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Childrens HospitalVoluntary Non-Profit - Other

Radys Childrens Hospital Of San Diego

Rady Childrens Hospital ยท San Diego, CA

3020 Childrens Way, San Diego, CA 92123(858) 576-1700

Not rated by CMS

CMS star rating

444

Beds

19,055

Inpatient discharges a year

$1.7B

Net patient revenue a year

33

In-network payers

About this hospital

Radys Childrens Hospital Of San Diego is a 444-bed voluntary non-profit - other hospital in San Diego, CA, affiliated with Rady Childrens Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 210 disclosed rate categories.

  • 340B participant
CCN
053303
NPI
1710065933
Website
rchsd.org
Health system
Rady Childrens Hospital
County
San Diego County
Metro area
San Diego-Chula Vista-Carlsbad, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1984
Last CMS survey
2017

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 III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very High

Aetna

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-1691313Rady Childrens Hospital - San Diego69Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 64 more1710065933 Rady Children's Hospital San Diego1114091055 Rady Children's Hospital San Diego1669617197 Rady Children's Hospital San Diegoand 59 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

3020 Childrens Way, San Diego, CA 92123

(858) 576-1700

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Frequently asked questions

About Radys Childrens Hospital Of San Diego's rates and hospital price transparency.

How many patients does Radys Childrens Hospital Of San Diego admit?

Radys Childrens Hospital Of San Diego reported 19,055 inpatient discharges and 102,203 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Radys Childrens Hospital Of San Diego have?

Radys Childrens Hospital Of San Diego reported 4,163 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Radys Childrens Hospital Of San Diego make?

Radys Childrens Hospital Of San Diego reported $1.7B in net patient revenue on $4.3B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -0.2%, and net income of $86.9M.

Who is the CEO of Radys Childrens Hospital Of San Diego?

Radys Childrens Hospital Of San Diego's Medicare enrollment lists James Uli as Senior Vice President, CFO since 2020.

What is Radys Childrens Hospital Of San Diego's tax ID (EIN)?

Insurers' price transparency files list Radys Childrens Hospital Of San Diego under employer identification number 95-1691313 (Rady Childrens Hospital - San Diego). 69 health plans and networks list 95-1691313 for it.

Does Radys Childrens Hospital Of San Diego participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Radys Childrens Hospital Of San Diego (340B ID PED053303-00) as a participating children's hospital since 2015, with 34 active contract pharmacies.

How many doctors are affiliated with Radys Childrens Hospital Of San Diego?

23 clinicians who bill Medicare list Radys Childrens Hospital Of San Diego as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric nephrology physician (6), diagnostic radiology physician (4), pediatric radiology physician (3).

Is Radys Childrens Hospital Of San Diego accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Radys Childrens Hospital Of San Diego, effective 2017.

Who owns Radys Childrens Hospital Of San Diego?

In its Medicare enrollment, Radys Childrens Hospital Of San Diego reports Rady Children's Hospital - San Diego as Operational/managerial control (100%).

What services does Radys Childrens Hospital Of San Diego offer?

CMS lists 23 services at Radys Childrens Hospital Of San Diego, including Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Diagnostic Radiology.

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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • 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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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • 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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