Tenet Healthcare Corporation · Modesto, CA
38
In-network payers
347
Disclosed rate categories
394
Beds
1
Care quality
Doctors Medical Center - Modesto is a 394-bed proprietary hospital in Modesto, CA, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 347 disclosed rate categories.
CCN (Medicare provider number)
050464
NPI
1184654923
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
394
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Doctors Medical Center - Modesto 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.
Childbirth · Inpatient
MS-DRG 807
$13,111 - $19,772
from 3 insurers · median $15,395
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
$19,764 - $28,291
from 3 insurers · median $25,270
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
Medicine & Surgery · Inpatient
MS-DRG 216
$70,575 - $335,643
from 3 insurers · median $296,556
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$13,111 - $19,772
from 3 insurers · median $15,395
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
CT imaging
CPT 74177
$1,775 - $2,257
from 2 insurers · median $2,016
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$255 - $6,734
from 4 insurers · median $3,980
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$5,613 - $8,915
from 3 insurers · median $5,615
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$3,805 - $4,792
from 3 insurers · median $4,346
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,805 - $4,792
from 3 insurers · median $4,423
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,805 - $4,792
from 3 insurers · median $4,470
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,362 - $15,941
from 3 insurers · median $10,690
50 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$3,805 - $4,911
from 3 insurers · median $4,325
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,175 - $1,324
from 2 insurers · median $1,249
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,190 - $11,515
from 3 insurers · median $6,772
33 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$210 - $1,501
from 3 insurers · median $455
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$260 - $812
from 3 insurers · median $376
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$35,340 - $42,568
from 2 insurers · median $38,954
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 73721
$400 - $4,448
from 4 insurers · median $2,161
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$206 - $2,489
from 4 insurers · median $1,857
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,529 - $15,941
from 3 insurers · median $14,745
32 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58571
$6,262 - $15,941
from 3 insurers · median $7,699
Typical for a hospital with this service line
Gynecology
CPT 57288
$5,884 - $15,246
from 3 insurers · median $10,956
12 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93971
$131 - $1,341
from 4 insurers · median $843
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,381 - $15,941
from 2 insurers · median $10,661
Typical for a hospital with this service line
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* | 10 | 1021% | 5 | 0 |
| Insurer B* | 18 | 454% | 8 | 9 |
| Insurer C* | 21 | 311% | 11 | 1 |
| Insurer D* | 23 | 209% | 9 | 10 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 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 Doctors Medical Center - Modesto.
1441 Florida Avenue, Modesto, CA 95350
(209) 578-1211
The nearest hospitals of similar type and size. Their rates are compared with Doctors Medical Center - Modesto for the same insurers and services above.
Memorial Medical Center
▼ Rates typically 19% lower than Doctors Medical Center - Modesto (21 services)
St Joseph Medical Center - Stockton
Rates about the same as Doctors Medical Center - Modesto (21 services)
Dameron Hospital
▼ Rates typically 9% lower than Doctors Medical Center - Modesto (20 services)
Regional Medical Center Of San Jose
▲ Rates typically 25% higher than Doctors Medical Center - Modesto (20 services)
Washington Hospital - Fremont
▲ Rates typically 17% higher than Doctors Medical Center - Modesto (21 services)
Oconnor Hospital
▲ Rates typically 6% higher than Doctors Medical Center - Modesto (10 services)
Stanislaus Surgical Center
Twin Cities Community Hospital
Hi Desert Medical Center
About Doctors Medical Center - Modesto's rates and hospital price transparency.
For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Doctors Medical Center - Modesto range from $400 to $4,448 across 4 insurers. UnitedHealthcare's rate is $400. The median at nearby comparable hospitals is $1,176. 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 Doctors Medical Center - Modesto range from $1,775 to $2,257 across 2 insurers. Aetna's rate is $1,775. The median at nearby comparable hospitals is $2,248. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Doctors Medical Center - Modesto range from $3,805 to $4,792 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,792. The median at nearby comparable hospitals is $3,764. 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 Doctors Medical Center - Modesto range from $13,111 to $19,772 across 3 insurers. Cigna's rate is $19,772. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Doctors Medical Center - Modesto range from $260 to $812 across 3 insurers. Cigna's rate is $260. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.
Doctors Medical Center - Modesto has 394 beds. Facility type: Short Term Acute Care Hospital.
Doctors Medical Center - Modesto is located at 1441 Florida Avenue, Modesto, CA 95350. Its main phone number is (209) 578-1211.
Doctors Medical Center - Modesto's CMS Certification Number (CCN), also called its Medicare provider number, is 050464.
The National Provider Identifier (NPI) on file for Doctors Medical Center - Modesto is 1184654923.
Doctors Medical Center - Modesto is affiliated with Tenet Healthcare Corporation.
Doctors Medical Center - Modesto lists 38 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.
347 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.
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{
"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