California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 5.5 - Application of the Official Medical Fee Schedule (Treatment)
Appendix A - Hospital Composite Factors and Cost to Charge Rations
Universal Citation: 8 CA Code of Regs A
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
| Provider Number | Hospital Name | Composite Factor (2001 Payment Impact File Data) | Capital Cost-to- Charge Ratio | Operating Cost-to- Charge Ratio | Total Cost-to- Charge Ratio | Hospital Specific Outlier Factor |
| 50002 | ST. ROSE HOSPITAL | 7626.1 | 0.018 | 0.372 | 0.390 | $ 19,640 |
| 50006 | ST. JOSEPH HOSPITAL, EUREKA | 4303.8 | 0.036 | 0.359 | 0.395 | $ 14,357 |
| 50007 | MILLS PENINSULA MEDICAL CENTER | 5732.9 | 0.035 | 0.364 | 0.399 | $ 18,837 |
| 50008 | DAVIES MEDICAL CENTER | 6366.3 | 0.039 | 0.317 | 0.356 | $ 18,840 |
| 50009 | QUEEN OF THE VALLEY | 5214.8 | 0.041 | 0.357 | 0.398 | $ 16,820 |
| 50013 | ST. HELENA HOSPITAL | 5286.9 | 0.024 | 0.430 | 0.454 | $ 16,828 |
| 50014 | SUTTER AMADOR HOSPITAL | 4303.8 | 0.020 | 0.353 | 0.373 | $ 14,357 |
| 50015 | NORTHERN INYO HOSPITAL | 4346.0 | 0.028 | 0.701 | 0.729 | $ 14,357 |
| 50016 | ARROYO GRANDE COMMUNITY HOSPITAL | 4553.8 | 0.108 | 0.394 | 0.502 | $ 15,187 |
| 50017 | MERCY GENERAL HOSPITAL | 5765.8 | 0.022 | 0.241 | 0.263 | $ 16,548 |
| 50018 | PACIFIC ALLIANCE MEDICAL CNTR. | 8999.4 | 0.043 | 0.393 | 0.436 | $ 16,631 |
| 50022 | RIVERSIDE COMMUNITY | 5171.4 | 0.044 | 0.337 | 0.381 | $ 15,697 |
| 50024 | PARADISE VALLEY HOSPITAL | 7440.0 | 0.024 | 0.360 | 0.384 | $ 16,363 |
| 50025 | UCSD MEDICAL CENTER | 8430.0 | 0.057 | 0.321 | 0.378 | $ 16,395 |
| 50026 | GROSSMONT HOSPITAL | 5834.5 | 0.043 | 0.318 | 0.361 | $ 16,384 |
| 50028 | MAD RIVER COMMUNITY HOSPITAL | 4303.8 | 0.026 | 0.418 | 0.444 | $ 14,357 |
| 50029 | ST.LUKE MEDICAL CENTER | 6514.7 | 0.031 | 0.238 | 0.269 | $ 16,637 |
| 50030 | OROVILLE HOSPITAL | 5185.6 | 0.048 | 0.495 | 0.543 | $ 14,416 |
| 50032 | WARRACK HOSPITAL | 5159.2 | 0.033 | 0.500 | 0.533 | $ 17,216 |
| 50033 | MOUNT ZION MEDICAL CENTER OF UCSF | 8623.8 | 0.042 | 0.407 | 0.449 | $ 18,838 |
| 50036 | MEMORIAL HOSPITAL | 4314.7 | 0.055 | 0.358 | 0.413 | $ 14,357 |
| 50038 | SANTA CLARA VALLEY MEDICAL CENTER | 9378.9 | 0.045 | 0.538 | 0.583 | $ 18,192 |
| 50039 | ENLOE MEDICAL CENTER | 4630.0 | 0.026 | 0.434 | 0.460 | $ 14,416 |
| 50040 | LAC OLIVE VIEW/UCLA MEDICAL CENTER | 10003.1 | 0.033 | 0.329 | 0.362 | $ 16,628 |
| 50042 | ST. ELIZABETH COMMUNITY HOSPITAL | 4346.0 | 0.030 | 0.413 | 0.443 | $ 14,357 |
| 50043 | SUMMIT MEDICAL CENTER | 7556.7 | 0.016 | 0.340 | 0.356 | $ 19,640 |
| 50045 | EL CENTRO REGIONAL MED. CTR. | 5940.4 | 0.021 | 0.357 | 0.378 | $ 14,381 |
| 50046 | OJAI VALLEY COMMUNITY HOSPITAL | 4494.1 | 0.059 | 0.675 | 0.734 | $ 14,992 |
| 50047 | CALIFORNIA PACIFIC MEDICAL CENTER | 7124.8 | 0.029 | 0.373 | 0.402 | $ 18,834 |
| 50051 | ALTA DISTRICT HOSPITAL | 4303.8 | 0.036 | 0.586 | 0.622 | $ 14,357 |
| 50054 | SAN GORGONIO MEMORIAL HOSPITAL | 4981.7 | 0.024 | 0.330 | 0.354 | $ 15,677 |
| 50055 | ST. LUKES HOSPITAL | 8503.5 | 0.026 | 0.360 | 0.386 | $ 18,834 |
| 50056 | ANTELOPE VALLEY HOSPITAL | 6281.4 | 0.043 | 0.313 | 0.356 | $ 16,639 |
| 50057 | KAWEAH DELTA HEALTH CARE DISTRICT | 5269.1 | 0.031 | 0.430 | 0.461 | $ 14,357 |
| 50058 | GLENDALE MEMORIAL HOSPITAL & HLTH CT | 7144.1 | 0.031 | 0.278 | 0.309 | $ 16,632 |
| 50060 | FRESNO COMMUNITY HOSP & MED CENTER | 5731.0 | 0.029 | 0.337 | 0.366 | $ 14,607 |
| 50061 | ST. FRANCIS MEDICAL CENTER | 4530.4 | 0.057 | 0.356 | 0.413 | $ 15,112 |
| 50063 | QUEEN OF ANGELS - HLLYWD PRES MC | 8430.2 | 0.033 | 0.296 | 0.329 | $ 16,632 |
| 50065 | WMC SANTA ANA | 7039.7 | 0.057 | 0.314 | 0.371 | $ 16,015 |
| 50066 | BAY HARBOR HOSPITAL | 5818.7 | 0.016 | 0.302 | 0.318 | $ 16,614 |
| 50067 | OAK VALLEY DISTRICT HOSPITAL | 4468.6 | 0.029 | 0.359 | 0.388 | $ 14,907 |
| 50068 | LINDSAY DISTRICT HOSPITAL | 4494.2 | 0.014 | 0.487 | 0.501 | $ 14,357 |
| 50069 | ST. JOSEPH HOSPITAL | 5069.0 | 0.029 | 0.284 | 0.313 | $ 16,629 |
| 50070 | KFH - SSF | 5729.5 | 0.039 | 0.361 | 0.400 | $ 18,838 |
| 50071 | KFH - SANTA CLARA | 7040.9 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50072 | KFH - WALNUT CREEK | 6149.7 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50073 | KFH - VALLEJO | 5946.2 | 0.039 | 0.361 | 0.400 | $ 19,587 |
| 50075 | KFH - OAKLAND | 7131.2 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50076 | KFH - SAN FRANCISCO | 7132.4 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50077 | MERCY HOSPITAL | 6346.8 | 0.034 | 0.300 | 0.334 | $ 16,377 |
| 50078 | SAN PEDRO PENINSULA | 5498.4 | 0.028 | 0.268 | 0.296 | $ 16,630 |
| 50079 | DOCTORS MEDICAL CENTER-SAN PABLO | 7288.6 | 0.021 | 0.289 | 0.310 | $ 19,641 |
| 50082 | ST. JOHN'S REGIONAL MEDICAL CENTER | 5247.3 | 0.074 | 0.343 | 0.417 | $ 14,990 |
| 50084 | ST. JOSEPH'S MEDICAL CENTER | 5020.2 | 0.022 | 0.260 | 0.282 | $ 15,146 |
| 50088 | SAN LUIS OBISPO GENERAL HOSPITAL | 4755.3 | 0.025 | 0.735 | 0.760 | $ 15,193 |
| 50089 | COMMUNITY HOSPITAL OF SAN BERNARDINO | 7291.2 | 0.046 | 0.315 | 0.361 | $ 15,701 |
| 50090 | SONOMA VALLEY HEALTH CARE DIST. | 5159.2 | 0.055 | 0.437 | 0.492 | $ 17,206 |
| 50091 | COMMUNITY HOSPITALS OF HUNTINGTON PK | 9079.1 | 0.032 | 0.277 | 0.309 | $ 16,633 |
| 50092 | GLENN MEDICAL CENTER | 4730.9 | 0.050 | 0.747 | 0.797 | $ 14,357 |
| 50093 | SAINT AGNES MEDICAL CENTER | 4603.7 | 0.043 | 0.353 | 0.396 | $ 14,607 |
| 50096 | DR'S HOSPITAL OF WEST COVINA | 5406.7 | 0.039 | 0.304 | 0.343 | $ 16,636 |
| 50097 | GENERAL HOSPITAL | 4303.8 | 0.033 | 0.367 | 0.400 | $ 14,357 |
| 50099 | SAN ANTONIO COMMUNITY HOSPITAL | 5661.2 | 0.031 | 0.293 | 0.324 | $ 15,688 |
| 50100 | SHARP MEMORIAL HOSPITAL | 5783.9 | 0.041 | 0.359 | 0.400 | $ 16,377 |
| 50101 | SUTTER SOLANO MEDICAL CENTER | 6430.3 | 0.025 | 0.290 | 0.315 | $ 16,823 |
| 50102 | PARKVIEW COMMUNITY HOSPITAL | 5928.8 | 0.024 | 0.340 | 0.364 | $ 15,676 |
| 50103 | WHITE MEMORIAL MEDICAL CENTER | 8308.7 | 0.044 | 0.335 | 0.379 | $ 16,637 |
| 50104 | ST. FRANCIS MEDICAL CENTER | 7922.8 | 0.022 | 0.271 | 0.293 | $ 16,623 |
| 50107 | MARIAN MEDICAL CENTER | 5215.2 | 0.058 | 0.378 | 0.436 | $ 15,112 |
| 50108 | SUTTER COMMUNITY HOSPITAL | 5789.3 | 0.036 | 0.278 | 0.314 | $ 16,559 |
| 50110 | LOMPOC DISTRICT HOSPITAL | 4530.4 | 0.042 | 0.436 | 0.478 | $ 15,113 |
| 50111 | TEMPLE COMMUNITY HOSPITAL | 7509.1 | 0.016 | 0.285 | 0.301 | $ 16,615 |
| 50112 | SANTA MONICA HOSPITAL | 5570.3 | 0.039 | 0.355 | 0.394 | $ 16,631 |
| 50113 | SAN MATEO COUNTY GENERAL HOSPITAL | 6178.8 | 0.028 | 0.886 | 0.914 | $ 18,828 |
| 50114 | SHERMAN OAKS HOSP AND HLTH CENTER | 5268.7 | 0.047 | 0.430 | 0.477 | $ 16,631 |
| 50115 | PALOMAR MEDICAL CENTER | 5573.1 | 0.044 | 0.342 | 0.386 | $ 16,382 |
| 50116 | NORTHRIDGE HOSPITAL MEDICAL CENTER | 5974.7 | 0.029 | 0.275 | 0.304 | $ 16,630 |
| 50117 | MERCY HOSPITAL & HEALTH SYSTEM | 4954.2 | 0.021 | 0.308 | 0.329 | $ 14,357 |
| 50118 | DOCTORS HOSPITAL OF MANTECA | 4540.3 | 0.029 | 0.225 | 0.254 | $ 15,145 |
| 50121 | HANFORD COMMUNITY MEDICAL CENTER | 4303.8 | 0.021 | 0.391 | 0.412 | $ 14,357 |
| 50122 | DAMERON HOSPITAL | 5554.0 | 0.015 | 0.280 | 0.295 | $ 15,147 |
| 50124 | VERDUGO HILLS HOSPITAL | 5057.3 | 0.053 | 0.310 | 0.363 | $ 16,648 |
| 50125 | ALEXIAN BROS. HOSPITAL | 7865.2 | 0.032 | 0.280 | 0.312 | $ 18,198 |
| 50126 | VALLEY PRESBYTERIAN HOSPITAL | 6606.0 | 0.047 | 0.312 | 0.359 | $ 16,643 |
| 50127 | WOODLAND MEMORIAL HOSPITAL | 4896.1 | 0.046 | 0.476 | 0.522 | $ 14,704 |
| 50128 | TRI-CITY MEDICAL CENTER | 5188.6 | 0.043 | 0.309 | 0.352 | $ 16,385 |
| 50129 | ST. BERNARDINE MEDICAL CENTER | 6071.7 | 0.072 | 0.392 | 0.464 | $ 15,713 |
| 50131 | NOVATO COMMUNITY HOSPITAL | 5729.5 | 0.026 | 0.464 | 0.490 | $ 18,831 |
| 50132 | SAN GABRIEL VALLEY MEDICAL CENTER | 5928.3 | 0.038 | 0.251 | 0.289 | $ 16,643 |
| 50133 | RIDEOUT MEMORIAL HOSPITAL | 5334.9 | 0.044 | 0.443 | 0.487 | $ 15,225 |
| 50135 | HOLLYWOOD COMM. HOSP OF HOLLYWOOD | 6497.7 | 0.027 | 0.377 | 0.404 | $ 16,620 |
| 50136 | PETALUMA VALLEY HOSPITAL | 5159.2 | 0.036 | 0.489 | 0.525 | $ 17,214 |
| 50137 | KAISER FOUNDATION HOSPITALS-PANORAMA | 5088.3 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50138 | KAISER FOUNDATION HOSPITALS - SUNSET | 5938.5 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50139 | KAISER FOUND. HOSPITALS - BELLFLOWER | 5118.5 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50140 | KAISER FOUND. HOSPITALS - FONTANA | 5082.3 | 0.039 | 0.361 | 0.400 | $ 15,689 |
| 50144 | BROTMAN MEDICAL CENTER | 6207.8 | 0.050 | 0.318 | 0.368 | $ 16,644 |
| 50145 | COMMUNITY HOSP. MONTEREY PENINSULA | 5869.7 | 0.032 | 0.463 | 0.495 | $ 19,113 |
| 50148 | PLUMAS DISTRICT HOSPITAL MCARE RPT | 4346.0 | 0.034 | 0.466 | 0.500 | $ 14,357 |
| 50149 | CALIFORNIA HOSPITAL MEDICAL CENTER | 8562.6 | 0.035 | 0.353 | 0.388 | $ 16,628 |
| 50150 | SIERRA NEVADA MEMORIAL HOSPITAL | 4948.0 | 0.073 | 0.459 | 0.532 | $ 16,500 |
| 50152 | SAINT FRANCIS MEMORIAL HOSPITAL | 7135.7 | 0.032 | 0.292 | 0.324 | $ 18,839 |
| 50153 | O'CONNOR HOSPITAL | 5991.8 | 0.036 | 0.363 | 0.399 | $ 18,195 |
| 50155 | MONROVIA COMMUNITY HOSPITAL | 5408.9 | 0.039 | 0.314 | 0.353 | $ 16,635 |
| 50158 | ENCINO-TARZANA REG MED CENTER | 5071.9 | 0.038 | 0.361 | 0.399 | $ 16,630 |
| 50159 | VENTURA COUNTY MEDICAL CENTER | 7638.6 | 0.024 | 0.504 | 0.528 | $ 14,993 |
| 50167 | SAN JOAQUIN GENERAL HOSPITAL | 7581.0 | 0.048 | 0.451 | 0.499 | $ 15,146 |
| 50168 | ST. JUDE MEDICAL CENTER | 4875.0 | 0.022 | 0.282 | 0.304 | $ 15,983 |
| 50169 | PRESBYTERIAN INTERCOMMUNITY | 5662.7 | 0.041 | 0.290 | 0.331 | $ 16,640 |
| 50170 | LONG BEACH COMMUNITY MEDICAL CENTER | 5651.6 | 0.032 | 0.333 | 0.365 | $ 16,627 |
| 50172 | REDWOOD MEMORIAL HOSPITAL | 4303.8 | 0.036 | 0.428 | 0.464 | $ 14,357 |
| 50173 | ANAHEIM GENERAL HOSPITAL | 6486.4 | 0.013 | 0.275 | 0.288 | $ 15,972 |
| 50174 | SANTA ROSA MEMORIAL HOSPITAL | 5179.2 | 0.039 | 0.462 | 0.501 | $ 17,212 |
| 50175 | WHITTIER HOSPITAL MEDICAL CENTER | 6697.3 | 0.039 | 0.291 | 0.330 | $ 16,638 |
| 50177 | SANTA PAULA MEMORIAL HOSPITAL | 4693.0 | 0.028 | 0.546 | 0.574 | $ 14,993 |
| 50179 | EMANUEL MEDICAL CENTER | 5133.3 | 0.038 | 0.353 | 0.391 | $ 14,907 |
| 50180 | JOHN MUIR MEDICAL CENTER | 5985.2 | 0.036 | 0.305 | 0.341 | $ 19,644 |
| 50186 | SCRIPPS HOSPITAL - EAST COUNTY | 5747.0 | 0.051 | 0.370 | 0.421 | $ 16,384 |
| 50188 | COMM HOSP.& REHAB- LOS GATOS | 5534.0 | 0.045 | 0.253 | 0.298 | $ 18,209 |
| 50189 | GEORGE L. MEE MEMORIAL HOSPITAL | 6039.3 | 0.036 | 0.493 | 0.529 | $ 19,112 |
| 50191 | ST MARY MEDICAL CENTER | 7071.6 | 0.039 | 0.255 | 0.294 | $ 16,643 |
| 50192 | SIERRA KINGS DISTRICT HOSPITAL | 4572.4 | 0.038 | 0.520 | 0.558 | $ 14,607 |
| 50193 | SOUTH COAST MEDICAL CENTER | 4867.8 | 0.027 | 0.268 | 0.295 | $ 15,991 |
| 50194 | WATSONVILLE COMMUNITY HOSPITAL | 6816.0 | 0.030 | 0.387 | 0.417 | $ 18,694 |
| 50195 | WASHINGTON HOSPITAL DISTRICT | 6805.6 | 0.024 | 0.336 | 0.360 | $ 19,641 |
| 50196 | CENTRAL VALLEY GENERAL HOSP | 4456.1 | 0.021 | 0.382 | 0.403 | $ 14,357 |
| 50197 | SEQUOIA HEALTH SERVICES | 5739.1 | 0.030 | 0.449 | 0.479 | $ 18,833 |
| 50204 | LANCASTER HOSPITAL | 5201.4 | 0.022 | 0.251 | 0.273 | $ 16,625 |
| 50205 | HUNTINGTON EAST VALLEY HOSPITAL | 7228.2 | 0.044 | 0.419 | 0.463 | $ 16,630 |
| 50207 | FREMONT MEDICAL CENTER | 5423.3 | 0.030 | 0.494 | 0.524 | $ 15,226 |
| 50211 | ALAMEDA HOSPITAL | 6385.2 | 0.014 | 0.250 | 0.264 | $ 19,641 |
| 50213 | UNIVERSITY MEDICAL CENTER | 7604.5 | 0.021 | 0.439 | 0.460 | $ 14,607 |
| 50214 | GRANADA HILLS COMMUNITY HOSPITAL | 6473.8 | 0.022 | 0.303 | 0.325 | $ 16,620 |
| 50215 | SAN JOSE MEDICAL CENTER | 7139.9 | 0.130 | 0.425 | 0.555 | $ 18,227 |
| 50217 | FAIRCHILD MEDICAL CENTER | 4346.0 | 0.045 | 0.616 | 0.661 | $ 14,357 |
| 50219 | COAST PLAZA DOCTORS HOSPITAL | 6698.9 | 0.023 | 0.288 | 0.311 | $ 16,622 |
| 50222 | SHARP CHULA VISTA MEDICAL CTR | 6376.7 | 0.044 | 0.326 | 0.370 | $ 16,384 |
| 50224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN | 4869.0 | 0.036 | 0.380 | 0.416 | $ 15,989 |
| 50225 | FEATHER RIVER HOSPITAL | 4510.5 | 0.047 | 0.450 | 0.497 | $ 14,416 |
| 50226 | ANAHEIM MEMORIAL MEDICAL CENTER | 5034.2 | 0.052 | 0.299 | 0.351 | $ 16,013 |
| 50228 | SAN FRANCISCO GENERAL HOSPITAL | 10776.1 | 0.016 | 0.535 | 0.551 | $ 18,827 |
| 50230 | GARDEN GROVE MEDICAL CENTER | 6972.4 | 0.029 | 0.262 | 0.291 | $ 15,994 |
| 50231 | POMONA VALLEY HOSPITAL MED CTR | 6615.4 | 0.024 | 0.264 | 0.288 | $ 16,626 |
| 50232 | FRENCH HOSPITAL MEDICAL CENTER | 4562.2 | 0.033 | 0.262 | 0.295 | $ 15,190 |
| 50234 | SHARP CORONADO HOSPITAL | 4979.7 | 0.035 | 0.464 | 0.499 | $ 16,365 |
| 50235 | PROVIDENCE SAINT JOSEPH MED CTR | 5361.5 | 0.046 | 0.403 | 0.449 | $ 16,632 |
| 50236 | SIMI VALLEY HOSPITAL | 5177.0 | 0.036 | 0.326 | 0.362 | $ 16,582 |
| 50238 | METHODIST HOSPITAL OF SOUTHERN CA | 5065.0 | 0.042 | 0.353 | 0.395 | $ 16,634 |
| 50239 | GLENDALE ADVENTIST MEDICAL CENTER | 7355.8 | 0.052 | 0.607 | 0.659 | $ 16,624 |
| 50240 | CENTINELA HOSPITAL MEDICAL CENTER | 6795.9 | 0.049 | 0.298 | 0.347 | $ 16,646 |
| 50242 | DOMINICAN SANTA CRUZ HOSPITAL | 6176.1 | 0.034 | 0.331 | 0.365 | $ 18,686 |
| 50243 | DESERT HOSPITAL | 5437.4 | 0.044 | 0.260 | 0.304 | $ 15,708 |
| 50245 | ARROWHEAD REGIONAL MEDICAL CENTER | 8153.0 | 0.015 | 0.476 | 0.491 | $ 15,662 |
| 50248 | NATIVIDAD MEDICAL CENTER | 8830.3 | 0.016 | 0.393 | 0.409 | $ 19,124 |
| 50251 | LASSEN COMMUNITY HOSPITAL | 4730.9 | 0.039 | 0.476 | 0.515 | $ 14,357 |
| 50253 | LINCOLN LLC | 6066.4 | 0.028 | 0.301 | 0.329 | $ 15,988 |
| 50254 | MARSHALL HOSPITAL | 5033.6 | 0.085 | 0.431 | 0.516 | $ 16,577 |
| 50256 | ORTHOPAEDIC HOSPITAL | 6853.0 | 0.046 | 0.447 | 0.493 | $ 16,629 |
| 50257 | GOOD SAMARITAN HOSPITAL | 4494.2 | 0.080 | 0.320 | 0.400 | $ 14,358 |
| 50260 | MOUNTAINS COMMUNITY HOSPITAL | 4770.8 | 0.042 | 0.460 | 0.502 | $ 15,684 |
| 50261 | SIERRA VIEW DISTRICT HOSPITAL | 5092.2 | 0.064 | 0.390 | 0.454 | $ 14,357 |
| 50262 | UCLA MEDICAL CENTER | 7975.2 | 0.039 | 0.387 | 0.426 | $ 16,629 |
| 50264 | SAN LEANDRO HOSPITAL | 5974.6 | 0.039 | 0.337 | 0.376 | $ 19,644 |
| 50267 | DANIEL FREEMAN MEMORIAL HOSP | 6571.3 | 0.023 | 0.248 | 0.271 | $ 16,626 |
| 50270 | SMH - CHULA VISTA | 6795.5 | 0.036 | 0.305 | 0.341 | $ 16,379 |
| 50272 | REDLANDS COMMUNITY HOSPITAL | 4783.7 | 0.035 | 0.292 | 0.327 | $ 15,693 |
| 50276 | CONTRA COSTA REGIONAL MEDICAL CNTR | 9454.0 | 0.017 | 0.666 | 0.683 | $ 19,639 |
| 50277 | PACIFIC HOSPITAL OF LONG BEACH | 7263.8 | 0.024 | 0.387 | 0.411 | $ 16,617 |
| 50278 | PROVIDENCE HOLY CROSS MEDICAL CENTER | 5769.4 | 0.039 | 0.282 | 0.321 | $ 16,639 |
| 50279 | HI - DESERT MEDICAL CENTER | 4817.5 | 0.054 | 0.491 | 0.545 | $ 15,690 |
| 50280 | MERCY MEDICAL CENTER | 5635.0 | 0.029 | 0.296 | 0.325 | $ 16,206 |
| 50281 | ALHAMBRA HOSPITAL | 7401.6 | 0.039 | 0.320 | 0.359 | $ 16,635 |
| 50282 | MARTIN LUTHER HOSPITAL | 5945.2 | 0.038 | 0.321 | 0.359 | $ 15,996 |
| 50283 | VALLEY MEMORIAL HOSPITAL | 5974.6 | 0.035 | 0.269 | 0.304 | $ 19,644 |
| 50289 | SETON MEDICAL CENTER | 6749.3 | 0.036 | 0.357 | 0.393 | $ 18,837 |
| 50290 | SAINT JOHN'S HOSPITAL | 5063.8 | 0.027 | 0.307 | 0.334 | $ 16,625 |
| 50291 | SUTTER COMMUNITY HOSPITAL SANTA ROSA | 8312.9 | 0.039 | 0.499 | 0.538 | $ 17,213 |
| 50292 | RIVERSIDE COUNTY REGIONAL MED CENTER | 7310.5 | 0.018 | 0.480 | 0.498 | $ 15,664 |
| 50293 | PACIFIC COAST HOSPITAL | 7084.4 | 0.112 | 0.835 | 0.947 | $ 18,842 |
| 50295 | MERCY HOSPITAL | 4464.2 | 0.055 | 0.314 | 0.369 | $ 14,358 |
| 50296 | HAZEL HAWKINS MEM. HOSPITAL | 5541.7 | 0.036 | 0.442 | 0.478 | $ 18,491 |
| 50298 | BARSTOW COMMUNITY HOSPITAL | 4770.8 | 0.036 | 0.282 | 0.318 | $ 15,696 |
| 50299 | NHMC-SHERMAN WAY CAMPUS | 7150.0 | 0.042 | 0.351 | 0.393 | $ 16,634 |
| 50300 | ST. MARY REGIONAL | 5606.9 | 0.040 | 0.325 | 0.365 | $ 15,694 |
| 50301 | UKIAH VALLEY MEDICAL CENTER | 5263.3 | 0.034 | 0.486 | 0.520 | $ 16,961 |
| 50305 | ALTA BATES MEDICAL CENTER | 7233.9 | 0.028 | 0.278 | 0.306 | $ 19,643 |
| 50308 | EL CAMINO HOSPITAL | 5542.8 | 0.031 | 0.335 | 0.366 | $ 18,194 |
| 50309 | SUTTER ROSEVILLE MEDICAL CENTER | 5237.1 | 0.035 | 0.287 | 0.322 | $ 16,557 |
| 50312 | REDDING MEDICAL CENTER | 5071.6 | 0.015 | 0.361 | 0.376 | $ 16,211 |
| 50313 | SUTTER TRACY COMMUNITY HOSPITAL | 4540.3 | 0.058 | 0.301 | 0.359 | $ 15,144 |
| 50315 | KERN MEDICAL CENTER | 7908.4 | 0.030 | 0.574 | 0.604 | $ 14,357 |
| 50320 | ALAMEDA COUNTY MEDICAL CENTER | 10196.1 | 0.017 | 0.608 | 0.625 | $ 19,639 |
| 50324 | SCRIPPS MEMORIAL HOSPITAL - LA JOLLA | 4990.5 | 0.034 | 0.280 | 0.314 | $ 16,380 |
| 50325 | TUOLUMNE GENERAL HOSPITAL | 4303.8 | 0.022 | 0.419 | 0.441 | $ 14,357 |
| 50327 | LOMA LINDA UNIVERSITY MEDICAL CTR. | 7076.6 | 0.036 | 0.289 | 0.325 | $ 15,695 |
| 50329 | CORONA REGIONAL MEDICAL CENTER | 5574.6 | 0.028 | 0.274 | 0.302 | $ 15,687 |
| 50331 | HEALDSBURG GENERAL HOSPITAL | 5159.2 | 0.024 | 0.459 | 0.483 | $ 17,218 |
| 50333 | SENECA DISTRICT HOSPITAL | 4346.0 | 0.021 | 0.532 | 0.553 | $ 14,357 |
| 50334 | SALINAS VALLEY MEMORIAL HOSPITAL | 6197.3 | 0.023 | 0.442 | 0.465 | $ 19,120 |
| 50335 | SONORA COMMUNITY HOSPITAL | 4303.8 | 0.039 | 0.460 | 0.499 | $ 14,357 |
| 50336 | LODI MEMORIAL HOSPITAL | 4748.4 | 0.030 | 0.312 | 0.342 | $ 15,146 |
| 50337 | DESERT PALMS COMMUNITY HOSPITAL | 5057.3 | 0.042 | 0.394 | 0.436 | $ 16,630 |
| 50342 | PIONEERS MEM. HOSPITAL | 4456.1 | 0.033 | 0.426 | 0.459 | $ 14,357 |
| 50345 | HOSPITAL NAME NOT AVAILABLE | 4781.9 | 0.051 | 0.497 | 0.548 | $ 15,687 |
| 50348 | UCI MEDICAL CENTER | 8187.6 | 0.027 | 0.322 | 0.349 | $ 15,985 |
| 50349 | CORCORAN DISTRICT HOSPITAL | 4456.1 | 0.030 | 0.429 | 0.459 | $ 14,357 |
| 50350 | BEVERLY COMMUNITY HOSPITAL | 6431.8 | 0.023 | 0.305 | 0.328 | $ 16,621 |
| 50351 | TORRANCE MEMORIAL MEDICAL CENTER | 5063.4 | 0.031 | 0.323 | 0.354 | $ 16,627 |
| 50352 | BARTON MEMORIAL HOSPITAL | 5083.0 | 0.070 | 0.516 | 0.586 | $ 16,561 |
| 50353 | LITTLE COMPANY OF MARY HOSPITAL | 5067.1 | 0.033 | 0.295 | 0.328 | $ 16,632 |
| 50355 | SIERRA VALLEY DISTRICT HOSPITAL | 4346.0 | 0.111 | 0.640 | 0.751 | $ 14,358 |
| 50357 | GOLETA VALLEY COTTAGE HOSPITAL | 4540.5 | 0.036 | 0.351 | 0.387 | $ 15,113 |
| 50359 | TULARE DISTRICT HOSPITAL | 5249.7 | 0.041 | 0.430 | 0.471 | $ 14,357 |
| 50360 | MARIN GENERAL HOSPITAL | 5875.4 | 0.050 | 0.425 | 0.475 | $ 18,840 |
| 50366 | MARK TWAIN ST. JOSEPH'S HOSPITAL | 4346.0 | 0.022 | 0.346 | 0.368 | $ 14,357 |
| 50367 | NORTHBAY MEDICAL CENTER | 6561.2 | 0.034 | 0.233 | 0.267 | $ 16,816 |
| 50369 | QUEEN OF THE VALLEY HOSPITAL | 6821.2 | 0.023 | 0.356 | 0.379 | $ 16,618 |
| 50373 | LAC+USC MEDICAL CENTER | 9863.6 | 0.016 | 0.347 | 0.363 | $ 16,612 |
| 50376 | HARBOR-UCLA MEDICAL CENTER | 10439.6 | 0.039 | 0.296 | 0.335 | $ 16,637 |
| 50377 | CHOWCHILLA DISTRICT MEMORIAL HOSP | 4378.7 | 0.032 | 0.642 | 0.674 | $ 14,607 |
| 50378 | PACIFICA OF THE VALLEY | 8053.4 | 0.059 | 0.476 | 0.535 | $ 16,635 |
| 50379 | WEST SIDE DISTRICT HOSPITAL | 4346.0 | 0.127 | 0.832 | 0.959 | $ 14,357 |
| 50380 | GOOD SAMARITAN HOSPITAL | 5539.0 | 0.106 | 0.556 | 0.662 | $ 18,211 |
| 50382 | INTER-COMMUNITY MEDICAL CENTER | 6123.9 | 0.026 | 0.340 | 0.366 | $ 16,621 |
| 50385 | PALM DRIVE HOSPITAL | 5159.2 | 0.030 | 0.494 | 0.524 | $ 17,216 |
| 50388 | SOUTHERN INYO HOSPITAL | 4346.0 | 0.055 | 0.753 | 0.808 | $ 14,357 |
| 50390 | HEMET VALLEY MEDICAL CENTER | 5342.1 | 0.029 | 0.308 | 0.337 | $ 15,685 |
| 50391 | SANTA TERESITA HOSPITAL | 5281.0 | 0.026 | 0.410 | 0.436 | $ 16,617 |
| 50392 | TRINITY HOSPITAL | 4730.9 | 0.015 | 0.610 | 0.625 | $ 14,357 |
| 50393 | DOWNEY COMMUNITY HOSPITAL | 5960.7 | 0.087 | 0.716 | 0.803 | $ 16,635 |
| 50394 | COMM MEM HOSP OF SAN BUENAVENTURA | 4498.9 | 0.026 | 0.406 | 0.432 | $ 14,993 |
| 50396 | SANTA BARBARA COTTAGE HOSPITAL | 5094.9 | 0.022 | 0.245 | 0.267 | $ 15,113 |
| 50397 | COALINGA REGIONAL MEDICAL CENTER | 4421.6 | 0.085 | 0.483 | 0.568 | $ 14,607 |
| 50401 | WASHINGTON MEDICAL CENTER | 5057.3 | 0.042 | 0.290 | 0.332 | $ 16,641 |
| 50404 | BIGGS-GRIDLEY MEMORIAL HOSP.-CARE | 4321.4 | 0.015 | 0.424 | 0.439 | $ 14,416 |
| 50406 | MAYERS MEMORIAL HOSPITAL MCARE RPT | 4905.9 | 0.040 | 0.524 | 0.564 | $ 16,208 |
| 50407 | CHINESE HOSPITAL | 5983.1 | 0.034 | 0.513 | 0.547 | $ 18,833 |
| 50410 | SANGER GENERAL HOSPITAL | 4572.4 | 0.032 | 0.443 | 0.475 | $ 14,607 |
| 50411 | KAISER FOUNDATION HOSPITALS -HARBOR | 5104.8 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50414 | MERCY HOSPITAL OF FOLSOM | 5033.6 | 0.072 | 0.326 | 0.398 | $ 16,583 |
| 50417 | SUTTER COAST HOSPITAL | 4346.0 | 0.068 | 0.439 | 0.507 | $ 14,357 |
| 50419 | MERCY MEDICAL CENTER MT. SHASTA | 4905.9 | 0.053 | 0.517 | 0.570 | $ 16,206 |
| 50420 | ROBERT F. KENNEDY MEDICAL CENTER | 7318.8 | 0.036 | 0.392 | 0.428 | $ 16,626 |
| 50423 | PALO VERDE HOSPITAL | 5030.7 | 0.053 | 0.390 | 0.443 | $ 15,698 |
| 50424 | GREEN HOSPITAL OF SCRIPPS CLINIC | 5539.0 | 0.042 | 0.408 | 0.450 | $ 16,374 |
| 50425 | KFH - SACRAMENTO | 5398.6 | 0.039 | 0.361 | 0.400 | $ 16,553 |
| 50426 | WEST ANAHEIM MEDICAL CENTER | 5079.2 | 0.024 | 0.242 | 0.266 | $ 15,990 |
| 50427 | AVALON MUNICIPAL HOSPITAL | 5106.9 | 0.039 | 0.610 | 0.649 | $ 16,617 |
| 50430 | MODOC MEDICAL CENTER | 4730.9 | 0.019 | 0.557 | 0.576 | $ 14,357 |
| 50432 | GARFIELD MEDICAL CTR. | 8463.2 | 0.016 | 0.361 | 0.377 | $ 16,611 |
| 50433 | INDIAN VALLEY HOSPITAL | 4346.0 | 0.020 | 0.563 | 0.583 | $ 14,357 |
| 50434 | COLUSA COMMUNITY HOSPITAL | 4730.9 | 0.039 | 0.596 | 0.635 | $ 14,357 |
| 50435 | FALLBROOK DISTRICT HOSPITAL | 5028.5 | 0.024 | 0.374 | 0.398 | $ 16,362 |
| 50438 | HUNTINGTON MEMORIAL HOSPITAL | 6155.8 | 0.028 | 0.332 | 0.360 | $ 16,624 |
| 50440 | HOWARD MEMORIAL HOSPITAL | 4303.8 | 0.049 | 0.433 | 0.482 | $ 14,357 |
| 50441 | STANFORD UNIVERSITY HOSPITAL | 8212.0 | 0.032 | 0.327 | 0.359 | $ 18,195 |
| 50443 | JOHN C. FREMONT HOSPITAL | 4346.0 | 0.027 | 0.518 | 0.545 | $ 14,357 |
| 50444 | SUTTER MERCED MEDICAL CENTER | 6086.4 | 0.033 | 0.340 | 0.373 | $ 14,357 |
| 50446 | TEHACHAPI VALLEY HOSP. DIST. | 4346.0 | 0.051 | 0.974 | 1.025 | $ 14,357 |
| 50447 | VILLA VIEW COMMUNITY HOSPITAL | 7531.8 | 0.068 | 0.374 | 0.442 | $ 16,397 |
| 50448 | RIDGECREST REGIONAL HOSPITAL | 4346.0 | 0.045 | 0.442 | 0.487 | $ 14,357 |
| 50449 | VALLEY COMMUNITY HOSPITAL | 4530.4 | 0.059 | 0.240 | 0.299 | $ 15,110 |
| 50454 | UC SAN FRANCISCO MEDICAL CENTER | 9962.8 | 0.033 | 0.324 | 0.357 | $ 18,838 |
| 50455 | SAN JOAQUIN COMMUNITY HOSPITAL | 5021.5 | 0.022 | 0.352 | 0.374 | $ 14,357 |
| 50456 | GARDENA PHYSICIANS HOSP. INC. | 5057.3 | 0.048 | 0.694 | 0.742 | $ 16,619 |
| 50457 | ST. MARY MEDICAL CENTER | 6681.9 | 0.033 | 0.272 | 0.305 | $ 18,840 |
| 50464 | DOCTORS MEDICAL CENTER OF MODESTO | 5775.5 | 0.018 | 0.361 | 0.379 | $ 14,907 |
| 50468 | MEMORIAL HOSPITAL OF GARDENA | 6576.1 | 0.022 | 0.310 | 0.332 | $ 16,620 |
| 50469 | COLORADO RIVER MEDICAL CENTER | 4817.5 | 0.022 | 0.777 | 0.799 | $ 15,661 |
| 50470 | SELMA DISTRICT HOSPITAL | 4618.3 | 0.022 | 0.615 | 0.637 | $ 14,607 |
| 50471 | GOOD SAMARITAN HOSPITAL | 6314.2 | 0.016 | 0.293 | 0.309 | $ 16,614 |
| 50476 | SUTTER LAKESIDE HOSPITAL | 4346.0 | 0.040 | 0.418 | 0.458 | $ 14,357 |
| 50477 | MIDWAY HOSPITAL MEDICAL CENTER | 5687.7 | 0.052 | 0.234 | 0.286 | $ 16,661 |
| 50478 | SANTA YNEZ VALLEY COTTAGE HOSPITAL | 4574.9 | 0.053 | 0.424 | 0.477 | $ 15,112 |
| 50481 | WEST HILLS REG MEDICAL CENTER | 5065.2 | 0.025 | 0.249 | 0.274 | $ 16,628 |
| 50482 | JEROLD PHELPS COMMUNITY HOSPITAL | 4730.9 | 0.029 | 0.661 | 0.690 | $ 14,357 |
| 50485 | LONG BEACH MEMORIAL MEDICAL CENTER | 6475.2 | 0.038 | 0.401 | 0.439 | $ 16,627 |
| 50488 | EDEN MEDICAL CENTER | 6177.8 | 0.026 | 0.327 | 0.353 | $ 19,642 |
| 50491 | SANTA ANA HOSPITAL MEDICAL CENTER | 5078.2 | 0.129 | 0.371 | 0.500 | $ 16,056 |
| 50492 | CLOVIS COMMUNITY HOSPITAL | 4663.9 | 0.087 | 0.400 | 0.487 | $ 14,606 |
| 50494 | TAHOE FOREST HOSPITAL | 4996.6 | 0.050 | 0.539 | 0.589 | $ 16,507 |
| 50496 | MT. DIABLO MEDICAL CENTER | 6186.0 | 0.032 | 0.265 | 0.297 | $ 19,644 |
| 50497 | DOS PALOS MEMORIAL HOSPITAL | 4303.8 | 0.039 | 0.365 | 0.404 | $ 14,357 |
| 50498 | SUTTER AUBURN FAITH HOSPITAL | 5033.6 | 0.026 | 0.320 | 0.346 | $ 16,545 |
| 50502 | ST. VINCENT MEDICAL CENTER | 6665.5 | 0.031 | 0.297 | 0.328 | $ 16,630 |
| 50503 | SCRIPPS MEMORIAL HOSPITAL-ENCINITAS | 4979.7 | 0.031 | 0.302 | 0.333 | $ 16,374 |
| 50506 | SIERRA VISTA REGIONAL MED CTR | 4935.5 | 0.027 | 0.253 | 0.280 | $ 15,191 |
| 50510 | KFH - SAN RAFAEL | 5977.4 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50512 | KFH - HAYWARD | 6050.0 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50515 | KAISER FOUND. HOSPITALS -SAN DIEGO | 5093.3 | 0.039 | 0.361 | 0.400 | $ 16,376 |
| 50516 | MERCY SAN JUAN HOSPITAL | 5633.1 | 0.025 | 0.243 | 0.268 | $ 16,551 |
| 50517 | VICTOR VALLEY COMMUNITY HOSPITAL | 5987.7 | 0.030 | 0.281 | 0.311 | $ 15,689 |
| 50522 | DOCTORS HOSPITAL OF PINOLE | 5974.6 | 0.023 | 0.261 | 0.284 | $ 19,642 |
| 50523 | SUTTER DELTA MEDICAL CENTER | 7027.7 | 0.029 | 0.303 | 0.332 | $ 19,643 |
| 50526 | HUNTINGTON BEACH MEDICAL CENTER | 5932.9 | 0.033 | 0.248 | 0.281 | $ 16,001 |
| 50528 | MEMORIAL HOSPITAL-LOS BANOS | 4538.5 | 0.031 | 0.292 | 0.323 | $ 14,357 |
| 50531 | BELLFLOWER MEDICAL CENTER | 7475.7 | 0.015 | 0.258 | 0.273 | $ 16,616 |
| 50534 | JOHN F. KENNEDY MEMORIAL HOSP. | 6752.0 | 0.025 | 0.212 | 0.237 | $ 15,692 |
| 50535 | COASTAL COMMUNITIES HOSPITAL | 7877.0 | 0.038 | 0.320 | 0.358 | $ 15,996 |
| 50537 | SUTTER DAVIS HOSPITAL | 4407.9 | 0.080 | 0.284 | 0.364 | $ 14,703 |
| 50539 | REDBUD COMMUNITY HOSPITAL | 4346.0 | 0.036 | 0.359 | 0.395 | $ 14,357 |
| 50541 | KFH - REDWOOD CITY | 5976.1 | 0.039 | 0.361 | 0.400 | $ 19,643 |
| 50542 | KERN VALLEY HOSPITAL DISTRICT | 4346.0 | 0.083 | 0.447 | 0.530 | $ 14,358 |
| 50543 | COLLEGE HOSPITAL COSTA MESA | 7210.1 | 0.026 | 0.260 | 0.286 | $ 15,990 |
| 50545 | LANTERMAN DEVELOPMENTAL CENTER | 5281.0 | 0.039 | 0.687 | 0.726 | $ 16,615 |
| 50546 | PORTERVILLE DEVELOPMENTAL CENTER | 4303.8 | 0.014 | 0.365 | 0.379 | $ 14,357 |
| 50547 | SONOMA DEVELOPMENTAL CENTER | 5387.6 | 0.039 | 0.782 | 0.821 | $ 17,218 |
| 50549 | LOS ROBLES MEDICAL CENTER | 4977.9 | 0.029 | 0.389 | 0.418 | $ 16,586 |
| 50550 | CHAPMAN MEDICAL CENTER | 5626.9 | 0.040 | 0.315 | 0.355 | $ 15,999 |
| 50551 | LOS ALAMITOS MEDICAL CTR. | 4875.4 | 0.027 | 0.255 | 0.282 | $ 15,992 |
| 50552 | MOTION PICTURE AND TELEVISION FUND | 5057.3 | 0.082 | 0.946 | 1.028 | $ 16,624 |
| 50557 | MEMORIAL HOSPITAL MODESTO | 5018.9 | 0.017 | 0.211 | 0.228 | $ 14,907 |
| 50559 | DANIEL FREEMAN MARINA HOSPITAL | 5069.8 | 0.035 | 0.291 | 0.326 | $ 16,634 |
| 50561 | KAISER FOUND. HOSPITAL - WEST LA | 5088.7 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50564 | PACIFICA HOSPITAL | 4863.3 | 0.064 | 0.446 | 0.510 | $ 16,004 |
| 50566 | EASTERN PLUMAS DISTRICT HOSP | 4346.0 | 0.032 | 0.387 | 0.419 | $ 14,357 |
| 50567 | MISSION HOSP REGIONAL MEDICAL CTR | 4873.4 | 0.035 | 0.274 | 0.309 | $ 15,999 |
| 50568 | MADERA COMMUNITY HOSPITAL | 5863.2 | 0.020 | 0.470 | 0.490 | $ 14,607 |
| 50569 | MENDOCINO COAST DISTRICT HOSPITAL | 5133.1 | 0.053 | 0.598 | 0.651 | $ 16,958 |
| 50570 | FOUNTAIN VALLEY REG MEDICAL CENTER | 6380.7 | 0.013 | 0.273 | 0.286 | $ 15,973 |
| 50571 | SUBURBAN MEDICAL CENTER | 8142.0 | 0.038 | 0.230 | 0.268 | $ 16,647 |
| 50573 | EISENHOWER MEMORIAL HOSPITAL | 4779.7 | 0.064 | 0.328 | 0.392 | $ 15,716 |
| 50575 | TRI-CITY REGIONAL MEDICAL CENTER | 6475.1 | 0.039 | 0.365 | 0.404 | $ 16,630 |
| 50577 | SANTA MARTA HOSPITAL | 7722.8 | 0.023 | 0.458 | 0.481 | $ 16,613 |
| 50578 | MARTIN LUTHER KING, JR./DREW MEDICAL | 10471.7 | 0.019 | 0.338 | 0.357 | $ 16,615 |
| 50579 | CENTURY CITY HOSP | 5317.2 | 0.055 | 0.235 | 0.290 | $ 16,664 |
| 50580 | LAPALMA INTERCOMMUNITY HOSPITAL | 5889.6 | 0.033 | 0.257 | 0.290 | $ 15,999 |
| 50581 | LAKEWOOD REGIONAL MED. CTR. | 5585.0 | 0.031 | 0.250 | 0.281 | $ 16,635 |
| 50583 | ALVARADO COMMUNITY HOSPITAL | 5628.4 | 0.035 | 0.245 | 0.280 | $ 16,386 |
| 50584 | US FAMILYCARE MEDICAL CENTER | 5954.8 | 0.043 | 0.239 | 0.282 | $ 15,712 |
| 50585 | SAN CLEMENTE HOSPITAL | 4863.3 | 0.094 | 0.510 | 0.604 | $ 16,016 |
| 50586 | CHINO VALLEY MEDICAL CENTER | 5966.5 | 0.035 | 0.329 | 0.364 | $ 15,689 |
| 50588 | SAN DIMAS COMMUNITY HOSPITAL | 5057.3 | 0.028 | 0.235 | 0.263 | $ 16,634 |
| 50589 | PLACENTIA LINDA COMMUNITY HOSPITAL | 4872.5 | 0.041 | 0.311 | 0.352 | $ 16,000 |
| 50590 | METHODIST HOSPITAL OF SACRAMENTO | 6464.5 | 0.028 | 0.356 | 0.384 | $ 16,544 |
| 50591 | MONTEREY PARK HOSPITAL | 7802.9 | 0.036 | 0.222 | 0.258 | $ 16,646 |
| 50592 | BREA COMMUNITY HOSPITAL | 4876.0 | 0.029 | 0.285 | 0.314 | $ 15,991 |
| 50594 | WESTERN MEDICAL CENTER ANAHEIM | 6282.6 | 0.062 | 0.302 | 0.364 | $ 16,022 |
| 50597 | FOOTHILL PRESBYTERIAN HOSPITAL | 5389.1 | 0.031 | 0.398 | 0.429 | $ 16,622 |
| 50598 | MISSION BAY MEMORIAL HOSPITAL | 4979.7 | 0.027 | 0.352 | 0.379 | $ 16,366 |
| 50599 | UC DAVIS MEDICAL CENTER | 9301.9 | 0.039 | 0.361 | 0.400 | $ 16,553 |
| 50601 | TARZANA ENCINO REGIONAL MED CTR | 5670.2 | 0.028 | 0.361 | 0.389 | $ 16,622 |
| 50603 | SADDLEBACK MEMORIAL MEDICAL CENTER | 4871.2 | 0.026 | 0.387 | 0.413 | $ 15,979 |
| 50604 | KFH - SANTA TERESA | 5536.5 | 0.039 | 0.361 | 0.400 | $ 18,196 |
| 50608 | DELANO REGIONAL MEDICAL CNT. | 6006.5 | 0.029 | 0.266 | 0.295 | $ 14,357 |
| 50609 | KAISER FOUNDATION HOSPITALS -ANAHEIM | 5468.5 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50613 | SETON COASTSIDE HOSPITAL | 5729.5 | 0.039 | 0.365 | 0.404 | $ 18,838 |
| 50615 | GREATER EL MONTE COMMUNITY HOSPITAL | 8024.6 | 0.048 | 0.244 | 0.292 | $ 16,655 |
| 50616 | ST. JOHN'S PLEASANT VALLEY HOSPITAL | 4494.1 | 0.027 | 0.347 | 0.374 | $ 14,992 |
| 50618 | BEAR VALLEY COMMUNITY HOSPITAL | 4817.5 | 0.042 | 0.645 | 0.687 | $ 15,674 |
| 50623 | HIGH DESERT HOSPITAL | 5281.0 | 0.027 | 0.486 | 0.513 | $ 16,615 |
| 50624 | HENRY MAYO NEWHALL MEMORIAL HOSPITAL | 5067.0 | 0.051 | 0.302 | 0.353 | $ 16,647 |
| 50625 | CEDARS-SINAI MEDICAL CENTER | 6622.9 | 0.025 | 0.275 | 0.300 | $ 16,626 |
| 50630 | INLAND VALLEY REGIONAL MEDICAL CENTER | 4770.8 | 0.047 | 0.358 | 0.405 | $ 15,697 |
| 50633 | TWIN CITIES COMMUNITY HOSPITAL | 4553.8 | 0.024 | 0.235 | 0.259 | $ 15,191 |
| 50636 | POMERADO HOSPITAL | 4979.7 | 0.043 | 0.347 | 0.390 | $ 16,380 |
| 50638 | SOUTHERN MONO HEALTH CARE DISTRICT | 4346.0 | 0.098 | 0.863 | 0.961 | $ 14,357 |
| 50641 | EAST LA DOCTOR'S HOSPITAL | 7814.3 | 0.041 | 0.389 | 0.430 | $ 16,630 |
| 50643 | HOSPITAL NAME NOT AVAILABLE | 5710.0 | 0.036 | 0.606 | 0.642 | $ 3,953 |
| 50644 | LOS ANGELES METROPOLITAN MED CNTR | 8106.8 | 0.039 | 0.234 | 0.273 | $ 16,647 |
| 50662 | AGNEWS DEVELOPMENTAL CENTER | 5778.9 | 0.039 | 0.906 | 0.945 | $ 18,184 |
| 50663 | LOS ANGELES COMMUNITY HOSPITAL | 8162.8 | 0.018 | 0.327 | 0.345 | $ 16,615 |
| 50667 | NELSON M. HOLDERMAN | 5042.8 | 0.024 | 1.182 | 1.206 | $ 16,833 |
| 50668 | LAGUNA HONDA HOSPITAL | 5729.5 | 0.022 | 0.998 | 1.020 | $ 18,826 |
| 50670 | NORTH COAST HEALTH CARE CENTERS | 5159.2 | 0.058 | 0.371 | 0.429 | $ 17,201 |
| 50674 | KFH - SOUTH SACRAMENTO | 5474.7 | 0.039 | 0.361 | 0.400 | $ 16,553 |
| 50676 | SURPRISE VALLEY COMM HOSPITAL | 4346.0 | 0.062 | 0.804 | 0.866 | $ 14,357 |
| 50677 | KAISER FOUND. HOSP. - WOODLAND HILLS | 5392.0 | 0.039 | 0.361 | 0.400 | $ 16,631 |
| 50678 | ORANGE COAST MEMORIAL MEDICAL CENTER | 4867.4 | 0.033 | 0.452 | 0.485 | $ 15,981 |
| 50680 | VACAVALLEY HOSPITAL | 5042.8 | 0.034 | 0.218 | 0.252 | $ 16,815 |
| 50682 | KINGSBURG MEDICAL CENTER | 4572.4 | 0.086 | 0.361 | 0.447 | $ 14,606 |
| 50684 | MENIFEE VALLEY MEDICAL CENTER | 4770.8 | 0.048 | 0.265 | 0.313 | $ 15,712 |
| 50685 | SOUTH VALLEY HOSPITAL | 5534.0 | 0.027 | 0.427 | 0.454 | $ 18,188 |
| 50686 | KAISER FOUND. HOSPITALS - RIVERSIDE | 5140.1 | 0.039 | 0.361 | 0.400 | $ 15,993 |
| 50688 | SAINT LOUISE HOSPITAL | 5534.0 | 0.089 | 0.417 | 0.506 | $ 18,214 |
| 50689 | SAN RAMON REG. MEDICAL CENTER | 5981.9 | 0.087 | 0.308 | 0.395 | $ 19,651 |
| 50690 | KFH - SANTA ROSA | 5161.2 | 0.039 | 0.361 | 0.400 | $ 17,208 |
| 50693 | IRVINE MEDICAL CENTER | 5021.5 | 0.129 | 0.300 | 0.429 | $ 16,073 |
| 50694 | MORENO VALLEY COMMUNITY HOSPITAL | 4981.7 | 0.063 | 0.278 | 0.341 | $ 15,725 |
| 50695 | ST. DOMINIC'S HOSPITAL | 4540.3 | 0.072 | 0.380 | 0.452 | $ 15,144 |
| 50696 | USC UNIVERSITY HOSPITAL | 6232.7 | 0.071 | 0.278 | 0.349 | $ 16,669 |
| 50697 | PATIENT'S HOSPITAL OF REDDING | 4858.2 | 0.076 | 0.486 | 0.562 | $ 16,202 |
| 50699 | REDDING SPECIALTY HOSPITAL | 4858.2 | 0.060 | 0.533 | 0.593 | $ 16,205 |
| 50701 | SHARP HEALTHCARE MURRIETA | 4979.7 | 0.045 | 0.370 | 0.415 | $ 16,380 |
| 50704 | MISSION COMMUNITY HOSPITAL | 7949.1 | 0.030 | 0.369 | 0.399 | $ 16,623 |
| 50707 | RECOVERY INN OF MENLO PARK | 5729.5 | 0.113 | 0.749 | 0.862 | $ 18,844 |
| 50708 | FRESNO SURGERY CENTER | 4378.7 | 0.100 | 0.498 | 0.598 | $ 14,607 |
| 50709 | DESERT VALLEY HOSPITAL | 4770.8 | 0.057 | 0.312 | 0.369 | $ 15,712 |
| 50710 | KFH - FRESNO | 4379.7 | 0.036 | 0.361 | 0.397 | $ 14,607 |
| 50713 | LINCOLN HOSPITAL MEDICAL CENTER | 5281.0 | 0.036 | 0.491 | 0.527 | $ 16,621 |
| 50714 | SUTTER MATERNITY & SURGERY CENTER | 5726.4 | 0.039 | 0.776 | 0.815 | $ 19,120 |
| 50717 | RANCHO LOS AMIGOS NATL. REHAB. CTR. | 7608.2 | 0.040 | 0.405 | 0.445 | $ 16,628 |
| 50718 | VALLEY PLAZA DOCTORS HOSPITAL | 4981.7 | 0.036 | 0.361 | 0.397 | $ 15,687 |
| 50719 | THE HEART HOSPITAL | 4770.8 | 0.039 | 0.365 | 0.404 | $ 15,689 |
| 50720 | TUSTIN HOSPITAL & MEDICAL CENTER | 5078.2 | 0.039 | 0.361 | 0.400 | $ 15,993 |
| 50721 | HOSPITAL NAME NOT AVAILABLE | 5057.3 | 0.036 | 0.382 | 0.418 | $ 16,627 |
| 50722 | HOSPITAL NAME NOT AVAILABLE | 4979.7 | 0.036 | 0.365 | 0.401 | $ 16,373 |
| 50723 | HOSPITAL NAME NOT AVAILABLE | 5057.3 | 0.036 | 0.365 | 0.401 | $ 16,628 |
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