Prime Healthcare Services · Montclair, CA
3 of 5
CMS star rating
106
Beds
3,644
Inpatient discharges a year
$69.1M
Net patient revenue a year
19
In-network payers
Montclair Hospital Medical Center is a 106-bed voluntary non-profit - private hospital in Montclair, CA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 52 disclosed rate categories.
The 24 services Montclair Hospital 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.
Cardiology and vascular testing
CPT 93306
$215 - $2,814
from 2 insurers · median $1,514
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$344 - $3,369
from 2 insurers · median $1,857
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$588 - $3,855
from 2 insurers · median $2,222
Typical for a hospital with this service line
CT imaging
CPT 74177
$249 - $520
from 2 insurers · median $385
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$486 - $3,463
from 2 insurers · median $1,974
Typical for a hospital with this service line
CT imaging
CPT 70450
$195 - $302
from 2 insurers · median $249
Typical for a hospital with this service line
Mammography
CPT 77067
$107 - $166
from 2 insurers · median $137
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$115 - $1,497
from 2 insurers · median $806
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$434 - $2,482
from 2 insurers · median $1,458
Typical for a hospital with this service line
Gynecology
CPT 58571
$13,001
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$214 - $2,182
from 2 insurers · median $1,198
Typical for a hospital with this service line
MRI imaging
CPT 70553
$379 - $876
from 2 insurers · median $627
Typical for a hospital with this service line
CT imaging
CPT 71275
$238 - $412
from 2 insurers · median $325
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$8,379
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 74176
$142 - $273
from 2 insurers · median $207
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$202 - $1,904
from 2 insurers · median $1,053
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$2,712
negotiated rate
Hospital reports pet scan services to CMS
MRI imaging
CPT 72148
$379 - $524
from 2 insurers · median $451
Typical for a hospital with this service line
Gynecology
CPT 58558
$7,178
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$379 - $478
from 2 insurers · median $428
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$331 - $661
from 2 insurers · median $496
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58661
$7,860
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,706
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $41
from 2 insurers · median $35
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 183% | 13 | 9 |
| Insurer B* | 18 | 77% | 0 | 17 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Montclair Hospital 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
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$69.1M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Foundation Inc
The employer identification numbers (EINs) health plans and networks list for Montclair Hospital 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 |
|---|---|---|
| 20-2898771Prime Healthcare Services | 28Aetna, Ambetter, AmeriBen, Asuris Northwest Health, Banner Health and 23 more | 1992721161 Prime Healthcare Services - Montclair LLC |
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.
5000 San Bernardino Street, Montclair, CA 91763
(909) 625-8300
How Montclair Hospital Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 2 measures
1 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 4 measures
0 better, 3 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
58%
Lower than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.9
Lower than 74% 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
153 min
Higher than 53% 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
66%
Higher than 50% 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 | 3 of 5 | |
| Death rates | Better on 1 of 2 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | Worse on 1 of 4 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 58% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.9 | 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 | 153 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 66% | 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 Montclair Hospital Medical Center's inpatient payments for its readmissions, quality and cost results.
-1.69% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.33% 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 Montclair Hospital 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 | This 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 · 549 cases | 3.3 | 3.9 | 3.81 | Better than 83% 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 | Not Available | 8.235 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.29 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 137 cases | 11.1 | 15.2 | 14.49 | Better than 96% 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 · 775 cases | 0.3 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 80% 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 · 1,034 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 · 1,045 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 · 46 cases | 2.31 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.668 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.555 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 45 cases | 3.41 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.495 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 114 cases | 1.04 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This 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 | Not Available | 7.901 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 140 cases | 62.2 | 3.85 | 16.67 | Worse than 95% 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 · 46 cases | 12.8 | 12.9 | 12.91 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.001 | Number of cases too small | ||
| 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 · 26 cases | 20.1 | 19.8 | 19.94 | Worse than 61% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 48 cases | 22.2 | 21.3 | 21.41 | Worse than 76% 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 · 216 cases | 18.8 | 17.2 | 17.7 | Worse than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.174 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.422 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,539 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.931 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.036 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 86% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.876 | 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 | 2,314 | 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 | 1.597 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5366 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 9 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.264 | 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 | 7 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.063 | 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 | 11,646 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.57 | 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 | 0.013 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.295 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 11,646 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.809 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.263 | 0.279 | 0.383 | No Different than National Benchmark | Better than 52% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 437 cases | 72 | 73 | 72.2 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 437 cases | 12 | 8 | 8.78 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 437 cases | 16 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 86 | 87 | 86.82 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 437 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 437 cases | 67 | 80 | 75.76 | Worse than 98% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 85 | 91 | 89.84 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 437 cases | 12 | 4 | 5.713 | Worse than 98% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 437 cases | 1 | 3 | 2.855 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 437 cases | 21 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 437 cases | 68 | 79 | 75.81 | Worse than 97% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 85 | 91 | 89.11 | Worse than 97% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 437 cases | 10 | 5 | 7.043 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 437 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 437 cases | 22 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 437 cases | 49 | 61 | 58.95 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 68 | 77 | 75.75 | Worse than 97% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 437 cases | 31 | 19 | 21.56 | Worse than 98% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 437 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 437 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 76 | 86 | 84.61 | Worse than 97% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 437 cases | 24 | 13 | 15.03 | Worse than 98% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 437 cases | 1 | 3 | 3.08 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 437 cases | 76 | 87 | 84.97 | Worse than 98% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 437 cases | 30 | 14 | 16.39 | Worse than 99% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 437 cases | 70 | 86 | 83.61 | Worse than 99% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 437 cases | 64 | 74 | 70.69 | Worse than 96% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 437 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 · 437 cases | 26 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 67 | 77 | 73.94 | Worse than 96% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 11 | 6 | 7.637 | Worse than 95% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 22 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 437 cases | 74 | 85 | 81.99 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 437 cases | 9 | 3 | 4.958 | Worse than 98% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 437 cases | 17 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 437 cases | 12 | 8 | 10.01 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 437 cases | 32 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 437 cases | 56 | 72 | 67.63 | Worse than 95% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 85 | 88 | 86.85 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 437 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 437 cases | 65 | 74 | 72.06 | Worse than 94% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 437 cases | 17 | 9 | 10.94 | Worse than 96% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 437 cases | 18 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 437 cases | 64 | 75 | 71.11 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 437 cases | 14 | 5 | 7.488 | Worse than 98% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 437 cases | 22 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 60 | 77 | 72.49 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 14 | 4 | 6.121 | Worse than 99% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 437 cases | 26 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 437 cases | 76 | 86 | 82.8 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 437 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 · 437 cases | 17 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 437 cases | 34 | 59 | 47.5 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 437 cases | 31 | 9 | 17.79 | Worse than 99% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 437 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 65 | 82 | 74.85 | Worse than 99% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 437 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 · 437 cases | 13 | 5 | 7.623 | Worse than 95% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 437 cases | 58 | 71 | 68.6 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 437 cases | 80 | 87 | 85.85 | Worse than 92% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 437 cases | 29 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 437 cases | 2 | 4 | 3.431 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 437 cases | 32 | 47 | 45.33 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 437 cases | 44 | 30 | 32.51 | Worse than 97% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 437 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 437 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 · 437 cases | 19 | 12 | 13.94 | Worse than 93% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 437 cases | 81 | 88 | 86.06 | Worse than 93% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 3,656 cases | 7 | 8 | 8.289 | Better than 57% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 812 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 · 647 cases | 72 | 79 | 69.96 | Worse than 61% 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 · 428 cases | 154 | 154 | 187 | Better than 50% 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 · 407 cases | 153 | 148 | 182 | Worse than 53% 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 | 136 | 247 | 282 | Better than 92% 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 · 28,353 cases | 4 | 1 | 2.162 | Worse than 88% 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 · 143 cases | 99 | 97 | 92.55 | Better than 63% 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 · 332 cases | 9 | 15 | 13.67 | Better than 86% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 87 cases | 66 | 65 | 68.8 | Better than 50% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 65 | 73 | 76.38 | Worse than 67% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 13 cases | 100 | 88 | 86.64 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 87 cases | 84 | 82 | 82.89 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 55 cases | 87 | 94 | 93.98 | Worse than 82% 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 | 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 | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0 | 5 | 4.959 | The best result, shared by 2% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.23 | 0.99 | 1.024 | Worse than 99% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | Not Available | 30.07 | |||
| VBP clinical outcomes weighted domain scoreFY 2026 | Not Available | 7.571 | |||
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 19 | 34 | 28.67 | Worse than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.333 | 8.75 | 7.519 | Worse than 68% of US hospitals | |
| VBP safety domain scoreFY 2026 | 82.5 | 40 | 45.16 | Better than 96% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 27.5 | 10 | 11.79 | Better than 99% of US hospitals | |
| VBP total performance scoreFY 2026 | 33.83 | 29.5 | 30.43 | Better than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | Not Available | Not Available | Not Available | 35 | Not Available | |
| VBP clinical outcomes weighted domain score | Not Available | Not Available | Not Available | 8.75 | Not Available | |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 50 | 40 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 16.67 | 10 | 0 |
| VBP person and community engagement domain score | 24 | Not Available | Not Available | 4 | 1 | 19 |
| VBP person and community engagement weighted domain score | 8 | Not Available | Not Available | 1.333 | 0.25 | 6.333 |
| VBP safety domain score | 10 | Not Available | Not Available | 50 | 100 | 82.5 |
| VBP safety weighted domain score | 3.333 | Not Available | Not Available | 16.67 | 25 | 27.5 |
| VBP total performance score | 11.33 | Not Available | Not Available | 34.67 | 44 | 33.83 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This 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 | N/A | 1.002 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 1.011 | 0.9983 | 1.017 | Worse than 58% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 124 cases | 1.202 | 0.9955 | 1.026 | Worse than 99% 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 | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | 1.039 | 1.011 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.998 | 1.052 | 1.044 | 1.128 | 1.114 | 1.202 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6114 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.449 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.679 | The best result, shared by 14% of US hospitals | |
| 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 | 0.8975 | 0.9628 | 0.9656 | Better than 74% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | -1.206 | -0.0453 | 0.02733 | Better than 98% 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 | No |
| Total HAC score | 0.5995 | 0.4916 | 0 | -0.5823 | -0.7637 | -1.206 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2021)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
106
Medicare-certified beds
118
Registered nurses (full-time equivalent)
2006
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Montclair Hospital Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,644
Inpatient discharges
Medicare 31%, Medicaid 7%
13,137
Inpatient days
34% of available bed days used
294
Employees (full-time equivalent)
1
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839070). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Montclair Hospital Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,690 | 844 | 7,603 | 13,137 |
| Discharges | 1,140 | 248 | 2,256 | 3,644 |
| Average length of stay | 4.1 days | 3.4 days | 3.4 days | 3.6 days |
| Average daily census | 12.8 | 2.3 | 20.8 | 36.0 |
2,558
Medicare Advantage days
653 discharges
4,290
Medicaid managed care days
1,255 discharges
347
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 98 | 11,803 | 4,186 | 33% |
| Intensive care unit | 8 | 1,334 | 504 | 46% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Montclair Hospital Medical Center treats Medicare patients for most often, in 2024. 406 Medicare discharges in 14 published DRGs; 0% surgical; 79% 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 | 129 | $80,061 | $19,313 | $15,292 | 1.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 60 | $36,493 | $12,683 | $6,970 | 1.32 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $62,209 | $15,483 | $11,882 | 1.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $34,331 | $10,878 | $6,557 | 1.17 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $316,486 | $65,096 | $60,449 | 6.96 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $43,989 | $14,723 | $8,402 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $34,308 | $8,006 | $6,553 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $28,344 | $7,237 | $5,414 | 0.78 |
| Heart failure and shock with MCCMS-DRG 291, medical | 15 | $57,693 | $13,094 | $11,019 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $57,836 | $9,686 | $11,047 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $46,762 | $16,728 | $8,932 | 1.79 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $40,588 | $12,328 | $7,752 | 1.33 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 14 | $24,080 | $9,081 | $4,599 | 0.91 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $45,338 | $13,978 | $8,660 | 1.45 |
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.
ZIP codes with the most Medicare inpatient stays at Montclair Hospital 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 631 in 2020 to 1,269 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 91763 | 311 | 25% | 1,215 | $25.8M | 27% | 30% |
| 91767 | 116 | 9% | 454 | $9.6M | 8% | 6% |
| 91711 | 106 | 8% | 387 | $8.5M | 8% | 3% |
| 91762 | 92 | 7% | 294 | $6M | 6% | 8% |
| 91764 | 74 | 6% | 266 | $5.3M | 6% | 3% |
| 91766 | 72 | 6% | 303 | $5.8M | 4% | 2% |
| 91710 | 54 | 4% | 173 | $3.4M | 2% | 2% |
| 91786 | 51 | 4% | 228 | $4M | 4% | 2% |
| 91768 | 44 | 3% | 188 | $3.5M | 5% | 5% |
| 92335 | 38 | 3% | 141 | $2.8M | 2% | |
| 91761 | 34 | 3% | 123 | $2.2M | 2% | 1% |
| 91730 | 30 | 2% | 150 | $3.3M | 2% | |
| 91765 | 25 | 2% | 124 | $3.8M | 2% | |
| 91793 | 23 | 2% | 135 | $3.2M | 5% | 4% |
| 91701 | 21 | 2% | 78 | $1.7M | 2% | |
| 91750 | 21 | 2% | 78 | $1.9M | 1% | 1% |
| 92336 | 21 | 2% | 102 | $2.3M | 1% | 1% |
| 91739 | 19 | 1% | 67 | $1.2M | 3% | 2% |
| 92376 | 17 | 1% | 56 | $768,464 | 1% | |
| 91773 | 15 | 1% | 78 | $1.8M | 1% | |
| 92404 | 15 | 1% | 48 | $634,092 | 1% | |
| 91709 | 13 | 1% | 47 | $962,743 | 1% | 1% |
| 91784 | 12 | 1% | 51 | $926,254 | 1% | |
| 92509 | 12 | 1% | 44 | $926,209 | 1% | |
| 91722 | 11 | 1% | 42 | $753,684 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,269 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 Montclair Hospital Medical Center reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
2
Operating rooms
1
Endoscopy rooms
118
Registered nurses
16
Licensed practical nurses
1
Physician assistants
15
Nurse anesthetists (CRNAs)
2
Pharmacists
7
Respiratory therapists
8
Radiology technicians
10
Laboratory technicians
4
Medical technologists
2
Dietitians
1
Social workers
139
Other personnel
Source: CMS Provider of Services file.
108 clinicians who bill Medicare list Montclair Hospital 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.
Abid Rizvi, M.D.
Nephrology Physician
NPI 1255582540
See commercial rates for Abid Rizvi, M.D.Jeffrey Crudo, M.D.
Internal Medicine Physician
NPI 1508987371
See commercial rates for Jeffrey Crudo, M.D.Roy Martinez, M.D.
Diagnostic Radiology Physician
NPI 1093714511
See commercial rates for Roy Martinez, M.D.Jennifer Lin, M.D.
Diagnostic Radiology Physician
NPI 1194935932
See commercial rates for Jennifer Lin, M.D.Minna Huang, M.D.
Nephrology Physician
NPI 1841447745
See commercial rates for Minna Huang, M.D.Edward Azar, DPM
Foot & Ankle Surgery Podiatrist
NPI 1003291832
See commercial rates for Edward Azar, DPMKumari Wickramasinghe, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1043204712
See commercial rates for Kumari Wickramasinghe, MDMary Bui
Nephrology Physician
NPI 1841225224
See commercial rates for Mary BuiVictor Shi, M.D.
Vascular & Interventional Radiology Physician
NPI 1770857427
See commercial rates for Victor Shi, M.D.David Song
Urology Physician
NPI 1699115972
See commercial rates for David SongDesirae Mutuc, FNP-C
Family Nurse Practitioner
NPI 1215393384
See commercial rates for Desirae Mutuc, FNP-CMoustapha Abidali, DO
Pulmonary Disease Physician
NPI 1669810123
See commercial rates for Moustapha Abidali, DOJaspreet Ahuja, MD
Pulmonary Disease Physician
NPI 1174765960
See commercial rates for Jaspreet Ahuja, MDRohinder Sandhu, MD
Pulmonary Disease Physician
NPI 1902997174
See commercial rates for Rohinder Sandhu, MDChirag Vaidya, MD
Nephrology Physician
NPI 1073654570
See commercial rates for Chirag Vaidya, MDOwais Zaidi, MD
Pulmonary Disease Physician
NPI 1588825095
See commercial rates for Owais Zaidi, MDAmit Paliwal, MD MBA MPH
Family Medicine Physician
NPI 1790881159
See commercial rates for Amit Paliwal, MD MBA MPHAlexander Kassar, MD
Pulmonary Disease Physician
NPI 1588008767
See commercial rates for Alexander Kassar, MDNutan Bhaskar, MD
Pulmonary Disease Physician
NPI 1922269604
See commercial rates for Nutan Bhaskar, MDNima Naimi, D.O.
Nephrology Physician
NPI 1740424712
See commercial rates for Nima Naimi, D.O.Yogesh Paliwal, MD
Cardiovascular Disease Physician
NPI 1346217551
See commercial rates for Yogesh Paliwal, MDVinod Dhawan, MD
Infectious Disease Physician
NPI 1104922806
See commercial rates for Vinod Dhawan, MDHoang Anh Vo, M.D.
Diagnostic Radiology Physician
NPI 1457597387
See commercial rates for Hoang Anh Vo, M.D.Tony Bouz
Orthopaedic Surgery Physician
NPI 1124482609
See commercial rates for Tony BouzSource: 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 Montclair Hospital Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $449.1M | 649.6% |
| Inpatient | $280M | 404.9% |
| Outpatient | $169.2M | 244.7% |
| Contractual allowances and discounts | -$380M | -549.6% |
| Net patient revenue | $69.1M | 100.0% |
| Operating expenses | -$57.6M | -83.3% |
| Operating income from patient care | $11.6M | 16.7% |
| Other income | $296,650 | 0.4% |
| Contributions and donations | $141,116 | 0.2% |
| Other | $155,534 | 0.2% |
| Net income | $11.9M | 17.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $76.6M | 17.0% |
| Medicaid (including managed care) | $221.1M | 49.2% |
| Other payers and self-pay | $151.4M | 33.7% |
| Total charges | $449.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, 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 Montclair Hospital Medical Center's latest cost report.
16.7%
Operating margin
Operating income from patient care / net patient revenue
17.1%
Total margin
Net income / net patient revenue plus other income
21.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
52% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
22.4%
Return on assets
Net income for a year / total assets
8.8%
Return on equity
Net income for a year / fund balance
-0.23
Current ratio
Current assets / current liabilities
-0.11
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
48 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-555 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.31
Asset turnover
Total revenue for a year / total assets
13.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Montclair Hospital Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $53M in total assets and a $134.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$27,667 | -0.1% |
| Patient receivables, net | $9.1M | 17.2% |
| Inventory | $640,884 | 1.2% |
| Total current assets | $19M | 35.9% |
| Property and equipment, net of depreciation | $34M | 64.1% |
| Total assets | $53M | 100.0% |
| Current liabilities | -$83.5M | -157.6% |
| Total liabilities | -$81.9M | -154.5% |
| Fund balance (net assets) | $134.9M | 254.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Montclair Hospital Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$41,628
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$9.8M
Bad debt
Patient bills written off as uncollectible, at charges
$4.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.3M
Total unreimbursed and uncompensated care
5.7% 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 839070, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Montclair Hospital Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $57.5M | $62.3M | $54.9M | $59.7M | $61.9M | $69.1M |
| Operating expenses | $54M | $53.2M | $52.1M | $55.6M | $58.9M | $57.6M |
| Operating margin | 6.1% | 14.6% | 5.0% | 6.8% | 4.8% | 16.7% |
| Net income | $6.6M | $9.7M | $3.2M | $4.3M | $5M | $11.9M |
| Total assets | $124M | $121.1M | $122.7M | $66.4M | $60.8M | $53M |
| Discharges | 2,901 | 2,528 | 2,743 | 2,774 | 2,919 | 3,644 |
| Inpatient days | 12,149 | 10,839 | 10,734 | 10,136 | 11,388 | 13,137 |
| Medicare Advantage days | 1,562 | 1,650 | 1,893 | 1,967 | 2,123 | 2,558 |
| Beds | 106 | 106 | 106 | 106 | 106 | 106 |
| Employees (FTE) | 321 | 272 | 259 | 222 | 276 | 294 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Montclair Hospital 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 |
|---|---|---|---|---|---|
| Emergency | $3.8M | $8.5M | $105.4M | 0.08 | 4,315 |
| Operating room | $1.6M | $5.7M | $27.2M | 0.21 | 5,816 |
| Drugs charged to patients | $3.5M | $19.4M | 0.18 | ||
| Radiology-diagnostic | $1.1M | $3.4M | $19.4M | 0.18 | 3,809 |
| Medical supplies charged to patient | $3M | $9.5M | 0.31 | ||
| Laboratory | $1.2M | $2.9M | $69.4M | 0.04 | 1,240 |
| Respiratory therapy | $1M | $2.1M | $49.4M | 0.04 | 967 |
| Ct scan | $409,518 | $1.1M | $47M | 0.02 | 875 |
| Whole blood & packed red blood cell | $272,094 | $753,877 | $4.9M | 0.15 | |
| Physical therapy | $666,119 | $4.4M | 0.15 | 987 | |
| Electrocardiology | $145,880 | $622,231 | $8.5M | 0.07 | 1,323 |
| Renal dialysis | $589,954 | $4.7M | 0.13 | ||
| Impl. dev. charged to patients | $494,011 | $2.5M | 0.20 | ||
| Observation beds (non-distinct part | $472,253 | $4.5M | 0.11 | ||
| Radioisotope | $38,044 | $375,515 | $982,633 | 0.38 | 638 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6M | $16.5M | $60M | 0.28 | 24,018 |
| Intensive care unit | $2.1M | $4.3M | $12.2M | 0.35 | 1,767 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.7M | $11.3M | 66,623 | $40.21 | 13,909 |
| Operation of plant | $729,669 | $2.8M | 28,013 | $26.05 | 1,380 |
| Cap rel costs-bldg & fixt | $2.2M | 75,345 | |||
| Medical records & library | $736,272 | $1.8M | 21,990 | $33.48 | 4,134 |
| Nursing administration | $951,572 | $1.7M | 16,238 | $58.60 | 1,369 |
| Pharmacy | $996,779 | $1.3M | 17,721 | $56.25 | 589 |
| Cap rel costs-mvble equip | $1.1M | ||||
| Housekeeping | $678,209 | $1M | 30,023 | $22.59 | 995 |
| Employee benefits department | $250,977 | $766,643 | 7,990 | $31.41 | 1,347 |
| Cafeteria | $643,084 | 14,356 | $24.60 | 1,609 | |
| Dietary | $646,830 | $625,317 | 11,938 | $24.60 | 2,159 |
| Central services & supply | $109,423 | $186,296 | 3,131 | $34.95 | 1,390 |
| Laundry & linen service | $179,262 | 288 | |||
| Social service | $69,060 | $81,042 | 2,159 | $31.99 | |
| I&r services-other prgm costs apprv | $34,321 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839070, 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 Montclair Hospital Medical Center for an inpatient stay.
1.67
Case mix index
Higher than 49% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.02 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
62.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
955
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 | 1.91 | 1.91 | 2.26 | 2.04 | 1.98 | 1.73 | 1.67 |
| Wage index | 1.275 | 1.272 | 1.277 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | 0.00% | -0.39% | 0.00% | -1.17% | -0.95% | -1.69% |
| Value-based purchasing adjustment | -0.66% | -1.27% | -1.27% | -0.40% | +1.29% | +1.94% | +0.33% |
| Medicare inpatient stays | 535 | 535 | 424 | 437 | 521 | 644 | 955 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Montclair Hospital Medical Center reports to Medicare as owners or with operational control.
Prime Healthcare Foundation Inc
5% or greater direct ownership interest, 100%, since 2010
Prime Healthcare Services, Inc
5% or greater indirect ownership interest, 100%, since 2011
Sources: CMS Hospital All Owners.
The officers and board members on Montclair Hospital 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; the first 2 of 4 are shown.
340B drug pricing program
Not participating
340B ID DSH050758, registered as a disproportionate share hospital. Authorizing official: gail aviado, Chief Nursing Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Montclair Hospital Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Montclair Hospital Medical Center range from $379 to $876 across 2 insurers. Aetna's rate is $379. The median at nearby comparable hospitals is $839. 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 Montclair Hospital Medical Center range from $249 to $520 across 2 insurers. Aetna's rate is $520. The median at nearby comparable hospitals is $1,728. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Montclair Hospital Medical Center range from $588 to $3,855 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $588. The median at nearby comparable hospitals is $2,835. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Montclair Hospital Medical Center range from $107 to $166 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $107. The median at nearby comparable hospitals is $661. What a patient pays depends on their plan's deductible, coinsurance and network status.
Montclair Hospital Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.02 Medicare-funded residents per bed at Montclair Hospital Medical Center for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Montclair Hospital Medical Center's base inpatient payments by an estimated 1.69% 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 (129 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (60 discharges), respiratory infections and inflammations with mcc (31 discharges).
Montclair Hospital Medical Center's Medicare case mix index is 1.67 for fiscal year 2027, higher than 49% of hospitals paid under the inpatient prospective payment system.
Montclair Hospital Medical Center reported 3,644 inpatient discharges and 13,137 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Montclair Hospital Medical Center reported 294 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Montclair Hospital Medical Center reported $69.1M in net patient revenue on $449.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 16.7%, and net income of $11.9M.
Montclair Hospital Medical Center reported $3.3M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $41,628 of charity care at cost.
Insurers' price transparency files list Montclair Hospital Medical Center under employer identification number 20-2898771 (Prime Healthcare Services). 28 health plans and networks list 20-2898771 for it.
HRSA's 340B database lists Montclair Hospital Medical Center (340B ID DSH050758) as no longer participating since 2019.
108 clinicians who bill Medicare list Montclair Hospital Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (16), family medicine physician (13), pulmonary disease physician (12).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Montclair Hospital Medical Center, effective 2021.
In its Medicare enrollment, Montclair Hospital Medical Center reports Prime Healthcare Foundation Inc as 5% or greater direct ownership interest (100%).
CMS lists 57 services at Montclair Hospital Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Burn Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Montclair Hospital Medical Center came from ZIP codes 91763 (311), 91767 (116), 91711 (106).
Montclair Hospital Medical Center has 106 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Montclair Hospital Medical Center is located at 5000 San Bernardino Street, Montclair, CA 91763. Its main phone number is (909) 625-8300.
Montclair Hospital Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050758.
The National Provider Identifier (NPI) on file for Montclair Hospital Medical Center is 1992721161.
Montclair Hospital Medical Center is affiliated with Prime Healthcare Services.
Montclair Hospital Medical Center lists 19 in-network payers, including Aetna, Ambetter, Ameri Health, Centene, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
52 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