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Childrens HospitalVoluntary Non-Profit - Private

Childrens Hospital At Mission

CHOC Childrens ยท Mission Viejo, CA

27700 Medical Center Road, Mission Viejo, CA 92691(949) 365-2408

Not rated by CMS

CMS star rating

54

Beds

33

In-network payers

About this hospital

Childrens Hospital At Mission is a 54-bed voluntary non-profit - private hospital in Mission Viejo, CA, affiliated with CHOC Childrens. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 200 disclosed rate categories.

CCN
053306
NPI
1699868398
Website
choc.org
Health system
CHOC Childrens
County
Orange County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1993
Last CMS survey
2020

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Childrens Hospital At Mission in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
33-0528802Childrens Hospital At Mission49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1699868398 Children's Hospital At Mission1003956913 Mission Hospital Regional Medical Center

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

27700 Medical Center Road, Mission Viejo, CA 92691

(949) 365-2408

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Frequently asked questions

About Childrens Hospital At Mission's rates and hospital price transparency.

What is Childrens Hospital At Mission's tax ID (EIN)?

Insurers' price transparency files list Childrens Hospital At Mission under employer identification number 33-0528802 (Childrens Hospital At Mission). 49 health plans and networks list 33-0528802 for it.

Is Childrens Hospital At Mission accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Childrens Hospital At Mission, effective 2020.

Who owns Childrens Hospital At Mission?

In its Medicare enrollment, Childrens Hospital At Mission reports Rady Children's Health as 5% or greater direct ownership interest (100%).

What services does Childrens Hospital At Mission offer?

CMS lists 34 services at Childrens Hospital At Mission, including Anesthesia, Audiology, Burn Care Unit, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy.

How many beds does Childrens Hospital At Mission have?

Childrens Hospital At Mission has 54 beds. Facility type: Childrens Hospital.

Where is Childrens Hospital At Mission and what is its phone number?

Childrens Hospital At Mission is located at 27700 Medical Center Road, Mission Viejo, CA 92691. Its main phone number is (949) 365-2408.

What is Childrens Hospital At Mission's CCN (Medicare provider number)?

Childrens Hospital At Mission's CMS Certification Number (CCN), also called its Medicare provider number, is 053306.

What is Childrens Hospital At Mission's NPI number?

The National Provider Identifier (NPI) on file for Childrens Hospital At Mission is 1699868398.

What health system is Childrens Hospital At Mission part of?

Childrens Hospital At Mission is affiliated with CHOC Childrens.

Which insurance plans are in network at Childrens Hospital At Mission?

Childrens Hospital At Mission lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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