ARTUR HEFCZYC, Plaintiff and Appellant, v. RADY CHILDREN‘S HOSPITAL-SAN DIEGO, Defendant and Respondent.
D071264
(Super. Ct. No. 37-2015-00037769-CU-MC-CTL)
COURT OF APPEAL, FOURTH APPELLATE DISTRICT DIVISION ONE STATE OF CALIFORNIA
Filed 11/17/17
Joan M. Lewis, Judge.
APPEAL from an order of the Superior Court of San Diego County, Joan M. Lewis, Judge. Affirmed.
Carpenter Law, Gretchen Carpenter; Law Office of Barry L. Kramer and Barry L. Kramer for Plaintiff and Appellant.
Lewis Brisbois Bisgaard & Smith, Julie R. Dann; Hooper, Lundy & Bookman and Jennifer A. Hansen for Defendant and Respondent.
Artur Hefczyc appeals from an order denying his motion for class certification in his lawsuit against Rady Children‘s Hospital-San Diego (Rady). On behalf of a proposed class, Hefczyc seeks declaratory relief to establish that Rady‘s form contract, signed by
Hefczyc contends that the trial court erred in denying class certification because, as the complaint seeks only declaratory relief, the motion for class certification was brought under the equivalent of
I
FACTUAL AND PROCEDURAL BACKGROUND
A. Hefczyc‘s Complaint
On November 10, 2015, Hefczyc filed a complaint against Rady, in which he alleged that his minor child was treated on October 8, 2015, at Rady‘s emergency room. Hefczyc alleged that he had no outside source of payment for the emergency room visit,
According to Hefczyc, the amount of the bill he received was based on “Chargemaster” rates developed by Rady. As alleged in the complaint, a “Chargemaster,” as maintained by Rady and by other hospitals, is a spreadsheet “which include code numbers, descriptions, and gross charges for each of the thousands of items that are provided to patients.” Rady explains that its Chargemaster contains thousands of different line items, relating to procedures, services and goods that are either bundled or specific. The Chargemaster and the number of line items on it changes each year.1
As alleged by Hefczyc, when a patient seeks care in Rady‘s emergency room, all guarantors of emergency care patients are required by Rady to sign an agreement titled “Conditions of Treatment/Admission” (the COTA). The COTA contains a section relating to financial obligations, which states, among other things, that “Hospital charges will be in accordance with the Hospital‘s regular rates and terms.” According to the complaint, “each patient is requested to sign” the COTA, “regardless of whether a patient is a Medicaid, privately insured, HMO, or self-pay patient.”2 Hefczyc alleges that “the
In interpreting the COTA‘s financial obligation provision, Hefczyc alleges that “the fact that all patients, regardless of category, are subject to the exact same pricing guarantee to pay ‘in accordance with the Hospital‘s regular rates and terms,’ despite the fact that each category of patients is charged differently, shows that the term ‘the Hospital‘s regular rates and terms,’ as a pricing term for the Hospital‘s services and treatment, is inherently vague, ambiguous and meaningless.” According to the complaint, “[s]ince [the COTA] itself contains no pricing terms for the self-pay patients which are certain or readily identifiable, and fails to identify any means by which such pricing terms for self-pay patients can be made certain (i.e., it contains an ‘open’ pricing term), applicable law implies a contractual obligation to pay the reasonable value of the
Hefczyc alleges that the billed amount of $9,831.34 for his child‘s emergency care treatment was based on Chargemaster rates that were “grossly excessive, unfair, and unreasonable.” Further, he alleges that because the COTA purportedly contains an ” ‘open’ pricing term,” under the law governing contracts with open pricing terms, Rady is authorized to charge only “the reasonable value of such services.”
Hefczyc brought this action on behalf of himself and a class of persons defined as follows:
“The guarantors of all persons who within the last four years, had one or more ‘eligible patient hospital visits’ to [Rady‘s] emergency department.
“For purposes of this class definition, an ‘eligible patient hospital visit’ is defined as one for which (1) the patient was billed at the hospital‘s full Chargemaster rates; (2) there have been no full writeoffs, discounts or adjustments to the full Chargemaster billing under [Rady‘s] charity care policies; (3) the bill has not otherwise been waived or written off in full by [Rady]; and (4) no payments for
the hospital visit have been made by other than the guarantor, the patient or the patient‘s representatives.”4
The single cause of action alleged in the complaint is for declaratory judgment. Specifically, the complaint seeks the following declarations on behalf of the alleged class: (1) “a declaration . . . with respect to their payment obligations to [Rady], including a determination of the construction and validity of the financial obligation provision of their [COTA] with [Rady], specifically finding that [Rady‘s COTA] contains an ‘open price’ term, and does not permit [Rady] to bill and demand payment from self-pay emergency care patients based upon its Chargemaster rates“; (2) “a declaration that they are liable to [Rady], under [the COTA], for no more than the reasonable value of the treatment/services provided“; and (3) “a declaration that [Rady‘s] billing practices as they relate to Class members are unfair, unconscionable, and/or unreasonable.”
In relating these prayers for declaratory relief to the request for class treatment in this action, the complaint alleges that a determination as to whether the COTA should be interpreted to “only require[] payment at a reasonable rate and for no more than the reasonable value of the services rendered” “should be made only once, and should be equally applicable to all Class members.” The complaint alleges that “[w]hile such a Declaratory Judgment would not, in itself, determine the reasonable value of services rendered, it would allow a patient the ability to dispute [Rady‘s] unreasonable demands,
B. The Class Action Certification Motion
Hefczyc filed a motion for class certification, in which he sought an order certifying a class pursuant to
The trial court issued a ruling denying class certification. With respect to Hefczyc‘s contention that a class should be certified under
Hefczyc appeals from the order denying class certification.6
II
DISCUSSION
A. Standard of Review
We review the order denying class certification for an abuse of discretion. (Sav-on Drug Stores, Inc. v. Superior Court (2004) 34 Cal.4th 319, 327 (Sav-on).) ” ‘Because trial courts are ideally situated to evaluate the efficiencies and practicalities of permitting group action, they are afforded great discretion in granting or denying certification.’ ” (Id. at p. 326.) “[A] trial court ruling supported by substantial evidence generally will not be disturbed ‘unless (1) improper criteria were used [citation]; or (2) erroneous legal assumptions were made.’ ” (Linder, supra, 23 Cal.4th at p. 435.) ” ‘Any valid pertinent reason stated will be sufficient to uphold the order.’ ” (Id. at p. 436.)
However, ” ‘appellate review of orders denying class certification differs from ordinary appellate review. Under ordinary appellate review, we do not address the trial court‘s reasoning and consider only whether the result was correct. [Citation.] But when denying class certification, the trial court must state its reasons, and we must review those reasons for correctness. [Citation.] We may only consider the reasons stated by the trial court and must ignore any unexpressed reason that might support the ruling. [Citations.] [¶] We will affirm an order denying class certification if any of the trial court‘s stated reasons was valid and sufficient to justify the order, and it is supported by substantial evidence.’ ” (Mies v. Sephora U.S.A., Inc. (2015) 234 Cal.App.4th 967, 980.)
” ‘The certification question is “essentially a procedural one that does not ask whether an action is legally or factually meritorious.” ’ ” (Brinker Restaurant Corp. v. Superior Court (2012) 53 Cal.4th 1004, 1023 (Brinker).) However, “[w]hen evidence or legal issues germane to the certification question bear as well on aspects of the merits, a court may properly evaluate them. . . . [¶] In particular, whether common or individual questions predominate will often depend upon resolution of issues closely tied to the merits.” (Id. at pp. 1023-1024.)
B. There Is No Merit to Hefczyc‘s Contention That the Requirements of Federal Rules of Civil Procedure, Rule 23 (28 U.S.C.) Should Apply Here, Rather than the Requirements Set Out in California Case Law
1. Applicable California and Federal Standards for Class Certification
Hefczyc‘s main appellate argument is that because his complaint seeks only declaratory relief, the trial court should have applied the class certification requirements set forth in
a. Class Certification Requirements in California Courts
The authority for class action litigation in California is set forth in
These standards have been set forth and consistently applied numerous times by our Supreme Court. (See, e.g., Daar v. Yellow Cab Co. (1967) 67 Cal.2d 695, 704 (Daar); Vasquez v. Superior Court (1971) 4 Cal.3d 800, 809; City of San Jose v. Superior Court (1974) 12 Cal.3d 447, 459 (City of San Jose); Occidental Land, Inc. v. Superior Court (1976) 18 Cal.3d 355, 360 (Occidental Land); Richmond v. Dart Industries, Inc. (1981) 29 Cal.3d 462, 470; Linder, supra, 23 Cal.4th at p. 435; Washington Mutual Bank v. Superior Court (2001) 24 Cal.4th 906, 913 (Washington Mutual); Lockheed Martin Corp. v. Superior Court (2003) 29 Cal.4th 1096, 1103 (Lockheed); Sav-on, supra, 34 Cal.4th at p. 326; Fireside Bank v. Superior Court (2007) 40 Cal.4th 1069, 1089; Ayala v. Antelope Valley Newspapers, Inc. (2014) 59 Cal.4th 522, 529 (Ayala).) Never has our Supreme Court indicated that it would diverge from these requirements based on the type of claims presented in a lawsuit. Indeed, our Supreme Court long ago indicated that “it uniformly has been held that two requirements must be met in order to sustain any class action: (1) there must be an ascertainable class [citations]; and (2) there must be a well defined community of interest in the questions of law and fact involved affecting the parties to be represented.” (Daar, at p. 704, italics added.)
Our Supreme Court has also consistently applied the long-standing and well-settled requirement that the proponent of class certification must establish that there are
In this case, as we have explained, the trial court applied the long-settled standards for class certification set forth in our Supreme Court‘s opinions, and it denied class certification because it found that three of the requirements were lacking: (1) the class was not ascertainable; (2) common questions of law or fact did not predominate; and (3) Hefczyc had not established that substantial benefits from certification would render proceeding as a class superior to the alternatives.7
b. Class Certification Requirements in Federal Court
In contrast,
“(a) Prerequisites. One or more members of a class may sue or be sued as representative parties on behalf of all members only if:
“(1) the class is so numerous that joinder of all members is impracticable;
“(2) there are questions of law or fact common to the class;
“(3) the claims or defenses of the representative parties are typical of the claims or defenses of the class; and
“(4) the representative parties will fairly and adequately protect the interests of the class.
“(b) Types of Class Actions. A class action may be maintained if Rule 23(a) is satisfied and if:
“(1) prosecuting separate actions by or against individual class members would create a risk of:
“(A) inconsistent or varying adjudications with respect to individual class members that would establish incompatible standards of conduct for the party opposing the class; or
“(B) adjudications with respect to individual class members that, as a practical matter, would be dispositive of the interests of the other members not parties to the individual adjudications or would substantially impair or impede their ability to protect their interests;
“(2) the party opposing the class has acted or refused to act on grounds that apply generally to the class, so that final injunctive relief or corresponding declaratory relief is appropriate respecting the class as a whole; or
“(3) the court finds that the questions of law or fact common to class members predominate over any questions affecting only individual members, and that a class action is superior to other available methods for fairly and efficiently adjudicating the controversy.”
As set forth in this rule, only if a class action is certified under
c. California Courts May Look to Federal Rules of Civil Procedure, Rule 23 (28 U.S.C.) in the Absence of State Precedent
“It is well established that in the absence of relevant state precedents our trial courts are urged to follow the procedures prescribed in rule 23 of the Federal Rules of Civil Procedure for conducting class actions.” (Green v. Obledo (1981) 29 Cal.3d 126, 145-146 (Green).) However, “[i]t is only in the absence of relevant state precedent that courts turn to federal law and rule 23 for guidance.” (Stephen v. Enterprise Rent-A-Car (1991) 235 Cal.App.3d 806, 814.) “As a general rule, California courts are not bound by the federal rules of procedure but may look to them and to the federal cases interpreting them for guidance or where California precedent is lacking. . . . California courts have never adopted Rule 23 as ‘a procedural strait jacket. To the contrary, trial courts [are] urged to exercise pragmatism and flexibility in dealing with class actions.’ ” (Wershba v. Apple Computer, Inc. (2001) 91 Cal.App.4th 224, 239-240, citations omitted.)
d. Hefczyc Contends That the Trial Court Should Have Applied the Equivalent of Federal Rules of Civil Procedure, Rule 23(b)(1)(A) or (b)(2) (28 U.S.C.)
Characterizing the relief sought in his complaint as simply “a declaration as to the meaning of a single Contract provision” which would “interpret a few lines of [Rady‘s COTA] on a class[-]wide basis,” Hefczyc contends that the trial court should have applied the “equivalent” of
Specifically, pointing out that
As we will explain, we reject Hefczyc‘s argument. No California authority supports the contention that ascertainability, predominance and superiority are not required when a proposed class action would be certified under
2. No California Authority Supports Hefczyc‘s Contention That He Is Not Required to Establish Ascertainability, Predominance and Superiority in a Proposed Class Action Seeking Only Declaratory Relief
As we have explained, in a long list of opinions, our Supreme Court has “uniformly” required a plaintiff seeking class certification to establish ascertainability, predominance and superiority “in order to sustain any class action.” (Daar, supra, 67 Cal.2d at p. 704, italics added.) Our high court has never provided any indication that it would diverge from these requirements in a case seeking only declaratory or injunctive relief.
Several intermediate appellate court opinions in California, including one case on which Hefczyc heavily relies (Capitol People First v. State Dept. of Developmental
In Capitol People First, the relief requested consisted of “declaratory and injunctive relief as well as orders pursuant to a writ of mandate compelling defendants to comply with enumerated duties” requiring government departments and officials to comply with the laws applicable to persons with developmental disabilities. (Capitol People First, supra, 155 Cal.App.4th at p. 686.) The court explained that under
This court in Reyes, supra, 196 Cal.App.3d 1263, considered a proposed class action complaint seeking solely declaratory and injunctive relief to stop the County of San Diego‘s practice of depriving general relief recipients of benefits for failing to comply with certain rules. Although noting that the courts “have sought guidance from . . . the
Rady cites other California cases in which the relief sought was solely declaratory or injunctive, but which did not diverge from the standard class action certification requirements that our Supreme Court has consistently applied. (Mendoza v. County of Tulare (1982) 128 Cal.App.3d 403, 416 [in a case seeking declaratory and injunctive relief on behalf of jail inmates, the court applied the rule that “[i]n order to sustain a class action, parties must allege facts sufficient to establish (1) an ascertainable class; and (2) ‘a well defined community of interest in the questions of law and fact involved affecting the parties to be represented’ “]; Adkins v. Leach (1971) 17 Cal.App.3d 771, 777 [in a proposed class action seeking declaratory and injunctive relief on behalf of welfare recipients, the court applied community of interest and ascertainability requirements].)
In support of Hefczyc‘s position that because he seeks only declaratory relief, the trial court should have applied the class certification standards set forth in
In sum, there is no gap in California precedent to be filled by reference to
C. The Trial Court Did Not Abuse Its Discretion in Determining That Hefczyc Did Not Establish Ascertainability, Predominance and Superiority
Having concluded that the trial court properly required Hefczyc to establish ascertainability, predominance and superiority to prevail in his class certification motion, we next consider whether the trial court abused its discretion in concluding that those requirements were not met.
1. Ascertainability
” ‘A class is ascertainable if it identifies a group of unnamed plaintiffs by describing a set of common characteristics sufficient to allow a member of that group to identify himself or herself as having a right to recover based on the description.’ . . . ‘Ascertainability is achieved “by defining the class in terms of objective characteristics
” ‘While often it is said that “[c]lass members are ‘ascertainable’ where they may be readily identified without unreasonable expense or time by reference to official records” [citations], that statement must be considered in light of the purpose of the ascertainability requirement.’ . . . ‘Ascertainability is required in order to give notice to putative class members as to whom the judgment in the action will be res judicata.’ . . . The goal in defining an ascertainable class ‘is to use terminology that will convey “sufficient meaning to enable persons hearing it to determine whether they are members of the class plaintiffs wish to represent.” [Citation.] “. . . Otherwise, it is not possible to give adequate notice to class members or to determine after the litigation has concluded who is barred from relitigating.” ’ ” (Aguirre, supra, 234 Cal.App.4th at pp. 1300-1301, citations omitted.) ” ‘Class certification is properly denied for lack of ascertainability when the proposed definition is overbroad and the plaintiff offers no means by which only those class members who have claims can be identified from those who should not
Here, Hefczyc defined the proposed class as follows: “The guarantors of all persons, who, within the last four years, had one or more ‘eligible patient hospital visits’ to [Rady‘s] emergency department. [¶] For purposes of this class definition, an ‘eligible patient hospital visit’ is defined as one for which (1) the patient was billed at the hospital‘s full Chargemaster rates; (2) there have been no full writeoffs, discounts or adjustments to the full Chargemaster billing under [Rady‘s] charity care policies; (3) the bill has not otherwise been waived or written off in full by [Rady]; and (4) no payments for the hospital visit have been made by other than the guarantor, the patient or the patient‘s representatives.”
In opposition to the class certification motion, Rady submitted an extensive declaration from Michael Hester, Rady‘s Senior Director of Revenue Cycle. Hester explained that “each patient account‘s history has to be manually evaluated individually to determine whether the rates collected and those that are outstanding are the full
Hester explained that given all of these complexities and the limitations of Rady‘s billing system, it would take an individual inquiry into hundreds of thousands of patient records to determine whether a patient falls under the class definition. Hester explained, that “[Rady] does not maintain patient information in a manner that permits access to certain data points (including whether the patient was finally determined to be self-pay) on an aggregated basis. To figure out what a patient/guarantor has paid for his/her encounter, if anything, or to assess whether the patient later qualified for Medicare, Medi-
Based on Hester‘s declaration, the trial court concluded that “the class here is not ascertainable because to identify class members could not be accomplished without unreasonable expense or time.”
Hefczyc takes issue with the trial court‘s conclusion, contending that it is not supported by substantial evidence. Hefczyc contends that Hester‘s explanation of the time-consuming nature of determining the membership of the class purportedly ignores that the class definition is “based on [Rady‘s] electronic payment records, and no ‘individual’ review is required, except to the extent an electronic database query is considered an ‘individual review.’ ” Hefczyc cites no evidentiary support for his contention that no individual review of Rady‘s records is required, and he does not cite to any portion of the class definition that would limit the inquiry required to Rady‘s
Relying on case law establishing that, in certain instances, a class may be ascertainable if members are able to self-identify that they belong to a class (Nicodemus v. Saint Francis Memorial Hospital (2016) 3 Cal.App.5th 1200, 1217), Hefczyc argues that the class in this case is ascertainable because it would be possible for class members to self-identify based on the class definition. Hefczyc also points out that it is not necessarily the case that individual class members will need to be identified so that notice can be sent to them. Hefczyc argues that if the trial court ends up requiring that notice be given in this case, “it does not have to be in the form of actual notice to individual class members, such that Class member identification would be required. For example, . . . notice can be given by publication, which would not require identification of individual Class members.” In that situation, self-identification of class members could be a plausible approach.
We reject the argument because the proposed class definition is not drafted in such a way that class members would be able to identify for themselves that they fall within the class by reviewing the class definition. Specifically, the first requirement for class membership as set forth in Hefczyc‘s proposed class definition is that “the patient was billed at the hospital‘s full Chargemaster rates.” The class definition does not explain the
In sum, we conclude that the trial court did not abuse its discretion in ruling that Hefczyc failed to establish the ascertainability of the class.15
2. Predominance
The requirement of predominance arises because “[p]laintiffs’ burden on moving for class certification . . . is not merely to show that some common issues exist, but, rather, to place substantial evidence in the record that common issues predominate.” (Lockheed, supra, 29 Cal.4th at p. 1108.) “The ‘ultimate question’ the element of
As we are required to inquire ” ‘whether the theory of recovery advanced by the proponents of certification is, as an analytical matter, likely to prove amenable to class treatment’ ” (Brinker, supra, 53 Cal.4th at p. 1021), we must first closely examine the theory of recovery set forth in the complaint. According to Hefczyc‘s appellate brief, the complaint seeks nothing more than the determination of a simple contract interpretation question requiring “a declaration as to the meaning of a single Contract provision.” Hefczyc claims because the relief he seeks is limited to a simple contract interpretation question, he “does not ask the trial court to determine what the ‘reasonable value’ of [Rady‘s] services is for himself or any other Class member.” However, a review of Hefczyc‘s complaint shows that the declaratory relief sought in this action is far more complicated than interpreting a single contract provision.
As we have explained, the complaint seeks the following declaratory relief on behalf of the proposed class: (1) “a declaration . . . with respect to their payment
Although Hefczyc claims that he is not requesting a ruling on the reasonable value of Rady‘s services, as we will explain, in order to afford relief under the first and third requests made in Hefczyc‘s complaint, the trial court will necessarily be required to determine whether Rady‘s Chargemaster rates are reasonable, creating an unmanageable individualized factual inquiry that differs as to each class member and that is accordingly unsuited to resolution in a class action proceeding.
Specifically, turning to the first declaration sought by Hefczyc, in order to issue a declaration that the COTA contains an ” ‘open price’ term” and thus “does not permit [Rady] to bill and demand payment . . . based upon its Chargemaster rates,” the trial court will have to determine that the Chargemaster rates do not represent the reasonable value of Rady‘s services. This is because, as Hefczyc explains in his appellate brief, his legal theory is that because the COTA purportedly contains an open price term, Rady “is limited to charging no more than the reasonable value of the services it provides.” In order to issue the declaratory relief requested by Hefczyc that the COTA “does not permit
A similar finding as to whether the Chargemaster rates represent the reasonable value of Rady‘s services is required as part of the declaration sought by Hefczyc that “[Rady‘s] billing practices as they relate to Class members are unfair, unconscionable, and/or unreasonable.” Self-evidently, because Hefczyc expressly seeks a declaration that Rady‘s billing practices are “unreasonable,” in order to issue such a declaration the trial court would be required to consider the reasonableness of Rady‘s Chargemaster rates. In a similar case considering a challenge to the unconscionability of another hospital‘s Chargemaster rates, the court explained a determination regarding the unconscionability of the rates requires that the court ” ‘look to the basis and justification for the price [citation], including “the price actually being paid by . . . other similarly situated consumers in a similar transaction.” ’ [Citation.] In addition, ‘courts consider not only the market price, but also the cost of the goods or services to the seller [citations], the inconvenience imposed on the seller [citation], and the true value of the product or service.’ ” (Moran v. Prime Healthcare Management, Inc. (2016) 3 Cal.App.5th 1131, 1148, italics added.) Thus, to issue a declaration that Rady‘s Chargemaster rates are
As Rady has made clear in its appellate brief, it believes its Chargemaster rates represent the reasonable value of its services. Thus, to issue the declaratory relief sought by Hefczyc, the trial court will have to resolve the disputed issue of whether Rady‘s Chargemaster rates represent the reasonable value of those services.
The reasonable value of Rady‘s services is not a common issue that is amenable to class treatment. As the evidence submitted by Rady establishes, Rady‘s Chargemaster contains thousands of individual line-item charges. Each individual class member will have received a different set of services from Rady, corresponding to different rates on Rady‘s Chargemaster. As case law explains, the evidence required for a determination of the reasonable value of a hospital‘s services is wide-ranging and differs based on the type of service at issue. “[T]he facts and circumstances of the particular case dictate what evidence is relevant to show the reasonable market value of the services at issue, i.e., the price that would be agreed upon by a willing buyer and a willing seller negotiating at arm‘s length. Specific criteria might or might not be appropriate for a given set of facts.” (Children‘s Hospital Central California v. Blue Cross of California (2014) 226 Cal.App.4th 1260, 1274-1275 [discussing reasonable value of services rendered by hospital during period not covered by written contract with insurance carrier].) “[R]elevant evidence would include the full range of fees that Hospital both charges and accepts as payment for similar services. The scope of the rates accepted by or paid to Hospital by other payors indicates the value of the services in the marketplace. From that
In numerous other cases in which plaintiffs have sought to certify a class to challenge the reasonableness of Chargemaster rates charged by the defendant, courts have recognized that the reasonableness of the Chargemaster rates is an issue that will require individual determination on a case-by-case basis rather than presenting a common question suitable for class determination. (Hale, supra, 232 Cal.App.4th at pp. 61-67 [common issues did not predominate in a class action lawsuit seeking damages for allegedly unreasonable Chargemaster rates when the reasonable value of the hospital‘s services could not be calculated on a class-wide basis]; Kendall, supra, 16 Cal.App.5th at p. 573 [common issues did not predominate as to suit seeking damages based on practice of billing at Chargemaster rates because “[a]ny reasonable value determinations concerning the services provided to . . . putative class members must involve
Hefczyc relies on cases holding that interpretation of a form contract entered into by each of the class members is an appropriate subject for class treatment because the meaning of the form contract is a common issue that predominates in the action. (See
3. Superiority
“[T]he proponent of class certification bears the burden of establishing that a class action will be a superior means of resolving the dispute. . . . In determining the superiority of class treatment, the trial court must weigh the respective benefits and burdens of class litigation.” (Soderstedt v. CBIZ Southern California, LLC (2011) 197 Cal.App.4th 133, 156, citations omitted.) “A class action should be certified only if it will provide substantial benefits both to the courts and the litigants.” (Washington Mutual, supra, 24 Cal.4th at p. 914.)
As we have explained, to issue the declaratory relief sought by Hefczyc, the trial court will necessarily have to decide whether each of the Chargemaster rates appearing on each of the bills received by the class members represented the reasonable value of Rady‘s services. That determination is not suitable for class-wide treatment because it would require the court to examine extensive evidence on the thousands of different services appearing on the Chargemaster and the different services rendered to individual patients. It would be much more manageable for the courts and litigants if each person who wishes to challenge the reasonableness of a bill based on Rady‘s Chargemaster rates brings an individual proceeding, where the evidence can be manageably limited to the specific services at issue. Accordingly, the trial court was within its discretion to conclude that class treatment was not a superior method for resolving the issue presented in the complaint.
D. The Trial Court Properly Denied Issue Certification
In his motion for class certification, Hefczyc requested, in the alternative, that the trial court certify a single class issue pursuant to
The single issue that Hefczyc identifies is substantially similar to the first item of declaratory relief set forth in the complaint, which seeks a declaration that “[Rady‘s COTA] contains an ‘open price’ term, and does not permit [Rady] to bill and demand payment from self-pay emergency care patients based upon its Chargemaster rates.” In one instance Hefczyc is seeking a declaration that the COTA “does not permit” Rady to bill at Chargemaster rates; in the other instance, Hefczyc is seeking a declaration as to whether, the COTA “allows” Rady to bill at Chargemaster rates. However, the substance of the declaratory relief sought in both instances is the same.
We have thoroughly discussed why this type of declaratory relief is not appropriate for class certification. Specifically, to issue a declaration that the COTA either “does not permit” or does not “allow” Rady to bill at Chargemaster rates, the trial court would be required to determine whether the Chargemaster represents the reasonable value of Rady‘s services. That inquiry presents individualized and complicated issues unique to each class member, each of whom received different bills based on different
DISPOSITION
The order denying class certification is affirmed.
IRION, J.
WE CONCUR:
McCONNELL, P. J.
HUFFMAN, J.
