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Santa Monica Hospital - Ucla

University of California Health
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Hospital Overview
Facility Details

CCN

050112

NPI

1427055839

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

281

Contact Information

Address

1250 16th Street

Santa Monica, CA 90404

Phone

(310) 319-4000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Circulatory System

Range: 212 - 320

Negotiated

Very High

Aetna

Facility

RC

Operating Room Services

Range: 0360 - 0369

Percentage of Bill Charged

Aetna

Facility

RC

Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Negotiated

Very High

Aetna

Facility

RC

CT Scan

Range: 0350 - 0359

Percentage of Bill Charged

Aetna

Facility

RC

Cardiology

Range: 0480 - 0489

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Private (one bed)

Range: 0110 - 0119

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Facility

RC

Other Room and Board

Range: 0160 - 0169

Percentage of Bill Charged

Aetna

Facility

RC

Medical/Surgical Supplies - Extension of 027X

Range: 0620 - 0629

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Percentage of Bill Charged

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