Short Term Acute Care HospitalVoluntary Non-Profit - Private

San Rafael Medical Center

Kaiser Permanente · San Rafael, CA

99 Montecillo Road, San Rafael, CA 94903(415) 444-2000

4 of 5

CMS star rating

107

Beds

4,503

Inpatient discharges a year

$268M

Net patient revenue a year

In-network payers

About this hospital

San Rafael Medical Center is a 107-bed voluntary non-profit - private hospital in San Rafael, CA, affiliated with Kaiser Permanente. Below you'll find publicly disclosed negotiated rates and facility details, including 4 in-network payers.

CCN: 050510
NPI: 1194895227
Health system: Kaiser Permanente
Teaching: Teaching hospital
County: Marin County
Metro area: San Francisco-Oakland-Fremont, CA MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 1966
Last CMS survey: 2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

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

CenteneKaiser PermanenteSanford Health PlanWestern Health Advantage

More about this hospital

Quality
4 of 5 stars
- No Medicare readmissions penalty
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Teaching hospital
- 23 services
- 109 affiliated clinicians
See doctors and services
Finances
$268M net patient revenue
- Operating margin on patient care -21.3%
- $10.6M unreimbursed and uncompensated care
- -$55.1M net income
See finances
Ownership and leadership
Owned by Kaiser Foundation Hospitals
- Private (not for profit)
- Carrie A Owen Plietz, chief executive
See ownership and leadership

Location

99 Montecillo Road, San Rafael, CA 94903

(415) 444-2000

Get directions

Quality ratings (CMS Care Compare)

How San Rafael Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% 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)
0.96
Higher than 51% 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
Sepsis care
81%
Higher than 86% 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 details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	4 of 5
Death rates	No different on 1 measures
Safety	Worse on 1 of 5 measures
Readmissions	No different on 1 measures
Patient survey ratingCMS: Summary star rating	3 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	72%	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)	0.96	2022-07-01 to 2024-06-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	81%	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.

Medicare quality penalties and bonuses

How Medicare adjusts San Rafael Medical Center's inpatient payments for its readmissions, quality and cost results.

No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.87% 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).

Every CMS quality measure

Each result CMS publishes for San Rafael Medical Center, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	San Rafael Medical Center	US median	CA average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 31 cases	5.4	4.1	4.075		Worse than 92% of US hospitals
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,899 cases	3.4	3.9	3.81		Better than 79% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.57
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.379
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available		8.235
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available		10.29
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available		14.49
Death rate for stroke patients2023-07-01 to 2025-06-30 · 165 cases	11	11.6	11.57		Better than 61% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 254 cases	0.54	0.51	0.4818	No Different Than the National Rate	Worse than 54% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available		171
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 333 cases	0.21	0.2	0.21	No Different Than the National Rate	Worse than 54% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 331 cases	0.27	0.27	0.261	No Different Than the National Rate	Worse than 46% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 50 cases	2.31	2.29	2.308	No Different Than the National Rate	Worse than 55% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30	Not Available		1.668	Number of Cases Too Small
Postoperative respiratory failure rate2022-07-01 to 2024-06-30	Not Available		9.555	Number of Cases Too Small
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 48 cases	3.44	3.4	3.521	No Different Than the National Rate	Worse than 55% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30	Not Available		5.495	Number of Cases Too Small
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 · 75 cases	1.05	1.02	1.061	No Different Than the National Rate	Worse than 64% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	San Rafael Medical Center	US median	CA average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.09
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available		7.901
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available		16.67
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 · 135 cases	15.5	14.4	14.43		Worse than 90% 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 · 66 cases	19.1	19.8	19.94		Better than 81% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 320 cases	19.8	21.3	21.41		Better than 90% 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 · 404 cases	17.3	17.2	17.7		Worse than 50% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	San Rafael Medical Center	US median	CA average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	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	1.072	1.504	1.834	No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	4,101	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	2.794	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	0.143	0.138	0.2147	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	2.827	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	3,441	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	2.337	1.377	6.105	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	2	0	3.273	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.856	0.399	0.5366	No Different than National Benchmark	Worse than 83% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.138	0.2345	0.32	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	2.728	2.135	2.433	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	112	61	112	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	2.422	1.591	2.999	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	2	1	2.368	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	0.826	0.7155	0.8107	No Different than National Benchmark	Worse than 58% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2606
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		3.273
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	1	38	73.49
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.005	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	24,124	14,451	52,601
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	0.774	0.567	3.111
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	1	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	0.324	0.127	0.1925	No Different than National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	1.219	0.747	0.9502	No Different than National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	24,124	13,646	48,317	No Different than National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	13.55	5.683	27.04	No Different than National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	9	2	9.99	No Different than National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.664	0.279	0.383	No Different than National Benchmark	Worse than 86% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	San Rafael Medical Center	US median	CA average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 1,084 cases	71	73	72.2	Worse than 58% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,084 cases	8	8	8.78	Better than 47% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 1,084 cases	21	18	19.02
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	87	87	86.82	Better than 47% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,084 cases	4	4	3.514	Better than 47% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	76	80	75.76	Worse than 72% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	91	91	89.84	Worse than 49% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	3	4	5.713	Better than 58% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,084 cases	3	3	2.855	Worse than 49% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	21	16	18.53
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	82	79	75.81	Better than 66% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	93	91	89.11	Better than 77% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	4	5	7.043	Better than 62% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,084 cases	4	3	2.688	Better than 63% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,084 cases	14	16	17.15
Staff "always" explained2024-10-01 to 2025-09-30 · 1,084 cases	61	61	58.95	Worse than 47% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	79	77	75.75	Better than 65% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,084 cases	19	19	21.56	Better than 50% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,084 cases	3	3	2.449	Better than 47% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 1,084 cases	20	19	19.48
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	88	86	84.61	Better than 68% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,084 cases	12	13	15.03	Better than 58% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 1,084 cases	4	3	3.08	Better than 55% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,084 cases	88	87	84.97	Better than 58% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,084 cases	9	14	16.39	Better than 88% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,084 cases	91	86	83.61	Better than 88% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	76	74	70.69	Better than 61% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	5	7	8.855	Better than 68% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	19	19	20.45
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	82	77	73.94	Better than 76% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	4	6	7.637	Better than 70% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	14	17	18.43
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	88	85	81.99	Better than 70% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	2	3	4.958	Better than 75% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	10	11	13.06
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,084 cases	9	8	10.01	Worse than 59% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,084 cases	25	20	22.36
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,084 cases	66	72	67.63	Worse than 72% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	87	88	86.85	Worse than 58% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,084 cases	3	3	3.047	Worse than 45% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,084 cases	75	74	72.06	Better than 52% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,084 cases	9	9	10.94	Better than 48% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,084 cases	16	16	17
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	72	75	71.11	Worse than 67% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	4	5	7.488	Better than 66% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,084 cases	24	20	21.4
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	71	77	72.49	Worse than 81% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	4	4	6.121	Better than 45% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,084 cases	25	19	21.39
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	85	86	82.8	Worse than 56% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	2	3	3.779	Better than 50% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,084 cases	13	11	13.42
"Always" quiet at night2024-10-01 to 2025-09-30 · 1,084 cases	33	59	47.5	Worse than 99% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,084 cases	30	9	17.79	Worse than 99% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 1,084 cases	37	31	34.71
Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	65	82	74.85	Worse than 99% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 1,084 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 · 1,084 cases	4	5	7.623	Better than 57% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,084 cases	72	71	68.6	Better than 51% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,084 cases	88	87	85.85	Better than 51% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,084 cases	24	23	23.77
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,084 cases	4	4	3.431	Better than 42% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,084 cases	48	47	45.33	Better than 53% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,084 cases	29	30	32.51	Better than 55% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,084 cases	23	22	22.16
Summary star rating2024-10-01 to 2025-09-30 · 1,084 cases	3	3	2.859	Worse than 40% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,084 cases	14	12	13.94	Worse than 63% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,084 cases	86	88	86.06	Worse than 63% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	San Rafael Medical Center	US median	CA average	US rank
Emergency department volume2024-01-01 to 2024-12-31	Not Available
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 · 5,438 cases	7	8	8.289	Better than 57% of US hospitals
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,066 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 · 2,761 cases	70	79	69.96	Worse than 64% 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	Not Available		187
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	Not Available		182
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	Not Available		282
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	Not Available		2.162
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	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 · 1,033 cases	15	15	13.67	Worse than 48% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 118 cases	81	65	68.8	Better than 86% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 32 cases	72	73	76.38	Worse than 51% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases	94	88	86.64	Better than 69% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 119 cases	92	82	82.89	Better than 88% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 78 cases	100	94	93.98	The best result, shared by 10% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 123 cases	93	98	93.4	Worse than 87% of US hospitals
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		70.68
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		89.93
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		86.9
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		94.78

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	San Rafael Medical Center	US median	CA average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	Not Available		4.959
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		8.417

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	San Rafael Medical Center	US median	CA average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.9	0.99	1.024		Better than 87% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	San Rafael Medical Center	US median	CA average	US rank
VBP clinical outcomes domain scoreFY 2026	Not Available		30.07
VBP clinical outcomes weighted domain scoreFY 2026	Not Available		7.571
VBP efficiency and cost reduction domain scoreFY 2026	40	10	16.48	Better than 77% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	13.33	2.5	4.567	Better than 88% of US hospitals
VBP person and community engagement domain scoreFY 2026	39	34	28.67	Better than 59% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	13	8.75	7.519	Better than 77% of US hospitals
VBP safety domain scoreFY 2026	46	40	45.16	Better than 60% of US hospitals
VBP safety weighted domain scoreFY 2026	15.33	10	11.79	Better than 82% of US hospitals
VBP total performance scoreFY 2026	41.67	29.5	30.43	Better than 83% of US hospitals

By fiscal year	FY 2021	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	Not Available	Not Available	Not Available	Not Available	Not Available
VBP clinical outcomes weighted domain score	Not Available	Not Available	Not Available	Not Available	Not Available
VBP efficiency and cost reduction domain score	90	0	0	80	40
VBP efficiency and cost reduction weighted domain score	30	0	0	26.67	13.33
VBP person and community engagement domain score	24	Not Available	1	5	39
VBP person and community engagement weighted domain score	8	Not Available	0.3333	1.667	13
VBP safety domain score	30	Not Available	50	25	46
VBP safety weighted domain score	10	Not Available	16.67	8.333	15.33
VBP total performance score	48	Not Available	17	36.67	41.67

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	San Rafael Medical Center	CA average
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A	1.015
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A	1.005
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	N/A	1.002
READM-30-HF-HRRP2021-07-01 to 2024-06-30	N/A	1.017
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	N/A	1.026

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HF-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HIP-KNEE-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-PN-HRRP	N/A	N/A	N/A	N/A	N/A	N/A

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	San Rafael Medical Center	US median	CA average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.215	0.489	0.6114	Better than 78% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.691	0.346	0.449	Worse than 87% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.585	0.559	0.679	Worse than 53% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.623	0.6405	0.7204	Better than 52% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.9643	0.9628	0.9656	Worse than 51% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	2.033	0.7945	0.8116	Worse than 94% of US hospitals
Total HAC scoreFY 2026	0.3443	-0.0453	0.02733	Worse than 73% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	Yes	No	N/A	No	Yes	No
Total HAC score	0.6073	0.1462	0	0.1143	0.4497	0.3443

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.

Accreditation and services

The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
120
Medicare-certified beds
80
Registered nurses (full-time equivalent)
1966
In Medicare since

23 services at San Rafael Medical Center

Emergency and trauma: Emergency Department
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOphthalmic SurgeryOR (Operating Room)Postoperative Recovery Room
Imaging: Diagnostic RadiologyNuclear Medicine
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryNeonatal NurseryObstetrics / Child BirthPediatric Care
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareOptometricPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What San Rafael Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

4,503
Inpatient discharges
Medicare 3%, Medicaid 0%
19,985
Inpatient days
51% of available bed days used
524
Employees (full-time equivalent)
2
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836078). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges San Rafael Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	749	59	19,177	19,985
Discharges	151	14	4,338	4,503
Average length of stay	5.0 days	4.2 days	4.4 days	4.4 days
Average daily census	2.1	0.2	52.5	54.8

14,056
Medicare Advantage days
3,168 discharges
158
Medicaid managed care days
30 discharges
4,917
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	95	17,780	645	51%
Intensive care unit	12	2,205	104	50%

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What San Rafael Medical Center treats Medicare patients for most often, in 2024. 28 Medicare discharges in 1 published DRGs; 0% surgical; 100% 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	28	$103,782	$17,830	$30,927	1.98

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.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) San Rafael Medical Center billed Medicare for most in 2024: 15 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	15	15	$34,424	$2,974	$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.

Where patients come from

ZIP codes with the most Medicare inpatient stays at San Rafael Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,063 in 2020 to 3,001 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
94903	405	13%	1,769	$23.5M	32%	35%
94954	344	11%	1,532	$19.2M	24%	20%
94947	305	10%	1,214	$16M	33%	29%
94901	277	9%	1,233	$16.3M	23%	23%
94952	231	8%	984	$13.2M	19%	17%
94949	229	8%	992	$12.8M	35%	30%
94941	204	7%	926	$11.7M	19%	21%
94945	202	7%	807	$11M	33%	29%
95476	191	6%	786	$10.1M	12%	11%
94960	112	4%	541	$6.8M	27%	30%
94965	94	3%	410	$5.2M	23%	24%
94930	87	3%	459	$5.8M	31%	38%
94904	76	3%	278	$3.7M	16%	16%
94939	58	2%	262	$3.2M	25%	29%
94920	57	2%	269	$3.4M	11%	11%
94925	47	2%	211	$2.6M	16%	19%
94948	16	1%	110	$1.4M	33%	54%
94963	15	0%	95	$1.2M	100%
94973	14	0%	75	$928,321	35%	38%
94937	13	0%	44	$544,615	41%
94956	13	0%	44	$544,615	30%	100%
94942	11	0%	40	$570,321	24%

Source: CMS Hospital Service Area file. Shares are of the 3,001 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units San Rafael Medical Center reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.

2
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms

80
Registered nurses
5
Licensed practical nurses
2
Resident physicians
10
Nurse practitioners
50
Nurse anesthetists (CRNAs)
1
Respiratory therapists
1
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
1
Radiology technicians
1
Nuclear medicine technicians
1
Medical technologists
5
Dietitians
4
Social workers
200
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

109 clinicians who bill Medicare list San Rafael Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Internal Medicine Physician 23
Student in an Organized Health Care Education/Training Program 17
Emergency Medicine Physician 14
Diagnostic Radiology Physician 9
Hospitalist Physician 9
Family Medicine Physician 6
Cardiovascular Disease Physician 5
Gastroenterology Physician 3
Neurology Physician 3
Infectious Disease Physician 2

Benjamin Hunter, M.D.
Family Medicine Physician
NPI 1477181873
See commercial rates for Benjamin Hunter, M.D.
Prabhat Shrestha, MD
Hospitalist Physician
NPI 1629573365
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April Fox, M.D.
Nephrology Physician
NPI 1679571921
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Steven Garcia, MD
Emergency Medicine Physician
NPI 1376868323
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Michael Barbaro
Emergency Medicine Physician
NPI 1790304111
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Yixi Zhang, M.D.
Internal Medicine Physician
NPI 1457709800
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Maria Scremin
Internal Medicine Physician
NPI 1376706879
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Anne Walker, M.D.
Emergency Medicine Physician
NPI 1629462619
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Mai Le, MD
Diagnostic Radiology Physician
NPI 1548605215
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Paul Lee, M.D.
Neuroradiology Physician
NPI 1336382472
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Siraphob Chansangavej, MD
Hospitalist Physician
NPI 1386268027
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Rebeka Barth, M.D.
Emergency Medicine Physician
NPI 1700918349
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David Sulciner, MD
Cardiovascular Disease Physician
NPI 1053461939
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Kunal Mehtani, M.D.
Internal Medicine Physician
NPI 1699076182
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Lauren Chan, MD
Vascular & Interventional Radiology Physician
NPI 1457640443
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Alan Ament, MD
Cardiovascular Disease Physician
NPI 1871671354
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Maximiliano Sobrero, MD
Emergency Medicine Physician
NPI 1962934893
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Melissa Clark, M.D.
Emergency Medicine Physician
NPI 1407058829
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Dorota Wisner, M.D., PH.D.
Diagnostic Radiology Physician
NPI 1518162270
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Linn Lung, M.D.
Emergency Medicine Physician
NPI 1922360874
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Renata Scott, MD
Hospitalist Physician
NPI 1366528879
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Ryan Matson, M.D.
Internal Medicine Physician
NPI 1366718264
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Gagandeep Sandhu, M.D.
Internal Medicine Physician
NPI 1619195575
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Theodore Lee, M.D.
Diagnostic Radiology Physician
NPI 1083656193
See commercial rates for Theodore Lee, M.D.

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income San Rafael Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$1.2B	429.9%
Inpatient	$440.2M	164.3%
Outpatient	$711.9M	265.6%
Contractual allowances and discounts	-$884.2M	-329.9%
Net patient revenue	$268M	100.0%
Operating expenses	-$325.2M	-121.3%
Operating income from patient care	-$57.1M	-21.3%
Other income	$2.1M	0.8%
Net income	-$55.1M	-20.5%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$13.6M	1.2%
Medicaid (including managed care)	$58.3M	5.1%
Other payers and self-pay	$1.1B	93.8%
Total charges	$1.2B	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, 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.

Financial ratios

Computed from San Rafael Medical Center's latest cost report.

-21.3%
Operating margin
Operating income from patient care / net patient revenue
-20.4%
Total margin
Net income / net patient revenue plus other income
-16.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
56% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$82.70
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care San Rafael Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.

$3.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$238,514
Bad debt
Patient bills written off as uncollectible, at charges
$6.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10.6M
Total unreimbursed and uncompensated care
3.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

San Rafael Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue		$210.7M	$200M	$180.3M	$252M	$268M
Operating expenses		$266.7M	$262.2M	$280.2M	$308.7M	$325.2M
Operating margin		-26.5%	-31.1%	-55.4%	-22.5%	-21.3%
Net income	$1	-$52.6M	-$57.5M	-$95.6M	-$49.8M	-$55.1M
Discharges	3,310	3,538	3,532	4,359	4,824	4,503
Inpatient days	14,105	15,534	16,163	19,129	20,182	19,985
Medicare Advantage days	8,950	9,989	11,029	13,659	14,489	14,056
Beds	116	107	116	116	107	107
Employees (FTE)	487	498	517	489	511	524

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center San Rafael Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 32 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency		$34M	$142.1M	0.24	15,559
Radiology-diagnostic		$28.9M	$207.6M	0.14	17,856
Operating room	$5.8M	$26.7M	$287.8M	0.09	10,409
Laboratory		$21.8M	$120.5M	0.18	2,655
Observation beds (non-distinct part		$17.6M	$54M	0.33
Drugs charged to patients		$16.5M	$43M	0.38
Home health agency	$7.9M	$15.7M	$7.2M	2.18
Impl. dev. charged to patients		$13.5M	$20.7M	0.65
Recovery room	$5.1M	$11.3M	$22.8M	0.50	2,011
Medical supplies charged to patient		$7.6M	$17.6M	0.43
Cardiac catheterization		$6.5M	$6.4M	1.01	3,970
Respiratory therapy	$2.2M	$3.9M	$19.9M	0.20	103
Physical therapy		$3.3M	$7.1M	0.46	1,648
Electrocardiology		$1.2M	$16.8M	0.07
Renal dialysis		$597,749	$22,787	26.23

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$29.9M	$81.3M	$144.9M	0.56	30,883
Intensive care unit	$5.6M	$16M	$33.7M	0.48	7,170

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$12.6M	$45.1M	138,863	$101.51	1,884
Employee benefits department	$491,198	$38.5M
Operation of plant	$2.4M	$12.3M	31,356	$77.58	319
Nursing administration	$7.4M	$7.9M	67,004	$111.11	547
Cap rel costs-bldg & fixt		$6.8M			104,127
Central services & supply	$2.7M	$6.5M	109,039	$45.40	2,131
Pharmacy	$3.9M	$4.2M	37,616	$104.25	3,859
Cap rel costs-mvble equip		$3.2M
Dietary	$969,766	$1.9M	21,499	$45.11	1,275
Maintenance & repairs		$1.8M	13,569	$80.88
Social service	$1.7M	$1.5M	21,759	$76.73
Housekeeping	$4.9M	$1.3M	121,345	$40.19	1,170
Laundry & linen service		$334,445
Medical records & library		$286,710	6,022	$41.76	63
Cafeteria		$293

Source: CMS cost report (HCRIS, Form 2552-10), report 836078, 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.

Medicare payment profile

The factors Medicare uses to set what it pays San Rafael Medical Center for an inpatient stay.

1.77
Case mix index
Higher than 59% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.02 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
2.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
148
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).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.67	1.67	1.74	1.86	1.53	1.74	1.77
Wage index	1.802	1.799	1.838	1.816	1.725	1.647	1.713
Readmissions adjustment	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
Value-based purchasing adjustment	+1.14%	+1.08%	+1.08%	+0.01%	-0.39%	+1.28%	+0.87%
Medicare inpatient stays	148	148	119	122	160	148	148

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About San Rafael Medical Center's rates and hospital price transparency.

What is San Rafael Medical Center's CMS star rating?

San Rafael Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is San Rafael Medical Center a teaching hospital?

Yes. CMS counts 0.02 Medicare-funded residents per bed at San Rafael Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize San Rafael Medical Center for readmissions?

No. San Rafael Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at San Rafael Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (28 discharges).

What is San Rafael Medical Center's case mix index?

San Rafael Medical Center's Medicare case mix index is 1.77 for fiscal year 2027, higher than 59% of hospitals paid under the inpatient prospective payment system.

How many patients does San Rafael Medical Center admit?

San Rafael Medical Center reported 4,503 inpatient discharges and 19,985 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does San Rafael Medical Center have?

San Rafael Medical Center reported 524 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does San Rafael Medical Center make?

San Rafael Medical Center reported $268M in net patient revenue on $1.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -21.3%, and net income of -$55.1M.

How much charity and uncompensated care does San Rafael Medical Center provide?

San Rafael Medical Center reported $10.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $3.7M of charity care at cost.

Who is the CEO of San Rafael Medical Center?

San Rafael Medical Center's Medicare enrollment lists Carrie A Owen Plietz as Regional President, Northern Ca since 2020.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

Talk to us about your MRF

Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

Talk to us about your chargemaster

San Rafael Medical Center

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

23 services at San Rafael Medical Center

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

23 services at San Rafael Medical Center

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts