Sherman Oaks Hospital
4929 Van Nuys Blvd, Sherman Oaks, CA 91403 · 89 Priced Procedures · 52% Patient Recommendation
Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.
1-Star CMS clinical quality rating paired with 0.94× fair market pricing.
Aligned Regional Benchmark Peer
Sherman Oaks Hospital prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (0.94× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 6% below peer Fair BaseRate (0.94×)
- Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 52% patient recommendation (53/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.94× 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 1.00× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.19×) jump +19% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 7.8× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Sherman Oaks Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.
Audit a Bill or Quote at Sherman Oaks Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $9,936
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.5% of gross = $9,936).
Self-Pay Cash Rate ($18,661) Beats Your Bill
Sherman Oaks Hospital's published 45 CFR § 180 self-pay cash rate is $18,661 (vs. $21,274 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($51,058) is $31,971 above the denoised Fair BaseRate ($19,087) and 3.6× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (19.5% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sherman Oaks Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-21·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (349 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sherman Oaks Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.