Lompoc, CA
1 of 5
CMS star rating
170
Beds
2,059
Inpatient discharges a year
$170M
Net patient revenue a year
32
In-network payers
Lompoc Valley Medical Center is a 170-bed government - hospital district or authority hospital in Lompoc, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 166 disclosed rate categories.
The 24 services Lompoc Valley Medical Center 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.
CT imaging
CPT 74177
$1,588 - $3,901
from 4 insurers · median $3,111
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,800 - $52,923
from 2 insurers · median $27,362
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$797 - $8,626
from 2 insurers · median $4,711
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$832 - $2,539
from 4 insurers · median $2,366
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $1,092
from 3 insurers · median $1,056
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$18,325
negotiated rate
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$690 - $5,239
from 2 insurers · median $2,964
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,430 - $2,725
from 4 insurers · median $2,548
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805 - $5,779
from 2 insurers · median $3,292
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $5,562
from 4 insurers · median $3,558
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$394 - $2,780
from 4 insurers · median $2,496
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$219 - $443
from 4 insurers · median $320
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $3,131
from 4 insurers · median $2,808
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$824 - $6,068
from 4 insurers · median $4,317
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$108 - $388
from 4 insurers · median $297
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,044
negotiated rate
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$4 - $205
from 3 insurers · median $140
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$623 - $697
from 2 insurers · median $660
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$165 - $345
from 3 insurers · median $342
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$481 - $1,350
from 2 insurers · median $916
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$122 - $621
from 3 insurers · median $342
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,800 - $6,707
from 2 insurers · median $4,253
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$4 - $134
from 4 insurers · median $100
Typical for a hospital with this service line
Mammography
CPT 77065
$382 - $443
from 2 insurers · median $412
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* | 11 | 997% | 9 | 1 |
| Insurer B* | 23 | 652% | 22 | 1 |
| Insurer C* | 17 | 583% | 12 | 5 |
| Insurer D* | 19 | 162% | 4 | 5 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 3 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 Lompoc Valley Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by CIHQ
Finances
$170M net patient revenue
Ownership and leadership
Owned by Lompoc Valley Medical Center
The employer identification numbers (EINs) health plans and networks list for Lompoc Valley Medical Center 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 |
|---|---|---|
| 95-6001880Lompoc Valley Medical Center | 46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 41 more | 1194711952 Lompoc Valley Medical Center1649282856 Lompoc Valley Medical Center1376539130 Lompoc Valley Medical Centerand 8 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.
1515 East Ocean Avenue, Lompoc, CA 93436
(805) 737-3300
How Lompoc Valley Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 2 of 5 measures
0 better, 3 no different, 2 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
0 better, 7 no different, 2 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
45%
Lower than 99% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.02
Higher than 68% 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
171 min
Higher than 65% 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 | 1 of 5 | |
| Death rates | Worse on 2 of 5 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 2 of 9 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 | 45% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.02 | 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 | 171 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 Lompoc Valley Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.64% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.70% 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 Lompoc Valley Medical Center, 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 | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 30 cases | 5.1 | 4.1 | 4.075 | Worse than 87% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 470 cases | 5.1 | 3.9 | 3.81 | Worse than 91% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 53 cases | 10.6 | 8.5 | 8.235 | Worse than 90% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 83 cases | 13.6 | 11 | 10.29 | Worse than 90% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 166 cases | 21.1 | 15.2 | 14.49 | Worse than 98% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 46 cases | 11.4 | 11.6 | 11.57 | Better than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,468 cases | 0.41 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 65% 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 · 1,795 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 · 1,747 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 327 cases | 2.5 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 194 cases | 1.61 | 1.63 | 1.668 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 190 cases | 12.15 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 334 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 · 172 cases | 5.54 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 129 cases | 1.72 | 1.72 | 1.796 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 397 cases | 1.76 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 98% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 88 cases | 5.8 | 1.25 | 7.901 | Worse than 56% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 147 cases | 82.8 | 3.85 | 16.67 | Worse than 98% 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 · 1,023 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 · 58 cases | 10.8 | 10.7 | 11.39 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 58 cases | 5 | 5.3 | 5.546 | No Different Than the National Rate | Better than 68% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 73 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 30 cases | 20.3 | 19.8 | 19.94 | Worse than 69% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 69 cases | 21.8 | 21.3 | 21.41 | Worse than 65% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 32 cases | 6.7 | 5.8 | 5.612 | Worse than 90% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 119 cases | 18.6 | 17.2 | 17.7 | Worse than 88% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lompoc Valley Medical Center | 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 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 807 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.659 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.03 | 0.138 | 0.2147 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.996 | 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 | 2,062 | 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 | 1.646 | 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 | 1 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.608 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 69% 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 | 9 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.277 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 46 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.332 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 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 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 8,772 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.359 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.131 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.583 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,306 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.558 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.782 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 90% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 182 cases | 73 | 73 | 72.2 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 182 cases | 8 | 8 | 8.78 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 182 cases | 19 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 88 | 87 | 86.82 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 182 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 182 cases | 66 | 80 | 75.76 | Worse than 99% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 85 | 91 | 89.84 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 182 cases | 10 | 4 | 5.713 | Worse than 97% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 182 cases | 1 | 3 | 2.855 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 182 cases | 24 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 182 cases | 70 | 79 | 75.81 | Worse than 95% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 86 | 91 | 89.11 | Worse than 94% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 182 cases | 9 | 5 | 7.043 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 182 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 182 cases | 21 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 182 cases | 47 | 61 | 58.95 | Worse than 99% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 65 | 77 | 75.75 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 182 cases | 32 | 19 | 21.56 | Worse than 98% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 182 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 182 cases | 21 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 86 | 86 | 84.61 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 182 cases | 13 | 13 | 15.03 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 182 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 182 cases | 87 | 87 | 84.97 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 182 cases | 13 | 14 | 16.39 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 182 cases | 87 | 86 | 83.61 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 66 | 74 | 70.69 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 9 | 7 | 8.855 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 25 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 64 | 77 | 73.94 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 11 | 6 | 7.637 | Worse than 95% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 25 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 79 | 85 | 81.99 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 8 | 3 | 4.958 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 13 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 182 cases | 19 | 8 | 10.01 | Worse than 98% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 182 cases | 35 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 182 cases | 46 | 72 | 67.63 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 77 | 88 | 86.85 | Worse than 99% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 182 cases | 1 | 3 | 3.047 | The lowest rating, shared by 2% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 182 cases | 63 | 74 | 72.06 | Worse than 97% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 182 cases | 19 | 9 | 10.94 | Worse than 98% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 182 cases | 18 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 60 | 75 | 71.11 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 13 | 5 | 7.488 | Worse than 97% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 182 cases | 27 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 64 | 77 | 72.49 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 10 | 4 | 6.121 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 182 cases | 26 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 75 | 86 | 82.8 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 7 | 3 | 3.779 | Worse than 96% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 182 cases | 18 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 182 cases | 39 | 59 | 47.5 | Worse than 97% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 182 cases | 25 | 9 | 17.79 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 182 cases | 36 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 68 | 82 | 74.85 | Worse than 98% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 182 cases | 1 | 3 | 2.203 | The lowest rating, shared by 4% 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 · 182 cases | 13 | 5 | 7.623 | Worse than 95% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 182 cases | 45 | 71 | 68.6 | Worse than 99% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 182 cases | 75 | 87 | 85.85 | Worse than 98% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 182 cases | 42 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 182 cases | 1 | 4 | 3.431 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 182 cases | 31 | 47 | 45.33 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 182 cases | 45 | 30 | 32.51 | Worse than 98% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 182 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 182 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 · 182 cases | 14 | 12 | 13.94 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 182 cases | 86 | 88 | 86.06 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lompoc Valley Medical Center | 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 · 510 cases | 0 | 1 | 1.008 | The best result, shared by 34% 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 · 1,058 cases | 65 | 79 | 69.96 | Worse than 71% 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 · 417 cases | 175 | 154 | 187 | Worse than 64% 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 · 393 cases | 171 | 148 | 182 | Worse than 65% 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 · 19 cases | 378 | 247 | 282 | Worse than 84% 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 · 23,742 cases | 4 | 1 | 2.162 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 16 cases | 75 | 74 | 75.06 | Better than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 245 cases | 97 | 97 | 92.55 | Better than 46% 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 · 552 cases | 17 | 15 | 13.67 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 168 cases | 54 | 65 | 68.8 | Worse than 74% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 74 cases | 72 | 73 | 76.38 | Worse than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 40 cases | 62 | 88 | 86.64 | Worse than 93% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 168 cases | 80 | 82 | 82.89 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 89 cases | 91 | 94 | 93.98 | Worse than 68% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 27 cases | 93 | 98 | 93.4 | Worse than 87% 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 · 28 cases | 93 | 94 | 89.93 | Worse than 54% 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 | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.8 | 5 | 4.959 | Worse than 76% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.1 | 6.6 | 8.417 | Worse than 67% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lompoc Valley Medical Center | 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 | 0.99 | 1.024 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 30.07 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.571 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 16.48 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 4.567 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 22 | 34 | 28.67 | Worse than 75% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5.5 | 8.75 | 7.519 | Worse than 75% of US hospitals | |
| VBP safety domain scoreFY 2026 | 33.33 | 40 | 45.16 | Worse than 61% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 8.333 | 10 | 11.79 | Worse than 61% of US hospitals | |
| VBP total performance scoreFY 2026 | 18.83 | 29.5 | 30.43 | Worse than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 25 | 32.5 | 33.33 | 2.5 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 8.333 | 8.125 | 8.333 | 0.625 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 5 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 9 | 12 | 22 |
| VBP person and community engagement weighted domain score | 6.667 | Not Available | Not Available | 2.25 | 3 | 5.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | 35 | 40 | 33.33 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 8.75 | 10 | 8.333 |
| VBP total performance score | 15 | Not Available | Not Available | 11.63 | 13 | 18.83 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9804 | 0.9969 | 1.002 | Better than 65% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 85 cases | 1.039 | 0.9983 | 1.017 | Worse than 74% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.11 | 0.9916 | 0.9788 | Worse than 78% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 118 cases | 1.086 | 0.9955 | 1.026 | Worse than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9977 | 1.012 | 0.9645 | 0.9596 | 0.9753 | 0.9804 |
| READM-30-HF-HRRP | 1.018 | 1.041 | 0.9804 | 0.9868 | 1.021 | 1.039 |
| READM-30-HIP-KNEE-HRRP | 1.012 | 1.013 | 0.9637 | 1.006 | 0.9721 | 1.11 |
| READM-30-PN-HRRP | 1.031 | 1.009 | 1.018 | 1.051 | 1.064 | 1.086 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lompoc Valley Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.311 | 0.489 | 0.6114 | Better than 69% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.496 | 0.346 | 0.449 | Worse than 71% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.973 | 0.559 | 0.679 | Worse than 80% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7204 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.016 | 0.9628 | 0.9656 | Worse than 68% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.118 | 0.7945 | 0.8116 | Worse than 95% of US hospitals | |
| Total HAC scoreFY 2026 | 0.62 | -0.0453 | 0.02733 | Worse than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | No | Yes |
| Total HAC score | 0.7682 | 1.42 | 0 | 0.3015 | 0.3258 | 0.62 |
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.
CIHQ (since 2020)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
170
Medicare-certified beds
153
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lompoc Valley Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,059
Inpatient discharges
Medicare 41%, Medicaid n/a
8,903
Inpatient days
41% of available bed days used
710
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842338). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lompoc Valley Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,943 | 0 | 4,960 | 8,903 |
| Discharges | 835 | 0 | 1,224 | 2,059 |
| Average length of stay | 4.7 days | 4.1 days | 4.3 days | |
| Average daily census | 10.8 | 0.0 | 13.6 | 24.4 |
176
Medicare Advantage days
31 discharges
994
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 54 | 7,037 | 3,254 | 36% |
| Intensive care unit | 6 | 1,389 | 689 | 63% |
| Nursery | 477 | |||
| Skilled nursing facility | 110 | 33,901 | 2,795 | 84% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lompoc Valley Medical Center treats Medicare patients for most often, in 2024. 371 Medicare discharges in 16 published DRGs; 10% surgical; 60% 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 | 72 | $71,164 | $22,617 | $27,968 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 44 | $42,893 | $12,307 | $16,857 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 27 | $30,297 | $9,588 | $11,907 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $24,611 | $7,742 | $9,672 | 0.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $75,770 | $15,554 | $29,778 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $60,969 | $16,599 | $23,961 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $64,811 | $18,614 | $25,471 | 1.88 |
| Renal failure with CCMS-DRG 683, medical | 19 | $24,128 | $8,016 | $9,482 | 0.90 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $56,883 | $13,470 | $22,355 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $36,954 | $7,396 | $14,523 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $48,504 | $14,064 | $19,062 | 1.17 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $36,002 | $7,631 | $14,149 | 0.82 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $55,563 | $20,201 | $21,836 | 2.07 |
| Cellulitis without MCCMS-DRG 603, medical | 13 | $38,353 | $11,723 | $15,073 | 0.88 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $28,433 | $9,022 | $11,174 | 0.97 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $22,371 | $7,171 | $8,792 | 0.78 |
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) Lompoc Valley Medical Center billed Medicare for most in 2024: 407 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 188 | 175 | $17,152 | $2,678 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 41 | 39 | $7,062 | $1,586 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 34 | 32 | $13,126 | $1,877 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 32 | $38,403 | $5,504 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 30 | $20,636 | $7,041 | $5,339 |
| Level 1 Intraocular ProceduresAPC 5491 | 28 | 21 | $11,196 | $2,283 | $1,752 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $24,887 | $3,377 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 13 | $13,187 | $3,171 | $2,373 |
| Level 2 Intraocular ProceduresAPC 5492 | 13 | 11 | $21,136 | $3,983 | $3,116 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | $12,193 | $3,668 | $2,833 |
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 Lompoc Valley Medical Center 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 875 in 2020 to 789 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 93436 | 754 | 96% | 3,313 | $37.8M | 42% | 51% |
| 93438 | 20 | 3% | 82 | $829,112 | 47% | 46% |
| 93455 | 15 | 2% | 86 | $1M | 1% |
Source: CMS Hospital Service Area file. Shares are of the 789 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 Lompoc Valley Medical Center reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
4
Operating rooms
1
Endoscopy rooms
3
Off-site locations
3
Off-site emergency departments
153
Registered nurses
1
Physician assistants
1
Nurse anesthetists (CRNAs)
4
Pharmacists
9
Respiratory therapists
4
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
21
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
7
Medical technologists
4
Dietitians
2
Social workers
143
Other personnel
Source: CMS Provider of Services file.
256 clinicians who bill Medicare list Lompoc Valley Medical Center 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.
Eric Bank, M.D.
Hematology & Oncology Physician
NPI 1720423882
See commercial rates for Eric Bank, M.D.Samuel Kieley, M.D.
Urology Physician
NPI 1003058546
See commercial rates for Samuel Kieley, M.D.Sara Taroumian, M.D.
Rheumatology Physician
NPI 1720258585
See commercial rates for Sara Taroumian, M.D.Christopher Birch, M.D.
Orthopaedic Surgery Physician
NPI 1083989164
See commercial rates for Christopher Birch, M.D.Manuel Garmendia, PA-C
Physician Assistant
NPI 1437624103
See commercial rates for Manuel Garmendia, PA-CBrett Lebed, MD
Urology Physician
NPI 1962664409
See commercial rates for Brett Lebed, MDTimothy Auran, M.D.
Vascular & Interventional Radiology Physician
NPI 1235337684
See commercial rates for Timothy Auran, M.D.Amit Alexander-Nathani, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1144583428
See commercial rates for Amit Alexander-Nathani, MDMilani Sivagnanam, M.D.
Nephrology Physician
NPI 1174937106
See commercial rates for Milani Sivagnanam, M.D.Mananya Satayaprasert, MD
Neurology Physician
NPI 1326226887
See commercial rates for Mananya Satayaprasert, MDJeremy Kuniyoshi, MD
Diagnostic Radiology Physician
NPI 1124212667
See commercial rates for Jeremy Kuniyoshi, MDMichael Avallone, M.D.
Urology Physician
NPI 1013273036
See commercial rates for Michael Avallone, M.D.Corey Hiti, M.D.
Diagnostic Radiology Physician
NPI 1669868964
See commercial rates for Corey Hiti, M.D.Michael Trambert, M.D.
Diagnostic Radiology Physician
NPI 1396744801
See commercial rates for Michael Trambert, M.D.Alex Harrison, MD
Cardiovascular Disease Physician
NPI 1396934188
See commercial rates for Alex Harrison, MDRyanne Brown, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1780940106
See commercial rates for Ryanne Brown, MDVijay George, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1952637118
See commercial rates for Vijay George, M.D.Elliot Deyoung, MD
Vascular & Interventional Radiology Physician
NPI 1972881035
See commercial rates for Elliot Deyoung, MDAhmad Nooristani, M.D.
Internal Medicine Physician
NPI 1659537306
See commercial rates for Ahmad Nooristani, M.D.Bernard Chow, M.D.
Diagnostic Radiology Physician
NPI 1770582751
See commercial rates for Bernard Chow, M.D.Samer Othman, MD
Internal Medicine Physician
NPI 1437476439
See commercial rates for Samer Othman, MDJeffrey Sager, MD
Pulmonary Disease Physician
NPI 1780618850
See commercial rates for Jeffrey Sager, MDTimothy Kuang, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1134107550
See commercial rates for Timothy Kuang, M.D.Asher Kupperman, M.D.
Surgery of the Hand (Surgery) Physician
NPI 1104141993
See commercial rates for Asher Kupperman, M.D.Source: 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 Lompoc Valley Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $433.7M | 255.1% |
| Inpatient | $130.3M | 76.7% |
| Outpatient | $303.4M | 178.5% |
| Contractual allowances and discounts | -$263.7M | -155.1% |
| Net patient revenue | $170M | 100.0% |
| Operating expenses | -$168.6M | -99.2% |
| Operating income from patient care | $1.4M | 0.8% |
| Other income | $12.7M | 7.5% |
| Contributions and donations | $11,850 | 0.0% |
| Investment income | $1.1M | 0.6% |
| Government appropriations | $6.2M | 3.7% |
| Other | $5.4M | 3.2% |
| Net income | $14.1M | 8.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $108.1M | 27.4% |
| Medicaid (including managed care) | $112.5M | 28.5% |
| Other payers and self-pay | $173.6M | 44.0% |
| Total charges | $394.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, 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 Lompoc Valley Medical Center's latest cost report.
0.8%
Operating margin
Operating income from patient care / net patient revenue
7.7%
Total margin
Net income / net patient revenue plus other income
10.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.17
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.6%
Return on assets
Net income for a year / total assets
16.4%
Return on equity
Net income for a year / fund balance
0.63
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.42
Current ratio
Current assets / current liabilities
1.83
Quick ratio
Cash, temporary investments and net receivables / current liabilities
29 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
56 days
Days in patient receivables
Net patient receivables / daily net patient revenue
47 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.11
Asset turnover
Total revenue for a year / total assets
36.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lompoc Valley Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $164.3M in total assets and a $86.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $13.3M | 8.1% |
| Patient receivables, net | $26M | 15.8% |
| Inventory | $1.5M | 0.9% |
| Total current assets | $94.7M | 57.6% |
| Property and equipment, net of depreciation | $67M | 40.8% |
| Investments and other assets | $2.6M | 1.6% |
| Total assets | $164.3M | 100.0% |
| Current liabilities | $21.4M | 13.0% |
| Long-term debt | $54.7M | 33.3% |
| Total liabilities | $78M | 47.5% |
| Fund balance (net assets) | $86.3M | 52.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lompoc Valley Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$759,338
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.8M
Bad debt
Patient bills written off as uncollectible, at charges
-$46.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$23,458
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$2.9M
Total unreimbursed and uncompensated care
1.7% 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 842338, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lompoc Valley Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $111.2M | $130.2M | $138M | $140.5M | $154.2M | $170M |
| Operating expenses | $119.4M | $128.1M | $138.7M | $149.2M | $158.8M | $168.6M |
| Operating margin | -7.4% | 1.7% | -0.5% | -6.2% | -3.0% | 0.8% |
| Net income | $6.3M | $10.3M | $9.4M | $1.4M | $7.1M | $14.1M |
| Total assets | $137.5M | $144.6M | $149.6M | $150.4M | $155.4M | $164.3M |
| Discharges | 1,911 | 2,257 | 2,208 | 2,323 | 2,318 | 2,059 |
| Inpatient days | 8,095 | 10,314 | 9,997 | 9,568 | 9,848 | 8,903 |
| Medicare Advantage days | 198 | 617 | 573 | 347 | 299 | 176 |
| Beds | 170 | 170 | 170 | 170 | 170 | 170 |
| Employees (FTE) | 551 | 585 | 657 | 650 | 659 | 710 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lompoc Valley Medical Center 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $13M | $53.8M | 0.24 | ||
| Operating room | $4.5M | $11.9M | $46.2M | 0.26 | 12,096 |
| Radiology-diagnostic | $3.8M | $10.6M | $78.2M | 0.14 | 11,164 |
| Laboratory | $3.1M | $10.6M | $40M | 0.26 | 3,214 |
| Emergency | $4M | $9.8M | $47.5M | 0.21 | 5,752 |
| Medical supplies charged to patient | $7.8M | $11.7M | 0.67 | ||
| Impl. dev. charged to patients | $4.5M | $6.5M | 0.68 | ||
| Oncology clinic | $740,227 | $3.1M | $19.9M | 0.16 | |
| Physical therapy | $1.3M | $2.6M | $4.1M | 0.62 | 782 |
| Respiratory therapy | $902,110 | $2.2M | $15.2M | 0.14 | 1,704 |
| Delivery room & labor room | $2.2M | $2.7M | 0.82 | 3,462 | |
| Observation beds (non-distinct part | $1.8M | $2.7M | 0.66 | ||
| Occupational therapy | $784,623 | $1.5M | $2.3M | 0.67 | 782 |
| Electrocardiology | $78,796 | $818,684 | $10M | 0.08 | |
| Whole blood & packed red blood cell | $626,966 | $492,977 | 1.27 | ||
| Speech pathology | $107,844 | $553,962 | $1.3M | 0.43 | 782 |
| Anesthesiology | $74,652 | $243,870 | $7.9M | 0.03 | 169 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Skilled nursing facility | $8.8M | $19.1M | $20.6M | 0.93 | |
| Adults & pediatrics | $6.2M | $14.4M | $15.1M | 0.95 | 17,588 |
| Intensive care unit | $1.7M | $4.7M | $7.3M | 0.64 | 4,064 |
| Nursery | $663,115 | $738,700 | 0.90 | 1,612 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $9.9M | $18.9M | 261,926 | $37.96 | 13,591 |
| Cap rel costs-bldg & fixt | $4.4M | 161,419 | |||
| Nursing administration | $2.2M | $2.9M | 33,089 | $67.79 | 370 |
| Housekeeping | $1.7M | $2.4M | 72,000 | $22.96 | 672 |
| Medical records & library | $901,300 | $2.2M | 28,447 | $24.58 | 2,508 |
| Pharmacy | $1.4M | $2.2M | 31,427 | $43.99 | 1,153 |
| Operation of plant | $217,949 | $2M | 5,089 | $34.15 | 22,152 |
| Maintenance & repairs | $716,934 | $1.6M | 27,870 | $20.88 | 1,628 |
| Cafeteria | $62,850 | $1.4M | 25,909 | $24.30 | 2,412 |
| Laundry & linen service | $429,641 | $942,802 | 1,323 | $22.74 | |
| Dietary | $929,363 | $784,669 | 14,731 | $24.61 | 4,568 |
| Employee benefits department | $350,942 | $694,592 | 6,133 | $46.75 | 684 |
| Central services & supply | $332,991 | $489,485 | 15,560 | $21.40 | 1,853 |
| New cap rel costs - bldg - snf | $206,045 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842338, 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 Lompoc Valley Medical Center for an inpatient stay.
1.61
Case mix index
Higher than 42% 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).
31.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
855
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 | 1.37 | 1.37 | 1.53 | 1.52 | 1.49 | 1.55 | 1.61 |
| Wage index | 1.405 | 1.438 | 1.452 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.77% | -0.26% | -0.32% | 0.00% | -0.13% | -0.18% | -0.64% |
| Value-based purchasing adjustment | -1.25% | -1.04% | -1.04% | +0.29% | -0.90% | -0.84% | -0.70% |
| Medicare inpatient stays | 756 | 756 | 972 | 939 | 931 | 928 | 855 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lompoc Valley Medical Center reports to Medicare as owners or with operational control.
Lompoc Valley Medical Center
Operational/managerial control, since 1966
Sources: CMS Hospital All Owners.
The officers and board members on Lompoc Valley Medical Center'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.
340B drug pricing program
Participating since 2007
340B ID DSH050110, registered as a disproportionate share hospital; 1 registered outpatient sites; 4 active contract pharmacies. Authorizing official: Yvette Cope, Chief Executive Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Lompoc health center
CCN 055256, certified 1966, Medicare prospective payment
Source: Worksheet S-2 Part I of Lompoc Valley Medical Center's latest Medicare cost report (HCRIS).
About Lompoc Valley Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lompoc Valley Medical Center range from $792 to $5,562 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $5,562. The median at nearby comparable hospitals is $1,444. 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 Lompoc Valley Medical Center range from $1,588 to $3,901 across 4 insurers. Aetna's rate is $3,901. The median at nearby comparable hospitals is $1,112. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lompoc Valley Medical Center range from $797 to $8,626 across 2 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $4,137. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lompoc Valley Medical Center range from $219 to $443 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $378. The median at nearby comparable hospitals is $310. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lompoc Valley Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Lompoc Valley Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lompoc Valley Medical Center's base inpatient payments by an estimated 0.64% 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 (72 discharges), heart failure and shock with mcc (44 discharges), septicemia or severe sepsis without mv >96 hours without mcc (27 discharges).
Lompoc Valley Medical Center's Medicare case mix index is 1.61 for fiscal year 2027, higher than 42% of hospitals paid under the inpatient prospective payment system.
Lompoc Valley Medical Center reported 2,059 inpatient discharges and 8,903 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Lompoc Valley Medical Center reported 710 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Lompoc Valley Medical Center reported $170M in net patient revenue on $433.7M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 0.8%, and net income of $14.1M.
Lompoc Valley Medical Center reported $2.9M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $759,338 of charity care at cost.
Lompoc Valley Medical Center's Medicare enrollment lists Yvette Cope as CEO since 2024.
Insurers' price transparency files list Lompoc Valley Medical Center under employer identification number 95-6001880 (Lompoc Valley Medical Center). 46 health plans and networks list 95-6001880 for it.
Yes. HRSA's 340B database lists Lompoc Valley Medical Center (340B ID DSH050110) as a participating disproportionate share hospital since 2007, with 4 active contract pharmacies.
256 clinicians who bill Medicare list Lompoc Valley Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (33), family medicine physician (29), physician assistant (19).
Yes. CMS's Provider of Services file lists CIHQ as the accrediting organization for Lompoc Valley Medical Center, effective 2020.
In its Medicare enrollment, Lompoc Valley Medical Center reports Lompoc Valley Medical Center as Operational/managerial control.
CMS lists 26 services at Lompoc Valley Medical Center, including Anesthesia, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lompoc Valley Medical Center came from ZIP codes 93436 (754), 93438 (20), 93455 (15).
Lompoc Valley Medical Center has 170 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Lompoc Valley Medical Center is located at 1515 East Ocean Avenue, Lompoc, CA 93436. Its main phone number is (805) 737-3300.
Lompoc Valley Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050110.
The National Provider Identifier (NPI) on file for Lompoc Valley Medical Center is 1194711952.
Lompoc Valley Medical Center lists 32 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.
166 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