University of California Health · San Diego, CA
302
Beds
3,946
Inpatient discharges a year
$105.3M
Net patient revenue a year
27
In-network payers
East Campus Medical Center At Uc San Diego Health is a 302-bed proprietary hospital in San Diego, CA, affiliated with University of California Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 247 disclosed rate categories.
The 24 services East Campus Medical Center At Uc San Diego Health most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
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Medicine & Surgery · Inpatient
MS-DRG 216
$57,068 - $93,713
from 2 insurers · median $75,390
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$11,252
negotiated rate
26 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 473
$14,241
negotiated rate
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$7,238
negotiated rate
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$281 - $600
from 2 insurers · median $441
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $2,763
from 2 insurers · median $1,656
Typical for a hospital with this service line
CT imaging
CPT 74177
$496
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$732
negotiated rate
Typical for a hospital with this service line
Urology
CPT 52000
$572 - $8,379
from 2 insurers · median $4,476
Typical for a hospital with this service line
MRI imaging
CPT 73721
$393 - $1,136
from 2 insurers · median $764
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $757
from 2 insurers · median $579
Typical for a hospital with this service line
Urology
CPT 50590
$3,500 - $8,379
from 2 insurers · median $5,940
Typical for a hospital with this service line
Ultrasound
CPT 76856
$158 - $466
from 2 insurers · median $312
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$790
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $154
from 2 insurers · median $133
Typical for a hospital with this service line
CT imaging
CPT 71260
$468
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72197
$757 - $824
from 2 insurers · median $791
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 72131
$376 - $383
from 2 insurers · median $379
Typical for a hospital with this service line
Ultrasound
CPT 76830
$134 - $180
from 2 insurers · median $157
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $685
from 2 insurers · median $437
Typical for a hospital with this service line
X-ray and bone density
CPT 73610
$42 - $207
from 2 insurers · median $125
Typical for a hospital with this service line
Laboratory and pathology
CPT 80048
$3 - $124
from 2 insurers · median $64
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 290% | 5 | 10 |
| Insurer B* | 22 | 115% | 4 | 7 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for East Campus Medical Center At Uc San Diego Health, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Medicare readmissions penalty (-0.14%)
See quality ratingsDoctors and services
No Medicare-funded residents
Finances
$105.3M net patient revenue
The employer identification numbers (EINs) health plans and networks list for East Campus Medical Center At Uc San Diego Health in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 20-5683387Alvarado Hospital LLC | 42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans and 37 more | 1265468946 Alvarado Hospital LLC1962438200 Alvarado Hospital LLC1437627312 Alvarado Hospital LLCand 1 more |
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.
6655 Alvarado Road, San Diego, CA 92120
(619) 229-3172
How Medicare adjusts East Campus Medical Center At Uc San Diego Health's inpatient payments for its readmissions, quality and cost results.
-0.14% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
-0.86% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What East Campus Medical Center At Uc San Diego Health reported to Medicare in its latest cost report, covering Jan 1, 2023 to Dec 10, 2023.
3,946
Inpatient discharges
Medicare 23%, Medicaid 5%
19,857
Inpatient days
26% of available bed days used
459
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841575). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges East Campus Medical Center At Uc San Diego Health reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,332 | 1,431 | 14,094 | 19,857 |
| Discharges | 897 | 193 | 2,856 | 3,946 |
| Average length of stay | 4.8 days | 7.4 days | 4.9 days | 5.0 days |
| Average daily census | 12.6 | 4.2 | 41.0 | 57.7 |
2,533
Medicare Advantage days
490 discharges
8,769
Medicaid managed care days
1,449 discharges
274
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 198 | 17,110 | 3,652 | 25% |
| Intensive care unit | 24 | 2,747 | 680 | 33% |
| Subprovider - ipf | 30 | 8,173 | 3,136 | 79% |
| Subprovider - irf | 50 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income East Campus Medical Center At Uc San Diego Health reported to Medicare for Jan 1, 2023 to Dec 10, 2023. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $426.1M | 404.6% |
| Inpatient | $276.5M | 262.6% |
| Outpatient | $149.6M | 142.0% |
| Contractual allowances and discounts | -$320.8M | -304.6% |
| Net patient revenue | $105.3M | 100.0% |
| Operating expenses | -$124.1M | -117.9% |
| Operating income from patient care | -$18.8M | -17.9% |
| Other income | $6.3M | 6.0% |
| Contributions and donations | $5.8M | 5.5% |
| Other | $498,094 | 0.5% |
| Net income | -$12.5M | -11.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $73.4M | 17.2% |
| Medicaid (including managed care) | $145.3M | 34.1% |
| Other payers and self-pay | $207.5M | 48.7% |
| Total charges | $426.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from East Campus Medical Center At Uc San Diego Health's latest cost report.
-17.9%
Operating margin
Operating income from patient care / net patient revenue
-11.2%
Total margin
Net income / net patient revenue plus other income
-6.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.46
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-34.3%
Return on assets
Net income for a year / total assets
-663572493.5%
Return on equity
Net income for a year / fund balance
1.03
Current ratio
Current assets / current liabilities
0.23
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
26 days
Days in patient receivables
Net patient receivables / daily net patient revenue
111 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
3.06
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What East Campus Medical Center At Uc San Diego Health owned and owed at the end of its reporting period (Dec 2023), across all fund types: $38.7M in total assets and a $2 fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $646,096 | 1.7% |
| Patient receivables, net | $8M | 20.8% |
| Total current assets | $38.7M | 100.0% |
| Total assets | $38.7M | 100.0% |
| Current liabilities | $37.7M | 97.3% |
| Total liabilities | $38.7M | 100.0% |
| Fund balance (net assets) | $2 | 0.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care East Campus Medical Center At Uc San Diego Health provided without full payment, as reported on Worksheet S-10 of its cost report.
$192,240
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.4M
Bad debt
Patient bills written off as uncollectible, at charges
$18.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7.9M
Total unreimbursed and uncompensated care
6.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
East Campus Medical Center At Uc San Diego Health's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 |
|---|---|---|---|---|---|
| Net patient revenue | $108.5M | $116M | $119M | $110.5M | $105.3M |
| Operating expenses | $122.2M | $125.1M | $134M | $135.9M | $124.1M |
| Operating margin | -12.6% | -7.8% | -12.6% | -23.0% | -17.9% |
| Net income | -$18.9M | -$14.4M | -$12.5M | -$22M | -$12.5M |
| Total assets | $131.2M | $123.5M | $128.5M | $124.3M | $38.7M |
| Discharges | 4,778 | 4,852 | 4,896 | 5,232 | 3,946 |
| Inpatient days | 21,398 | 22,900 | 24,030 | 24,472 | 19,857 |
| Medicare Advantage days | 1,925 | 2,698 | 3,396 | 3,713 | 2,533 |
| Beds | 306 | 306 | 306 | 306 | 302 |
| Employees (FTE) | 554 | 568 | 545 | 508 | 459 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center East Campus Medical Center At Uc San Diego Health reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $4.9M | $11.2M | $57.8M | 0.19 | 22,718 |
| Operating room | $2.6M | $6.4M | $54.7M | 0.12 | 14,939 |
| Drugs charged to patients | $6.3M | $40.6M | 0.16 | ||
| Medical supplies charged to patient | $5.5M | $29.4M | 0.19 | ||
| Laboratory | $2.2M | $4.8M | $45.2M | 0.11 | 3,812 |
| Impl. dev. charged to patients | $4.1M | $31.9M | 0.13 | ||
| Radiology-diagnostic | $1.1M | $3M | $8.3M | 0.36 | 8,563 |
| Endoscopy | $887,565 | $2.7M | $5.4M | 0.50 | 10,737 |
| Respiratory therapy | $1.4M | $2.5M | $10.2M | 0.25 | 3,080 |
| Physical therapy | $740,813 | $2.1M | $1.8M | 1.18 | 8,760 |
| Cardiac catheterization | $383,012 | $1.8M | $7.4M | 0.24 | 2,428 |
| Ct scan | $497,468 | $1.2M | $26M | 0.05 | 415 |
| Ultrasound | $576,253 | $935,981 | $2.5M | 0.37 | 348 |
| Radioisotope | $256,489 | $797,065 | $1.4M | 0.56 | 1,202 |
| Electrocardiology | $365,862 | $640,365 | $7.9M | 0.08 | 634 |
| Speech pathology | $125,907 | $640,323 | $287,258 | 2.23 | 4,144 |
| Renal dialysis | $623,256 | $2.1M | 0.30 | 116 | |
| Occupational therapy | $143,492 | $560,830 | $343,552 | 1.63 | 3,012 |
| Observation beds (non-distinct part | $427,536 | $439,647 | 0.97 | ||
| Blood storing processing & trans. | $305,931 | $2.6M | 0.12 | ||
| Laboratory - pathological | $71,229 | $296,613 | $383,935 | 0.77 | 1,745 |
| Mri | $106,481 | $231,229 | $3M | 0.08 | 655 |
| Wound care | $24,392 | $118,505 | $2M | 0.06 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $8.9M | $27.1M | $47M | 0.58 | 68,868 |
| Subprovider - ipf | $4M | $9.3M | $20.4M | 0.46 | 10,737 |
| Intensive care unit | $3.3M | $7.7M | $16.9M | 0.46 | 5,421 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.6M | $14.6M | 150,176 | $37.48 | 16,716 |
| Operation of plant | $1.2M | $6.7M | 39,129 | $30.57 | 37,614 |
| Cap rel costs-bldg & fixt | $4.5M | 268,402 | |||
| Cap rel costs-mvble equip | $3.6M | ||||
| Housekeeping | $2.2M | $3.4M | 96,974 | $22.28 | 3,179 |
| Pharmacy | $1.9M | $2.6M | 34,396 | $55.50 | 2,806 |
| Employee benefits department | $854,873 | $2.2M | 22,698 | $37.66 | 1,247 |
| Medical records & library | $370,624 | $1.4M | 13,166 | $28.15 | 2,057 |
| Cafeteria | $1.4M | 25,403 | $25.34 | ||
| Maintenance & repairs | $1.4M | 459 | |||
| Nursing administration | $1.2M | $1.4M | 17,526 | $66.35 | 6,592 |
| Dietary | $1.4M | $1.1M | 27,973 | $25.34 | 9,156 |
| Social service | $863,057 | $1.1M | 19,904 | $43.36 | |
| Laundry & linen service | $524,630 | ||||
| Central services & supply | $220,164 | $364,237 | 8,352 | $26.36 | 5,220 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841575, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays East Campus Medical Center At Uc San Diego Health for an inpatient stay.
2.04
Case mix index
Higher than 81% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
71.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
155
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 2.16 | 2.15 | 2.03 | 1.92 | 1.97 | 2.04 |
| Wage index | 1.275 | 1.269 | 1.274 | 1.519 | 1.451 | 1.431 |
| Readmissions adjustment | -0.06% | -0.07% | -0.09% | -0.05% | -0.03% | -0.14% |
| Value-based purchasing adjustment | -0.11% | -0.38% | -0.38% | +0.25% | -0.45% | -0.86% |
| Medicare inpatient stays | 1,668 | 1,668 | 1,541 | 1,479 | 1,047 | 155 |
Source: CMS IPPS final rule Impact File (FY 2026).
Organizations East Campus Medical Center At Uc San Diego Health reports to Medicare as owners or with operational control.
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
Alvarado hospital psych
CCN 05S757, certified 2019, Medicare prospective payment
Alvarado rehab center
CCN 05T757, certified 2007, Medicare prospective payment
Alvarado hospital medical center
CCN 05U757, certified 2021, Medicare prospective payment
Source: Worksheet S-2 Part I of East Campus Medical Center At Uc San Diego Health's latest Medicare cost report (HCRIS).
About East Campus Medical Center At Uc San Diego Health's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at East Campus Medical Center At Uc San Diego Health range from $393 to $1,136 across 2 insurers. UnitedHealthcare's rate is $393. The median at nearby comparable hospitals is $684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at East Campus Medical Center At Uc San Diego Health range from $281 to $600 across 2 insurers. Aetna's rate is $600. The median at nearby comparable hospitals is $905. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at East Campus Medical Center At Uc San Diego Health range from $790 to $790 across 1 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $820. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at East Campus Medical Center At Uc San Diego Health range from $11,252 to $11,252 across 1 insurers. UnitedHealthcare's rate is $11,252. The median at nearby comparable hospitals is $29,898. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at East Campus Medical Center At Uc San Diego Health for fiscal year 2026.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts East Campus Medical Center At Uc San Diego Health's base inpatient payments by an estimated 0.14% in fiscal year 2026 for more readmissions than expected.
East Campus Medical Center At Uc San Diego Health's Medicare case mix index is 2.04 for fiscal year 2026, higher than 81% of hospitals paid under the inpatient prospective payment system.
East Campus Medical Center At Uc San Diego Health reported 3,946 inpatient discharges and 19,857 inpatient days from Jan 1, 2023 to Dec 10, 2023.
East Campus Medical Center At Uc San Diego Health reported 459 full-time-equivalent employees on payroll from Jan 1, 2023 to Dec 10, 2023.
East Campus Medical Center At Uc San Diego Health reported $105.3M in net patient revenue on $426.1M of gross charges for Jan 1, 2023 to Dec 10, 2023, an operating margin of -17.9%, and net income of -$12.5M.
East Campus Medical Center At Uc San Diego Health reported $7.9M of unreimbursed and uncompensated care for Jan 1, 2023 to Dec 10, 2023, including $192,240 of charity care at cost.
Insurers' price transparency files list East Campus Medical Center At Uc San Diego Health under employer identification number 20-5683387 (Alvarado Hospital LLC). 42 health plans and networks list 20-5683387 for it.
CMS lists 31 services at East Campus Medical Center At Uc San Diego Health, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
East Campus Medical Center At Uc San Diego Health has 302 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
East Campus Medical Center At Uc San Diego Health is located at 6655 Alvarado Road, San Diego, CA 92120. Its main phone number is (619) 229-3172.
East Campus Medical Center At Uc San Diego Health's CMS Certification Number (CCN), also called its Medicare provider number, is 050757.
The National Provider Identifier (NPI) on file for East Campus Medical Center At Uc San Diego Health is 1265468946.
East Campus Medical Center At Uc San Diego Health is affiliated with University of California Health.
East Campus Medical Center At Uc San Diego Health lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
247 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers