Stockton, CA
2 of 5
CMS star rating
170
Beds
4,350
Inpatient discharges a year
$167.7M
Net patient revenue a year
34
In-network payers
Dameron Hospital is a 170-bed voluntary non-profit - other hospital in Stockton, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 239 disclosed rate categories.
The 24 services Dameron 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.
Childbirth · Inpatient
MS-DRG 807
$9,101 - $10,609
from 2 insurers · median $9,855
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,534 - $15,788
from 2 insurers · median $14,161
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$4,438 - $5,784
from 2 insurers · median $5,111
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$3,599 - $4,678
from 2 insurers · median $4,139
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,156 - $5,206
from 4 insurers · median $3,295
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,101 - $10,609
from 2 insurers · median $9,855
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$3,559 - $4,382
from 2 insurers · median $3,971
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$29,458 - $136,150
from 2 insurers · median $82,804
Hospital reports cardiac thoracic surgery services to CMS
X-ray and bone density
CPT 71046
$496 - $1,333
from 4 insurers · median $873
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,559 - $4,382
from 2 insurers · median $3,971
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,356 - $8,730
from 2 insurers · median $6,543
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$3,559 - $4,382
from 2 insurers · median $3,971
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,828 - $8,588
from 2 insurers · median $6,208
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$468 - $3,452
from 2 insurers · median $1,960
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$4,725 - $13,755
from 4 insurers · median $6,997
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $5,732
from 4 insurers · median $3,067
Common here, based on CMS Medicare volume
CT imaging
CPT 74178
$4,740 - $7,011
from 2 insurers · median $5,876
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$165 - $1,278
from 3 insurers · median $1,026
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$1,662 - $4,013
from 4 insurers · median $2,681
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$122 - $1,801
from 4 insurers · median $934
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$394 - $3,680
from 3 insurers · median $1,962
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$1,131 - $1,780
from 2 insurers · median $1,455
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$108 - $1,419
from 3 insurers · median $787
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$2,153 - $3,559
from 2 insurers · median $2,856
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 6 | 1554% | 5 | 0 |
| Insurer B* | 19 | 1121% | 14 | 5 |
| Insurer C* | 18 | 771% | 12 | 3 |
| Insurer D* | 20 | 310% | 3 | 4 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 4 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 Dameron Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$167.7M net patient revenue
Ownership and leadership
Owned by American Advanced Management, Inc
The employer identification numbers (EINs) health plans and networks list for Dameron Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-1201197Dameron Hospital | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 49 more | 1538163886 Dameron Hospital Association1649321274 Dameron Hospital Home Health1699195115 Dameron Hospital Associationand 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.
525 West Acacia Street, Stockton, CA 95203
(209) 944-5550
How Dameron Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
58%
Lower than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.89
Lower than 76% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
152 min
Higher than 52% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
54%
Lower than 74% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 5 measures | |
| Readmissions | No different on 8 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 58% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.89 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 152 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 54% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Dameron Hospital's inpatient payments for its readmissions, quality and cost results.
-0.01% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.24% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Dameron Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.075 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 730 cases | 4.6 | 3.9 | 3.81 | Worse than 80% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 63 cases | 12 | 11.8 | 11.57 | Worse than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 40 cases | 3.1 | 2.3 | 2.379 | Worse than 82% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 40 cases | 9.5 | 8.5 | 8.235 | Worse than 75% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 75 cases | 13.5 | 11 | 10.29 | Worse than 89% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 121 cases | 18.5 | 15.2 | 14.49 | Worse than 89% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 41 cases | 12.8 | 11.6 | 11.57 | Worse than 68% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,066 cases | 0.36 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 72% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,121 cases | 0.2 | 0.2 | 0.21 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,225 cases | 0.3 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 363 cases | 2.41 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 70% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 116 cases | 1.63 | 1.63 | 1.668 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 123 cases | 9.35 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 371 cases | 3.06 | 3.4 | 3.521 | No Different Than the National Rate | Better than 78% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 109 cases | 4.94 | 5.105 | 5.495 | No Different Than the National Rate | Better than 64% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 74 cases | 1.73 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 258 cases | 1 | 1.02 | 1.061 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 92 cases | 41.3 | 4.2 | 11.09 | Worse than 91% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 89 cases | 5.5 | 1.25 | 7.901 | Worse than 56% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 118 cases | 22.9 | 3.85 | 16.67 | Worse than 75% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 386 cases | 12.8 | 12.9 | 12.91 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 261 cases | 1.2 | 1 | 1.001 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 118 cases | 15 | 14.4 | 14.43 | Worse than 78% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 44 cases | 12.2 | 10.9 | 11.19 | Worse than 79% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 78 cases | 20.6 | 19.8 | 19.94 | Worse than 79% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 144 cases | 20.8 | 21.3 | 21.41 | Better than 67% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.612 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 178 cases | 17.7 | 17.2 | 17.7 | Worse than 67% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.034 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.346 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,057 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.474 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.678 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 67% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.092 | 1.392 | 1.749 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,043 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.432 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5366 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 15 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.377 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 73.49 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6136 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.5911 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 11.68 | 0.193 | 0.3103 | Worse than the National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 27.61 | 1.855 | 2.305 | Worse than the National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 18,363 | 14,451 | 52,601 | Worse than the National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.143 | 0.567 | 3.111 | Worse than the National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 21 | 0 | 2.166 | Worse than the National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 18.37 | 0.597 | 0.7784 | Worse than the National Benchmark | Worse than 99% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1925 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.388 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 18,363 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.725 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.383 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 385 cases | 64 | 73 | 72.2 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 385 cases | 13 | 8 | 8.78 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 385 cases | 23 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 83 | 87 | 86.82 | Worse than 77% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 385 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 385 cases | 70 | 80 | 75.76 | Worse than 95% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 87 | 91 | 89.84 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 385 cases | 9 | 4 | 5.713 | Worse than 95% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 385 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 385 cases | 21 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 385 cases | 66 | 79 | 75.81 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 84 | 91 | 89.11 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 385 cases | 11 | 5 | 7.043 | Worse than 97% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 385 cases | 1 | 3 | 2.688 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 385 cases | 23 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 385 cases | 49 | 61 | 58.95 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 70 | 77 | 75.75 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 385 cases | 26 | 19 | 21.56 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 385 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 385 cases | 25 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 77 | 86 | 84.61 | Worse than 96% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 385 cases | 23 | 13 | 15.03 | Worse than 97% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 385 cases | 1 | 3 | 3.08 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 385 cases | 77 | 87 | 84.97 | Worse than 97% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 385 cases | 28 | 14 | 16.39 | Worse than 98% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 385 cases | 72 | 86 | 83.61 | Worse than 98% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 62 | 74 | 70.69 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 15 | 7 | 8.855 | Worse than 99% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 23 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 63 | 77 | 73.94 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 12 | 6 | 7.637 | Worse than 97% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 25 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 74 | 85 | 81.99 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 7 | 3 | 4.958 | Worse than 92% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 19 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 385 cases | 18 | 8 | 10.01 | Worse than 97% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 385 cases | 27 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 385 cases | 55 | 72 | 67.63 | Worse than 96% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 80 | 88 | 86.85 | Worse than 97% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 385 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 385 cases | 61 | 74 | 72.06 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 385 cases | 14 | 9 | 10.94 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 385 cases | 25 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 65 | 75 | 71.11 | Worse than 95% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 10 | 5 | 7.488 | Worse than 91% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 385 cases | 25 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 65 | 77 | 72.49 | Worse than 96% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 10 | 4 | 6.121 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 385 cases | 25 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 78 | 86 | 82.8 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 6 | 3 | 3.779 | Worse than 92% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 385 cases | 16 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 385 cases | 44 | 59 | 47.5 | Worse than 92% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 385 cases | 21 | 9 | 17.79 | Worse than 94% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 385 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 72 | 82 | 74.85 | Worse than 93% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 385 cases | 2 | 3 | 2.203 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 385 cases | 13 | 5 | 7.623 | Worse than 95% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 385 cases | 58 | 71 | 68.6 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 385 cases | 79 | 87 | 85.85 | Worse than 93% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 385 cases | 29 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 385 cases | 2 | 4 | 3.431 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 385 cases | 37 | 47 | 45.33 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 385 cases | 37 | 30 | 32.51 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 385 cases | 26 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 385 cases | 2 | 3 | 2.859 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 385 cases | 17 | 12 | 13.94 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 385 cases | 83 | 88 | 86.06 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,019 cases | 2 | 1 | 1.008 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 872 cases | 88 | 79 | 69.96 | Better than 67% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 397 cases | 157 | 154 | 187 | Worse than 52% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 368 cases | 152 | 148 | 182 | Worse than 52% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 21 cases | 169 | 247 | 282 | Better than 81% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 37,602 cases | 3 | 1 | 2.162 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 75.06 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 99 cases | 100 | 97 | 92.55 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 606 cases | 15 | 15 | 13.67 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 65 cases | 54 | 65 | 68.8 | Worse than 74% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 17 cases | 94 | 73 | 76.38 | Better than 92% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 73 | 88 | 86.64 | Worse than 85% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 65 cases | 69 | 82 | 82.89 | Worse than 87% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 84 | 94 | 93.98 | Worse than 88% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 58 cases | 79 | 98 | 93.4 | Worse than 99% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 54 cases | 81 | 94 | 89.93 | Worse than 96% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0 | 5 | 4.959 | The best result, shared by 2% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.05 | 0.99 | 1.024 | Worse than 79% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 6 | 20 | 30.07 | Worse than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.5 | 5 | 7.571 | Worse than 81% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 14 | 34 | 28.67 | Worse than 91% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 3.5 | 8.75 | 7.519 | Worse than 91% of US hospitals | |
| VBP safety domain scoreFY 2026 | 82 | 40 | 45.16 | Better than 96% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 20.5 | 10 | 11.79 | Better than 95% of US hospitals | |
| VBP total performance scoreFY 2026 | 25.5 | 29.5 | 30.43 | Worse than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 16 | 28.33 | 24 | 8 | 6 |
| VBP clinical outcomes weighted domain score | 4 | 7.083 | 6 | 2 | 1.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 20 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 5 | 0 | 0 |
| VBP person and community engagement domain score | 40 | Not Available | Not Available | 10 | 14 |
| VBP person and community engagement weighted domain score | 10 | Not Available | Not Available | 2.5 | 3.5 |
| VBP safety domain score | 25 | Not Available | Not Available | 17.5 | 82 |
| VBP safety weighted domain score | 6.25 | Not Available | Not Available | 4.375 | 20.5 |
| VBP total performance score | 20.25 | Not Available | Not Available | 8.875 | 25.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 86 cases | 0.9836 | 0.9995 | 1.015 | Better than 62% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.9528 | 1 | 1.005 | Better than 69% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9949 | 0.9969 | 1.002 | Better than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 90 cases | 0.9797 | 0.9983 | 1.017 | Better than 63% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 126 cases | 1.011 | 0.9955 | 1.026 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.974 | 0.9892 | 0.9932 | 1.013 | 0.9604 | 0.9836 |
| READM-30-CABG-HRRP | 0.9471 | 0.8984 | N/A | N/A | 0.9965 | 0.9528 |
| READM-30-COPD-HRRP | 0.9681 | 0.9684 | 1.01 | N/A | N/A | 0.9949 |
| READM-30-HF-HRRP | 1.023 | 0.9832 | 1.051 | 1.06 | 1.017 | 0.9797 |
| READM-30-HIP-KNEE-HRRP | 1.054 | 0.9817 | 0.8559 | 0.9108 | 0.8997 | N/A |
| READM-30-PN-HRRP | 0.9149 | 0.9214 | 0.9914 | 0.9909 | 0.9982 | 1.011 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Dameron Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6114 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.331 | 0.346 | 0.449 | Better than 52% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.502 | 0.559 | 0.679 | Worse than 94% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 3.568 | 0.6405 | 0.7204 | Worse than 99% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8867 | 0.9628 | 0.9656 | Better than 76% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.8116 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | 0.1061 | -0.0453 | 0.02733 | Worse than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | Yes | Yes | No |
| Total HAC score | -0.0439 | 0.7276 | 0 | 0.7708 | 0.5231 | 0.1061 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
None
Medical school affiliation
Other
Ownership type
194
Medicare-certified beds
151
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Dameron Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,350
Inpatient discharges
Medicare 26%, Medicaid n/a
20,528
Inpatient days
33% of available bed days used
667
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835434). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Dameron Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 5,690 | 0 | 14,838 | 20,528 |
| Discharges | 1,111 | 0 | 3,239 | 4,350 |
| Average length of stay | 5.1 days | 4.6 days | 4.7 days | |
| Average daily census | 15.6 | 0.0 | 40.7 | 56.2 |
4,493
Medicare Advantage days
882 discharges
6,389
Medicaid managed care days
1,467 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 146 | 17,653 | 4,847 | 33% |
| Intensive care unit | 24 | 2,875 | 843 | 33% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Dameron Hospital treats Medicare patients for most often, in 2024. 182 Medicare discharges in 8 published DRGs; 13% surgical; 80% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 65 | $180,824 | $18,533 | $28,570 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 35 | $128,528 | $13,248 | $20,307 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $170,769 | $12,611 | $26,982 | 1.33 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $190,874 | $14,827 | $30,158 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $226,163 | $17,386 | $35,734 | 1.82 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $92,072 | $9,151 | $14,547 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 11 | $113,110 | $15,605 | $17,871 | 1.70 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $700,546 | $46,443 | $110,686 | 5.20 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Dameron Hospital billed Medicare for most in 2024: 732 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 182 | 166 | $56,118 | $2,738 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 143 | 136 | $185,512 | $14,652 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 68 | 68 | $71,478 | $2,942 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 47 | 44 | $91,621 | $5,773 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 43 | $99,152 | $7,348 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 32 | $71,630 | $3,132 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 31 | 31 | $42,001 | $3,239 | $2,373 |
| Level 1 Intraocular ProceduresAPC 5491 | 30 | 17 | $20,890 | $2,332 | $1,752 |
| Level 3 Endovascular ProceduresAPC 5193 | 29 | 29 | $150,312 | $12,160 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 24 | $241,075 | $21,709 | $15,763 |
See all 16 Medicare outpatient services at Dameron Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Dameron Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,107 in 2020 to 1,784 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 95207 | 208 | 12% | 1,003 | $37.7M | 11% | 9% |
| 95204 | 186 | 10% | 899 | $32.6M | 13% | 15% |
| 95206 | 173 | 10% | 909 | $30.6M | 10% | 8% |
| 95209 | 165 | 9% | 769 | $28.9M | 11% | 10% |
| 95203 | 157 | 9% | 757 | $27.1M | 23% | 19% |
| 95210 | 155 | 9% | 785 | $27.6M | 11% | 9% |
| 95205 | 131 | 7% | 633 | $23.3M | 12% | 10% |
| 95219 | 102 | 6% | 496 | $21.4M | 11% | 10% |
| 95215 | 99 | 6% | 439 | $17.7M | 13% | 12% |
| 95240 | 73 | 4% | 325 | $20.9M | 4% | 2% |
| 95202 | 65 | 4% | 338 | $12.1M | 18% | 14% |
| 95242 | 58 | 3% | 358 | $21.8M | 5% | 2% |
| 95212 | 52 | 3% | 321 | $11.5M | 6% | 6% |
| 95201 | 28 | 2% | 160 | $5.3M | 12% | 10% |
| 95376 | 19 | 1% | 117 | $4.1M | 1% | |
| 95860 | 18 | 1% | 59 | $2M | 3% | |
| 95632 | 16 | 1% | 70 | $5.4M | 1% | |
| 95236 | 14 | 1% | 49 | $2.2M | 12% | |
| 95258 | 14 | 1% | 34 | $2.1M | 7% | |
| 95220 | 13 | 1% | 40 | $4.3M | 5% | |
| 95252 | 13 | 1% | 71 | $4.4M | 2% | 3% |
| 95330 | 13 | 1% | 75 | $4M | 2% | |
| 95336 | 12 | 1% | 107 | $4.9M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,784 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Dameron Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
2
Operating rooms
151
Registered nurses
101
Licensed practical nurses
7
Pharmacists
2
Social workers
397
Other personnel
Source: CMS Provider of Services file.
166 clinicians who bill Medicare list Dameron Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Prithipal Sethi, M.D.
Urology Physician
NPI 1174710578
See commercial rates for Prithipal Sethi, M.D.Tucker Fischbeck, DO
Diagnostic Radiology Physician
NPI 1144631441
See commercial rates for Tucker Fischbeck, DORamin Manshadi, MD
Cardiovascular Disease Physician
NPI 1629171202
See commercial rates for Ramin Manshadi, MDMichael Kupfer, M.D.
Diagnostic Radiology Physician
NPI 1811949860
See commercial rates for Michael Kupfer, M.D.Justin Than, D.O.
Orthopaedic Surgery Physician
NPI 1174972673
See commercial rates for Justin Than, D.O.Kevin Mikaelian, M.D.
Orthopaedic Surgery Physician
NPI 1093712200
See commercial rates for Kevin Mikaelian, M.D.Tracy Bigelow, D.O.
Orthopaedic Hand Surgery Physician
NPI 1578662342
See commercial rates for Tracy Bigelow, D.O.Fram Buhari, MD
Cardiovascular Disease Physician
NPI 1811906894
See commercial rates for Fram Buhari, MDSalma Khan, M D.
Diagnostic Radiology Physician
NPI 1205927902
See commercial rates for Salma Khan, M D.Megan Stiehr, PA-C
Physician Assistant
NPI 1326219965
See commercial rates for Megan Stiehr, PA-CAjay Toppur Ramanakumar, M.D
Internal Medicine Physician
NPI 1659539153
See commercial rates for Ajay Toppur Ramanakumar, M.DL. Nelson, MD
Emergency Medicine Physician
NPI 1407972656
See commercial rates for L. Nelson, MDPavan Khanna, M.D.
Diagnostic Radiology Physician
NPI 1891936795
See commercial rates for Pavan Khanna, M.D.Cyrus Buhari, DO
Interventional Cardiology Physician
NPI 1679581268
See commercial rates for Cyrus Buhari, DOFrancisco Lazaga, MD
Diagnostic Radiology Physician
NPI 1386879336
See commercial rates for Francisco Lazaga, MDPratik Gandhi, D.O.
Physical Medicine & Rehabilitation Physician
NPI 1619234523
See commercial rates for Pratik Gandhi, D.O.Manjit Dhillon, MD
Infectious Disease Physician
NPI 1487602819
See commercial rates for Manjit Dhillon, MDSujeeth Punnam, M.D.
Cardiovascular Disease Physician
NPI 1932294253
See commercial rates for Sujeeth Punnam, M.D.Shivjitinder Sidhu, M.D.
Nephrology Physician
NPI 1841549607
See commercial rates for Shivjitinder Sidhu, M.D.Bader Abu Ghalyoun, MD
Interventional Cardiology Physician
NPI 1740492214
See commercial rates for Bader Abu Ghalyoun, MDVishnuvardhan Komari, M.D.
Internal Medicine Physician
NPI 1790929966
See commercial rates for Vishnuvardhan Komari, M.D.Haytham Aljoudi, MD
Cardiovascular Disease Physician
NPI 1699969287
See commercial rates for Haytham Aljoudi, MDMahender Gaba, M.D.
Cardiovascular Disease Physician
NPI 1104896174
See commercial rates for Mahender Gaba, M.D.Shailesh Singh, MD
Hospitalist Physician
NPI 1326488917
See commercial rates for Shailesh Singh, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Dameron Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.5B | 907.7% |
| Inpatient | $800M | 477.0% |
| Outpatient | $722.3M | 430.7% |
| Contractual allowances and discounts | -$1.4B | -807.7% |
| Net patient revenue | $167.7M | 100.0% |
| Operating expenses | -$163M | -97.2% |
| Operating income from patient care | $4.7M | 2.8% |
| Other income | $12.5M | 7.5% |
| Investment income | $887 | 0.0% |
| Other | $12.5M | 7.5% |
| Other expenses | -$2.1M | -1.2% |
| Net income | $15.2M | 9.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $297.9M | 19.6% |
| Medicaid (including managed care) | $523M | 34.4% |
| Other payers and self-pay | $701.4M | 46.1% |
| Total charges | $1.5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Dameron Hospital's latest cost report.
2.8%
Operating margin
Operating income from patient care / net patient revenue
8.4%
Total margin
Net income / net patient revenue plus other income
9.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
50% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$47816.66
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
13.2%
Return on assets
Net income for a year / total assets
0.46
Current ratio
Current assets / current liabilities
0.25
Quick ratio
Cash, temporary investments and net receivables / current liabilities
8 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
85 days
Days in patient receivables
Net patient receivables / daily net patient revenue
385 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.57
Asset turnover
Total revenue for a year / total assets
121.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Dameron Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $115.1M in total assets and a -$55.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $3.8M | 3.3% |
| Patient receivables, net | $39M | 33.8% |
| Inventory | $3.2M | 2.7% |
| Total current assets | $78.2M | 68.0% |
| Property and equipment, net of depreciation | $36.6M | 31.8% |
| Investments and other assets | $334,150 | 0.3% |
| Total assets | $115.1M | 100.0% |
| Current liabilities | $170.2M | 147.8% |
| Long-term debt | $198,489 | 0.2% |
| Total liabilities | $170.4M | 148.0% |
| Fund balance (net assets) | -$55.3M | -48.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Dameron Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$18.3M
Bad debt
Patient bills written off as uncollectible, at charges
$17M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$20.6M
Total unreimbursed and uncompensated care
12.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Dameron Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $119.7M | $138.7M | $130.5M | $110.1M | $124.6M | $167.7M |
| Operating expenses | $145.9M | $160.1M | $159.3M | $161.5M | $166.2M | $163M |
| Operating margin | -21.9% | -15.4% | -22.0% | -46.8% | -33.4% | 2.8% |
| Net income | -$19.4M | -$11.2M | -$22.9M | -$45.2M | -$41.2M | $15.2M |
| Total assets | $97.6M | $96.8M | $95.7M | $71.5M | $83.5M | $115.1M |
| Discharges | 3,383 | 3,249 | 3,017 | 2,969 | 2,937 | 4,350 |
| Inpatient days | 14,075 | 14,790 | 13,467 | 13,420 | 12,417 | 20,528 |
| Medicare Advantage days | 973 | 2,148 | 2,896 | 2,847 | 2,991 | 4,493 |
| Beds | 170 | 170 | 170 | 170 | 170 | 170 |
| Employees (FTE) | 455 | 444 | 444 | 417 | 421 | 667 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Dameron Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $5.7M | $24.8M | $169M | 0.15 | 6,883 |
| Medical supplies charged to patient | $20.1M | $107.1M | 0.19 | ||
| Emergency | $8.4M | $16M | $217.7M | 0.07 | 2,932 |
| Laboratory | $2.4M | $8.4M | $178.9M | 0.05 | 4,574 |
| Drugs charged to patients | $7M | $46.4M | 0.15 | ||
| Cardiac catheterization | $2.9M | $5.6M | $86.7M | 0.06 | 2,345 |
| Radiology-diagnostic | $1.8M | $4M | $38.2M | 0.11 | 3,435 |
| Respiratory therapy | $2.1M | $3.8M | $56.6M | 0.07 | 858 |
| Endoscopy | $1.2M | $2.8M | $25.6M | 0.11 | 871 |
| Impl. dev. charged to patients | $1.8M | $42.6M | 0.04 | ||
| Radioisotope | $398,914 | $1.6M | $21.6M | 0.07 | 1,175 |
| Physical therapy | $247,215 | $1.5M | $8.2M | 0.18 | 4,465 |
| Recovery room | $749,419 | $1.3M | $8.8M | 0.15 | 1,007 |
| Ct scan | $511,679 | $1.2M | $159.4M | 0.01 | 474 |
| Ultrasound | $638,010 | $1.1M | $16.3M | 0.07 | 683 |
| Clinic | $2,401 | $866,502 | $23,355 | 37.10 | 6,284 |
| Blood storing processing & trans. | $806,720 | $2.8M | 0.29 | 260 | |
| Electrocardiology | $340,191 | $672,458 | $28.7M | 0.02 | 540 |
| Laboratory-pathology | $487,374 | $141,271 | 3.45 | 1,189 | |
| Renal dialysis | $92,675 | $422,422 | $18.4M | 0.02 | |
| Pain managment | $639,549 | $182,482 | $15.6M | 0.01 | 2,056 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $18.2M | $36.4M | $208.3M | 0.17 | 19,702 |
| Intensive care unit | $5.4M | $11.2M | $65M | 0.17 | 3,733 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6M | $26M | 165,423 | $36.39 | 19,240 |
| Nursing administration | $2.4M | $4M | 50,918 | $47.88 | 1,442 |
| Dietary | $3.8M | 2,714 | |||
| Housekeeping | $1.5M | $2.9M | 68,402 | $21.50 | 1,002 |
| Cap rel costs-bldg & fixt | $2.9M | 141,166 | |||
| Operation of plant | $5,729 | $2.9M | 128 | $44.76 | 5,253 |
| Pharmacy | $2M | $2.8M | 38,967 | $52.19 | 1,425 |
| Maintenance & repairs | $476,461 | $2.7M | 16,843 | $28.29 | 2,459 |
| Central services & supply | $1.2M | $1.8M | 39,303 | $30.00 | 26,376 |
| Medical records & library | $352,982 | $1.6M | 13,203 | $26.73 | 2,291 |
| Employee benefits department | $622,092 | $1.1M | 18,078 | $34.41 | 754 |
| Laundry & linen service | $441,975 | 1,432 | |||
| Cafeteria | $11,586 | 5,528 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835434, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Dameron Hospital for an inpatient stay.
1.93
Case mix index
Higher than 73% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
51.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
944
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 2.07 | 2.06 | 2.07 | 2.10 | 2.26 | 2.11 | 1.93 |
| Wage index | 1.527 | 1.514 | 1.559 | 1.566 | 1.532 | 1.485 | 1.452 |
| Readmissions adjustment | -1.52% | -0.68% | 0.00% | -0.08% | -0.13% | 0.00% | -0.01% |
| Value-based purchasing adjustment | -0.12% | -0.70% | -0.70% | -0.44% | -1.16% | 0.00% | -0.24% |
| Medicare inpatient stays | 1,003 | 1,003 | 822 | 744 | 677 | 574 | 944 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Dameron Hospital reports to Medicare as owners or with operational control.
American Advanced Management, Inc
Operational/managerial control, since 2024
Sources: CMS Hospital All Owners.
The officers and board members on Dameron Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Dameron Hospital Association files the Form 990 for the tax ID insurers list for Dameron Hospital, so these people may lead the wider organization rather than Dameron Hospital alone.
| Name | Title |
|---|---|
| Gia Smith | COO |
| Samsher Bhullar | CEO |
| Tammy Thompson | CFO |
Board members: William Trezza, Daniel Dixon, Michael Hakeem, Kathy Lagorio-Janssen, Hon Ronald Northrup.
Source: IRS Form 990 Part VII filed by Dameron Hospital Association (EIN 94-1201197), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2006
340B ID DSH050122, registered as a disproportionate share hospital; 1 registered outpatient sites; 13 active contract pharmacies. Authorizing official: Cassandra Lacondeguy, Chief Nursing Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Dameron Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Dameron Hospital range from $792 to $5,732 across 4 insurers. Aetna's rate is $4,001. The median at nearby comparable hospitals is $2,293. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Dameron Hospital range from $4,438 to $5,784 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $5,784. The median at nearby comparable hospitals is $1,570. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Dameron Hospital range from $3,559 to $4,382 across 2 insurers. Aetna's rate is $3,559. The median at nearby comparable hospitals is $5,162. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Dameron Hospital range from $9,101 to $10,609 across 2 insurers. UnitedHealthcare's rate is $9,101. What a patient pays depends on their plan's deductible, coinsurance and network status.
Dameron 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.
CMS reports no Medicare-funded interns or residents at Dameron Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Dameron Hospital's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (65 discharges), heart failure and shock with mcc (35 discharges), simple pneumonia and pleurisy with mcc (22 discharges).
Dameron Hospital's Medicare case mix index is 1.93 for fiscal year 2027, higher than 73% of hospitals paid under the inpatient prospective payment system.
Dameron Hospital reported 4,350 inpatient discharges and 20,528 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Dameron Hospital reported 667 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Dameron Hospital reported $167.7M in net patient revenue on $1.5B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 2.8%, and net income of $15.2M.
Dameron Hospital reported $20.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.5M of charity care at cost.
Insurers' price transparency files list Dameron Hospital under employer identification number 94-1201197 (Dameron Hospital). 54 health plans and networks list 94-1201197 for it.
Yes. HRSA's 340B database lists Dameron Hospital (340B ID DSH050122) as a participating disproportionate share hospital since 2006, with 13 active contract pharmacies.
166 clinicians who bill Medicare list Dameron Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (18), internal medicine physician (17), diagnostic radiology physician (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Dameron Hospital, effective 2022.
In its Medicare enrollment, Dameron Hospital reports American Advanced Management, Inc as Operational/managerial control.
CMS lists 26 services at Dameron Hospital, including Acute Renal Dialysis, Anesthesia, Burn Care Unit, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Dameron Hospital came from ZIP codes 95207 (208), 95204 (186), 95206 (173).
Dameron Hospital has 170 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 194 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Dameron Hospital is located at 525 West Acacia Street, Stockton, CA 95203. Its main phone number is (209) 944-5550.
Dameron Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050122.
The National Provider Identifier (NPI) on file for Dameron Hospital is 1538163886.
Dameron Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
239 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers