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Short Term Acute Care HospitalProprietary

La Palma Intercommunity Hospital

Prime Healthcare Services · La Palma, CA

7901 Walker Street, La Palma, CA 90623(714) 670-7400

3 of 5

CMS star rating

138

Beds

3,771

Inpatient discharges a year

$75M

Net patient revenue a year

14

In-network payers

About this hospital

La Palma Intercommunity Hospital is a 138-bed proprietary hospital in La Palma, CA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 14 in-network payers and 52 disclosed rate categories.

  • Disproportionate share hospital
CCN
050580
NPI
1417965559
Health system
Prime Healthcare Services
Teaching
No Medicare-funded residents
County
Orange County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1972
Last CMS survey
2017

Prices for common services

The 24 services La Palma Intercommunity Hospital 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.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,856 - $10,587

from 2 insurers · median $8,721

Aetna$10,587
Insurer A*$6,856

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,571 - $13,834

from 2 insurers · median $11,703

Aetna$13,834
Insurer A*$9,571

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$6,856 - $10,587

from 2 insurers · median $8,721

Aetna$10,587
Insurer A*$6,856

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Uterine and adnexa procedure for non-malignancy without CC or MCC

MS-DRG 743

$12,260 - $18,801

from 2 insurers · median $15,531

Aetna$18,801
Insurer A*$12,260
Medicare $8,362Nearby hospitals $24,18236% below nearby hospitals

Hospital reports inpatient surgical services to CMS

How the insurers pay at La Palma Intercommunity Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
160%
218
Insurer B*21
75%
018

How we chose these services: 0 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 8 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 La Palma Intercommunity Hospital, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
CenteneHealthNetHealth SmartKaiser PermanenteLuminare HealthMagnaCare

More about this hospital

  • Quality

    3 of 5 stars

    • 204 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.29%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 18 services
    • 94 affiliated clinicians
    See doctors and services
  • Finances

    $75M net patient revenue

    • Operating margin on patient care 12.9%
    • $6.9M unreimbursed and uncompensated care
    • $10.1M net income
    See finances
  • Ownership and leadership

    Owned by Prime Healthcare Foundation Inc

    • Private (for profit)
    • Ayman Mousa, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-5253134La Palma Intercommunity Hospital30Aetna, Ambetter, AmeriBen, Asuris Northwest Health, BCBS and 25 more1417965559 Prime Healthcare La Palma LLC1386947836 Prime Healthcare La Palma LLC

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

7901 Walker Street, La Palma, CA 90623

(714) 670-7400

Get directions

Frequently asked questions

About La Palma Intercommunity Hospital's rates and hospital price transparency.

How much does an MRI cost at La Palma Intercommunity Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at La Palma Intercommunity Hospital range from $379 to $447 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $447. The median at nearby comparable hospitals is $747. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at La Palma Intercommunity Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at La Palma Intercommunity Hospital range from $296 to $503 across 2 insurers. Aetna's rate is $503. The median at nearby comparable hospitals is $1,266. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at La Palma Intercommunity Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at La Palma Intercommunity Hospital range from $497 to $1,957 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $497. The median at nearby comparable hospitals is $2,896. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at La Palma Intercommunity Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at La Palma Intercommunity Hospital range from $6,856 to $10,587 across 2 insurers. Aetna's rate is $10,587. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at La Palma Intercommunity Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at La Palma Intercommunity Hospital range from $108 to $200 across 2 insurers. Aetna's rate is $200. The median at nearby comparable hospitals is $692. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is La Palma Intercommunity Hospital's CMS star rating?

La Palma Intercommunity Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is La Palma Intercommunity Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at La Palma Intercommunity Hospital for fiscal year 2027.

Does Medicare penalize La Palma Intercommunity Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts La Palma Intercommunity Hospital's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at La Palma Intercommunity Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (197 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (60 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc (38 discharges).

What is La Palma Intercommunity Hospital's case mix index?

La Palma Intercommunity Hospital's Medicare case mix index is 1.51 for fiscal year 2027, higher than 29% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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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