SECURITIES AND EXCHANGE COMMISSION

Washington,  D.C.    20549

SCHEDULE 13G
Under the Securities Exchange Act of 1934


Name of
Issuer:       PACIFICARE HEALTH SYSTEMS  INC.
________________________________________________

Title of Class
of Securities:  Common Stock

CUSIP Number:    695112201

1)  NAME OF I.R.S. IDENTIFICATION NO. OF REPORTING PERSON

	The Prudential Insurance Company of America     22-1211670

2.) MEMBER OF A GROUP:   (a)  N/A
                                                          (b)  N/A

3)  SEC USE ONLY:



4)  PLACE OF ORGANIZATION: 	 A mutual insurance company organized
                under the laws of the State of New Jersey

NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH:

5)  Sole Voting Power:		73,674	See Exhibit A
6)  Shared Voting Power		1,632,705	See Exhibit A
7)  Sole Dispositive Power:		73,674	See Exhibit A
8)  Shared Dispositive Power:		1,632,705	See Exhibit A

9)  AGGREGATE AMOUNT BENEFICIALLY OWNED:
			1,706,379	See Exhibit A

10)  AGGREGATE AMOUNT IN ROW (9) EXCLUDES SHARES:	Not Applicable

11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9):
			5.51 See Exhibit A

12) TYPE OF REPORTING PERSON:  IC, IA

ITEM 1(a).  NAME OF ISSUER:

                      PACIFICARE HEALTH SYSTEMS  INC.

ITEM 1(b).  ADDRESS OF ISSUER'S EXECUTIVE OFFICES:

                      PACIFICARE HEALTH SYSTEMS  INC.
3120 Lake Center Drive
Santa Ana, CA 92704

                      
ITEM 2(a).  NAME OF PERSON FILING:

	 The Prudential Insurance Company of America

ITEM 2(b).  ADDRESS OF PRINCIPAL BUSINESS OFFICE:

		751 Broad Street
		Newark, New Jersey  07102-3777

ITEM 2(c).  CITIZENSHIP:

      		A mutual insurance company organized under the laws of the
		State of New Jersey

ITEM 2(d).  TITLE OF CLASS OF SECURITIES:

		Common Stock

ITEM 2(e).  CUSIP NUMBER:

			695112201

ITEM 3.	The Person filing this statement is an Insurance Company
			as defined in Section 3(a) (19) of the Securities 
Exchange
			Act of 1934, and an Investment Adviser registered under
			Section 203 of the Investment Advisers Act of 1940.

ITEM 4.  OWNERSHIP:

		(a) Number of Shares
		     Beneficially Owned:	1,706,379  See Exhibit A

		(b) Percent of Class:		5.51

							Number
		(c) Powers				Of Shares
		      
- -------------------------------------	--------------------------
		     Sole power to vote or		73,674	See Exhibit A
		     to direct the vote

		     Shared power to vote or 	1,632,705	See Exhibit A
		     to direct the vote

		     Sole power to dispose or 	73,674	See Exhibit A
		     to direct disposition

		     Shared power to dispose	1,632,705	See Exhibit A
		     or to direct disposition

ITEM 5.  OWNERSHIP OF 5% OR LESS OF A CLASS:

		Not Applicable


ITEM 6.  OWNERSHIP OF MORE THAN 5% ON BEHALF 
	  OF ANOTHER PERSON:

		See Exhibit A

ITEM 7.	IDENTIFICATION AND CLASSIFICATION OF THE
	SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING
	REPORTED ON BY THE ULTIMATE PARENT COMPANY:

		Not Applicable

ITEM 8.  IDENTIFICATION AND CLASSIFICATION OF MEMBERS
	 OF THE GROUP:

		Not Applicable

ITEM 9.  NOTICE OF DISSOLUTION OF GROUP:

		Not Applicable

ITEM 10.  CERTIFICATION:

	By signing below, the Prudential Insurance Company of America
	certifies that, to the best of its knowledge and belief, the
	securities referred to above were acquired in the ordinary course
	of business and were not acquired for the purpose of and do not
	have the effect of changing or influencing the control of the
	issuer of such securities and were not acquired in connection
	with or as a participant in any transaction having such purpose
	or effect.

The filing of this statement should not be construed as an admission that
Prudential is, for purposes of Sections 13 or 16 of the Securities
Exchange Act of 1934, the beneficial owner of such shares.



				SIGNATURE

	After reasonable inquiry and to the best of its knowledge and
	belief, The Prudential Insurance Company of America certifies that
	the information set forth in this statement is true, complete and
	correct.


	THE PRUDENTIAL INSURANCE COMPANY OF AMERICA

	By:	Ellen McGlynn Koke
		Second Vice President

	Date:	02/01/99
	As of:	12/31/98


				Exhibit A
				--------------

ITEM 6.	 OWNERSHIP:

The Prudential Insurance Company of America ('Prudential') may have direct or 
indirect voting and/or investment discretion over 1,706,379 shares of the 
Issuer's common stock which are held for the benefit of its clients by its 
separate accounts, externally managed accounts, registered investment 
companies, subsidiaries and/or other affiliates.  Prudential is reporting the 
combined holdings of these entities for the purpose of administrative 
convenience.

These shares were acquired in the ordinary course of business, and not with the 
purpose or effect of changing or influencing control of the Issuer.  The filing 
of this statement should not be construed as an admission that Prudential is, 
for the purposes of Section 13 or 16 of the Securities Exchange Act of 1934, 
the beneficial owner of these shares.