CT imaging
CT head or brain without contrast
CPT 70450
$144 - $246
from 2 insurers · median $195
Common here, based on CMS Medicare volume
Northbay Healthcare Group · Fairfield, CA
2 of 5
CMS star rating
189
Beds
10,374
Inpatient discharges a year
$842.6M
Net patient revenue a year
36
In-network payers
North Bay Medical Center is a 189-bed voluntary non-profit - private hospital in Fairfield, CA, affiliated with Northbay Healthcare Group. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 182 disclosed rate categories.
The 24 services North Bay Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 70450
$144 - $246
from 2 insurers · median $195
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$417
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,800
negotiated rate
15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 45385
$521 - $805
from 2 insurers · median $663
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$311 - $797
from 2 insurers · median $554
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$386 - $468
from 2 insurers · median $427
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$561 - $792
from 2 insurers · median $676
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$258 - $785
from 2 insurers · median $522
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 71250
$262 - $303
from 2 insurers · median $282
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $561
from 2 insurers · median $480
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$303 - $394
from 2 insurers · median $348
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$99 - $165
from 2 insurers · median $132
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$122 - $154
from 2 insurers · median $138
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$108 - $131
from 2 insurers · median $119
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$339
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76700
$145 - $166
from 2 insurers · median $156
Common here, based on CMS Medicare volume
MRI imaging
CPT 72141
$400 - $561
from 2 insurers · median $480
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,500
negotiated rate
46 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$942
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $271
from 2 insurers · median $230
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$552
negotiated rate
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$39 - $40
from 2 insurers · median $39
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$37
negotiated rate
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* | 20 | 120% | 0 | 20 |
| Insurer B* | 20 | 107% | 0 | 7 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 1 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 North Bay 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
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$842.6M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for North Bay 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 |
|---|---|---|
| 94-1458282(multi-state) Northbay Healthcare Group | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more | 1821147786 Northbay Healthcare Group1780736736 Northbay Healthcare Group1760534713 Northbay Healthcare Groupand 17 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.
1200 B. Gale Wilson Boulevard, Fairfield, CA 94533
(707) 646-5000
How North Bay Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 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 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 11 measures
0 better, 8 no different, 3 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
67%
Lower than 65% 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)
1.04
Higher than 72% 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
176 min
Higher than 68% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
54%
Lower than 74% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 3 of 11 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 | 67% | 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) | 1.04 | 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 | 176 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 54% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts North Bay Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.25% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.40% 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 North Bay 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 | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 25 cases | 3.7 | 4.1 | 4.075 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,034 cases | 3.6 | 3.9 | 3.81 | Better than 69% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 180 cases | 13 | 11.8 | 11.57 | Worse than 84% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 31 cases | 3.7 | 2.3 | 2.379 | Worse than 93% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 171 cases | 7.4 | 8.5 | 8.235 | Better than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 338 cases | 10.4 | 11 | 10.29 | Better than 61% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 552 cases | 13.7 | 15.2 | 14.49 | Better than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 238 cases | 12.6 | 11.6 | 11.57 | Worse than 65% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,549 cases | 0.34 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 75% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 88 cases | 181 | 173 | 171 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 6,261 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 · 6,385 cases | 0.22 | 0.27 | 0.261 | No Different Than the National Rate | Better than 93% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,156 cases | 2.02 | 2.29 | 2.308 | No Different Than the National Rate | Better than 85% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 280 cases | 1.89 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 284 cases | 12.55 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,179 cases | 4.02 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 276 cases | 5.96 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 256 cases | 1.96 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,001 cases | 1.08 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 197 cases | 0.7 | 4.2 | 11.09 | Better than 56% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 439 cases | 32.6 | 1.25 | 7.901 | Worse than 84% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 627 cases | 25 | 3.85 | 16.67 | Worse than 77% 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 · 196 cases | 14.1 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 166 cases | 14.6 | 10.7 | 11.39 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 166 cases | 5.5 | 5.3 | 5.546 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 250 cases | 0.9 | 1 | 1.001 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 197 cases | 13.6 | 14.4 | 14.43 | Better than 83% of US hospitals | |
| 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 · 210 cases | 20.9 | 19.8 | 19.94 | Worse than 86% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 420 cases | 22.1 | 21.3 | 21.41 | Worse than 74% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 25 cases | 5.6 | 5.8 | 5.612 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 560 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 | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.313 | 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 | 2.376 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,865 | 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 | 4.061 | 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 | 4 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.985 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 83% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.111 | 0.138 | 0.2147 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.19 | 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 | 4,262 | 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 | 3.017 | 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 | 2 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.663 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 73% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.208 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 88 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.48 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.8107 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| 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 | 24 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.212 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.155 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.048 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 54,230 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.168 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.923 | 0.597 | 0.7784 | No Different than National Benchmark | Worse than 75% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.495 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.126 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 49,781 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 30.16 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 23 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.763 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 89% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,123 cases | 71 | 73 | 72.2 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,123 cases | 9 | 8 | 8.78 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,123 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 86 | 87 | 86.82 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 72 | 80 | 75.76 | Worse than 90% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 89 | 91 | 89.84 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 7 | 4 | 5.713 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 21 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 74 | 79 | 75.81 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 88 | 91 | 89.11 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 7 | 5 | 7.043 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,123 cases | 19 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,123 cases | 54 | 61 | 58.95 | Worse than 87% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 74 | 77 | 75.75 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,123 cases | 25 | 19 | 21.56 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,123 cases | 21 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 85 | 86 | 84.61 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,123 cases | 15 | 13 | 15.03 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,123 cases | 85 | 87 | 84.97 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,123 cases | 17 | 14 | 16.39 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,123 cases | 83 | 86 | 83.61 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 70 | 74 | 70.69 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 8 | 7 | 8.855 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 22 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 72 | 77 | 73.94 | Worse than 82% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 8 | 6 | 7.637 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 20 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,123 cases | 80 | 85 | 81.99 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,123 cases | 5 | 3 | 4.958 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,123 cases | 15 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,123 cases | 9 | 8 | 10.01 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,123 cases | 27 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,123 cases | 64 | 72 | 67.63 | Worse than 79% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 87 | 88 | 86.85 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,123 cases | 69 | 74 | 72.06 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,123 cases | 14 | 9 | 10.94 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,123 cases | 17 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 67 | 75 | 71.11 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 8 | 5 | 7.488 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,123 cases | 25 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 70 | 77 | 72.49 | Worse than 85% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 10 | 4 | 6.121 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,123 cases | 20 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,123 cases | 80 | 86 | 82.8 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,123 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 · 1,123 cases | 16 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,123 cases | 44 | 59 | 47.5 | Worse than 92% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,123 cases | 18 | 9 | 17.79 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,123 cases | 38 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 75 | 82 | 74.85 | Worse than 84% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 2 | 3 | 2.203 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,123 cases | 7 | 5 | 7.623 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,123 cases | 67 | 71 | 68.6 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,123 cases | 86 | 87 | 85.85 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,123 cases | 26 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,123 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,123 cases | 40 | 47 | 45.33 | Worse than 85% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,123 cases | 35 | 30 | 32.51 | Worse than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,123 cases | 25 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,123 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 · 1,123 cases | 13 | 12 | 13.94 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,123 cases | 87 | 88 | 86.06 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 · 16,440 cases | 9 | 8 | 8.289 | Worse than 53% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,852 cases | 2 | 1 | 1.008 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 3,790 cases | 67 | 79 | 69.96 | Worse than 68% 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 · 492 cases | 186 | 154 | 187 | Worse than 70% 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 · 455 cases | 176 | 148 | 182 | Worse than 68% 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 · 32 cases | 322 | 247 | 282 | Worse than 74% 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 · 75,571 cases | 2 | 1 | 2.162 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 44 cases | 89 | 74 | 75.06 | Better than 84% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| 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 · 27 cases | 4 | 53 | 48.75 | Worse than 85% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,998 cases | 14 | 15 | 13.67 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 149 cases | 54 | 65 | 68.8 | Worse than 74% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 68 | 73 | 76.38 | Worse than 61% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 24 cases | 88 | 88 | 86.64 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 149 cases | 80 | 82 | 82.89 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 82 cases | 79 | 94 | 93.98 | Worse than 93% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 164 cases | 94 | 98 | 93.4 | Worse than 83% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | 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 | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.1 | 5 | 4.959 | Better than 97% 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 | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.94 | 0.99 | 1.024 | Better than 73% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 18 | 20 | 30.07 | Worse than 53% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.5 | 5 | 7.571 | Worse than 54% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 16.48 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 7.5 | 2.5 | 4.567 | Better than 68% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 15 | 34 | 28.67 | Worse than 89% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 3.75 | 8.75 | 7.519 | Worse than 89% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 45.16 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 11.79 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 23.25 | 29.5 | 30.43 | Worse than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 38 | 53.33 | 50 | 18.33 | 5 | 18 |
| VBP clinical outcomes weighted domain score | 9.5 | 13.33 | 12.5 | 4.583 | 1.25 | 4.5 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 30 | 50 | 20 | 30 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 7.5 | 12.5 | 5 | 7.5 |
| VBP person and community engagement domain score | 17 | Not Available | Not Available | 14 | 9 | 15 |
| VBP person and community engagement weighted domain score | 4.25 | Not Available | Not Available | 3.5 | 2.25 | 3.75 |
| VBP safety domain score | 56 | Not Available | Not Available | 36 | 44 | 30 |
| VBP safety weighted domain score | 14 | Not Available | Not Available | 9 | 11 | 7.5 |
| VBP total performance score | 30.25 | Not Available | Not Available | 29.58 | 19.5 | 23.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 193 cases | 0.9743 | 0.9995 | 1.015 | Better than 67% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.027 | 1 | 1.005 | Worse than 61% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 186 cases | 1.038 | 0.9969 | 1.002 | Worse than 80% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 488 cases | 1.068 | 0.9983 | 1.017 | Worse than 85% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9956 | 0.9916 | 0.9788 | Worse than 51% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 525 cases | 0.9947 | 0.9955 | 1.026 | Better than 51% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.129 | 1.075 | 1.055 | 0.9899 | 0.9644 | 0.9743 |
| READM-30-CABG-HRRP | 0.9493 | 0.9135 | 0.9801 | 1.013 | 1.029 | 1.027 |
| READM-30-COPD-HRRP | 0.9641 | 0.9676 | 1.017 | 1.016 | 1.039 | 1.038 |
| READM-30-HF-HRRP | 1.104 | 1.09 | 1.021 | 0.9385 | 1.01 | 1.068 |
| READM-30-HIP-KNEE-HRRP | 0.9748 | 1.018 | 1.032 | 0.9384 | 0.9184 | 0.9956 |
| READM-30-PN-HRRP | 1.058 | 1.044 | 1.023 | 1.026 | 1.016 | 0.9947 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | North Bay Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.288 | 0.489 | 0.6114 | Worse than 92% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.373 | 0.346 | 0.449 | Worse than 54% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.111 | 0.559 | 0.679 | Better than 85% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.803 | 0.6405 | 0.7204 | Worse than 64% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.041 | 0.9628 | 0.9656 | Worse than 72% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.347 | 0.7945 | 0.8116 | Better than 79% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0578 | -0.0453 | 0.02733 | Worse than 57% 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 | No | No | No |
| Total HAC score | 0.0501 | 0.086 | 0 | -0.0579 | 0.0146 | 0.0578 |
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 2017)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
123
Medicare-certified beds
134
Registered nurses (full-time equivalent)
1967
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What North Bay Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
10,374
Inpatient discharges
Medicare 34%, Medicaid 3%
48,075
Inpatient days
70% of available bed days used
1,859
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839065). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges North Bay Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 16,872 | 1,029 | 30,174 | 48,075 |
| Discharges | 3,550 | 294 | 6,530 | 10,374 |
| Average length of stay | 4.8 days | 3.5 days | 4.6 days | 4.6 days |
| Average daily census | 46.2 | 2.8 | 82.7 | 131.7 |
5,277
Medicare Advantage days
985 discharges
15,195
Medicaid managed care days
3,301 discharges
4,872
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 143 | 36,769 | 14,392 | 70% |
| Intensive care unit | 30 | 6,710 | 2,480 | 61% |
| Other special care | 16 | 2,492 | 43% | |
| Nursery | 2,104 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What North Bay Medical Center treats Medicare patients for most often, in 2024. 2,456 Medicare discharges in 75 published DRGs; 14% surgical; 80% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 419 | $232,743 | $22,077 | $28,860 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 165 | $161,065 | $13,806 | $19,972 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 96 | $167,010 | $14,256 | $20,709 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 74 | $139,375 | $11,205 | $17,282 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $212,725 | $18,452 | $26,378 | 1.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 64 | $113,937 | $12,737 | $14,128 | 1.17 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 63 | $192,633 | $17,890 | $23,886 | 1.59 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $159,767 | $12,323 | $19,811 | 1.10 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $188,237 | $20,164 | $23,341 | 2.00 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $675,275 | $57,790 | $83,734 | 5.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $154,986 | $13,955 | $19,218 | 1.23 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 45 | $139,010 | $10,577 | $17,237 | 0.98 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 45 | $321,814 | $23,150 | $39,905 | 2.07 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $123,446 | $10,947 | $15,307 | 1.02 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $222,473 | $19,938 | $27,587 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $103,896 | $8,299 | $12,883 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 39 | $160,962 | $15,042 | $19,959 | 1.32 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $101,164 | $8,691 | $12,544 | 0.81 |
| Cellulitis without MCCMS-DRG 603, medical | 38 | $90,747 | $9,412 | $11,253 | 0.88 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 37 | $111,671 | $8,898 | $13,847 | 0.80 |
See all 75 Medicare inpatient DRGs at North Bay Medical Center
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) North Bay Medical Center billed Medicare for most in 2024: 1,737 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 661 | 594 | $67,950 | $3,127 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 115 | 110 | $256,656 | $17,257 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 95 | 84 | $63,106 | $3,612 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 76 | 65 | $25,891 | $1,854 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 73 | 71 | $201,962 | $6,568 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 59 | 51 | $97,166 | $6,584 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 58 | 47 | $174,557 | $14,163 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 57 | 52 | $88,847 | $2,324 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 55 | 55 | $103,986 | $3,358 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 49 | $179,389 | $5,820 | $3,918 |
See all 26 Medicare outpatient services at North Bay Medical Center
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 North Bay 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 3,364 in 2020 to 4,187 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 94533 | 1,233 | 29% | 6,204 | $324.4M | 55% | 55% |
| 95687 | 964 | 23% | 4,452 | $248M | 49% | 52% |
| 94534 | 532 | 13% | 2,535 | $144.2M | 51% | 44% |
| 95688 | 407 | 10% | 1,733 | $95.5M | 44% | 52% |
| 94585 | 404 | 10% | 2,045 | $106.8M | 53% | 54% |
| 94571 | 200 | 5% | 999 | $55.3M | 26% | 23% |
| 95620 | 108 | 3% | 573 | $36.6M | 17% | 16% |
| 94591 | 82 | 2% | 430 | $23.3M | 5% | 4% |
| 94559 | 53 | 1% | 275 | $13M | 5% | 5% |
| 94590 | 49 | 1% | 295 | $18.6M | 4% | 4% |
| 94589 | 37 | 1% | 179 | $9M | 4% | 5% |
| 95696 | 32 | 1% | 139 | $6.7M | 64% | 53% |
| 94558 | 25 | 1% | 133 | $7.2M | 1% | 1% |
| 94510 | 19 | 0% | 123 | $5.1M | 2% | 2% |
| 95694 | 15 | 0% | 70 | $2.9M | 5% | 8% |
| 95625 | 14 | 0% | 67 | $3.5M | 56% | |
| 94503 | 13 | 0% | 52 | $4.6M | 3% | 6% |
Source: CMS Hospital Service Area file. Shares are of the 4,187 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 North Bay Medical Center reported at its latest Medicare certification survey (2017). Counts are people, not full-time equivalents.
2
Off-site locations
134
Registered nurses
7
Licensed practical nurses
5
Pharmacists
10
Respiratory therapists
5
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
2
Dietitians
2
Social workers
255
Other personnel
Source: CMS Provider of Services file.
387 clinicians who bill Medicare list North Bay 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.
Anita Bhat, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1902068562
See commercial rates for Anita Bhat, M.D.Ameer Almullahassani, MD
Neurology Physician
NPI 1245473131
See commercial rates for Ameer Almullahassani, MDT Singh, MD
Diagnostic Radiology Physician
NPI 1376533133
See commercial rates for T Singh, MDSophie Fletcher, MD
Urology Physician
NPI 1093924714
See commercial rates for Sophie Fletcher, MDNaser Rahbar, M.D.
Diagnostic Radiology Physician
NPI 1265547418
See commercial rates for Naser Rahbar, M.D.Ruby Ali, M.D.
Neurology Physician
NPI 1093990426
See commercial rates for Ruby Ali, M.D.Bryson Borg, MD
Diagnostic Radiology Physician
NPI 1255394227
See commercial rates for Bryson Borg, MDCharbel Nadra, MD
Internal Medicine Physician
NPI 1700974565
See commercial rates for Charbel Nadra, MDRobinson Yu, MD
Diagnostic Radiology Physician
NPI 1831464999
See commercial rates for Robinson Yu, MDPayam Mehranpour, M.D.
Interventional Cardiology Physician
NPI 1790897387
See commercial rates for Payam Mehranpour, M.D.Shahid Rehman, MD
Neurology Physician
NPI 1104084458
See commercial rates for Shahid Rehman, MDRobert Peterson, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1093717951
See commercial rates for Robert Peterson, M.D.Daniel Hartley, RN, MSN, NP
Family Nurse Practitioner
NPI 1891856654
See commercial rates for Daniel Hartley, RN, MSN, NPDaniel Birkbeck, MD
Orthopaedic Hand Surgery Physician
NPI 1265433254
See commercial rates for Daniel Birkbeck, MDShawn Emery, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1821090150
See commercial rates for Shawn Emery, M.D.Prakashchandra Chaudhari, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1518073451
See commercial rates for Prakashchandra Chaudhari, MDSean Dougherty, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1407089261
See commercial rates for Sean Dougherty, D.P.M.Emad Kaabipour, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1952360364
See commercial rates for Emad Kaabipour, M.D.Andrew Brooks, M.D.
Orthopaedic Surgery Physician
NPI 1376519561
See commercial rates for Andrew Brooks, M.D.John Sandoz, MD
Diagnostic Radiology Physician
NPI 1447255047
See commercial rates for John Sandoz, MDHerkanwal Khaira, MD
Urology Physician
NPI 1073691564
See commercial rates for Herkanwal Khaira, MDMichael Caravelli, M.D.
Orthopaedic Surgery Physician
NPI 1528224441
See commercial rates for Michael Caravelli, M.D.Julie Chen, M.D.
Ophthalmology Physician
NPI 1740303064
See commercial rates for Julie Chen, M.D.Edward Yoon, M.D.
Cardiovascular Disease Physician
NPI 1457446957
See commercial rates for Edward Yoon, 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 North Bay 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) | $5.2B | 622.3% |
| Inpatient | $2.5B | 301.3% |
| Outpatient | $2.7B | 321.0% |
| Contractual allowances and discounts | -$4.4B | -522.3% |
| Net patient revenue | $842.6M | 100.0% |
| Operating expenses | -$855.9M | -101.6% |
| Operating income from patient care | -$13.2M | -1.6% |
| Other income | $54.4M | 6.5% |
| COVID-19 relief funding | $1.3M | 0.2% |
| Other | $53.1M | 6.3% |
| Net income | $41.2M | 4.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $1.2B | 24.9% |
| Medicaid (including managed care) | $1.6B | 32.6% |
| Other payers and self-pay | $2.1B | 42.5% |
| Total charges | $5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, 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 North Bay Medical Center's latest cost report.
-1.6%
Operating margin
Operating income from patient care / net patient revenue
4.6%
Total margin
Net income / net patient revenue plus other income
9.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$71.35
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
4.1%
Return on assets
Net income for a year / total assets
8.8%
Return on equity
Net income for a year / fund balance
0.14
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.67
Current ratio
Current assets / current liabilities
2.71
Quick ratio
Cash, temporary investments and net receivables / current liabilities
12 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
131 days
Days in patient receivables
Net patient receivables / daily net patient revenue
54 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.90
Asset turnover
Total revenue for a year / total assets
9.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What North Bay Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $999.4M in total assets and a $466.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $27.6M | 2.8% |
| Patient receivables, net | $303.1M | 30.3% |
| Inventory | $7.2M | 0.7% |
| Total current assets | $447.6M | 44.8% |
| Property and equipment, net of depreciation | $215.9M | 21.6% |
| Investments and other assets | $335.9M | 33.6% |
| Total assets | $999.4M | 100.0% |
| Current liabilities | $122M | 12.2% |
| Long-term debt | $66.3M | 6.6% |
| Total liabilities | $533.3M | 53.4% |
| Fund balance (net assets) | $466.1M | 46.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care North Bay Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$7.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$34.2M
Bad debt
Patient bills written off as uncollectible, at charges
$58.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$70.7M
Total unreimbursed and uncompensated care
8.3% 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 839065, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
North Bay 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 | $586M | $660.3M | $676.6M | $723.6M | $806.9M | $842.6M |
| Operating expenses | $627.1M | $692.3M | $731.8M | $742.5M | $824.6M | $855.9M |
| Operating margin | -7.0% | -4.9% | -8.2% | -2.6% | -2.2% | -1.6% |
| Net income | $32.5M | $4.2M | -$63.7M | $38.6M | $36.8M | $41.2M |
| Total assets | $927.1M | $886.7M | $798.9M | $782.5M | $889.5M | $999.4M |
| Discharges | 9,215 | 9,828 | 10,157 | 10,160 | 10,531 | 10,374 |
| Inpatient days | 44,469 | 52,992 | 52,773 | 50,240 | 50,922 | 48,075 |
| Medicare Advantage days | 327 | 60 | 155 | 1,778 | 6,648 | 5,277 |
| Beds | 182 | 204 | 204 | 204 | 178 | 189 |
| Employees (FTE) | 1,620 | 1,550 | 1,750 | 1,723 | 1,783 | 1,859 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center North Bay 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 |
|---|---|---|---|---|---|
| Clinic | $36.6M | $137.3M | $20.7M | 6.64 | 182,411 |
| Operating room | $21.2M | $49.3M | $868.2M | 0.06 | 17,410 |
| Emergency | $26.2M | $48.9M | $668.8M | 0.07 | 626 |
| Medical supplies charged to patient | $43.5M | $74.2M | 0.59 | ||
| Drugs charged to patients | $36.6M | $1.2B | 0.03 | ||
| Laboratory | $9M | $25.7M | $291.3M | 0.09 | 9,578 |
| Impl. dev. charged to patients | $19.7M | $47.4M | 0.42 | ||
| Observation beds (non-distinct part | $14.5M | $88.8M | 0.16 | ||
| Cardiac catheterization | $6.5M | $12.5M | $165.8M | 0.08 | 98 |
| Delivery room & labor room | $6.5M | $11.9M | $63.8M | 0.19 | 2,517 |
| Radiology-diagnostic | $5.3M | $11.9M | $52.6M | 0.23 | 12,294 |
| Respiratory therapy | $5.9M | $10.6M | $50.5M | 0.21 | 1,505 |
| Radiology-therapeutic | $2.3M | $7.7M | $49.1M | 0.16 | 8,968 |
| Ct scan | $2M | $4.6M | $276.2M | 0.02 | 1,404 |
| Physical therapy | $3.5M | $4.3M | $3.4M | 1.30 | 9,311 |
| Renal dialysis | $3.6M | $8.3M | 0.44 | 620 | |
| Mri | $132,288 | $3.3M | $22.9M | 0.15 | 3,200 |
| Ultra sound | $1.9M | $3.3M | $32.9M | 0.10 | 604 |
| Cardiac rehabilitation | $923,409 | $2.2M | $3M | 0.72 | 1,667 |
| Occupational therapy | $1.2M | $2M | $2.1M | 0.98 | 3,396 |
| Whole blood & packed red blood cell | $901,611 | $2M | $9.3M | 0.21 | 81 |
| Echocardiography | $984,162 | $1.7M | $46.7M | 0.04 | 218 |
| Speech pathology | $523,060 | $1.6M | $1.6M | 1.02 | 4,762 |
| Radioisotope | $659,017 | $1.3M | $9.8M | 0.14 | 823 |
| Anesthesiology | $376,655 | $1.3M | $232.8M | 0.01 | 318 |
| Electrocardiology | $534,711 | $1.2M | $28.2M | 0.04 | 1,455 |
| Electroencephalography | $341,668 | $981,349 | $7.3M | 0.13 | 339 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $59.7M | $123.8M | $443.4M | 0.28 | 61,473 |
| Intensive care unit | $17.5M | $37.5M | $199.6M | 0.19 | 13,438 |
| Neonatal intensive care unit | $6.3M | $11.5M | $45.7M | 0.25 | 2,033 |
| Nursery | $2.5M | $5.2M | 0.48 | 436 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $16.6M | $129.5M | 256,878 | $64.74 | 150,796 |
| Cap rel costs-mvble equip | $30.7M | ||||
| Cap rel costs-bldg & fixt | $13.6M | 547,183 | |||
| Pharmacy | $10.3M | $12M | 121,818 | $84.19 | 3,208 |
| Maintenance & repairs | $6.4M | $9.9M | 125,863 | $50.91 | 3,126 |
| Nursing administration | $7.4M | $9M | 82,289 | $82.28 | 5,189 |
| Housekeeping | $5M | $7.9M | 142,157 | $35.07 | 1,444 |
| Medical records & library | $4.7M | $6.4M | 66,438 | $71.29 | 1,094 |
| Operation of plant | $734,718 | $5.9M | 13,451 | $54.62 | 16,707 |
| Dietary | $4.8M | $4.7M | 73,834 | $39.41 | 5,195 |
| Cafeteria | $2.5M | 56,746 | $33.60 | 3,123 | |
| Central services & supply | $1.2M | $2.3M | 28,985 | $42.21 | 4,084 |
| Social service | $997,915 | $1.7M | 15,156 | $65.84 | 624 |
| Laundry & linen service | $1.1M | 574 | |||
| Paramedical edu program | $67,289 | ||||
| Employee benefits department | $254 | $686 | 2,779 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839065, 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 North Bay Medical Center for an inpatient stay.
1.91
Case mix index
Higher than 71% 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).
48.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,531
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 | 1.70 | 1.69 | 1.99 | 1.94 | 1.93 | 1.86 | 1.91 |
| Wage index | 1.757 | 1.757 | 1.894 | 1.891 | 1.821 | 1.730 | 1.643 |
| Readmissions adjustment | -0.75% | -0.86% | -0.63% | -0.22% | -0.09% | -0.10% | -0.25% |
| Value-based purchasing adjustment | +0.09% | -0.06% | -0.06% | +0.78% | +0.81% | -0.26% | -0.40% |
| Medicare inpatient stays | 4,156 | 4,156 | 3,368 | 3,377 | 3,500 | 3,347 | 3,531 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on North Bay 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.
Northbay Healthcare Group files the Form 990 for the tax ID insurers list for North Bay Medical Center, so these people may lead the wider organization rather than North Bay Medical Center alone.
| Name | Title |
|---|---|
| Mark Behl | President & CEO |
| Joseph D'Angina | EVP, Chief Financial Officer |
| Seth Kaufman MD Facep | EVP, Chief Medical & Quality Officer |
| James Andersen | SVP, Chief People Officer |
| Timothy Williams | VP, Ambulatory Srvcs (thru 6/2024) |
| Tracy Geddis | SVP, Chief Ambulatory Operations Officer |
| Heather Resseger Dnp RN Cnl | SVP, Chief Hospital Ops & Nursing Officer |
| Christopher Timbers | SVP, Chief Information Officer |
| Sukhwinder Bajwa | SVP, Chief Legal Officer |
| Denise Suihkonen | Secretary-treasurer |
| Wayne Senalik | Vice-chair |
| Archie Humphrey | Chair |
Board members: Donald Doyle MD, James Long MD, Mark Sievers, Theresa Hite, Gwendoyn Runnels.
Source: IRS Form 990 Part VII filed by Northbay Healthcare Group (EIN 94-1458282), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2005
340B ID DSH050367, registered as a disproportionate share hospital; 23 registered outpatient sites; 48 active contract pharmacies. Authorizing official: Joseph D'Angina, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Northbay hospital group
CCN 05U367, certified 2020, Medicare not participating
Northbay hospital group
CCN 057219, certified 1965, Medicare prospective payment
Northbay hospice & bereavment
CCN 051651, certified 1999
Source: Worksheet S-2 Part I of North Bay Medical Center's latest Medicare cost report (HCRIS).
About North Bay Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at North Bay Medical Center range from $561 to $792 across 2 insurers. Aetna's rate is $561. The median at nearby comparable hospitals is $845. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at North Bay Medical Center range from $144 to $246 across 2 insurers. Aetna's rate is $144. The median at nearby comparable hospitals is $326. 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 North Bay Medical Center range from $521 to $805 across 2 insurers. UnitedHealthcare's rate is $805. The median at nearby comparable hospitals is $4,071. What a patient pays depends on their plan's deductible, coinsurance and network status.
North Bay Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at North Bay Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts North Bay Medical Center's base inpatient payments by an estimated 0.25% 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 (419 discharges), heart failure and shock with mcc (165 discharges), simple pneumonia and pleurisy with mcc (96 discharges).
North Bay Medical Center's Medicare case mix index is 1.91 for fiscal year 2027, higher than 71% of hospitals paid under the inpatient prospective payment system.
North Bay Medical Center reported 10,374 inpatient discharges and 48,075 inpatient days from Jan 1, 2025 to Dec 31, 2025.
North Bay Medical Center reported 1,859 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
North Bay Medical Center reported $842.6M in net patient revenue on $5.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.6%, and net income of $41.2M.
North Bay Medical Center reported $70.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $7.1M of charity care at cost.
North Bay Medical Center's Medicare enrollment lists Mark R Behl as Chief Executive Officer since 2023.
Insurers' price transparency files list North Bay Medical Center under employer identification number 94-1458282 ((multi-state) Northbay Healthcare Group). 58 health plans and networks list 94-1458282 for it.
Yes. HRSA's 340B database lists North Bay Medical Center (340B ID DSH050367) as a participating disproportionate share hospital since 2005, with 48 active contract pharmacies.
387 clinicians who bill Medicare list North Bay Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (43), emergency medicine physician (39), anesthesiology physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for North Bay Medical Center, effective 2017.
CMS lists 26 services at North Bay Medical Center, including Acute Renal Dialysis, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, Dental Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at North Bay Medical Center came from ZIP codes 94533 (1,233), 95687 (964), 94534 (532).
North Bay Medical Center has 189 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 123 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
North Bay Medical Center is located at 1200 B. Gale Wilson Boulevard, Fairfield, CA 94533. Its main phone number is (707) 646-5000.
North Bay Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050367.
The National Provider Identifier (NPI) on file for North Bay Medical Center is 1821147786.
North Bay Medical Center is affiliated with Northbay Healthcare Group.
North Bay Medical Center lists 36 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.
182 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