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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Oak Valley District Hospital

Oakdale, CA

350 South Oak Avenue, Oakdale, CA 95361(209) 847-3011

1 of 5

CMS star rating

150

Beds

526

Inpatient discharges a year

$84.3M

Net patient revenue a year

34

In-network payers

About this hospital

Oak Valley District Hospital is a 150-bed government - hospital district or authority hospital in Oakdale, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 229 disclosed rate categories.

  • Reclassified as rural
  • Disproportionate share hospital
CCN
050067
NPI
1346381415
Teaching
No Medicare-funded residents
County
Stanislaus County
Metro area
Modesto, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1971
Last CMS survey
2026

Prices for common services

The 24 services Oak Valley District Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,331 - $6,211

from 4 insurers · median $5,945

Anthem / Blue Shield$5,945
Insurer A*$3,331
Insurer B*$5,945
Insurer C*$6,211
Medicare $455Nearby hospitals $3,62964% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$210 - $2,076

from 3 insurers · median $2,076

Anthem / Blue Shield$2,076
Insurer A*$210
Insurer B*$2,076
Medicare $136Nearby hospitals $834149% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$4,910 - $53,502

from 4 insurers · median $12,270

Aetna$13,401
Insurer A*$4,910
Insurer B*$11,138
Insurer C*$53,502
Medicare $12,855Nearby hospitals $83,94785% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$820 - $11,014

from 2 insurers · median $5,917

UnitedHealthcare$820
Insurer A*$11,014
Medicare $1,562Nearby hospitals $2,281159% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Oak Valley District Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
1013%
172
Insurer B*23
924%
194
Insurer C*20
905%
145
Insurer D*23
146%
311

How we chose these services: 0 appear in this hospital's own Medicare claims, 22 are common here based on CMS Medicare volume, and 2 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 Oak Valley District Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    1 of 5 stars

    • 140 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.17%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 26 services
    • 127 affiliated clinicians
    See doctors and services
  • Finances

    $84.3M net patient revenue

    • Operating margin on patient care 2.1%
    • $2.5M unreimbursed and uncompensated care
    • $11.4M net income
    See finances
  • Ownership and leadership

    Owned by Oak Valley Hospital District

    • Hospital district or authority
    • John Mccormick, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Oak Valley District Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1729463Oak Valley Hospital District56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 51 more1346381415 Oak Valley Hospital District1861533648 Oak Valley Hospital District1841331626 Oak Valley Hospital Districtand 5 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.

Location

350 South Oak Avenue, Oakdale, CA 95361

(209) 847-3011

Get directions

Frequently asked questions

About Oak Valley District Hospital's rates and hospital price transparency.

How much does an MRI cost at Oak Valley District Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Oak Valley District Hospital range from $792 to $2,226 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,753. The median at nearby comparable hospitals is $2,662. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Oak Valley District Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Oak Valley District Hospital range from $3,331 to $6,211 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $5,945. The median at nearby comparable hospitals is $3,629. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Oak Valley District Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Oak Valley District Hospital range from $820 to $11,014 across 2 insurers. UnitedHealthcare's rate is $820. The median at nearby comparable hospitals is $2,281. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Oak Valley District Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Oak Valley District Hospital range from $146 to $199 across 4 insurers. Cigna's rate is $146. The median at nearby comparable hospitals is $288. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Oak Valley District Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Oak Valley District Hospital range from $4,910 to $53,502 across 4 insurers. Aetna's rate is $13,401. The median at nearby comparable hospitals is $83,947. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Oak Valley District Hospital's CMS star rating?

Oak Valley District Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Oak Valley District Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Oak Valley District Hospital for fiscal year 2027.

Does Medicare penalize Oak Valley District Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Oak Valley District Hospital's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Oak Valley District Hospital?

In 2024, the most common were simple pneumonia and pleurisy with mcc (14 discharges), septicemia or severe sepsis without mv >96 hours without mcc (12 discharges).

What is Oak Valley District Hospital's case mix index?

Oak Valley District Hospital's Medicare case mix index is 1.31 for fiscal year 2027, higher than 11% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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