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Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.5. Application of the Official Medical Fee Schedule (Treatment)

New query

§9792. Determination of the Fee.
APPENDIX A: Hospital Composite Factors and Cost to Charge Rations


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

HISTORY

1. Amendment filed 4-11-79; designated effective 7-1-79 (Register 79, No. 15).

2. Amendment filed 8-14-81; effective thirtieth day thereafter (Register 81, No. 33).

3. Amendment filed 11-5-82; designated effective 1-1-83 (Register 82, No. 45).

4. Amendment filed 11-23-83; effective thirtieth day thereafter (Register 83, No. 48).

5. Amendment filed 8-29-84; effective thirtieth day thereafter (Register 84, No. 35).

6. Editorial correction (Register 84, No. 48).

7. Amendment filed 1-10-85; effective upon filing pursuant to Government Code section 11346.2(d) (Register 85, No. 2).

8. Amendment filed 7-1-87; operative 7-1-87 (Register 87, No. 28).

9. Amendment of section and Note filed 10-7-93; operative 1-1-94 (Register 93, No. 41). This filing is exempt from much of the APA (including OAL review) pursuant to Government Code section 11351.

10. Amendment filed 2/23/99; Effective 4/1/99.

11. Amendment of section and repealer and new Appendices A and B filed 5-30-2001; operative 6-29-2001. Submitted to OAL for printing only pursuant to Government Code section 11340.9(g) (Register 2001, No. 23).

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