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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Providence Holy Cross Medical Center

Providence Saint Joseph Health · Mission Hills, CA

15031 Rinaldi Street, Mission Hills, CA 91345(818) 365-8051

4 of 5

CMS star rating

337

Beds

15,614

Inpatient discharges a year

$623.5M

Net patient revenue a year

37

In-network payers

About this hospital

Providence Holy Cross Medical Center is a 337-bed voluntary non-profit - church hospital in Mission Hills, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 374 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050278
NPI
1477587632
Health system
Providence Saint Joseph Health
Teaching
No Medicare-funded residents
County
Los Angeles County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction F, Noridian Healthcare Solutions (02001)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Providence Holy Cross Medical Center 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

$8,667 - $16,283

from 4 insurers · median $13,564

UnitedHealthcare$14,283
Insurer A*$8,667
Insurer B*$12,845
Insurer C*$16,283

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

Cesarean delivery, hospital stay

MS-DRG 788

$11,585 - $19,095

from 4 insurers · median $16,405

UnitedHealthcare$18,552
Insurer A*$11,585
Insurer B*$14,257
Insurer C*$19,095

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,962 - $6,218

from 4 insurers · median $5,421

Aetna$6,218
Insurer A*$3,962
Insurer B*$4,806
Insurer C*$6,035
Medicare $4,254Nearby hospitals $5,1176% above nearby hospitals

15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,667 - $16,283

from 4 insurers · median $13,564

UnitedHealthcare$14,283
Insurer A*$8,667
Insurer B*$12,845
Insurer C*$16,283

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

How the insurers pay at Providence Holy Cross Medical Center

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
341%
108
Insurer B*24
318%
22
Insurer C*23
235%
107
Insurer D*24
222%
57

How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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 Providence Holy Cross Medical Center, 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
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 154 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.49%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 24 services
    • 383 affiliated clinicians
    See doctors and services
  • Finances

    $623.5M net patient revenue

    • Operating margin on patient care 0.3%
    • $39.9M unreimbursed and uncompensated care
    • $18.2M net income
    See finances
  • Ownership and leadership

    Owned by Providence Health System-southern California

    • Church
    • Darryl Elmouchi, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Providence Holy Cross Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-4582647Providence Holy Cross Medical Center59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1477587632 Providence Health System - Southern California1902824758 Providence Health System - Southern California1750309837 Providence Health System - Southern Californiaand 58 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.

Location

15031 Rinaldi Street, Mission Hills, CA 91345

(818) 365-8051

Get directions

Frequently asked questions

About Providence Holy Cross Medical Center's rates and hospital price transparency.

How much does an MRI cost at Providence Holy Cross Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence Holy Cross Medical Center range from $362 to $2,623 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,623. The median at nearby comparable hospitals is $1,600. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Providence Holy Cross Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Providence Holy Cross Medical Center range from $454 to $1,407 across 4 insurers. Cigna's rate is $1,407. The median at nearby comparable hospitals is $1,701. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Providence Holy Cross Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Providence Holy Cross Medical Center range from $3,094 to $6,218 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,463. The median at nearby comparable hospitals is $3,842. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Providence Holy Cross Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Providence Holy Cross Medical Center range from $8,667 to $16,283 across 4 insurers. UnitedHealthcare's rate is $14,283. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Providence Holy Cross Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence Holy Cross Medical Center range from $160 to $325 across 4 insurers. Aetna's rate is $172. The median at nearby comparable hospitals is $308. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Providence Holy Cross Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Providence Holy Cross Medical Center range from $25,238 to $39,333 across 4 insurers. Aetna's rate is $39,333. The median at nearby comparable hospitals is $31,332. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Providence Holy Cross Medical Center's CMS star rating?

Providence Holy Cross Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Providence Holy Cross Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Providence Holy Cross Medical Center for fiscal year 2027.

Does Medicare penalize Providence Holy Cross Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Providence Holy Cross Medical Center's base inpatient payments by an estimated 0.49% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Providence Holy Cross Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (434 discharges), acute myocardial infarction, discharged alive with mcc (188 discharges), heart failure and shock with mcc (138 discharges).

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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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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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