Prime Healthcare Services · National City, CA
3 of 5
CMS star rating
290
Beds
7,242
Inpatient discharges a year
$144.9M
Net patient revenue a year
28
In-network payers
Paradise Valley Hospital is a 290-bed proprietary hospital in National City, CA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 182 disclosed rate categories.
The 24 services Paradise Valley 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.
Childbirth · Inpatient
MS-DRG 807
$4,231 - $11,361
from 3 insurers · median $7,504
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,016 - $16,128
from 3 insurers · median $10,256
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$4,231 - $11,361
from 3 insurers · median $7,504
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$15,319 - $73,880
from 3 insurers · median $24,593
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$12,104 - $33,613
from 3 insurers · median $19,637
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$7,785 - $21,370
from 3 insurers · median $12,982
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$325 - $929
from 3 insurers · median $496
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$942 - $2,608
from 3 insurers · median $2,198
16 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$4,203 - $8,379
from 2 insurers · median $6,291
Typical for a hospital with this service line
Mammography
CPT 77067
$99 - $180
from 3 insurers · median $168
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$177 - $536
from 3 insurers · median $438
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$114 - $246
from 3 insurers · median $153
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$198 - $468
from 3 insurers · median $407
Common here, based on CMS Medicare volume
Urology
CPT 52000
$696 - $8,379
from 2 insurers · median $4,537
Typical for a hospital with this service line
CT imaging
CPT 71275
$208 - $542
from 3 insurers · median $334
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$630 - $1,076
from 3 insurers · median $976
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,500 - $8,379
from 2 insurers · median $5,940
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$40 - $99
from 3 insurers · median $65
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$379 - $792
from 3 insurers · median $382
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$797
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$247 - $394
from 3 insurers · median $379
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$243 - $400
from 3 insurers · median $379
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* | 21 | 143% | 1 | 15 |
| Insurer B* | 23 | 112% | 1 | 10 |
| Insurer C* | 19 | 93% | 2 | 14 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 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 Paradise Valley Hospital, 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
$144.9M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Holdings Inc
The employer identification numbers (EINs) health plans and networks list for Paradise Valley Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 20-5837239Prime Healthcare Paradise Valley LLC | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Asuris Northwest Health and 45 more | 1356410351 Prime Healthcare Paradise Valley LLC1285064907 Prime Healthcare Paradise Valley LLC1972679694 Prime Healthcare Paradise Valley LLCand 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.
2400 East Fourth Street, National City, CA 91950
(619) 470-4321
How Paradise Valley Hospital 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
No different on 6 measures
0 better, 6 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 3 measures
1 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 4 measures
0 better, 4 no different, 0 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
59%
Lower than 88% 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)
0.87
Lower than 80% 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
188 min
Higher than 74% 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
74%
Higher than 71% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 3 measures | |
| Readmissions | No different on 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 | 59% | 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) | 0.87 | 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 | 188 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 74% | 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 Paradise Valley Hospital's inpatient payments for its readmissions, quality and cost results.
-0.40% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.06% 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 Paradise Valley Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Paradise Valley 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 · 667 cases | 4 | 3.9 | 3.81 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 26 cases | 11.2 | 11.8 | 11.57 | Better than 69% of US hospitals | |
| 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 · 38 cases | 8.3 | 8.5 | 8.235 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 60 cases | 9 | 11 | 10.29 | Better than 86% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 137 cases | 17.2 | 15.2 | 14.49 | Worse than 78% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 52 cases | 12.8 | 11.6 | 11.57 | Worse than 68% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,318 cases | 0.28 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 82% 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 · 1,905 cases | 0.19 | 0.2 | 0.21 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,954 cases | 0.3 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 146 cases | 2.27 | 2.29 | 2.308 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 43 cases | 1.67 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 45 cases | 8.93 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 153 cases | 3.34 | 3.4 | 3.521 | No Different Than the National Rate | Better than 56% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 43 cases | 5.1 | 5.105 | 5.495 | No Different Than the National Rate | Better than 50% of US hospitals |
| 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 · 158 cases | 1.03 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Paradise Valley 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 · 90 cases | -17.6 | 1.25 | 7.901 | Better than 76% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 136 cases | 0.8 | 3.85 | 16.67 | Better than 54% 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 | Not Available | 12.91 | Number of Cases Too Small | ||
| 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 · 35 cases | 14.4 | 14.4 | 14.43 | Worse than 50% 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 · 62 cases | 20.8 | 19.8 | 19.94 | Worse than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 138 cases | 23.4 | 21.3 | 21.41 | Worse than 94% 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 · 197 cases | 17.4 | 17.2 | 17.7 | Worse than 55% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 794 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.585 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.897 | 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 | 2,296 | 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 | 1.579 | 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 | 1 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.026 | 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 | Not Available | 73.49 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6136 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.41 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 20,285 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.243 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.7784 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.007 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.642 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 20,285 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.677 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.13 | 0.279 | 0.383 | Better than the National Benchmark | Better than 71% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 427 cases | 68 | 73 | 72.2 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 427 cases | 12 | 8 | 8.78 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 427 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 84 | 87 | 86.82 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 427 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 427 cases | 71 | 80 | 75.76 | Worse than 93% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 87 | 91 | 89.84 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 427 cases | 10 | 4 | 5.713 | Worse than 97% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 427 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 427 cases | 19 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 427 cases | 72 | 79 | 75.81 | Worse than 91% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 87 | 91 | 89.11 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 427 cases | 10 | 5 | 7.043 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 427 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 427 cases | 18 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 427 cases | 57 | 61 | 58.95 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 77 | 77 | 75.75 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 427 cases | 20 | 19 | 21.56 | Worse than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 427 cases | 3 | 3 | 2.449 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 427 cases | 23 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 81 | 86 | 84.61 | Worse than 87% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 427 cases | 19 | 13 | 15.03 | Worse than 89% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 427 cases | 2 | 3 | 3.08 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 427 cases | 81 | 87 | 84.97 | Worse than 89% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 427 cases | 22 | 14 | 16.39 | Worse than 91% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 427 cases | 78 | 86 | 83.61 | Worse than 91% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 427 cases | 67 | 74 | 70.69 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 427 cases | 11 | 7 | 8.855 | Worse than 90% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 427 cases | 22 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 71 | 77 | 73.94 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 11 | 6 | 7.637 | Worse than 95% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 18 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 427 cases | 79 | 85 | 81.99 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 427 cases | 7 | 3 | 4.958 | Worse than 92% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 427 cases | 14 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 427 cases | 10 | 8 | 10.01 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 427 cases | 27 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 427 cases | 63 | 72 | 67.63 | Worse than 82% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 86 | 88 | 86.85 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 427 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 427 cases | 73 | 74 | 72.06 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 427 cases | 11 | 9 | 10.94 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 427 cases | 16 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 427 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 · 427 cases | 11 | 5 | 7.488 | Worse than 95% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 427 cases | 22 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 69 | 77 | 72.49 | Worse than 89% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 11 | 4 | 6.121 | Worse than 97% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 427 cases | 20 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 427 cases | 78 | 86 | 82.8 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 427 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 · 427 cases | 15 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 427 cases | 48 | 59 | 47.5 | Worse than 84% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 427 cases | 16 | 9 | 17.79 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 427 cases | 36 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 77 | 82 | 74.85 | Worse than 76% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 427 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 · 427 cases | 11 | 5 | 7.623 | Worse than 91% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 427 cases | 59 | 71 | 68.6 | Worse than 88% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 427 cases | 81 | 87 | 85.85 | Worse than 89% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 427 cases | 30 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 427 cases | 2 | 4 | 3.431 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 427 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 · 427 cases | 30 | 30 | 32.51 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 427 cases | 30 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 427 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 · 427 cases | 15 | 12 | 13.94 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 427 cases | 85 | 88 | 86.06 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Paradise Valley 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 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,170 cases | 1 | 1 | 1.008 | Worse than 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 · 944 cases | 76 | 79 | 69.96 | Worse than 56% 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 · 399 cases | 194 | 154 | 187 | Worse than 74% 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 · 349 cases | 188 | 148 | 182 | Worse than 74% 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 · 44 cases | 234 | 247 | 282 | Better than 55% 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 · 24,865 cases | 4 | 1 | 2.162 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 17 cases | 88 | 74 | 75.06 | Better than 82% 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 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 346 cases | 12 | 15 | 13.67 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 82 cases | 74 | 65 | 68.8 | Better than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases | 71 | 73 | 76.38 | Worse than 54% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 95 | 88 | 86.64 | Better than 74% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 82 cases | 90 | 82 | 82.89 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 61 cases | 97 | 94 | 93.98 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 51 cases | 71 | 98 | 93.4 | Worse than 99% 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 · 55 cases | 80 | 94 | 89.93 | Worse than 97% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Paradise Valley 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 | Paradise Valley 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 | 1.07 | 0.99 | 1.024 | Worse than 85% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 107 cases | 56.1 | 60.8 | 53.27 | Worse than 62% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 107 cases | 32.7 | 35.5 | 33.73 | Worse than 59% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 20,585 cases | 0 | 0.05 | 0.9227 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 20,585 cases | 0.05 | 0.03 | 0.8326 | Better than 55% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 311 cases | 77 | 87 | 75.59 | Worse than 65% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 242 cases | 81 | 78.1 | 77 | Better than 63% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 306 cases | 20 | 19.1 | 19.17 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 318 cases | 81 | 92 | 83.77 | Worse than 73% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 65.57 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 70.11 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 33 cases | 100 | 77 | 64.72 | The best result, shared by 9% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 33 cases | 100 | 56 | 54.45 | The best result, shared by 6% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 32 cases | 91 | 64 | 50.58 | Better than 80% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 32 cases | 91 | 4 | 23.57 | Better than 96% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 699 cases | 5 | 77 | 55.11 | Worse than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 37.5 | 20 | 30.07 | Better than 79% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 9.375 | 5 | 7.571 | Better than 79% of US hospitals | |
| 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 | 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 | 60 | 40 | 45.16 | Better than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 15 | 10 | 11.79 | Better than 79% of US hospitals | |
| VBP total performance scoreFY 2026 | 28.13 | 29.5 | 30.43 | Worse than 54% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 52 | 47.5 | 56.67 | 30 | 36.67 | 37.5 |
| VBP clinical outcomes weighted domain score | 13 | 11.88 | 14.17 | 7.5 | 9.167 | 9.375 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 32 | Not Available | Not Available | 8 | 9 | 15 |
| VBP person and community engagement weighted domain score | 8 | Not Available | Not Available | 2 | 2.25 | 3.75 |
| VBP safety domain score | 26.67 | Not Available | Not Available | 30 | 73.33 | 60 |
| VBP safety weighted domain score | 6.667 | Not Available | Not Available | 7.5 | 18.33 | 15 |
| VBP total performance score | 32.67 | Not Available | Not Available | 17 | 29.75 | 28.13 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.046 | 0.9995 | 1.015 | Worse than 77% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.019 | 0.9969 | 1.002 | Worse than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 93 cases | 1.097 | 0.9983 | 1.017 | Worse than 93% 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 · 100 cases | 1.035 | 0.9955 | 1.026 | Worse than 73% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9938 | 0.9874 | 0.9635 | 0.9747 | 1.024 | 1.046 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.989 | 0.974 | 1.049 | 1.047 | 1.056 | 1.019 |
| READM-30-HF-HRRP | 1.05 | 1.063 | 1.06 | 1.021 | 1.047 | 1.097 |
| READM-30-HIP-KNEE-HRRP | 0.9331 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9681 | 0.9984 | 0.9755 | 1.03 | 1.015 | 1.035 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Paradise Valley Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.603 | 0.489 | 0.6114 | Worse than 61% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.067 | 0.346 | 0.449 | Better than 88% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.259 | 0.559 | 0.679 | Worse than 90% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.7204 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8733 | 0.9628 | 0.9656 | Better than 80% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | -0.363 | -0.0453 | 0.02733 | Better than 72% 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 | 0.2338 | -0.1496 | 0 | -0.1783 | 0.0733 | -0.363 |
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 2019)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
237
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Paradise Valley Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
7,242
Inpatient discharges
Medicare 19%, Medicaid 26%
44,202
Inpatient days
50% of available bed days used
751
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839053). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Paradise Valley Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 7,387 | 2,659 | 34,156 | 44,202 |
| Discharges | 1,376 | 1,882 | 3,984 | 7,242 |
| Average length of stay | 5.4 days | 1.4 days | 8.6 days | 6.1 days |
| Average daily census | 20.2 | 7.3 | 93.6 | 121.1 |
239
Medicare Advantage days
46 discharges
18,517
Medicaid managed care days
1,331 discharges
13
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 228 | 42,090 | 6,750 | 51% |
| Intensive care unit | 15 | 2,112 | 637 | 39% |
| Subprovider - ipf | 25 | 7,462 | 5,481 | 82% |
| Subprovider - irf | 22 | 2,029 | 705 | 25% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Paradise Valley Hospital treats Medicare patients for most often, in 2024. 708 Medicare discharges in 22 published DRGs; 2% surgical; 61% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 147 | $56,909 | $14,257 | $15,251 | 1.37 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 135 | $66,336 | $20,573 | $17,778 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 69 | $39,725 | $13,459 | $10,646 | 1.28 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 40 | $41,786 | $14,064 | $11,199 | 1.32 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $42,315 | $13,100 | $11,340 | 1.23 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $31,019 | $11,962 | $8,313 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $54,462 | $17,325 | $14,596 | 1.70 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $30,564 | $14,955 | $8,191 | 1.50 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 18 | $34,571 | $15,350 | $9,265 | 1.51 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $27,136 | $7,746 | $7,272 | 0.78 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 17 | $82,844 | $15,456 | $22,202 | 1.59 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $54,039 | $12,985 | $14,482 | 1.33 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $24,553 | $10,470 | $6,580 | 1.03 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $23,136 | $8,080 | $6,200 | 0.79 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $32,090 | $7,686 | $8,600 | 0.75 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $58,453 | $18,583 | $15,665 | 1.79 |
| Cellulitis without MCCMS-DRG 603, medical | 12 | $28,369 | $9,767 | $7,603 | 0.88 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $23,878 | $8,060 | $6,399 | 0.81 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $212,138 | $53,930 | $56,853 | 5.00 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $32,005 | $12,749 | $8,577 | 1.28 |
See all 22 Medicare inpatient DRGs at Paradise Valley Hospital
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) Paradise Valley Hospital billed Medicare for most in 2024: 104 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Airway EndoscopyAPC 5153 | 63 | 58 | $16,972 | $1,661 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 16 | 14 | $32,234 | $2,283 | $1,752 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $25,898 | $1,569 | $1,204 |
| Comprehensive Observation ServicesAPC 8011 | 11 | 11 | $12,442 | $2,681 | $2,090 |
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 Paradise Valley Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,434 in 2020 to 1,162 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92114 | 230 | 20% | 982 | $18.2M | 9% | 9% |
| 91950 | 194 | 17% | 1,003 | $16.8M | 8% | 11% |
| 92139 | 118 | 10% | 544 | $11.3M | 9% | 8% |
| 92113 | 56 | 5% | 183 | $3.4M | 4% | 8% |
| 91911 | 40 | 3% | 229 | $3.3M | 1% | 2% |
| 92123 | 39 | 3% | 219 | $3.8M | 4% | 5% |
| 92101 | 38 | 3% | 165 | $2.3M | 2% | 5% |
| 91977 | 36 | 3% | 235 | $3.5M | 2% | 2% |
| 92105 | 35 | 3% | 129 | $1.9M | 2% | 4% |
| 92021 | 33 | 3% | 200 | $2.5M | 1% | 1% |
| 92102 | 33 | 3% | 213 | $3.2M | 3% | 5% |
| 92868 | 33 | 3% | 341 | $3M | 2% | 3% |
| 91910 | 31 | 3% | 171 | $2.8M | 1% | 2% |
| 91945 | 28 | 2% | 116 | $1.8M | 3% | 2% |
| 92154 | 28 | 2% | 124 | $1.8M | 1% | 2% |
| 92069 | 26 | 2% | 160 | $2M | 2% | 4% |
| 92112 | 26 | 2% | 193 | $2.3M | 11% | 8% |
| 92020 | 25 | 2% | 143 | $1.7M | 1% | 1% |
| 91932 | 21 | 2% | 103 | $2M | 2% | 4% |
| 91913 | 20 | 2% | 145 | $2.2M | 2% | |
| 92173 | 18 | 2% | 88 | $2M | 1% | 2% |
| 92071 | 14 | 1% | 74 | $991,606 | 1% | |
| 92103 | 14 | 1% | 71 | $979,697 | 1% | |
| 92115 | 14 | 1% | 83 | $1.1M | 1% | 2% |
| 92084 | 12 | 1% | 61 | $906,670 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,162 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 Paradise Valley Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
25
Psychiatric unit beds
22
Rehabilitation unit beds
3
Off-site locations
Source: CMS Provider of Services file.
91 clinicians who bill Medicare list Paradise Valley Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Albert Sharf, MD
Cardiovascular Disease Physician
NPI 1649349820
See commercial rates for Albert Sharf, MDScott Brown, M.D.
Urology Physician
NPI 1477592681
See commercial rates for Scott Brown, M.D.Glenn Balfour, M.D.
Neurology Physician
NPI 1104931542
See commercial rates for Glenn Balfour, M.D.Genaro Fernandez, MD
Interventional Cardiology Physician
NPI 1073768891
See commercial rates for Genaro Fernandez, MDGitane Patel, MD
Ophthalmology Physician
NPI 1710171434
See commercial rates for Gitane Patel, MDJimi Benson, M.D.
Internal Medicine Physician
NPI 1477751667
See commercial rates for Jimi Benson, M.D.Nirali Patel, M.D.
Internal Medicine Physician
NPI 1891004305
See commercial rates for Nirali Patel, M.D.Samuel Kugel, M.D.
Psychiatry Physician
NPI 1497813968
See commercial rates for Samuel Kugel, M.D.Laurence Saben, MD
Psychiatry Physician
NPI 1669454898
See commercial rates for Laurence Saben, MDMonali Patel, M.D.
Neurology Physician
NPI 1326290339
See commercial rates for Monali Patel, M.D.Troy Niguidula, MD
Geriatric Medicine (Internal Medicine) Physician
NPI 1215948849
See commercial rates for Troy Niguidula, MDJuan Calderon Molina, M.D.
Nephrology Physician
NPI 1366626467
See commercial rates for Juan Calderon Molina, M.D.Fharak Maa Chip, M.D.
Nephrology Physician
NPI 1245518414
See commercial rates for Fharak Maa Chip, M.D.Prakash Bhatia, M.D.
Psychiatry Physician
NPI 1164464137
See commercial rates for Prakash Bhatia, M.D.Takeshia Niday, M.D.
Psychiatry Physician
NPI 1932429289
See commercial rates for Takeshia Niday, M.D.Rakhesh Guttikonda, D.O.
Plastic and Reconstructive Surgery Physician
NPI 1073889465
See commercial rates for Rakhesh Guttikonda, D.O.Jose Alcantar
Nutrition Education Nutritionist
NPI 1871886382
See commercial rates for Jose AlcantarHuan Le, M.D.
Pulmonary Disease Physician
NPI 1780797381
See commercial rates for Huan Le, M.D.Razi Hekmat, M.D.
Internal Medicine Physician
NPI 1871501205
See commercial rates for Razi Hekmat, M.D.Jerrold Glassman, M.D.
Cardiovascular Disease Physician
NPI 1245326883
See commercial rates for Jerrold Glassman, M.D.Eileen Byrne, M.D.
Urology Physician
NPI 1487180261
See commercial rates for Eileen Byrne, M.D.Tagumpay Sacamay, M.D.
Nephrology Physician
NPI 1407851041
See commercial rates for Tagumpay Sacamay, M.D.Kevin Bui, M.D.
Vascular & Interventional Radiology Physician
NPI 1578906186
See commercial rates for Kevin Bui, M.D.Prashant Patel, MD
Cardiovascular Disease Physician
NPI 1598934960
See commercial rates for Prashant Patel, MDSource: 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 Paradise Valley Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $796.7M | 549.9% |
| Inpatient | $625.9M | 432.0% |
| Outpatient | $170.8M | 117.9% |
| Contractual allowances and discounts | -$651.8M | -449.9% |
| Net patient revenue | $144.9M | 100.0% |
| Operating expenses | -$142.7M | -98.5% |
| Operating income from patient care | $2.2M | 1.5% |
| Other income | $4.1M | 2.8% |
| Contributions and donations | $3.1M | 2.2% |
| Other | $1M | 0.7% |
| Net income | $6.3M | 4.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $75.8M | 9.5% |
| Medicaid (including managed care) | $302.6M | 38.0% |
| Other payers and self-pay | $418.3M | 52.5% |
| Total charges | $796.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, 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 Paradise Valley Hospital's latest cost report.
1.5%
Operating margin
Operating income from patient care / net patient revenue
4.2%
Total margin
Net income / net patient revenue plus other income
5.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
62% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.47
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.7%
Return on assets
Net income for a year / total assets
11.0%
Return on equity
Net income for a year / fund balance
-9.25
Current ratio
Current assets / current liabilities
-5.68
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
61 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-11 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.83
Asset turnover
Total revenue for a year / total assets
16.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Paradise Valley Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $81.6M in total assets and a $57.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2,390 | 0.0% |
| Patient receivables, net | $24.1M | 29.5% |
| Inventory | $1.6M | 1.9% |
| Total current assets | $39.2M | 48.0% |
| Property and equipment, net of depreciation | $42.4M | 52.0% |
| Total assets | $81.6M | 100.0% |
| Current liabilities | -$4.2M | -5.2% |
| Total liabilities | $24.3M | 29.8% |
| Fund balance (net assets) | $57.3M | 70.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Paradise Valley Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$543,427
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5M
Bad debt
Patient bills written off as uncollectible, at charges
$11.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12.6M
Total unreimbursed and uncompensated care
8.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Paradise Valley Hospital'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 | $144.2M | $140.8M | $140.8M | $132.8M | $157.8M | $144.9M |
| Operating expenses | $143.7M | $143.7M | $142.1M | $140.6M | $152.9M | $142.7M |
| Operating margin | 0.4% | -2.1% | -1.0% | -5.9% | 3.1% | 1.5% |
| Net income | $4.5M | $9.1M | $15.6M | $3.6M | $11.8M | $6.3M |
| Total assets | $110.9M | $116.9M | $110.9M | $112.4M | $105.6M | $81.6M |
| Discharges | 7,039 | 6,082 | 5,701 | 5,899 | 6,864 | 7,242 |
| Inpatient days | 41,949 | 38,259 | 36,483 | 36,652 | 39,150 | 44,202 |
| Medicare Advantage days | 1,053 | 843 | 660 | 601 | 206 | 239 |
| Beds | 291 | 291 | 291 | 291 | 291 | 290 |
| Employees (FTE) | 743 | 764 | 707 | 486 | 687 | 751 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Paradise Valley Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Partial hospitalization | $4.2M | $9.5M | $47.3M | 0.20 | 13,962 |
| Emergency | $4.6M | $9.4M | $125.3M | 0.07 | 12,271 |
| Drugs charged to patients | $6.7M | $43.3M | 0.16 | ||
| Laboratory | $2.5M | $4.7M | $46.4M | 0.10 | 4,384 |
| Operating room | $1.6M | $4M | $19.8M | 0.20 | 10,875 |
| Medical supplies charged to patient | $3.2M | $3.9M | 0.82 | ||
| Radiology-diagnostic | $1.2M | $2.7M | $8M | 0.34 | 4,735 |
| Physical therapy | $737,973 | $2.2M | $5.6M | 0.39 | 12,690 |
| Respiratory therapy | $969,148 | $1.8M | $28.6M | 0.06 | 2,086 |
| Cardiac catheterization | $568,751 | $1.2M | $7.9M | 0.15 | 1,675 |
| Electrocardiology | $667,987 | $1.1M | $12M | 0.09 | 728 |
| Occupational therapy | $512,880 | $953,289 | $4.1M | 0.24 | 1,968 |
| Ct scan | $570,632 | $915,133 | $17.9M | 0.05 | |
| Renal dialysis | $857,527 | $4.8M | 0.18 | ||
| Speech pathology | $229,441 | $801,201 | $1.8M | 0.43 | 5,820 |
| Sc senior health center | $214,842 | $728,101 | $680,168 | 1.07 | 4,625 |
| Impl. dev. charged to patients | $576,994 | $4.7M | 0.12 | ||
| Ultrasound | $312,793 | $485,970 | $2.2M | 0.23 | |
| Mri | $232,433 | $339,691 | $2.9M | 0.12 | |
| Other ancillary | $34,108 | $310,609 | $7,638 | 40.67 | |
| Radioisotope | $147,073 | $271,009 | $1.1M | 0.26 | 593 |
| Angiography | $109,546 | $209,219 | $8M | 0.03 | |
| Whole blood & packed red blood cell | $186,656 | $1.8M | 0.10 | ||
| Observation beds (non-distinct part | $16,964 | $126,400 | 0.13 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $24.3M | $54.8M | $306.3M | 0.18 | 84,166 |
| Subprovider - ipf | $3.8M | $10.3M | $50.6M | 0.20 | 37,339 |
| Intensive care unit | $3M | $6.4M | $28M | 0.23 | 7,664 |
| Subprovider - irf | $2.6M | $5.4M | $13.7M | 0.39 | 9,756 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.5M | $21.2M | 155,764 | $35.43 | 30,062 |
| Operation of plant | $2.4M | $7.9M | 77,793 | $30.34 | 18,605 |
| Nursing administration | $4.1M | $5.1M | 78,030 | $53.07 | 4,412 |
| Dietary | $2.3M | $3.6M | 60,236 | $26.25 | 7,476 |
| Cap rel costs-mvble equip | $3.2M | ||||
| Employee benefits department | $879,076 | $2.9M | 21,086 | $41.69 | 1,473 |
| Housekeeping | $1.8M | $2.9M | 64,656 | $22.94 | 3,244 |
| Pharmacy | $1.9M | $2.4M | 40,415 | $48.17 | 2,552 |
| Medical records & library | $637,012 | $2.4M | 19,147 | $33.27 | 6,057 |
| Social service | $1.3M | $1.6M | 30,024 | $43.59 | 1,185 |
| Cap rel costs-bldg & fixt | $1.4M | 310,370 | |||
| Maintenance & repairs | $4,531 | $1.2M | 124 | $36.54 | 9,915 |
| Cafeteria | $1.2M | 26,957 | $26.97 | 5,035 | |
| Laundry & linen service | $388,649 | 13,166 | $23.07 | ||
| Central services & supply | $158,212 | $161,526 | 5,982 | $26.45 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839053, 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 Paradise Valley Hospital for an inpatient stay.
1.62
Case mix index
Higher than 43% 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).
73.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,352
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 | 1.62 | 1.62 | 1.69 | 1.70 | 1.78 | 1.52 | 1.62 |
| Wage index | 1.275 | 1.269 | 1.274 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | -0.09% | -0.16% | -0.17% | -0.14% | -0.16% | -0.40% |
| Value-based purchasing adjustment | -0.30% | +0.10% | +0.10% | +1.67% | -0.39% | +0.66% | -0.06% |
| Medicare inpatient stays | 1,607 | 1,607 | 953 | 895 | 952 | 1,081 | 1,352 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Paradise Valley Hospital reports to Medicare as owners or with operational control.
Prime Healthcare Holdings Inc
5% or greater indirect ownership interest, 100%, since 2010
Prime Healthcare Services, Inc
5% or greater direct ownership interest, 100%, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Paradise Valley Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 6 of 8 are shown.
Paradise valley hospital psych
CCN 05S024, certified 2014, Medicare prospective payment
Paradise valley hospital rehab
CCN 05T024, certified 1990, Medicare prospective payment
Source: Worksheet S-2 Part I of Paradise Valley Hospital's latest Medicare cost report (HCRIS).
About Paradise Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Paradise Valley Hospital range from $379 to $792 across 3 insurers. Aetna's rate is $379. The median at nearby comparable hospitals is $992. 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 Paradise Valley Hospital range from $325 to $929 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $325. The median at nearby comparable hospitals is $2,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Paradise Valley Hospital range from $797 to $797 across 1 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $797. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Paradise Valley Hospital range from $4,231 to $11,361 across 3 insurers. UnitedHealthcare's rate is $4,231. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Paradise Valley Hospital range from $99 to $180 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $99. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Paradise Valley Hospital range from $12,104 to $33,613 across 3 insurers. Aetna's rate is $33,613. The median at nearby comparable hospitals is $37,867. What a patient pays depends on their plan's deductible, coinsurance and network status.
Paradise Valley Hospital 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.
CMS reports no Medicare-funded interns or residents at Paradise Valley Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Paradise Valley Hospital's base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were psychoses (147 discharges), septicemia or severe sepsis without mv >96 hours with mcc (135 discharges), heart failure and shock with mcc (69 discharges).
Paradise Valley Hospital's Medicare case mix index is 1.62 for fiscal year 2027, higher than 43% of hospitals paid under the inpatient prospective payment system.
Paradise Valley Hospital reported 7,242 inpatient discharges and 44,202 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Paradise Valley Hospital reported 751 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Paradise Valley Hospital reported $144.9M in net patient revenue on $796.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 1.5%, and net income of $6.3M.
Paradise Valley Hospital reported $12.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $543,427 of charity care at cost.
Paradise Valley Hospital's Medicare enrollment lists Neerav Jadeja as Chief Executive Officer since 2019.
Insurers' price transparency files list Paradise Valley Hospital under employer identification number 20-5837239 (Prime Healthcare Paradise Valley LLC). 50 health plans and networks list 20-5837239 for it.
91 clinicians who bill Medicare list Paradise Valley Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (12), psychiatry physician (9), surgery physician (8).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Paradise Valley Hospital, effective 2019.
In its Medicare enrollment, Paradise Valley Hospital reports Prime Healthcare Holdings Inc as 5% or greater indirect ownership interest (100%).
CMS lists 35 services at Paradise Valley Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Paradise Valley Hospital came from ZIP codes 92114 (230), 91950 (194), 92139 (118).
Paradise Valley Hospital has 290 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 237 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Paradise Valley Hospital is located at 2400 East Fourth Street, National City, CA 91950. Its main phone number is (619) 470-4321.
Paradise Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050024.
The National Provider Identifier (NPI) on file for Paradise Valley Hospital is 1356410351.
Paradise Valley Hospital is affiliated with Prime Healthcare Services.
Paradise Valley Hospital lists 28 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