PIH Health · Downey, CA
32
In-network payers
289
Disclosed rate categories
199
Beds
4
Care quality
Pih Hospital - Downey is a 199-bed voluntary non-profit - private hospital in Downey, CA, affiliated with PIH Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 289 disclosed rate categories.
CCN (Medicare provider number)
050393
NPI
1265433551
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
199
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Pih Hospital - Downey 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.
Childbirth · Inpatient
MS-DRG 807
$7,752 - $15,455
from 3 insurers · median $9,628
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,727 - $21,162
from 3 insurers · median $13,692
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$139,698 - $231,189
from 2 insurers · median $185,444
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$7,752 - $15,455
from 3 insurers · median $9,628
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$1,170 - $6,157
from 3 insurers · median $1,231
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$47,554 - $89,681
from 2 insurers · median $68,618
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$34,862 - $60,534
from 2 insurers · median $47,698
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 43239
$1,253 - $2,621
from 3 insurers · median $2,450
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$833 - $6,157
from 3 insurers · median $1,597
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,389 - $3,438
from 3 insurers · median $2,450
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,869 - $16,549
from 4 insurers · median $8,735
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$4,837 - $11,246
from 3 insurers · median $5,503
19 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,389 - $3,438
from 3 insurers · median $2,450
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,198 - $6,157
from 3 insurers · median $4,729
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$741 - $6,157
from 3 insurers · median $859
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,426 - $6,157
from 3 insurers · median $4,971
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $407
from 3 insurers · median $339
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,389 - $2,639
from 3 insurers · median $2,450
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,120 - $25,720
from 3 insurers · median $10,350
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$132 - $276
from 3 insurers · median $226
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$573 - $718
from 2 insurers · median $645
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $1,349
from 3 insurers · median $1,132
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 94726
$110 - $6,157
from 2 insurers · median $3,133
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$312
negotiated rate
Common here, based on CMS Medicare volume
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* | 23 | 304% | 4 | 6 |
| Insurer B* | 15 | 258% | 13 | 1 |
| Insurer C* | 7 | 183% | 2 | 0 |
| Insurer D* | 21 | 148% | 6 | 10 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 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 Pih Hospital - Downey.
11500 Brookshire Avenue, Downey, CA 90241
(526) 904-5000
The nearest hospitals of similar type and size. Their rates are compared with Pih Hospital - Downey for the same insurers and services above.
L.A. Co. - Rancho Los Amigos Hospital
▲ Rates typically 14% higher than Pih Hospital - Downey (13 services)
Coast Plaza Doctors Hospital
▼ Rates typically 9% lower than Pih Hospital - Downey (17 services)
St Francis Medical Center - Lynwood
▼ Rates typically 46% lower than Pih Hospital - Downey (16 services)
Lakewood Regional Medical Center
▲ Rates typically 78% higher than Pih Hospital - Downey (21 services)
Beverly Hospital
▼ Rates typically 8% lower than Pih Hospital - Downey (21 services)
Martin Luther King Jr Community Hospital
▼ Rates typically 44% lower than Pih Hospital - Downey (21 services)
Downey Medical Center
Presbyterian Intercommunity Hospital
Good Samaritan Hospital - Los Angeles
Arrowhead Regional Medical Center
About Pih Hospital - Downey's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pih Hospital - Downey range from $792 to $1,349 across 3 insurers. Aetna's rate is $1,349. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pih Hospital - Downey range from $1,170 to $6,157 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,231. The median at nearby comparable hospitals is $1,006. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Pih Hospital - Downey range from $1,389 to $3,438 across 3 insurers. UnitedHealthcare's rate is $2,450. The median at nearby comparable hospitals is $1,719. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Pih Hospital - Downey range from $7,752 to $15,455 across 3 insurers. Cigna's rate is $9,628. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pih Hospital - Downey range from $312 to $312 across 1 insurers. Aetna's rate is $312. The median at nearby comparable hospitals is $440. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pih Hospital - Downey has 199 beds. Facility type: Short Term Acute Care Hospital.
Pih Hospital - Downey is located at 11500 Brookshire Avenue, Downey, CA 90241. Its main phone number is (526) 904-5000.
Pih Hospital - Downey's CMS Certification Number (CCN), also called its Medicare provider number, is 050393.
The National Provider Identifier (NPI) on file for Pih Hospital - Downey is 1265433551.
Pih Hospital - Downey is affiliated with PIH Health.
Pih Hospital - Downey lists 32 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.
289 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.
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{
"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