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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Santa Monica Hospital - Ucla

University of California Health · Santa Monica, CA

1250 16th Street, Santa Monica, CA 90404(310) 319-4000

5 of 5

CMS star rating

281

Beds

13,792

Inpatient discharges a year

$969.8M

Net patient revenue a year

37

In-network payers

Photo 1: DocFreeman24, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Santa Monica Hospital - Ucla is a 281-bed voluntary non-profit - private hospital in Santa Monica, CA, affiliated with University of California Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 332 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
050112
NPI
1427055839
Health system
University of California Health
Teaching
Major teaching hospital
County
Los Angeles County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Santa Monica Hospital - Ucla 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

$11,577 - $18,531

from 3 insurers · median $14,337

Cigna$18,531
Insurer A*$11,577
Insurer B*$14,337

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

$11,577 - $27,194

from 3 insurers · median $17,694

Cigna$27,194
Insurer A*$11,577
Insurer B*$17,694

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$525 - $3,272

from 2 insurers · median $1,898

Aetna$3,272
Insurer A*$525
Medicare $458Nearby hospitals $804136% above nearby hospitals

Common here, based on CMS Medicare volume

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$4,692 - $12,263

from 2 insurers · median $8,477

Aetna$12,263
Insurer A*$4,692
Medicare $4,356Nearby hospitals $5,95242% above nearby hospitals

129 Medicare claims in Level 4 ENT Procedures (CMS 2024)

How the insurers pay at Santa Monica Hospital - Ucla

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*23
362%
181
Insurer B*23
146%
614
Insurer C*9
100%
05
Insurer D*8
75%
16

How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 Santa Monica Hospital - Ucla, 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

    5 of 5 stars

    • 224 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.63%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 36 services
    • 1,760 affiliated clinicians
    See doctors and services
  • Finances

    $969.8M net patient revenue

    • Operating margin on patient care 8.5%
    • $8.8M unreimbursed and uncompensated care
    • $109.3M net income
    See finances
  • Ownership and leadership

    Owned by Regents of The Univ of California

    • Private (not for profit)
    • Johnese Spisso, 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 Santa Monica Hospital - Ucla in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-4541687Santa Monica UCLA Medical Center and Orthopaedic Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1427055839 Regents Of The Univ Of California1982849105 The Regents Of The University Of California1396728630 Sharp Chula Vista Medical Centerand 5 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

1250 16th Street, Santa Monica, CA 90404

(310) 319-4000

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Frequently asked questions

About Santa Monica Hospital - Ucla's rates and hospital price transparency.

How much does a CT scan cost at Santa Monica Hospital - Ucla?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Santa Monica Hospital - Ucla range from $525 to $3,272 across 2 insurers. Aetna's rate is $3,272. The median at nearby comparable hospitals is $804. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Santa Monica Hospital - Ucla?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Santa Monica Hospital - Ucla range from $797 to $8,555 across 3 insurers. Aetna's rate is $8,555. The median at nearby comparable hospitals is $3,312. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Santa Monica Hospital - Ucla?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Santa Monica Hospital - Ucla range from $11,577 to $18,531 across 3 insurers. Cigna's rate is $18,531. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Santa Monica Hospital - Ucla?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Santa Monica Hospital - Ucla range from $496 to $496 across 1 insurers. Aetna's rate is $496. The median at nearby comparable hospitals is $202. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Santa Monica Hospital - Ucla?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Santa Monica Hospital - Ucla range from $27,379 to $27,379 across 1 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $27,379. The median at nearby comparable hospitals is $29,651. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Santa Monica Hospital - Ucla's CMS star rating?

Santa Monica Hospital - Ucla has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Santa Monica Hospital - Ucla a teaching hospital?

Yes. CMS counts 0.42 Medicare-funded residents per bed at Santa Monica Hospital - Ucla for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Santa Monica Hospital - Ucla for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Santa Monica Hospital - Ucla's base inpatient payments by an estimated 0.63% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Santa Monica Hospital - Ucla?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (473 discharges), heart failure and shock with mcc (168 discharges), respiratory infections and inflammations with mcc (106 discharges).

What is Santa Monica Hospital - Ucla's case mix index?

Santa Monica Hospital - Ucla's Medicare case mix index is 2.33 for fiscal year 2027, higher than 91% 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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  • cms-hpt.txt file and homepage footer link
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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
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  • Missing, duplicate and outdated charge lines identified
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