
106301566 WESTERN MED CTR-SANTA ANA No No No No No 22.73% 1.2508 $ 6,289 $ 7,387 $ 7,206 Transition N/A $ 958.13 $ 823.83
106190878 WHITE MEM MED CTR No No No No No 15.54% 1.2477 $ 6,289 $ 7,373 $ 7,757 Transition $ 1,210 $ 958.13 $ 823.83
106190883 WHITTIER HOSP MED CTR No No No No No 15.14% 1.2477 $ 6,289 $ 7,373 $ 5,681 Transition N/A $ 958.13 $ 823.83
106571086 WOODLAND MEM HOSP No No No No No 32.58% 1.4887 $ 6,289 $ 8,428 $ 10,629 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017