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Hospital Profile Acute Care Hospital Proprietary 82 Beds · urban Updated: 2026-03-17

Encino Hospital Medical Center

16237 Ventura Blvd, Encino, CA 91436 · 90 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 3 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
0.91×vs. Fair Market Price
Position vs. 1.00× Fair Price9% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).76/100 · Corroborated
76/100Self-Pay Cash Beats Insurance 88% of the Time
File Completeness56Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic85Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment65Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing75Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Benchmark Tier
CMS Star Rating2/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score59/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait135 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

2-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Encino Hospital Medical Center maintains disciplined commercial pricing across both elective shoppable care (1.2× Medicare) and captive emergency/ancillary departments (1.0× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.91× Fair BaseRate) without hidden ancillary cross-subsidization.

#25 of 240 in CA · 10th State Percentile#695 of 3,385 in U.S. · 20th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
  • Self-pay cash beats commercial insurance on 88% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (59/100 safety score) with 53% patient recommendation
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
  • Commercial insurance median sits at 0.99× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
  • Unnegotiated chargemaster list prices average 12.1× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence
1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail
Q25 0.91× · Q50 0.99× · Q75 1.12×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
1.2× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.7× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.2× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
88% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 59/100Elevated

Procedure Prices at Encino Hospital Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $21,227 1.1×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $21,080 1.1×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $19,292 1.1×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $8,689 1.1×
Inguinal hernia repair
CPT Code: 49505
 $4,582 1.3×
Cataract surgery with lens implant
CPT Code: 66984
 $2,954 1.2×
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,190 1.2×
Blood transfusion
CPT Code: 36430
 $599 1.2×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $447 1.0×
MRI, brain (with and without contrast)
CPT Code: 70553
 $449 0.9×
Breathing treatment (nebulizer)
CPT Code: 94640
 $280 1.4×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $305 1.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $305 1.0×
MRI, lower back (no contrast)
CPT Code: 72148
 $307 0.9×
MRI, brain (no contrast)
CPT Code: 70551
 $307 0.9×
MRI, knee or other leg joint
CPT Code: 73721
 $307 0.8×
Family therapy session
CPT Code: 90847
 $227 1.3×
CT scan, head (with contrast)
CPT Code: 70460
 $226 0.9×
CT scan, head (with and without contrast)
CPT Code: 70470
 $226 0.9×
X-ray, pelvis
CPT Code: 72170
 $134 1.2×
Psychiatric evaluation (first visit)
CPT Code: 90791
 $148 0.8×
X-ray, chest (single view)
CPT Code: 71045
 $111 1.2×
X-ray, shoulder
CPT Code: 73030
 $111 1.2×
X-ray, foot
CPT Code: 73630
 $111 1.2×
X-ray, lower back
CPT Code: 72110
 $134 1.2×
Showing top 25 high-impact procedures of 90 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Encino Hospital Medical Center (Zero PHI Required)

CMS CCN: 050158
CPT 871
Fair BaseRate™ $19,087
Medicare Rate $14,117
Self-Pay Cash $18,620
Insurer Median $21,227
Pre-filled with Encino Hospital Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $32,325 Paying Cash

Self-Pay Cash Rate ($18,620) Beats Your Bill

Encino Hospital Medical Center's published 45 CFR § 180 self-pay cash rate is $18,620 (vs. $21,227 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,858 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($50,945) is $31,858 above the denoised Fair BaseRate ($19,087) and 3.6× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Encino Hospital Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)
Safety Composite59/100
Would Recommend53%
Rated 9 or 10 (HCAHPS)53%
Median ER Wait135 min
Left ER Before Seen2%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Encino Hospital Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-06-09·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-04-21·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (152 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Encino Hospital Medical Center.

Price Index: 0.58× regional baseline
Quality: 45/100 CMS composite
Median Household Income$87,760U.S. Census ACS
Local Uninsured Share8.7%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 050158

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050158) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-03-17
Validated Rate Rows4,048 (CMS v3.0)
File Integrity DigestVerified · CCN 050158

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy