Arcata, CA
1 of 5
CMS star rating
49
Beds
778
Inpatient discharges a year
$50.5M
Net patient revenue a year
40
In-network payers
Mad River Community Hospital is a 49-bed proprietary hospital in Arcata, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 174 disclosed rate categories.
The 24 services Mad River Community 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.
Medicine & Surgery
CPT 66984
$2,461 - $11,337
from 4 insurers · median $7,186
378 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$697 - $3,210
from 4 insurers · median $2,206
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,730 - $3,929
from 2 insurers · median $3,330
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
$2,730 - $6,371
from 2 insurers · median $4,551
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
Digestive procedures
CPT 43239
$2,904 - $4,168
from 2 insurers · median $3,536
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,904 - $5,242
from 2 insurers · median $4,073
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$602 - $2,772
from 4 insurers · median $1,775
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,080 - $5,242
from 4 insurers · median $3,939
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$4,232 - $21,946
from 2 insurers · median $13,089
21 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 49505
$3,908 - $15,689
from 2 insurers · median $9,799
18 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$580 - $3,512
from 4 insurers · median $1,600
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$197 - $909
from 4 insurers · median $602
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,388 - $46,285
from 4 insurers · median $22,385
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,162 - $5,351
from 4 insurers · median $3,248
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$473 - $1,804
from 3 insurers · median $481
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,908 - $14,425
from 2 insurers · median $9,166
35 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 49650
$3,908 - $25,938
from 2 insurers · median $14,923
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$110 - $572
from 4 insurers · median $391
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,681 - $7,746
from 4 insurers · median $6,054
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,145 - $25,938
from 4 insurers · median $9,360
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$720 - $3,316
from 4 insurers · median $1,446
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,732 - $26,299
from 2 insurers · median $15,016
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,313 - $6,050
from 4 insurers · median $3,452
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$590 - $2,718
from 4 insurers · median $1,697
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* | 14 | 765% | 10 | 2 |
| Insurer B* | 22 | 436% | 12 | 6 |
| Insurer C* | 24 | 275% | 10 | 12 |
| Insurer D* | 17 | 196% | 0 | 8 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 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 Mad River Community Hospital, 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 ACHC
Finances
$50.5M net patient revenue
Ownership and leadership
Private (for profit)
The employer identification numbers (EINs) health plans and networks list for Mad River Community 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 |
|---|---|---|
| 94-1698406Mad River Community Hospital | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 50 more | 1518996040 American Hospital Management Corporation1609979707 American Hospital Management Corporation1750305371 American Hospital Management Corporationand 3 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.
3800 Janes Road, Arcata, CA 95521
(707) 822-3621
How Mad River Community Hospital 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
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Worse on 1 of 2 measures
0 better, 1 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
69%
Lower than 57% 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)
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
122 min
Lower than 72% 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
56%
Lower than 71% 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 | No different on 4 measures | |
| Safety | Worse on 1 of 2 measures | |
| Readmissions | No different on 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 69% | 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) | 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 | 122 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 56% | 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 Mad River Community Hospital's inpatient payments for its readmissions, quality and cost results.
-0.04% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.15% 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 Mad River Community 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 | Mad River Community 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 · 226 cases | 4.9 | 3.9 | 3.81 | Worse than 87% 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 · 33 cases | 9.7 | 8.5 | 8.235 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 35 cases | 11.2 | 11 | 10.29 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 83 cases | 14.5 | 15.2 | 14.49 | Better than 60% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 534 cases | 0.52 | 0.51 | 0.4818 | No Different Than the National Rate | Worse than 51% 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 · 681 cases | 0.21 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 680 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 · 155 cases | 2.27 | 2.29 | 2.308 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 56 cases | 1.66 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 61 cases | 8.88 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 164 cases | 4.26 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 53 cases | 6.02 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 53 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 · 88 cases | 1.32 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 90% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Mad River Community Hospital | 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 · 37 cases | -3.5 | 1.25 | 7.901 | Better than 57% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 84 cases | -23.7 | 3.85 | 16.67 | Better than 84% 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 · 650 cases | 12.6 | 12.9 | 12.91 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 69 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 · 27 cases | 19.6 | 19.8 | 19.94 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 25 cases | 21.7 | 21.3 | 21.41 | Worse than 61% 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 · 53 cases | 17.5 | 17.2 | 17.7 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Mad River Community 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 | 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 | 248 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.157 | 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 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 731 | 1,799 | 5,308 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.38 | 1.377 | 6.105 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.273 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| 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 | 7 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.176 | 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 | 34 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.281 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | 4,192 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.102 | 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 | 0.447 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.777 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 4,161 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.709 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 3 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.755 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 99% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Mad River Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 133 cases | 74 | 73 | 72.2 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 133 cases | 6 | 8 | 8.78 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 133 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 133 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 133 cases | 76 | 80 | 75.76 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 90 | 91 | 89.84 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 133 cases | 6 | 4 | 5.713 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 133 cases | 18 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 133 cases | 80 | 79 | 75.81 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 90 | 91 | 89.11 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 133 cases | 8 | 5 | 7.043 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 133 cases | 12 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 133 cases | 68 | 61 | 58.95 | Better than 79% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 81 | 77 | 75.75 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 133 cases | 16 | 19 | 21.56 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 133 cases | 4 | 3 | 2.449 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 133 cases | 16 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 133 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 · 133 cases | 14 | 13 | 15.03 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 133 cases | 86 | 87 | 84.97 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 133 cases | 19 | 14 | 16.39 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 133 cases | 81 | 86 | 83.61 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 76 | 74 | 70.69 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 10 | 7 | 8.855 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 14 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 77 | 77 | 73.94 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 8 | 6 | 7.637 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 15 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 85 | 85 | 81.99 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 6 | 3 | 4.958 | Worse than 86% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 9 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 133 cases | 7 | 8 | 10.01 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 133 cases | 24 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 133 cases | 69 | 72 | 67.63 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 88 | 88 | 86.85 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 133 cases | 77 | 74 | 72.06 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 133 cases | 9 | 9 | 10.94 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 133 cases | 14 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 71 | 75 | 71.11 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 4 | 5 | 7.488 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 133 cases | 25 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 71 | 77 | 72.49 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 9 | 4 | 6.121 | Worse than 92% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 133 cases | 20 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 87 | 86 | 82.8 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 4 | 3 | 3.779 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 133 cases | 9 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 133 cases | 53 | 59 | 47.5 | Worse than 71% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 133 cases | 14 | 9 | 17.79 | Worse than 76% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 133 cases | 33 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 78 | 82 | 74.85 | Worse than 72% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 2.203 | Worse than 44% 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 · 133 cases | 4 | 5 | 7.623 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 133 cases | 69 | 71 | 68.6 | Worse than 57% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 133 cases | 88 | 87 | 85.85 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 133 cases | 27 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 133 cases | 4 | 4 | 3.431 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 133 cases | 60 | 47 | 45.33 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 133 cases | 23 | 30 | 32.51 | Better than 81% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 133 cases | 17 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 133 cases | 3 | 3 | 2.859 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 133 cases | 8 | 12 | 13.94 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 133 cases | 92 | 88 | 86.06 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Mad River Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | Not Available | 1.008 | |||
| 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 · 531 cases | 35 | 79 | 69.96 | Worse than 95% 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 · 350 cases | 134 | 154 | 187 | Better than 67% 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 · 310 cases | 122 | 148 | 182 | Better than 72% 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 · 15 cases | 338 | 247 | 282 | Worse than 78% 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 · 25 cases | 314 | 293 | 411 | Worse than 59% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 12,793 cases | 6 | 1 | 2.162 | Worse than 97% 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 · 97 cases | 92 | 97 | 92.55 | Worse than 72% 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 · 927 cases | 8 | 15 | 13.67 | Better than 91% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 71 cases | 56 | 65 | 68.8 | Worse than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 12 cases | 67 | 73 | 76.38 | Worse than 63% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.64 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases | 72 | 82 | 82.89 | Worse than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases | 93 | 94 | 93.98 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| 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 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 343 cases | 58 | 90 | 86.9 | Worse than 87% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 56 cases | 75 | 97 | 94.78 | Worse than 95% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Mad River Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.7 | 5 | 4.959 | Better than 66% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.8 | 6.6 | 8.417 | Worse than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Mad River Community 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 | 0.91 | 0.99 | 1.024 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Mad River Community Hospital | 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 | 70 | 10 | 16.48 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 4.567 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 45 | 34 | 28.67 | Better than 68% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.25 | 8.75 | 7.519 | Better than 67% of US hospitals | |
| VBP safety domain scoreFY 2026 | 10 | 40 | 45.16 | Worse than 95% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 2.5 | 10 | 11.79 | Worse than 95% of US hospitals | |
| VBP total performance scoreFY 2026 | 31.25 | 29.5 | 30.43 | Better than 57% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 20 | 25 | 3.333 | 3.333 | 0 |
| VBP clinical outcomes weighted domain score | 6.667 | 6.25 | 1.111 | 1.111 | 0 |
| VBP efficiency and cost reduction domain score | 30 | 100 | 100 | 70 | 70 |
| VBP efficiency and cost reduction weighted domain score | 10 | 25 | 33.33 | 23.33 | 17.5 |
| VBP person and community engagement domain score | 39 | Not Available | 17 | 19 | 45 |
| VBP person and community engagement weighted domain score | 13 | Not Available | 5.667 | 6.333 | 11.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 10 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 2.5 |
| VBP total performance score | 29.67 | Not Available | 40.11 | 30.78 | 31.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Mad River Community Hospital | 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 | 1.004 | 0.9969 | 1.002 | Worse than 56% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9965 | 0.9983 | 1.017 | Better than 51% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.005 | 0.9916 | 0.9788 | Worse than 53% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9649 | 0.9955 | 1.026 | Better than 71% 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 | 0.9747 | 0.9672 | 0.9627 | 0.9602 | 0.9732 | 1.004 |
| READM-30-HF-HRRP | 0.9453 | 0.9072 | 0.9502 | 0.9554 | 0.9624 | 0.9965 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | 1.005 |
| READM-30-PN-HRRP | 0.9146 | 0.9326 | 1.038 | 1.047 | 1.05 | 0.9649 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Mad River Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6114 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 2.211 | 0.346 | 0.449 | Worse than 99% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.679 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| 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 | 0 | 0.7945 | 0.8116 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | 0.3094 | -0.0453 | 0.02733 | Worse than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | No | No |
| Total HAC score | -0.2291 | -0.4055 | 0 | 1.049 | 0.1938 | 0.3094 |
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.
ACHC (since 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
80
Medicare-certified beds
50
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mad River Community Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
778
Inpatient discharges
Medicare 42%, Medicaid n/a
3,612
Inpatient days
20% of available bed days used
344
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825711). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mad River Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,714 | 0 | 1,898 | 3,612 |
| Discharges | 324 | 0 | 454 | 778 |
| Average length of stay | 5.3 days | 4.2 days | 4.6 days | |
| Average daily census | 4.7 | 0.0 | 5.2 | 9.9 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 41 | 2,624 | 926 | 18% |
| Intensive care unit | 8 | 788 | 788 | 27% |
| Nursery | 138 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mad River Community Hospital treats Medicare patients for most often, in 2024. 33 Medicare discharges in 1 published DRGs; 0% surgical; 100% 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 | 33 | $70,451 | $18,239 | $25,926 | 1.98 |
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) Mad River Community Hospital billed Medicare for most in 2024: 628 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 378 | 242 | $16,722 | $2,277 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 67 | 64 | $29,611 | $2,637 | $2,090 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 34 | $19,028 | $3,166 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 21 | 21 | $9,641 | $1,588 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 21 | 21 | $34,139 | $7,149 | $5,339 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $29,619 | $4,634 | $3,792 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 17 | $26,236 | $3,378 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 12 | $15,105 | $2,453 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 15 | $28,161 | $5,676 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 12 | 12 | $41,177 | $3,122 | $2,405 |
See all 12 Medicare outpatient services at Mad River Community 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 Mad River Community 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 373 in 2020 to 289 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 95519 | 116 | 40% | 586 | $9.6M | 20% | 29% |
| 95521 | 88 | 30% | 405 | $7.3M | 23% | 30% |
| 95546 | 20 | 7% | 89 | $1.6M | 18% | 23% |
| 95570 | 19 | 7% | 95 | $1.6M | 21% | 20% |
| 95525 | 17 | 6% | 84 | $1.4M | 31% | 33% |
| 95518 | 16 | 6% | 51 | $912,831 | 33% | |
| 95501 | 13 | 4% | 47 | $867,908 | 1% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 289 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 Mad River Community Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
2
Endoscopy rooms
50
Registered nurses
11
Licensed practical nurses
5
Nurse practitioners
1
Physician assistants
2
Pharmacists
6
Respiratory therapists
4
Physical therapists
1
Occupational therapists
6
Radiology technicians
10
Laboratory technicians
4
Medical technologists
1
Dietitians
176
Other personnel
Source: CMS Provider of Services file.
294 clinicians who bill Medicare list Mad River Community 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.
Krishna Das, M.D.
Diagnostic Radiology Physician
NPI 1972820660
See commercial rates for Krishna Das, M.D.Donald Wheeler, M.D.
Diagnostic Radiology Physician
NPI 1699784967
See commercial rates for Donald Wheeler, M.D.Tin Botzler, MD
Internal Medicine Physician
NPI 1831491695
See commercial rates for Tin Botzler, MDAmar Amin, MD
Diagnostic Radiology Physician
NPI 1316181225
See commercial rates for Amar Amin, MDEdward Parker
Physician Assistant
NPI 1235370156
See commercial rates for Edward ParkerMichael Mizoguchi, M.D.
Ophthalmology Physician
NPI 1861418808
See commercial rates for Michael Mizoguchi, M.D.Robert Turner, M.D.
Diagnostic Radiology Physician
NPI 1699726182
See commercial rates for Robert Turner, M.D.Jesse Vos, P.A.
Medical Physician Assistant
NPI 1396994745
See commercial rates for Jesse Vos, P.A.John Mastroni, MD
Ophthalmology Physician
NPI 1568420008
See commercial rates for John Mastroni, MDMegha Gupta, MD
Diagnostic Radiology Physician
NPI 1841641347
See commercial rates for Megha Gupta, MDRahul Nayyar, M.D., MBA
Diagnostic Radiology Physician
NPI 1740507342
See commercial rates for Rahul Nayyar, M.D., MBAOmar Saleh, M.D.
Vascular & Interventional Radiology Physician
NPI 1124280375
See commercial rates for Omar Saleh, M.D.John Fjerstad, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1477528313
See commercial rates for John Fjerstad, D.P.M.Gino Tagoylo, M.D.
Diagnostic Radiology Physician
NPI 1790982254
See commercial rates for Gino Tagoylo, M.D.Rachel Donohue, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1992097851
See commercial rates for Rachel Donohue, MDDavid Ploss, M.D.
Cardiovascular Disease Physician
NPI 1477638492
See commercial rates for David Ploss, M.D.Lorissa Lorenzo, PA-C
Medical Physician Assistant
NPI 1053970327
See commercial rates for Lorissa Lorenzo, PA-CAlbert Yang, M.D.
Diagnostic Radiology Physician
NPI 1811330145
See commercial rates for Albert Yang, M.D.Kelly Kinsley, M.D.
Dermatology Physician
NPI 1013091958
See commercial rates for Kelly Kinsley, M.D.Donald Whisler, M.D.
Rheumatology Physician
NPI 1639516149
See commercial rates for Donald Whisler, M.D.Maryam Sokhan Sanj, M.D.
Diagnostic Radiology Physician
NPI 1962669051
See commercial rates for Maryam Sokhan Sanj, M.D.Skye Heston, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1548503717
See commercial rates for Skye Heston, M.D.Corinne Basch, M.D.
Family Medicine Physician
NPI 1790853083
See commercial rates for Corinne Basch, M.D.Michael Palmer, M.D.
Surgery Physician
NPI 1669539862
See commercial rates for Michael Palmer, 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 Mad River Community Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $260.9M | 517.1% |
| Inpatient | $48.2M | 95.6% |
| Outpatient | $212.7M | 421.6% |
| Contractual allowances and discounts | -$210.5M | -417.1% |
| Net patient revenue | $50.5M | 100.0% |
| Operating expenses | -$59.1M | -117.1% |
| Operating income from patient care | -$8.6M | -17.1% |
| Other income | $5.7M | 11.2% |
| Investment income | $6,607 | 0.0% |
| Other | $5.7M | 11.2% |
| Net income | -$2.9M | -5.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $73.3M | 29.3% |
| Medicaid (including managed care) | $70M | 28.0% |
| Other payers and self-pay | $106.5M | 42.6% |
| Total charges | $249.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, 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 Mad River Community Hospital's latest cost report.
-17.1%
Operating margin
Operating income from patient care / net patient revenue
-5.2%
Total margin
Net income / net patient revenue plus other income
-2.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
61% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$31.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-8.7%
Return on assets
Net income for a year / total assets
-32.6%
Return on equity
Net income for a year / fund balance
0.11
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.42
Current ratio
Current assets / current liabilities
0.43
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
44 days
Days in patient receivables
Net patient receivables / daily net patient revenue
96 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.67
Asset turnover
Total revenue for a year / total assets
33.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Mad River Community Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $33.7M in total assets and a $9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $439,074 | 1.3% |
| Patient receivables, net | $6.1M | 18.0% |
| Inventory | $841,557 | 2.5% |
| Total current assets | $21.8M | 64.6% |
| Property and equipment, net of depreciation | $11.9M | 35.3% |
| Investments and other assets | $50,040 | 0.1% |
| Total assets | $33.7M | 100.0% |
| Current liabilities | $15.3M | 45.3% |
| Long-term debt | $1M | 3.1% |
| Total liabilities | $24.7M | 73.2% |
| Fund balance (net assets) | $9M | 26.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Mad River Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$149,895
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.6M
Bad debt
Patient bills written off as uncollectible, at charges
$6.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7.5M
Total unreimbursed and uncompensated care
12.8% 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 825711, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Mad River Community Hospital'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 | $48.2M | $44.7M | $49.3M | $49.4M | $50.5M | |
| Operating expenses | $62.6M | $53.6M | $60M | $62.9M | $60.7M | $59.1M |
| Operating margin | -29.8% | -20.0% | -21.9% | -22.9% | -17.1% | |
| Net income | $510,108 | $7.1M | $498,454 | -$62.9M | -$6.4M | -$2.9M |
| Total assets | $43.2M | $23.3M | $40.1M | $22M | $33.7M | |
| Discharges | 1,648 | 1,895 | 1,895 | 1,195 | 971 | 778 |
| Inpatient days | 7,686 | 6,857 | 5,839 | 4,612 | 3,928 | 3,612 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 367 | 334 | 346 | 356 | 415 | 344 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mad River Community 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 | $2.1M | $7M | $45.5M | 0.15 | 8,385 |
| Laboratory | $1.4M | $5.2M | $29.1M | 0.18 | 1,910 |
| Emergency | $2.1M | $5.1M | $59.1M | 0.09 | 2,174 |
| Radiology-diagnostic | $877,074 | $3.4M | $14.2M | 0.24 | 4,340 |
| Drugs charged to patients | $585,257 | $2.8M | $14.5M | 0.19 | 374 |
| Physical therapy | $1.2M | $2.6M | $8.9M | 0.30 | 1,147 |
| Impl. dev. charged to patients | $2.1M | $2.1M | 1.01 | ||
| Rural health clinic iii | $669,816 | $1.9M | $1.9M | 1.01 | |
| Respiratory therapy | $655,536 | $1.7M | $8.2M | 0.20 | 414 |
| Hyperbaric chamber | $390,126 | $1.5M | $9.8M | 0.15 | 2,720 |
| Orthopedics | $132,031 | $983,414 | $924,748 | 1.06 | |
| Medical supplies charged to patient | $214,835 | $922,385 | $1.6M | 0.58 | 2,054 |
| Pathology | $234,500 | $690,711 | $2.2M | 0.32 | 428 |
| Clinic | $220,648 | $657,544 | $1.5M | 0.43 | 1,189 |
| Delivery room & labor room | $584,594 | $644,139 | $477,948 | 1.35 | 1,206 |
| Pain clinics | $201,735 | $594,526 | $3.9M | 0.15 | 972 |
| Ultrasound | $216,484 | $493,982 | $9M | 0.05 | |
| Mri | $100,997 | $455,170 | $6.3M | 0.07 | 1,248 |
| Rural health clinic | $180,157 | $402,647 | $494,872 | 0.81 | |
| Ct scan | $203,996 | $14.7M | 0.01 | 494 | |
| Whole blood & packed red blood cell | $156,480 | $504,866 | 0.31 | 92 | |
| Rural health clinic ii | $3,807 | $100,401 | $3,557 | 28.23 | |
| Electrocardiology | $44,750 | $2.2M | 0.02 | 150 | |
| Speech pathology | $13,014 | $20,983 | 0.62 | 81 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.1M | $8.7M | $5.1M | 1.68 | 6,238 |
| Intensive care unit | $918,223 | $3.2M | $7.4M | 0.43 | 1,696 |
| Nursery | $583,370 | $275,040 | 2.12 | 832 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4.1M | $10.5M | 170,943 | $25.44 | 7,637 |
| Maintenance & repairs | $590,360 | $2.3M | 25,230 | $23.40 | 3,304 |
| Cap rel costs-mvble equip | $1.4M | ||||
| Dietary | $653,866 | $1.1M | 31,338 | $20.87 | 1,857 |
| Housekeeping | $528,282 | $967,455 | 25,959 | $20.35 | 1,180 |
| Medical records & library | $523,000 | $881,342 | 21,369 | $24.47 | 842 |
| Operation of plant | $786,866 | ||||
| Cap rel costs-bldg & fixt | $716,977 | 59,588 | |||
| Nursing administration | $377,657 | $593,540 | 2,527 | $149.43 | 1,626 |
| Social service | $316,404 | $512,890 | 8,654 | $36.56 | 136 |
| Employee benefits department | $224,264 | $414,783 | 8,640 | $25.96 | 696 |
| Laundry & linen service | $79,157 | $149,801 | 4,294 | $18.44 | 2,178 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825711, 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 Mad River Community Hospital for an inpatient stay.
1.44
Case mix index
Higher than 21% 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).
57.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
347
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
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 | 1.45 | 1.46 | 1.59 | 1.67 | 1.53 | 1.50 | 1.44 |
| Wage index | 1.275 | 1.269 | 1.253 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | -0.21% | -0.25% | -0.04% |
| Value-based purchasing adjustment | +0.87% | -0.10% | -0.10% | -0.22% | +1.81% | +0.75% | +0.15% |
| Medicare inpatient stays | 638 | 638 | 422 | 405 | 382 | 329 | 347 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Mad River Community 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; the first 3 of 6 are shown.
Mad river community hospital
CCN 05U028, certified 1999, Medicare prospective payment
Mad river home care
CCN 057524, certified 1984, Medicare prospective payment
Humboldt family care
CCN 058505, certified 1994, Medicare cost reimbursed
Six rivers rural health clinic
CCN 553980, certified 1994, Medicare cost reimbursed
Mad river express healthcare
CCN 058627, certified 1997, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Mad River Community Hospital's latest Medicare cost report (HCRIS).
About Mad River Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mad River Community Hospital range from $1,162 to $5,351 across 4 insurers. Cigna's rate is $1,162. The median at nearby comparable hospitals is $1,905. 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 Mad River Community Hospital range from $697 to $3,210 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,588. The median at nearby comparable hospitals is $1,641. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mad River Community Hospital range from $2,904 to $5,242 across 2 insurers. Aetna's rate is $2,904. The median at nearby comparable hospitals is $4,040. 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 Mad River Community Hospital range from $2,730 to $3,929 across 2 insurers. Cigna's rate is $2,730. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mad River Community Hospital range from $110 to $572 across 4 insurers. Cigna's rate is $110. The median at nearby comparable hospitals is $496. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mad River Community Hospital 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 Mad River Community Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mad River Community Hospital's base inpatient payments by an estimated 0.04% 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 (33 discharges).
Mad River Community Hospital's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% of hospitals paid under the inpatient prospective payment system.
Mad River Community Hospital reported 778 inpatient discharges and 3,612 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Mad River Community Hospital reported 344 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Mad River Community Hospital reported $50.5M in net patient revenue on $260.9M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -17.1%, and net income of -$2.9M.
Mad River Community Hospital reported $7.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $149,895 of charity care at cost.
Mad River Community Hospital's Medicare enrollment lists Doug A Shaw as Ceo/administrator since 1990.
Insurers' price transparency files list Mad River Community Hospital under employer identification number 94-1698406 (Mad River Community Hospital). 55 health plans and networks list 94-1698406 for it.
294 clinicians who bill Medicare list Mad River Community Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (57), physician assistant (33), family nurse practitioner (26).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Mad River Community Hospital, effective 2025.
CMS lists 26 services at Mad River Community Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mad River Community Hospital came from ZIP codes 95519 (116), 95521 (88), 95546 (20).
Mad River Community Hospital has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 80 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mad River Community Hospital is located at 3800 Janes Road, Arcata, CA 95521. Its main phone number is (707) 822-3621.
Mad River Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050028.
The National Provider Identifier (NPI) on file for Mad River Community Hospital is 1518996040.
Mad River Community Hospital lists 40 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.
174 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