Prime Healthcare Services · San Dimas, CA
2 of 5
CMS star rating
77
Beds
3,476
Inpatient discharges a year
$69.4M
Net patient revenue a year
31
In-network payers
San Dimas Community Hospital is a 77-bed proprietary hospital in San Dimas, CA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 294 disclosed rate categories.
The 24 services San Dimas Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$12,104 - $28,134
from 3 insurers · median $24,517
15 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$61,387 - $125,173
from 3 insurers · median $93,713
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$59,723 - $73,880
from 2 insurers · median $66,801
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$15,319 - $73,880
from 3 insurers · median $31,643
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$7,785 - $17,886
from 3 insurers · median $15,418
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$471 - $3,827
from 4 insurers · median $948
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$655 - $1,732
from 4 insurers · median $901
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$797 - $3,089
from 4 insurers · median $1,524
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690 - $2,411
from 4 insurers · median $1,234
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805 - $3,398
from 4 insurers · median $1,524
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$262 - $3,170
from 4 insurers · median $662
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,500 - $13,750
from 4 insurers · median $9,673
Typical for a hospital with this service line
CT imaging
CPT 70450
$182 - $320
from 3 insurers · median $246
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$114 - $236
from 4 insurers · median $174
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,800 - $13,375
from 4 insurers · median $7,742
Typical for a hospital with this service line
CT imaging
CPT 71275
$224 - $2,491
from 4 insurers · median $528
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$151 - $3,382
from 4 insurers · median $841
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,800 - $9,887
from 4 insurers · median $6,923
Typical for a hospital with this service line
Urology
CPT 52000
$696 - $11,000
from 4 insurers · median $4,584
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$44 - $415
from 4 insurers · median $101
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$1,800 - $9,887
from 4 insurers · median $6,840
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $5,294
from 4 insurers · median $3,441
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$1,870 - $11,867
from 4 insurers · median $9,725
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$749 - $4,342
from 4 insurers · median $1,098
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* | 18 | 269% | 12 | 6 |
| Insurer B* | 24 | 160% | 12 | 12 |
| Insurer C* | 24 | 106% | 5 | 17 |
| Insurer D* | 23 | 98% | 1 | 20 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 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 San Dimas Community Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$69.4M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Holdings Inc
The employer identification numbers (EINs) health plans and networks list for San Dimas Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 26-2583397San Dimas Community Hospital | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1740447945 Prime Healthcare Services - San Dimas LLC1811929359 San Dimas Community Hospital Inc.1568487619 San Dimas Community Hospital Inc. |
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.
1350 West Covina Boulevard, San Dimas, CA 91773
(909) 599-6811
How San Dimas Community Hospital 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 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 5 measures
0 better, 3 no different, 2 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
56%
Lower than 92% 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 81% 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
147 min
Lower than 51% 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 | 2 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 2 of 5 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 | 56% | 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 | 147 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 San Dimas Community Hospital's inpatient payments for its readmissions, quality and cost results.
-1.90% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.58% 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 San Dimas Community Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 103 cases | 3.2 | 4.1 | 4.075 | Better than 88% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 967 cases | 3.8 | 3.9 | 3.81 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.235 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 30 cases | 9.7 | 11 | 10.29 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 176 cases | 16.7 | 15.2 | 14.49 | Worse than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 52 cases | 10.3 | 11.6 | 11.57 | Better than 74% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,132 cases | 0.27 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 83% 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 · 1,478 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 · 1,480 cases | 0.25 | 0.27 | 0.261 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 123 cases | 2.29 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 40 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 · 41 cases | 9.15 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 115 cases | 3.29 | 3.4 | 3.521 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 41 cases | 5.19 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 33 cases | 1.75 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 183 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 | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 41 cases | 17 | 1.25 | 7.901 | Worse than 71% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 186 cases | 40.6 | 3.85 | 16.67 | Worse than 89% 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 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 44 cases | 20 | 19.8 | 19.94 | Worse than 57% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 85 cases | 21.4 | 21.3 | 21.41 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 99 cases | 5.5 | 5.8 | 5.612 | Better than 65% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 377 cases | 18.3 | 17.2 | 17.7 | Worse than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.651 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,265 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.815 | 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 | 0 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5696 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.831 | 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 | 2,095 | 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 | 1.636 | 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 | 19 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.517 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.066 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 12,191 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.649 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.402 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.433 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 12,191 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.556 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 5 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.097 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 96% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 418 cases | 74 | 73 | 72.2 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 418 cases | 10 | 8 | 8.78 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 418 cases | 16 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 87 | 87 | 86.82 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 418 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 418 cases | 67 | 80 | 75.76 | Worse than 98% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 87 | 91 | 89.84 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 418 cases | 9 | 4 | 5.713 | Worse than 95% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 418 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 418 cases | 24 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 418 cases | 64 | 79 | 75.81 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 84 | 91 | 89.11 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 418 cases | 10 | 5 | 7.043 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 418 cases | 1 | 3 | 2.688 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 418 cases | 26 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 418 cases | 51 | 61 | 58.95 | Worse than 94% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 71 | 77 | 75.75 | Worse than 90% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 418 cases | 29 | 19 | 21.56 | Worse than 95% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 418 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 418 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 76 | 86 | 84.61 | Worse than 97% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 418 cases | 24 | 13 | 15.03 | Worse than 98% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 418 cases | 1 | 3 | 3.08 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 418 cases | 76 | 87 | 84.97 | Worse than 98% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 418 cases | 31 | 14 | 16.39 | Worse than 99% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 418 cases | 69 | 86 | 83.61 | Worse than 99% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 58 | 74 | 70.69 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 12 | 7 | 8.855 | Worse than 94% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 30 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 63 | 77 | 73.94 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 10 | 6 | 7.637 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 27 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 72 | 85 | 81.99 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 8 | 3 | 4.958 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 20 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 418 cases | 15 | 8 | 10.01 | Worse than 92% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 418 cases | 35 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 418 cases | 50 | 72 | 67.63 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 83 | 88 | 86.85 | Worse than 90% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 418 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 418 cases | 69 | 74 | 72.06 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 418 cases | 11 | 9 | 10.94 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 418 cases | 20 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 63 | 75 | 71.11 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 10 | 5 | 7.488 | Worse than 91% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 418 cases | 27 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 62 | 77 | 72.49 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 12 | 4 | 6.121 | Worse than 98% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 418 cases | 26 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 76 | 86 | 82.8 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 5 | 3 | 3.779 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 418 cases | 19 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 418 cases | 36 | 59 | 47.5 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 418 cases | 28 | 9 | 17.79 | Worse than 99% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 418 cases | 36 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 68 | 82 | 74.85 | Worse than 98% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 418 cases | 1 | 3 | 2.203 | The lowest rating, shared by 4% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 418 cases | 16 | 5 | 7.623 | Worse than 98% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 418 cases | 56 | 71 | 68.6 | Worse than 92% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 418 cases | 78 | 87 | 85.85 | Worse than 95% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 418 cases | 28 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 418 cases | 2 | 4 | 3.431 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 418 cases | 32 | 47 | 45.33 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 418 cases | 46 | 30 | 32.51 | Worse than 99% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 418 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 418 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 · 418 cases | 18 | 12 | 13.94 | Worse than 90% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 418 cases | 82 | 88 | 86.06 | Worse than 90% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 4,150 cases | 12 | 8 | 8.289 | Worse than 78% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 904 cases | 44 | 79 | 69.96 | Worse than 90% 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 · 423 cases | 149 | 154 | 187 | Better than 54% 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 · 395 cases | 147 | 148 | 182 | Better than 51% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 169 | 247 | 282 | Better than 81% 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 · 11 cases | 356 | 293 | 411 | Worse than 74% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 17,262 cases | 2 | 1 | 2.162 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 75.06 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 70 cases | 100 | 97 | 92.55 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 329 cases | 16 | 15 | 13.67 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 85 cases | 74 | 65 | 68.8 | Better than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 71 | 73 | 76.38 | Worse than 54% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.64 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 85 cases | 84 | 82 | 82.89 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 95 | 94 | 93.98 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 32 cases | 78 | 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 · 44 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 | San Dimas Community 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 | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.14 | 0.99 | 1.024 | Worse than 95% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 6.667 | 20 | 30.07 | Worse than 79% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.667 | 5 | 7.571 | Worse 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 | 18 | 34 | 28.67 | Worse than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.5 | 8.75 | 7.519 | Worse than 83% of US hospitals | |
| VBP safety domain scoreFY 2026 | 57.5 | 40 | 45.16 | Better than 79% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.38 | 10 | 11.79 | Better than 77% of US hospitals | |
| VBP total performance scoreFY 2026 | 20.54 | 29.5 | 30.43 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 66 | 57.5 | 20 | 0 | 15 | 6.667 |
| VBP clinical outcomes weighted domain score | 16.5 | 14.38 | 5 | 0 | 3.75 | 1.667 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 30 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 7.5 | 0 | 0 |
| VBP person and community engagement domain score | 32 | Not Available | Not Available | 2 | 5 | 18 |
| VBP person and community engagement weighted domain score | 8 | Not Available | Not Available | 0.5 | 1.25 | 4.5 |
| VBP safety domain score | 100 | Not Available | Not Available | 20 | 10 | 57.5 |
| VBP safety weighted domain score | 25 | Not Available | Not Available | 5 | 2.5 | 14.38 |
| VBP total performance score | 49.5 | Not Available | Not Available | 13 | 7.5 | 20.54 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9975 | 0.9969 | 1.002 | Worse than 50% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 42 cases | 1.029 | 0.9983 | 1.017 | Worse than 69% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.062 | 0.9916 | 0.9788 | Worse than 70% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 185 cases | 1.229 | 0.9955 | 1.026 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.094 | 1.076 | 1.036 | N/A | N/A | 0.9975 |
| READM-30-HF-HRRP | 1.051 | 1.041 | 1.044 | 1.027 | 1.014 | 1.029 |
| READM-30-HIP-KNEE-HRRP | 1.054 | 0.9764 | N/A | N/A | 1.159 | 1.062 |
| READM-30-PN-HRRP | 1.161 | 1.187 | 1.195 | 1.165 | 1.232 | 1.229 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | San Dimas Community Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.465 | 0.489 | 0.6114 | Better than 53% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.58 | 0.346 | 0.449 | Worse than 80% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.26 | 0.559 | 0.679 | Better than 78% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.622 | 0.6405 | 0.7204 | Worse than 93% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8698 | 0.9628 | 0.9656 | Better than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | 0.1774 | -0.0453 | 0.02733 | Worse than 63% 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 | -1.121 | -1.337 | 0 | 0.2373 | 0.2685 | 0.1774 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2021)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
101
Medicare-certified beds
141
Registered nurses (full-time equivalent)
1972
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What San Dimas Community Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,476
Inpatient discharges
Medicare 28%, Medicaid 2%
12,615
Inpatient days
41% of available bed days used
330
Employees (full-time equivalent)
11
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839375). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges San Dimas Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,718 | 290 | 8,607 | 12,615 |
| Discharges | 965 | 83 | 2,428 | 3,476 |
| Average length of stay | 3.9 days | 3.5 days | 3.5 days | 3.6 days |
| Average daily census | 10.2 | 0.8 | 23.6 | 34.6 |
3,386
Medicare Advantage days
908 discharges
2,085
Medicaid managed care days
572 discharges
99
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 69 | 11,265 | 3,325 | 40% |
| Intensive care unit | 8 | 1,350 | 393 | 46% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What San Dimas Community Hospital treats Medicare patients for most often, in 2024. 426 Medicare discharges in 17 published DRGs; 7% surgical; 72% 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 | 146 | $93,774 | $17,512 | $17,723 | 1.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 46 | $41,708 | $11,416 | $7,883 | 1.32 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $73,756 | $14,242 | $13,940 | 1.70 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 26 | $319,431 | $60,239 | $60,373 | 6.96 |
| Heart failure and shock with MCCMS-DRG 291, medical | 18 | $55,101 | $11,114 | $10,414 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 18 | $125,630 | $16,539 | $23,744 | 1.88 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $51,140 | $12,136 | $9,665 | 1.50 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $31,939 | $6,349 | $6,036 | 0.78 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $80,279 | $15,809 | $15,173 | 1.79 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $80,999 | $11,076 | $15,309 | 1.23 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $46,744 | $13,648 | $8,835 | 1.59 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $36,858 | $6,498 | $6,966 | 0.81 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 13 | $258,016 | $48,835 | $48,765 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $34,509 | $8,573 | $6,522 | 1.03 |
| Chest painMS-DRG 313, medical | 12 | $27,160 | $5,636 | $5,133 | 0.72 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $50,060 | $6,575 | $9,461 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $34,447 | $8,906 | $6,510 | 1.06 |
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) San Dimas Community Hospital billed Medicare for most in 2024: 19 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 19 | 19 | $118,860 | $14,516 | $10,772 |
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 San Dimas Community Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,052 in 2020 to 1,465 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 91773 | 474 | 32% | 1,763 | $39.8M | 31% | 28% |
| 91750 | 148 | 10% | 510 | $9.9M | 9% | 10% |
| 91724 | 147 | 10% | 566 | $12.8M | 16% | 14% |
| 91740 | 139 | 9% | 544 | $12M | 11% | 6% |
| 91765 | 66 | 5% | 232 | $4.9M | 5% | 5% |
| 91741 | 61 | 4% | 203 | $4.8M | 6% | 2% |
| 91702 | 57 | 4% | 219 | $5.1M | 4% | 2% |
| 91722 | 42 | 3% | 120 | $2.7M | 4% | 5% |
| 91766 | 40 | 3% | 144 | $3.5M | 2% | 2% |
| 91789 | 37 | 3% | 147 | $3.4M | 3% | 4% |
| 91723 | 33 | 2% | 150 | $3.4M | 6% | 5% |
| 91768 | 33 | 2% | 127 | $2M | 4% | 6% |
| 91711 | 28 | 2% | 105 | $2M | 2% | 1% |
| 91767 | 28 | 2% | 117 | $2.1M | 2% | 2% |
| 91790 | 27 | 2% | 104 | $2.6M | 2% | 2% |
| 91793 | 27 | 2% | 112 | $2.1M | 6% | 6% |
| 91706 | 23 | 2% | 95 | $1.7M | 1% | 1% |
| 91744 | 23 | 2% | 83 | $1.8M | 1% | 1% |
| 91791 | 21 | 1% | 60 | $1.4M | 2% | 4% |
| 91710 | 11 | 1% | 43 | $1.1M | 0% |
Source: CMS Hospital Service Area file. Shares are of the 1,465 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 San Dimas Community Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
141
Registered nurses
11
Licensed practical nurses
1
Nurse anesthetists (CRNAs)
10
Pharmacists
19
Respiratory therapists
1
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
8
Radiology technicians
1
Nuclear medicine technicians
14
Laboratory technicians
7
Dietitians
3
Social workers
1
Other personnel
Source: CMS Provider of Services file.
105 clinicians who bill Medicare list San Dimas Community Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Douglas Cochrane, M.D.
Emergency Medicine Physician
NPI 1417991811
See commercial rates for Douglas Cochrane, M.D.Nagasamudra Ashok, M.D.
Internal Medicine Physician
NPI 1821036229
See commercial rates for Nagasamudra Ashok, M.D.Sabah Kadhium, MD
Family Medicine Physician
NPI 1306836770
See commercial rates for Sabah Kadhium, MDKumari Wickramasinghe, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1043204712
See commercial rates for Kumari Wickramasinghe, MDKrunal Mehta, M.D.
Family Medicine Physician
NPI 1982867602
See commercial rates for Krunal Mehta, M.D.David Song
Urology Physician
NPI 1699115972
See commercial rates for David SongSheri Pham, MD
Nephrology Physician
NPI 1639261951
See commercial rates for Sheri Pham, MDSanjay Khedia, M.D.
Internal Medicine Physician
NPI 1326063801
See commercial rates for Sanjay Khedia, M.D.Adel Sandouk, M.D.
Pulmonary Disease Physician
NPI 1043315575
See commercial rates for Adel Sandouk, M.D.Amit Paliwal, MD MBA MPH
Family Medicine Physician
NPI 1790881159
See commercial rates for Amit Paliwal, MD MBA MPHFarhad Rezvani, MD
Internal Medicine Physician
NPI 1982796207
See commercial rates for Farhad Rezvani, MDYogesh Paliwal, MD
Cardiovascular Disease Physician
NPI 1346217551
See commercial rates for Yogesh Paliwal, MDDeepthi Jayasekara, MD
Infectious Disease Physician
NPI 1366426306
See commercial rates for Deepthi Jayasekara, MDHoang Anh Vo, M.D.
Diagnostic Radiology Physician
NPI 1457597387
See commercial rates for Hoang Anh Vo, M.D.Devesh Patel, MD
Infectious Disease Physician
NPI 1407840697
See commercial rates for Devesh Patel, MDDinesh Samant, MD
Cardiovascular Disease Physician
NPI 1417939596
See commercial rates for Dinesh Samant, MDYanle Zhao, MD
Diagnostic Radiology Physician
NPI 1780666206
See commercial rates for Yanle Zhao, MDTony Bouz
Orthopaedic Surgery Physician
NPI 1124482609
See commercial rates for Tony BouzAmna Rizvi, M.D.
Nephrology Physician
NPI 1841483609
See commercial rates for Amna Rizvi, M.D.Daniel Heitz, MD
Diagnostic Radiology Physician
NPI 1962550376
See commercial rates for Daniel Heitz, MDJhoette Dumlao, M.D.
Family Medicine Physician
NPI 1104110105
See commercial rates for Jhoette Dumlao, M.D.Mohsen Ali, MD
Neurology Physician
NPI 1750359071
See commercial rates for Mohsen Ali, MDSartaj Arora, MD
Gastroenterology Physician
NPI 1841258340
See commercial rates for Sartaj Arora, MDAnkush Sharma, MD
Internal Medicine Physician
NPI 1649433616
See commercial rates for Ankush Sharma, 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 San Dimas Community 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) | $464.5M | 669.2% |
| Inpatient | $282.8M | 407.4% |
| Outpatient | $181.7M | 261.7% |
| Contractual allowances and discounts | -$395.1M | -569.2% |
| Net patient revenue | $69.4M | 100.0% |
| Operating expenses | -$66.3M | -95.6% |
| Operating income from patient care | $3.1M | 4.4% |
| Other income | $1.2M | 1.7% |
| Contributions and donations | $1M | 1.5% |
| Other | $183,880 | 0.3% |
| Net income | $4.3M | 6.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $74.4M | 16.0% |
| Medicaid (including managed care) | $104.8M | 22.6% |
| Other payers and self-pay | $285.4M | 61.4% |
| Total charges | $464.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, 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 San Dimas Community Hospital's latest cost report.
4.4%
Operating margin
Operating income from patient care / net patient revenue
6.0%
Total margin
Net income / net patient revenue plus other income
7.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.34
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
11.9%
Return on assets
Net income for a year / total assets
102.8%
Return on equity
Net income for a year / fund balance
1.91
Current ratio
Current assets / current liabilities
1.24
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
60 days
Days in patient receivables
Net patient receivables / daily net patient revenue
52 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.97
Asset turnover
Total revenue for a year / total assets
18.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What San Dimas Community Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $35.9M in total assets and a $4.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $31,252 | 0.1% |
| Patient receivables, net | $11.4M | 31.7% |
| Inventory | $1M | 2.8% |
| Total current assets | $17.6M | 48.9% |
| Property and equipment, net of depreciation | $18.4M | 51.1% |
| Total assets | $35.9M | 100.0% |
| Current liabilities | $9.2M | 25.6% |
| Total liabilities | $31.8M | 88.4% |
| Fund balance (net assets) | $4.2M | 11.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care San Dimas Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$19,329
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.1M
Bad debt
Patient bills written off as uncollectible, at charges
$3.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$4.4M
Total unreimbursed and uncompensated care
6.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
San Dimas Community 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 | $54.7M | $58.3M | $61.9M | $67.2M | $69.5M | $69.4M |
| Operating expenses | $58.5M | $61.8M | $68.4M | $63.8M | $72.6M | $66.3M |
| Operating margin | -6.8% | -6.0% | -10.6% | 5.1% | -4.5% | 4.4% |
| Net income | $444,424 | $897,365 | -$5.4M | $4.5M | -$1.1M | $4.3M |
| Total assets | $35.3M | $38.6M | $38.7M | $38M | $40.2M | $35.9M |
| Discharges | 2,936 | 2,788 | 3,372 | 3,135 | 3,033 | 3,476 |
| Inpatient days | 14,836 | 14,839 | 17,133 | 14,198 | 13,618 | 12,615 |
| Medicare Advantage days | 2,652 | 3,116 | 4,719 | 5,137 | 4,382 | 3,386 |
| Beds | 101 | 101 | 101 | 101 | 94 | 77 |
| Employees (FTE) | 311 | 294 | 317 | 235 | 311 | 330 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center San Dimas Community Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $3.3M | $6.9M | $79.2M | 0.09 | 1,682 |
| Operating room | $2.4M | $6.1M | $47.9M | 0.13 | 6,832 |
| Drugs charged to patients | $3.8M | $21.2M | 0.18 | ||
| Medical supplies charged to patient | $3.5M | $15.2M | 0.23 | ||
| Laboratory | $1.7M | $3.3M | $63M | 0.05 | 1,600 |
| Impl. dev. charged to patients | $3M | $17.4M | 0.17 | ||
| Respiratory therapy | $1.1M | $2.2M | $41.5M | 0.05 | 786 |
| Radiology-diagnostic | $680,331 | $2M | $13.3M | 0.15 | 2,407 |
| Ct scan | $406,042 | $986,034 | $50.7M | 0.02 | 640 |
| Gastro intestinal services | $403,243 | $966,157 | $8.8M | 0.11 | 1,213 |
| Physical therapy | $929,445 | $7.6M | 0.12 | 875 | |
| Electrocardiology | $155,366 | $664,406 | $10.7M | 0.06 | 802 |
| Ultra sound | $234,623 | $428,340 | $6.8M | 0.06 | 216 |
| Renal dialysis | $280,861 | $2.9M | 0.10 | ||
| Radioisotope | $61,705 | $247,982 | $888,774 | 0.28 | |
| Blood storing processing & trans. | $37,335 | $247,838 | $5.2M | 0.05 | |
| Observation beds (non-distinct part | $152,480 | $1.3M | 0.12 | ||
| Electroencephalography | $52,160 | $667,617 | 0.08 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.2M | $17.5M | $58M | 0.30 | 25,650 |
| Intensive care unit | $2M | $4.6M | $12.3M | 0.37 | 2,900 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.7M | $12.8M | 72,292 | $37.25 | 5,680 |
| Operation of plant | $701,323 | $3.6M | 25,256 | $27.77 | 2,186 |
| Cap rel costs-mvble equip | $1.7M | ||||
| Medical records & library | $614,581 | $1.6M | 16,592 | $37.04 | |
| Pharmacy | $1.1M | $1.4M | 22,560 | $48.76 | 780 |
| Nursing administration | $974,196 | $1.2M | 17,494 | $55.69 | 661 |
| Housekeeping | $707,326 | $1.2M | 30,035 | $23.55 | 160 |
| Cafeteria | $964,060 | 19,963 | $26.50 | 1,128 | |
| Employee benefits department | $321,579 | $682,578 | 7,459 | $43.11 | 1,503 |
| I&r services-salary & fringes apprv | $837,457 | $671,484 | 600 | ||
| Dietary | $787,319 | $538,054 | 9,747 | $26.50 | 2,951 |
| I&r services-other prgm costs apprv | $515,637 | ||||
| Cap rel costs-bldg & fixt | $445,481 | 64,878 | |||
| Central services & supply | $138,462 | $293,975 | 4,227 | $32.76 | 1,376 |
| Laundry & linen service | $230,020 | 496 | |||
| Social service | $138,215 | $169,567 | 3,400 | $40.65 | 129 |
| Maintenance & repairs | $23,144 | 1,625 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839375, 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 San Dimas Community Hospital for an inpatient stay.
1.72
Case mix index
Higher than 54% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.03 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
30.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
863
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 | 1.63 | 1.63 | 1.99 | 1.89 | 1.83 | 1.81 | 1.72 |
| Wage index | 1.290 | 1.284 | 1.297 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.63% | -1.97% | -2.05% | -0.07% | -1.20% | -1.82% | -1.90% |
| Value-based purchasing adjustment | +0.68% | +1.18% | +1.18% | +0.25% | -0.77% | -1.33% | -0.58% |
| Medicare inpatient stays | 865 | 865 | 691 | 740 | 740 | 810 | 863 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations San Dimas Community 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 2008
Sources: CMS Hospital All Owners.
The officers and board members on San Dimas Community Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 10 of 12 are shown.
San dimas community hospital
CCN 05U588, certified 2020, Medicare prospective payment
Source: Worksheet S-2 Part I of San Dimas Community Hospital's latest Medicare cost report (HCRIS).
About San Dimas Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at San Dimas Community Hospital range from $151 to $3,382 across 4 insurers. Aetna's rate is $151. The median at nearby comparable hospitals is $1,224. 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 San Dimas Community Hospital range from $471 to $3,827 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $967. The median at nearby comparable hospitals is $1,105. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at San Dimas Community Hospital range from $797 to $3,089 across 4 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $2,749. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at San Dimas Community Hospital range from $114 to $236 across 4 insurers. UnitedHealthcare's rate is $168. The median at nearby comparable hospitals is $302. 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 San Dimas Community Hospital range from $12,104 to $28,134 across 3 insurers. Aetna's rate is $28,134. The median at nearby comparable hospitals is $23,743. What a patient pays depends on their plan's deductible, coinsurance and network status.
San Dimas Community Hospital 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.
Yes. CMS counts 0.03 Medicare-funded residents per bed at San Dimas Community Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts San Dimas Community Hospital's base inpatient payments by an estimated 1.90% 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 (146 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (46 discharges), respiratory infections and inflammations with mcc (27 discharges).
San Dimas Community Hospital's Medicare case mix index is 1.72 for fiscal year 2027, higher than 54% of hospitals paid under the inpatient prospective payment system.
San Dimas Community Hospital reported 3,476 inpatient discharges and 12,615 inpatient days from Jan 1, 2025 to Dec 31, 2025.
San Dimas Community Hospital reported 330 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
San Dimas Community Hospital reported $69.4M in net patient revenue on $464.5M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 4.4%, and net income of $4.3M.
San Dimas Community Hospital reported $4.4M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $19,329 of charity care at cost.
San Dimas Community Hospital's Medicare enrollment lists Luis Leon as Corporate Chief Executive Officer since 2020.
Insurers' price transparency files list San Dimas Community Hospital under employer identification number 26-2583397 (San Dimas Community Hospital). 53 health plans and networks list 26-2583397 for it.
105 clinicians who bill Medicare list San Dimas Community Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (17), family medicine physician (17), internal medicine physician (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for San Dimas Community Hospital, effective 2021.
In its Medicare enrollment, San Dimas Community Hospital reports Prime Healthcare Holdings Inc as 5% or greater indirect ownership interest (100%).
CMS lists 30 services at San Dimas Community Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Thoracic Surgery, 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 San Dimas Community Hospital came from ZIP codes 91773 (474), 91750 (148), 91724 (147).
San Dimas Community Hospital has 77 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 101 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
San Dimas Community Hospital is located at 1350 West Covina Boulevard, San Dimas, CA 91773. Its main phone number is (909) 599-6811.
San Dimas Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050588.
The National Provider Identifier (NPI) on file for San Dimas Community Hospital is 1740447945.
San Dimas Community Hospital is affiliated with Prime Healthcare Services.
San Dimas Community Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
294 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