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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Sherman Oaks Hospital

Prime Healthcare Services · Sherman Oaks, CA

4929 Van Nuys Boulevard, Sherman Oaks, CA 91403(818) 981-7111

2 of 5

CMS star rating

153

Beds

4,390

Inpatient discharges a year

$100.3M

Net patient revenue a year

21

In-network payers

About this hospital

Sherman Oaks Hospital is a 153-bed voluntary non-profit - private hospital in Sherman Oaks, CA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 21 in-network payers and 53 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
050755
NPI
1750491247
Health system
Prime Healthcare Services
Teaching
No Medicare-funded residents
County
Los Angeles County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
2006
Last CMS survey
2021

Prices for common services

The 24 services Sherman Oaks Hospital 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.

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$93,148 - $108,424

from 2 insurers · median $100,786

Aetna$108,424
Insurer A*$93,148
Medicare $90,833Nearby hospitals $117,22914% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$18,533 - $21,572

from 2 insurers · median $20,052

Aetna$21,572
Insurer A*$18,533
Medicare $14,853Nearby hospitals $28,77730% below nearby hospitals

14 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$73,880

negotiated rate

Aetna$73,880
Medicare $27,950

Hospital reports neurosurgical services to CMS

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$23,401 - $27,238

from 2 insurers · median $25,319

Aetna$27,238
Insurer A*$23,401
Medicare $16,162Nearby hospitals $36,57831% below nearby hospitals

Hospital reports neurosurgical services to CMS

How the insurers pay at Sherman Oaks Hospital

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
157%
315
Insurer B*18
79%
018

How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 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 Sherman Oaks Hospital, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthCenteneGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)HealthNet

More about this hospital

  • Quality

    2 of 5 stars

    • 140 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.25%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 34 services
    • 151 affiliated clinicians
    See doctors and services
  • Finances

    $100.3M net patient revenue

    • Operating margin on patient care 7.8%
    • $1.4M unreimbursed and uncompensated care
    • $8.5M net income
    See finances
  • Ownership and leadership

    Owned by Prime Healthcare Foundation Inc

    • Private (not for profit)
    • Em Garcia, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-2546649Sherman Oaks Hospital50Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, AmeriBen, Ameri Health and 45 more1750491247 Prime Healthcare Services - Sherman Oaks LLC1922263797 Prime Healthcare Services - Sherman Oaks LLC1396031639 Prime Healthcare Services - Sherman Oaks LLCand 2 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

4929 Van Nuys Boulevard, Sherman Oaks, CA 91403

(818) 981-7111

Get directions

Frequently asked questions

About Sherman Oaks Hospital's rates and hospital price transparency.

How much does an MRI cost at Sherman Oaks Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sherman Oaks Hospital range from $379 to $447 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $447. The median at nearby comparable hospitals is $1,488. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sherman Oaks Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sherman Oaks Hospital range from $296 to $501 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $296. The median at nearby comparable hospitals is $1,450. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sherman Oaks Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sherman Oaks Hospital range from $497 to $1,914 across 2 insurers. Aetna's rate is $1,914. The median at nearby comparable hospitals is $4,055. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sherman Oaks Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sherman Oaks Hospital range from $203 to $203 across 1 insurers. Aetna's rate is $203. The median at nearby comparable hospitals is $543. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Sherman Oaks Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sherman Oaks Hospital range from $18,533 to $21,572 across 2 insurers. Aetna's rate is $21,572. The median at nearby comparable hospitals is $28,777. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sherman Oaks Hospital's CMS star rating?

Sherman Oaks Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Sherman Oaks Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sherman Oaks Hospital for fiscal year 2027.

Does Medicare penalize Sherman Oaks Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sherman Oaks Hospital's base inpatient payments by an estimated 1.25% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sherman Oaks Hospital?

In 2024, the most common were miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (210 discharges), septicemia or severe sepsis without mv >96 hours with mcc (206 discharges), heart failure and shock with mcc (101 discharges).

What is Sherman Oaks Hospital's case mix index?

Sherman Oaks Hospital's Medicare case mix index is 1.68 for fiscal year 2027, higher than 50% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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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