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Short Term Acute Care HospitalProprietary

Sierra Vista Regional Medical Center

Tenet Healthcare Corporation · San Luis Obispo, CA

1010 Murray Avenue, San Luis Obispo, CA 93405(850) 546-7600

3 of 5

CMS star rating

162

Beds

4,621

Inpatient discharges a year

$94.8M

Net patient revenue a year

32

In-network payers

About this hospital

Sierra Vista Regional Medical Center is a 162-bed proprietary hospital in San Luis Obispo, CA, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 316 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
050506
NPI
1639101116
Health system
Tenet Healthcare Corporation
Teaching
No Medicare-funded residents
County
San Luis Obispo County
Metro area
San Luis Obispo-Paso Robles, CA MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1968
Last CMS survey
2023

Prices for common services

The 24 services Sierra Vista Regional 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

Vaginal delivery, hospital stay

MS-DRG 807

$10,581 - $19,847

from 4 insurers · median $17,385

Cigna$18,636
Insurer A*$10,581
Insurer B*$16,134
Insurer C*$19,847

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

Cesarean delivery, hospital stay

MS-DRG 788

$13,475 - $31,096

from 4 insurers · median $27,017

Cigna$27,310
Insurer A*$13,475
Insurer B*$26,723
Insurer C*$31,096

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,632 - $15,222

from 3 insurers · median $9,860

Aetna$15,222
Insurer A*$5,632
Insurer B*$9,860
Medicare $4,255Nearby hospitals $5,82969% above nearby hospitals

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,257 - $5,961

from 3 insurers · median $3,148

UnitedHealthcare$5,961
Insurer A*$2,257
Insurer B*$3,148
Medicare $459Nearby hospitals $828280% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sierra Vista Regional Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*8
978%
31
Insurer B*24
544%
200
Insurer C*20
411%
68
Insurer D*22
323%
112

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Sierra Vista Regional Medical Center, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    3 of 5 stars

    • 140 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.22%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 40 services
    • 302 affiliated clinicians
    See doctors and services
  • Finances

    $94.8M net patient revenue

    • Operating margin on patient care -34.0%
    • $13.1M unreimbursed and uncompensated care
    • -$31.8M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Health System/west

    • Private (for profit)
    • Ryan Ashlock, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Sierra Vista Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-2588614Adventist Health Sierra Vista57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1639101116 Sierra Vista Hospital Inc.1275558819 Sierra Vista Hospital Inc.1003187881 Magnetic Resonance Imaging Of San Luis Obispo Inc.and 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1010 Murray Avenue, San Luis Obispo, CA 93405

(850) 546-7600

Get directions

Frequently asked questions

About Sierra Vista Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Sierra Vista Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sierra Vista Regional Medical Center range from $1,895 to $5,697 across 2 insurers. UnitedHealthcare's rate is $5,697. The median at nearby comparable hospitals is $748. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sierra Vista Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sierra Vista Regional Medical Center range from $2,257 to $5,961 across 3 insurers. UnitedHealthcare's rate is $5,961. The median at nearby comparable hospitals is $828. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sierra Vista Regional Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sierra Vista Regional Medical Center range from $3,952 to $9,519 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,792. The median at nearby comparable hospitals is $4,791. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Sierra Vista Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sierra Vista Regional Medical Center range from $10,581 to $19,847 across 4 insurers. Cigna's rate is $18,636. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sierra Vista Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sierra Vista Regional Medical Center range from $253 to $869 across 3 insurers. Cigna's rate is $253. The median at nearby comparable hospitals is $305. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sierra Vista Regional Medical Center's CMS star rating?

Sierra Vista Regional Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Sierra Vista Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sierra Vista Regional Medical Center for fiscal year 2027.

Does Medicare penalize Sierra Vista Regional Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sierra Vista Regional Medical Center's base inpatient payments by an estimated 0.22% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sierra Vista Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (122 discharges), simple pneumonia and pleurisy with mcc (39 discharges), heart failure and shock with mcc (29 discharges).

What is Sierra Vista Regional Medical Center's case mix index?

Sierra Vista Regional Medical Center's Medicare case mix index is 2.05 for fiscal year 2027, higher than 81% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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