Verity Health System · Daly City, CA
1 of 5
CMS star rating
398
Beds
2,168
Inpatient discharges a year
$134.7M
Net patient revenue a year
18
In-network payers
Seton Medical Center is a 398-bed voluntary non-profit - church hospital in Daly City, CA, affiliated with Verity Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 351 disclosed rate categories.
The 24 services Seton Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,439 - $9,477
from 4 insurers · median $7,260
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,866 - $15,373
from 4 insurers · median $8,089
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 66984
$2,109 - $8,156
from 3 insurers · median $8,015
302 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$4,439 - $9,477
from 4 insurers · median $7,260
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$41,259 - $94,610
from 4 insurers · median $66,840
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$599 - $5,915
from 4 insurers · median $877
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$282 - $2,327
from 4 insurers · median $1,808
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $1,654
from 3 insurers · median $551
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,206 - $6,600
from 4 insurers · median $2,037
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,173 - $6,600
from 3 insurers · median $2,324
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,411 - $6,600
from 3 insurers · median $2,492
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,787 - $14,709
from 3 insurers · median $11,848
Typical for a hospital with this service line
Mammography
CPT 77067
$153 - $1,531
from 3 insurers · median $314
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,219 - $6,600
from 3 insurers · median $2,492
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,888 - $14,709
from 2 insurers · median $11,799
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$231 - $2,274
from 3 insurers · median $2,084
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$292 - $1,287
from 3 insurers · median $668
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$496 - $5,915
from 4 insurers · median $2,579
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$96 - $531
from 3 insurers · median $376
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$634 - $5,915
from 4 insurers · median $928
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$6,586 - $8,015
from 2 insurers · median $7,300
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$32 - $236
from 3 insurers · median $132
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,489 - $8,339
from 3 insurers · median $4,942
Typical for a hospital with this service line
Ear, nose and throat
CPT 31231
$1,142 - $2,947
from 3 insurers · median $1,146
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* | 9 | 447% | 3 | 2 |
| Insurer B* | 24 | 264% | 7 | 11 |
| Insurer C* | 24 | 234% | 7 | 5 |
| Insurer D* | 22 | 122% | 1 | 18 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 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 Seton Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$134.7M net patient revenue
Ownership and leadership
Owned by Ahmc Healthcare, LP
The employer identification numbers (EINs) health plans and networks list for Seton Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 85-1126333Ahmc Seton Medical Center LLC | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 35 more | 1023636545 Ahmc Seton Medical Center LLC1841809415 Ahmc Seton Medical Center LLC1386252112 Ahmc Seton Medical Center LLCand 6 more |
| 91-2154441Seton Medical Center | 33Aspirus Health Plan, Asuris Northwest Health, BCBS, BridgeSpan, Centene and 28 more | 1154428688 Seton Medical Center1497740401 Seton Medical Center1104871615 Cep America - Californiaand 7 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1900 Sullivan Avenue, Daly City, CA 94015
(650) 992-4000
How Seton Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 3 measures
1 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 no different, 2 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
59%
Lower than 88% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.91
Lower than 69% 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
210 min
Higher than 85% 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
42%
Lower than 90% 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 | 1 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 3 measures | |
| Readmissions | Worse on 2 of 7 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 | 59% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.91 | 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 | 210 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 42% | 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 Seton Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.20% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.64% 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 Seton Medical Center, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 30 cases | 4.5 | 4.1 | 4.075 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 739 cases | 4.4 | 3.9 | 3.81 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 60 cases | 13.4 | 11.8 | 11.57 | Worse than 91% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 34 cases | 7.9 | 8.5 | 8.235 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 103 cases | 12.5 | 11 | 10.29 | Worse than 77% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 159 cases | 18.9 | 15.2 | 14.49 | Worse than 91% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 36 cases | 13.9 | 11.6 | 11.57 | Worse than 81% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,387 cases | 0.3 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 80% 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 · 1,636 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 · 1,681 cases | 0.3 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 361 cases | 2.77 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 44 cases | 1.64 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 43 cases | 8.62 | 8.88 | 9.555 | No Different Than the National Rate | Better than 57% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 355 cases | 3.47 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 43 cases | 5.98 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 73 cases | 1.72 | 1.72 | 1.796 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 229 cases | 0.98 | 1.02 | 1.061 | No Different Than the National Rate | Better than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 53 cases | 22.4 | 4.2 | 11.09 | Worse than 78% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 110 cases | 26.4 | 1.25 | 7.901 | Worse than 80% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 154 cases | 63.8 | 3.85 | 16.67 | Worse than 96% 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 · 48 cases | 13 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 50% of US hospitals |
| 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 · 77 cases | 14.9 | 14.4 | 14.43 | Worse than 74% 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 · 53 cases | 20.4 | 19.8 | 19.94 | Worse than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 190 cases | 20.5 | 21.3 | 21.41 | Better than 75% 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 · 258 cases | 17.9 | 17.2 | 17.7 | Worse than 74% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Seton 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 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,130 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.813 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 870 | 1,799 | 5,308 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.636 | 1.377 | 6.105 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.273 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| 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 | 18 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.452 | 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 | 1 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.004 | 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 | 12,404 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.523 | 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 | Not Available | 0.1925 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.077 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,525 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.781 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.383 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 257 cases | 59 | 73 | 72.2 | Worse than 95% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 257 cases | 17 | 8 | 8.78 | Worse than 94% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 257 cases | 24 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 80 | 87 | 86.82 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 257 cases | 2 | 4 | 3.514 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 257 cases | 77 | 80 | 75.76 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 91 | 91 | 89.84 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 257 cases | 4 | 4 | 5.713 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 257 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 257 cases | 19 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 257 cases | 80 | 79 | 75.81 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 92 | 91 | 89.11 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 257 cases | 4 | 5 | 7.043 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 257 cases | 4 | 3 | 2.688 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 257 cases | 16 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 257 cases | 56 | 61 | 58.95 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 74 | 77 | 75.75 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 257 cases | 24 | 19 | 21.56 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 257 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 257 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 83 | 86 | 84.61 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 257 cases | 17 | 13 | 15.03 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 257 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 257 cases | 83 | 87 | 84.97 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 257 cases | 19 | 14 | 16.39 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 257 cases | 81 | 86 | 83.61 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 78 | 74 | 70.69 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 6 | 7 | 8.855 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 16 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 77 | 77 | 73.94 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 5 | 6 | 7.637 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 18 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 257 cases | 85 | 85 | 81.99 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 257 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 · 257 cases | 13 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 257 cases | 14 | 8 | 10.01 | Worse than 89% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 257 cases | 27 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 257 cases | 59 | 72 | 67.63 | Worse than 91% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 84 | 88 | 86.85 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 257 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 257 cases | 68 | 74 | 72.06 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 257 cases | 12 | 9 | 10.94 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 257 cases | 20 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 70 | 75 | 71.11 | Worse than 80% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 6 | 5 | 7.488 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 257 cases | 24 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 75 | 77 | 72.49 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 3 | 4 | 6.121 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 257 cases | 22 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 257 cases | 86 | 86 | 82.8 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 257 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 · 257 cases | 12 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 257 cases | 44 | 59 | 47.5 | Worse than 92% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 257 cases | 14 | 9 | 17.79 | Worse than 76% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 257 cases | 42 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 76 | 82 | 74.85 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 257 cases | 2 | 3 | 2.203 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 257 cases | 9 | 5 | 7.623 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 257 cases | 59 | 71 | 68.6 | Worse than 88% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 257 cases | 83 | 87 | 85.85 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 257 cases | 32 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 257 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 257 cases | 44 | 47 | 45.33 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 257 cases | 35 | 30 | 32.51 | Worse than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 257 cases | 21 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 257 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 · 257 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 · 257 cases | 86 | 88 | 86.06 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Seton Medical Center | 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 | Not Available | 8.289 | |||
| 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 · 970 cases | 41 | 79 | 69.96 | Worse than 92% 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 · 389 cases | 220 | 154 | 187 | Worse than 87% 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 · 358 cases | 210 | 148 | 182 | Worse than 85% 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 · 27 cases | 242 | 247 | 282 | Better than 52% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 15,658 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 · 71 cases | 70 | 97 | 92.55 | Worse than 94% 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 · 456 cases | 17 | 15 | 13.67 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 158 cases | 42 | 65 | 68.8 | Worse than 90% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 78 | 73 | 76.38 | Better than 60% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 13 cases | 100 | 88 | 86.64 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 158 cases | 84 | 82 | 82.89 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases | 47 | 94 | 93.98 | Worse than 99% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| 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 · 1,434 cases | 22 | 90 | 86.9 | Worse than 98% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 322 cases | 31 | 97 | 94.78 | Worse than 99% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.4 | 5 | 4.959 | Worse than 65% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.8 | 6.6 | 8.417 | Better than 94% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Seton 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 | 1.01 | 0.99 | 1.024 | Worse than 59% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 159 cases | 65.4 | 60.8 | 53.27 | Better than 64% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 159 cases | 39 | 35.5 | 33.73 | Better than 62% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 236 cases | 1.35 | 0.05 | 0.9227 | Better than 95% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 236 cases | 0 | 0.03 | 0.8326 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 98 cases | 78 | 87 | 75.59 | Worse than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 200 cases | 76 | 78.1 | 77 | Worse than 58% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 227 cases | 17.8 | 19.1 | 19.17 | No Different Than the National Rate | Better than 71% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 209 cases | 46 | 92 | 83.77 | Worse than 91% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 25 cases | 84 | 74 | 65.57 | Better than 61% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 24 cases | 79 | 81 | 70.11 | Worse than 52% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 35 cases | 26 | 77 | 64.72 | Worse than 90% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 35 cases | 23 | 56 | 54.45 | Worse than 81% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 21 cases | 48 | 64 | 50.58 | Worse than 60% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 21 cases | 14 | 4 | 23.57 | Better than 64% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 248 cases | 98 | 77 | 55.11 | Better than 83% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 5 | 20 | 30.07 | Worse than 82% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.25 | 5 | 7.571 | Worse than 82% 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 | 27 | 34 | 28.67 | Worse than 64% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.75 | 8.75 | 7.519 | Worse than 64% of US hospitals | |
| VBP safety domain scoreFY 2026 | 46.67 | 40 | 45.16 | Better than 60% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.67 | 10 | 11.79 | Better than 59% of US hospitals | |
| VBP total performance scoreFY 2026 | 19.67 | 29.5 | 30.43 | Worse than 85% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 64 | 45 | 28 | 0 | 0 | 5 |
| VBP clinical outcomes weighted domain score | 16 | 11.25 | 7 | 0 | 0 | 1.25 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 40 | 40 | 30 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 10 | 10 | 7.5 | 0 |
| VBP person and community engagement domain score | 18 | Not Available | Not Available | 5 | 7 | 27 |
| VBP person and community engagement weighted domain score | 4.5 | Not Available | Not Available | 1.25 | 1.75 | 6.75 |
| VBP safety domain score | 42.5 | Not Available | Not Available | 45 | 50 | 46.67 |
| VBP safety weighted domain score | 10.63 | Not Available | Not Available | 11.25 | 12.5 | 11.67 |
| VBP total performance score | 36.13 | Not Available | Not Available | 22.5 | 21.75 | 19.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 66 cases | 1.024 | 0.9995 | 1.015 | Worse than 65% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9693 | 0.9969 | 1.002 | Better than 76% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 141 cases | 1.05 | 0.9983 | 1.017 | Worse than 79% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 142 cases | 0.9927 | 0.9955 | 1.026 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.962 | 1.04 | 1.072 | 1.03 | 1.037 | 1.024 |
| READM-30-CABG-HRRP | 0.9168 | 1.002 | 0.9565 | 1.006 | N/A | N/A |
| READM-30-COPD-HRRP | 1.04 | 1.028 | 1.015 | 1.003 | 0.9344 | 0.9693 |
| READM-30-HF-HRRP | 0.9984 | 1.012 | 1.034 | 1.063 | 1.064 | 1.05 |
| READM-30-HIP-KNEE-HRRP | 1.109 | 1.115 | 1.023 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.078 | 1.063 | 1.079 | 1.021 | 1.031 | 0.9927 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Seton Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.558 | 0.489 | 0.6114 | Worse than 56% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.66 | 0.346 | 0.449 | Worse than 85% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.679 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.474 | 0.6405 | 0.7204 | Worse than 91% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9114 | 0.9628 | 0.9656 | Better than 69% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.8116 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.1096 | -0.0453 | 0.02733 | Better than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.0526 | -0.203 | 0 | 0.0171 | -0.2574 | -0.1096 |
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 2023)
Accreditation
Limited
Medical school affiliation
Private (for profit)
Ownership type
126
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Seton Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,168
Inpatient discharges
Medicare 32%, Medicaid 4%
30,640
Inpatient days
45% of available bed days used
489
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838046). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Seton Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 5,017 | 140 | 25,483 | 30,640 |
| Discharges | 686 | 85 | 1,397 | 2,168 |
| Average length of stay | 7.3 days | 1.6 days | 18.2 days | 14.1 days |
| Average daily census | 13.7 | 0.4 | 69.8 | 83.9 |
1,738
Medicare Advantage days
257 discharges
1,472
Medicaid managed care days
37 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 160 | 28,720 | 4,420 | 49% |
| Intensive care unit | 28 | 1,920 | 597 | 19% |
| Subprovider - ipf | 24 | 5,825 | 4,871 | 66% |
| Skilled nursing facility | 142 | 8,519 | 180 | 16% |
| Other long term care | 44 | 14,522 | 90% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Seton Medical Center treats Medicare patients for most often, in 2024. 258 Medicare discharges in 11 published DRGs; 6% surgical; 90% 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 | 100 | $153,282 | $20,717 | $178,573 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $108,262 | $13,964 | $126,125 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $121,166 | $17,025 | $141,158 | 1.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $106,982 | $15,876 | $124,634 | 1.59 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $99,201 | $15,075 | $115,569 | 1.50 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 15 | $88,196 | $14,063 | $102,748 | 1.33 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $384,011 | $51,628 | $447,373 | 5.00 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $101,270 | $17,744 | $117,980 | 1.79 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $84,189 | $10,293 | $98,081 | 1.03 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $239,144 | $29,825 | $278,603 | 2.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $64,149 | $12,280 | $74,733 | 1.17 |
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) Seton Medical Center billed Medicare for most in 2024: 551 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 302 | 198 | $20,202 | $2,629 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 105 | 103 | $45,167 | $3,107 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 32 | 31 | $196,888 | $32,205 | $21,117 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 27 | 22 | $22,928 | $1,843 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 22 | $28,342 | $2,117 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 21 | 21 | $101,628 | $14,062 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 15 | 15 | $31,926 | $3,348 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 11 | $47,253 | $6,538 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | $36,430 | $3,300 | $2,405 |
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 Seton 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 1,310 in 2020 to 1,222 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 94015 | 359 | 29% | 1,932 | $50.7M | 18% | 30% |
| 94014 | 294 | 24% | 1,563 | $41.9M | 21% | 24% |
| 94080 | 158 | 13% | 908 | $26M | 8% | 12% |
| 94044 | 126 | 10% | 551 | $17.6M | 10% | 16% |
| 94112 | 79 | 6% | 297 | $9.1M | 3% | 5% |
| 94134 | 39 | 3% | 219 | $6M | 3% | 3% |
| 94132 | 38 | 3% | 175 | $5.3M | 5% | 3% |
| 94066 | 30 | 2% | 115 | $3.5M | 2% | 5% |
| 94116 | 24 | 2% | 90 | $2.4M | 2% | 1% |
| 94102 | 22 | 2% | 112 | $2.5M | 1% | 2% |
| 94103 | 14 | 1% | 87 | $2.6M | 1% | |
| 94124 | 14 | 1% | 62 | $1.3M | 1% | 2% |
| 94110 | 13 | 1% | 88 | $2.7M | 1% | 1% |
| 94122 | 12 | 1% | 39 | $1.2M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,222 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 Seton Medical Center reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
12
Operating rooms
2
Endoscopy rooms
3
Cardiac catheterization rooms
20
Psychiatric unit beds
5
Off-site locations
1
Off-site emergency departments
Source: CMS Provider of Services file.
155 clinicians who bill Medicare list Seton 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.
Aman Khan, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1093721672
See commercial rates for Aman Khan, MDMichael Kupfer, M.D.
Diagnostic Radiology Physician
NPI 1811949860
See commercial rates for Michael Kupfer, M.D.Salma Khan, M D.
Diagnostic Radiology Physician
NPI 1205927902
See commercial rates for Salma Khan, M D.Michael Baggett, MD
Diagnostic Radiology Physician
NPI 1831693902
See commercial rates for Michael Baggett, MDSusan Longar, M.D.
Ophthalmology Physician
NPI 1578506960
See commercial rates for Susan Longar, M.D.Ori Melamud, MD
Urology Physician
NPI 1851447965
See commercial rates for Ori Melamud, MDSharon Stein, MD
Diagnostic Radiology Physician
NPI 1952348260
See commercial rates for Sharon Stein, MDMichael Hee, MD PHD
Ophthalmology Physician
NPI 1801891551
See commercial rates for Michael Hee, MD PHDFelix Millhouse, MD
Interventional Cardiology Physician
NPI 1811912447
See commercial rates for Felix Millhouse, MDKris Kealey, MD
Internal Medicine Physician
NPI 1144243361
See commercial rates for Kris Kealey, MDLeila Chaychi, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1558535203
See commercial rates for Leila Chaychi, MDBao Tran, M.D.
Interventional Cardiology Physician
NPI 1104065440
See commercial rates for Bao Tran, M.D.Jennifer Wan, MD
Diagnostic Radiology Physician
NPI 1356616544
See commercial rates for Jennifer Wan, MDAlbert Kao, MD
Nephrology Physician
NPI 1225099286
See commercial rates for Albert Kao, MDGrace Kim, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1083634323
See commercial rates for Grace Kim, M.D.Yin-Yin Myint, M.D.
Internal Medicine Physician
NPI 1184638645
See commercial rates for Yin-Yin Myint, M.D.Ankur Doshi, MD
Vascular & Interventional Radiology Physician
NPI 1033508353
See commercial rates for Ankur Doshi, MDDivya Kini, MD
Family Medicine Physician
NPI 1649354309
See commercial rates for Divya Kini, MDRobert Tseng, MD
Nephrology Physician
NPI 1053371559
See commercial rates for Robert Tseng, MDRobert Hicks, M.D.
Vascular & Interventional Radiology Physician
NPI 1780079699
See commercial rates for Robert Hicks, M.D.Daniel Angeli, MD
Nephrology Physician
NPI 1326417916
See commercial rates for Daniel Angeli, MDLauren Macaraeg, M.D.
Internal Medicine Physician
NPI 1730612532
See commercial rates for Lauren Macaraeg, M.D.Christian Cruz, MD
Nephrology Physician
NPI 1023182227
See commercial rates for Christian Cruz, MDHermenegildo Angeles, MD APC
Geriatric Medicine (Family Medicine) Physician
NPI 1396712303
See commercial rates for Hermenegildo Angeles, MD APCSource: 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 Seton Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $942.3M | 699.6% |
| Inpatient | $618.8M | 459.5% |
| Outpatient | $323.4M | 240.1% |
| Contractual allowances and discounts | -$807.6M | -599.6% |
| Net patient revenue | $134.7M | 100.0% |
| Operating expenses | -$189.7M | -140.8% |
| Operating income from patient care | -$55M | -40.8% |
| Other income | $12.3M | 9.1% |
| Investment income | $964,105 | 0.7% |
| Other | $11.4M | 8.4% |
| Net income | -$42.7M | -31.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $117.2M | 12.4% |
| Medicaid (including managed care) | $284.8M | 30.2% |
| Other payers and self-pay | $540.2M | 57.3% |
| Total charges | $942.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. 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 Seton Medical Center's latest cost report.
-40.8%
Operating margin
Operating income from patient care / net patient revenue
-29.0%
Total margin
Net income / net patient revenue plus other income
-25.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
62% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$71.20
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-29.1%
Return on assets
Net income for a year / total assets
0.28
Current ratio
Current assets / current liabilities
1.42
Quick ratio
Cash, temporary investments and net receivables / current liabilities
351 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
246 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.00
Asset turnover
Total revenue for a year / total assets
2.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Seton Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $146.5M in total assets and a -$29.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $179.4M | 122.4% |
| Inventory | $1.3M | 0.9% |
| Total current assets | $34.8M | 23.7% |
| Property and equipment, net of depreciation | $91.7M | 62.6% |
| Investments and other assets | $20M | 13.7% |
| Total assets | $146.5M | 100.0% |
| Current liabilities | $126M | 86.0% |
| Total liabilities | $175.7M | 120.0% |
| Fund balance (net assets) | -$29.2M | -20.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Seton Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$21.7M
Bad debt
Patient bills written off as uncollectible, at charges
$20.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$27.9M
Total unreimbursed and uncompensated care
14.7% 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 838046, amended. Hospitals report these figures themselves; they are not audited financial statements.
Seton Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|
| Net patient revenue | $189.8M | $176.4M | $160.7M | $134.7M |
| Operating expenses | $207.4M | $189.5M | $203.8M | $189.7M |
| Operating margin | -9.3% | -7.4% | -26.8% | -40.8% |
| Net income | -$15.4M | -$6M | -$38.7M | -$42.7M |
| Total assets | $103M | $150.9M | $158.4M | $146.5M |
| Discharges | 2,004 | 3,445 | 2,544 | 2,168 |
| Inpatient days | 18,178 | 17,323 | 23,593 | 30,640 |
| Medicare Advantage days | 4,678 | 6,273 | 4,758 | 1,738 |
| Beds | 478 | 398 | 398 | 398 |
| Employees (FTE) | 609 | 635 | 525 | 489 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Seton Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $6.4M | $11.8M | $110.1M | 0.11 | 16,913 |
| Medical supplies charged to patient | $9.3M | $27.1M | 0.34 | ||
| Cardiac catheterization | $2.8M | $8.9M | $34.2M | 0.26 | 13,047 |
| Laboratory | $3.7M | $8.7M | $63.3M | 0.14 | 16,215 |
| Drugs charged to patients | $7.8M | $38.1M | 0.21 | ||
| Respiratory therapy | $4.1M | $6.5M | $78.4M | 0.08 | 7,123 |
| Operating room | $3.3M | $6.2M | $19.6M | 0.32 | 10,439 |
| Radiology-diagnostic | $3.4M | $6M | $19.1M | 0.32 | 16,938 |
| Impl. dev. charged to patients | $3.4M | $13.6M | 0.25 | ||
| Recovery room | $1.9M | $2.8M | $11.4M | 0.24 | |
| Asc (non-distinct part) | $1.2M | $2.3M | $15.2M | 0.15 | 12,190 |
| Gastro intestinal services | $1.1M | $1.8M | $7.1M | 0.25 | 2,112 |
| Wound care | $635,481 | $1.7M | $15.4M | 0.11 | 13,950 |
| Radiology-therapeutic | $828,829 | $1.6M | $2,746 | 586.97 | 11,267 |
| Ultra sound | $792,179 | $1.5M | $5.5M | 0.28 | 10,084 |
| Ct scan | $547,506 | $1.2M | $51.4M | 0.02 | 3,284 |
| Physical therapy | $611,417 | $1.1M | $2.8M | 0.41 | 5,859 |
| Renal dialysis | $698,354 | $1M | $4.9M | 0.20 | 801 |
| Occupational therapy | $233,449 | $769,033 | $819,705 | 0.94 | 10,695 |
| Mammography | $394,802 | $674,989 | $4.5M | 0.15 | |
| Interventional radiology | $216,132 | $651,535 | $1.4M | 0.45 | 2,928 |
| Intravenous therapy | $364,204 | $107,700 | 3.38 | 8,797 | |
| Anesthesiology | $320,090 | $19.4M | 0.02 | 4,246 | |
| Radioisotope | $311,420 | $5.2M | 0.06 | 6,421 | |
| Pathology | $109,420 | $291,831 | $213,614 | 1.37 | |
| Electroencephalography | $28,124 | $116,502 | $9.3M | 0.01 | 488 |
| Speech pathology | $19,932 | $103,789 | $522,470 | 0.20 | 117 |
| Electrocardiology | $20,251 | $95,661 | $2.8M | 0.03 | 1,848 |
| Whole blood & packed red blood cell | $28,198 | $1.5M | 0.02 | 513 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $13.2M | $25.1M | $172.9M | 0.15 | 79,983 |
| Skilled nursing facility | $11.4M | $21.7M | $34.3M | 0.63 | 48,886 |
| Other long term care | $7.8M | $16.5M | $91.5M | 0.18 | 19,655 |
| Subprovider - ipf | $6.3M | $10.6M | $41M | 0.26 | 20,384 |
| Intensive care unit | $6.1M | $9.8M | $39.3M | 0.25 | 8,797 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other a&g | $3.6M | $20.3M | 21,766 | ||
| Employee benefits department | $420,791 | $15.1M | 8,531 | $49.32 | 8,791 |
| Maintenance & repairs | $3.3M | $9.3M | 40,216 | $81.43 | 9,639 |
| Cap rel costs-mvble equip | $3.9M | ||||
| Dietary | $2.9M | $3.6M | 50,470 | $39.59 | 14,931 |
| Data processing | $946,049 | $3.3M | 3,271 | ||
| Housekeeping | $2.6M | $2.9M | 74,386 | $34.37 | 3,761 |
| Nursing administration | $2.6M | $2.8M | 30,856 | $85.73 | 5,295 |
| Pharmacy | $2.6M | $2.7M | 37,705 | $68.71 | 6,006 |
| Purchasing receiving and stores | $676,364 | $2.3M | 7,484 | ||
| Admitting | $1.8M | $1.9M | 6,417 | ||
| Cap rel costs-bldg & fixt | $1.9M | 518,303 | |||
| Cafeteria | $1.8M | 23,838 | $39.59 | 12,163 | |
| Medical records & library | $476,719 | $944,295 | 10,533 | $45.26 | 15,315 |
| Nonpatient telephones | $444,047 | $691,628 | 614 | ||
| Central services & supply | $499,451 | $638,186 | 11,081 | $45.07 | 11,722 |
| Operation of plant | $545,864 | 12,356 | |||
| Laundry & linen service | $15,403 | $534,109 | 311 | $49.53 | 6,630 |
| Social service | $179,948 | $179,948 | 2,330 | $77.23 | 702 |
| Cashiering/accounts receivable | $146,717 | $147,567 | 5,681 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838046, amended. 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 Seton Medical Center for an inpatient stay.
1.89
Case mix index
Higher than 70% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
22.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
687
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 | 1.86 | 1.87 | 1.98 | 2.08 | 1.97 | 1.96 | 1.89 |
| Wage index | 1.825 | 1.796 | 1.859 | 1.874 | 1.781 | 1.702 | 1.741 |
| Readmissions adjustment | -0.19% | -0.56% | -0.61% | -0.41% | -0.36% | -0.40% | -0.20% |
| Value-based purchasing adjustment | +0.29% | +0.32% | +0.32% | +0.77% | +0.13% | -0.05% | -0.64% |
| Medicare inpatient stays | 1,522 | 1,522 | 990 | 1,063 | 915 | 702 | 687 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Seton Medical Center reports to Medicare as owners or with operational control. 6 individuals also hold ownership interests; they are not listed here.
Ahmc Healthcare, LP
5% or greater direct ownership interest, 60.8%, since 2021
Calmed Investment LP
5% or greater indirect ownership interest, 34.7%, since 2021
Olivia Joy Investment Corp
5% or greater direct ownership interest, 20%, since 2021
Alhambra Hospital Medical Center, LP
5% or greater indirect ownership interest, 19.9%, since 2021
Mochi Group LP
5% or greater direct ownership interest, 19%, since 2021
Ahmc, Inc.
5% or greater indirect ownership interest, 7.6%, since 2021
Ahmc Healthcare Inc.
Operational/managerial control, since 2021
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Seton Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 4 are shown.
340B drug pricing program
Not participating
340B ID DSH050289, registered as a disproportionate share hospital. Authorizing official: James Jackson, Chief Operating Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Smc psych unit
CCN 05S289, certified 2016, Medicare prospective payment
Seton snf unit
CCN 555235, certified 1986, Medicare prospective payment
Source: Worksheet S-2 Part I of Seton Medical Center's latest Medicare cost report (HCRIS).
About Seton Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Seton Medical Center range from $634 to $5,915 across 4 insurers. Aetna's rate is $634. The median at nearby comparable hospitals is $3,500. 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 Seton Medical Center range from $599 to $5,915 across 4 insurers. Aetna's rate is $599. The median at nearby comparable hospitals is $5,854. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Seton Medical Center range from $1,173 to $6,600 across 3 insurers. UnitedHealthcare's rate is $6,600. The median at nearby comparable hospitals is $2,595. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Seton Medical Center range from $4,439 to $9,477 across 4 insurers. Cigna's rate is $4,439. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Seton Medical Center range from $153 to $1,531 across 3 insurers. UnitedHealthcare's rate is $153. The median at nearby comparable hospitals is $491. What a patient pays depends on their plan's deductible, coinsurance and network status.
Seton Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Seton Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Seton Medical Center's base inpatient payments by an estimated 0.20% 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 (100 discharges), heart failure and shock with mcc (22 discharges), respiratory infections and inflammations with mcc (19 discharges).
Seton Medical Center's Medicare case mix index is 1.89 for fiscal year 2027, higher than 70% of hospitals paid under the inpatient prospective payment system.
Seton Medical Center reported 2,168 inpatient discharges and 30,640 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Seton Medical Center reported 489 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Seton Medical Center reported $134.7M in net patient revenue on $942.3M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -40.8%, and net income of -$42.7M.
Seton Medical Center reported $27.9M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $3.3M of charity care at cost.
Seton Medical Center's Medicare enrollment lists Sarkis Vartanian as Interim CEO since 2021.
Insurers' price transparency files list Seton Medical Center under employer identification number 85-1126333 (Ahmc Seton Medical Center LLC), and 1 other tax ID. 40 health plans and networks list 85-1126333 for it.
HRSA's 340B database lists Seton Medical Center (340B ID DSH050289) as no longer participating since 2020.
155 clinicians who bill Medicare list Seton Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (22), emergency medicine physician (13), diagnostic radiology physician (10).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Seton Medical Center, effective 2023.
In its Medicare enrollment, Seton Medical Center reports Ahmc Healthcare, LP as 5% or greater direct ownership interest (60.8%).
CMS lists 27 services at Seton Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Seton Medical Center came from ZIP codes 94015 (359), 94014 (294), 94080 (158).
Seton Medical Center has 398 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 126 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Seton Medical Center is located at 1900 Sullivan Avenue, Daly City, CA 94015. Its main phone number is (650) 992-4000.
Seton Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050289.
The National Provider Identifier (NPI) on file for Seton Medical Center is 1154428688.
Seton Medical Center is affiliated with Verity Health System.
Seton Medical Center lists 18 in-network payers, including Ameri Health, Avera Health Plans, BCBS, Centene, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
351 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