Providence Saint Joseph Health · Apple Valley, CA
2 of 5
CMS star rating
214
Beds
13,583
Inpatient discharges a year
$414.6M
Net patient revenue a year
29
In-network payers
St. Mary Medical Center is a 214-bed voluntary non-profit - private hospital in Apple Valley, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 336 disclosed rate categories.
The 24 services St. Mary 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
$7,987 - $15,623
from 4 insurers · median $10,243
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
$11,269 - $25,367
from 4 insurers · median $13,216
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
Digestive procedures
CPT 45380
$3,227 - $10,656
from 3 insurers · median $7,800
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$611 - $2,614
from 4 insurers · median $1,725
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,227 - $8,467
from 3 insurers · median $7,800
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,714 - $8,467
from 4 insurers · median $5,513
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $2,048
from 4 insurers · median $1,204
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$863 - $7,600
from 4 insurers · median $2,637
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$136,186 - $303,607
from 3 insurers · median $142,555
Hospital reports cardiac thoracic surgery services to CMS
Mammography
CPT 77067
$160 - $1,057
from 4 insurers · median $661
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,713 - $17,570
from 4 insurers · median $14,672
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$1,550 - $8,467
from 4 insurers · median $5,513
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,987 - $15,623
from 4 insurers · median $10,243
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
CPT 66984
$4,586 - $18,842
from 3 insurers · median $12,304
95 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 71275
$292 - $3,329
from 4 insurers · median $1,857
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$373 - $2,048
from 4 insurers · median $998
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$45,878 - $76,259
from 3 insurers · median $51,349
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 49505
$7,742 - $15,249
from 4 insurers · median $11,765
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70551
$353 - $4,126
from 4 insurers · median $1,969
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $4,575
from 4 insurers · median $2,412
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$2,839 - $13,634
from 4 insurers · median $11,814
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$3,257 - $10,153
from 3 insurers · median $9,454
Typical for a hospital with this service line
MRI imaging
CPT 73721
$396 - $4,111
from 4 insurers · median $2,147
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,632 - $15,600
from 4 insurers · median $9,803
Typical for a hospital with this service line
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* | 24 | 799% | 19 | 0 |
| Insurer B* | 20 | 597% | 9 | 1 |
| Insurer C* | 22 | 371% | 17 | 2 |
| Insurer D* | 24 | 173% | 3 | 13 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 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 St. Mary 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
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$414.6M net patient revenue
Ownership and leadership
Owned by St Mary Medical Center
The employer identification numbers (EINs) health plans and networks list for St. Mary 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 |
|---|---|---|
| 95-1914489St Mary Medical Center | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 35 more | 1669456299 St. Mary Medical Center1710109186 St. Mary Medical Center1043406440 St. Mary Medical Centerand 1 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.
18300 Highway 18, Apple Valley, CA 92307
(760) 242-2311
How St. Mary Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 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 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 8 measures
0 better, 5 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
1 of 5
The lowest rating, shared by 2% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
53%
Lower than 96% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.05
Higher than 74% 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
228 min
Higher than 91% 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
61%
Lower than 60% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 3 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 1 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 53% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.05 | 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 | 228 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 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 St. Mary Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.42% on Medicare payments
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).
Each result CMS publishes for St. Mary 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 | St. Mary 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 | 4.8 | 4.1 | 4.075 | Worse than 79% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,665 cases | 3.8 | 3.9 | 3.81 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 133 cases | 9.9 | 11.8 | 11.57 | Better than 96% 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 · 52 cases | 8.4 | 8.5 | 8.235 | Better than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 257 cases | 10.4 | 11 | 10.29 | Better than 61% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 267 cases | 15.7 | 15.2 | 14.49 | Worse than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 292 cases | 12.3 | 11.6 | 11.57 | Worse than 60% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,539 cases | 0.85 | 0.51 | 0.4818 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 39 cases | 149 | 173 | 171 | No Different Than the National Rate | Better than 87% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,834 cases | 0.23 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 77% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,052 cases | 0.24 | 0.27 | 0.261 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 604 cases | 2 | 2.29 | 2.308 | No Different Than the National Rate | Better than 86% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 103 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 · 117 cases | 9.7 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 586 cases | 3.6 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 104 cases | 4.94 | 5.105 | 5.495 | No Different Than the National Rate | Better than 64% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 132 cases | 1.69 | 1.72 | 1.796 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 557 cases | 0.91 | 1.02 | 1.061 | No Different Than the National Rate | Better than 81% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 115 cases | 27.4 | 4.2 | 11.09 | Worse than 82% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 294 cases | 25.5 | 1.25 | 7.901 | Worse than 80% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 278 cases | 63 | 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 · 37 cases | 12.8 | 12.9 | 12.91 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 103 cases | 0.9 | 1 | 1.001 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 337 cases | 14.8 | 14.4 | 14.43 | Worse than 69% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 66 cases | 12.3 | 10.9 | 11.19 | Worse than 81% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 147 cases | 18.8 | 19.8 | 19.94 | Better than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 688 cases | 21.4 | 21.3 | 21.41 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 27 cases | 6.2 | 5.8 | 5.612 | Worse than 72% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 662 cases | 17.3 | 17.2 | 17.7 | Worse than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | St. Mary 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 | 0.151 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.611 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,397 | 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 | 5.067 | 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 | 3 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.592 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 60% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.066 | 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 | 1.304 | 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 | 4,915 | 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 | 5.067 | 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 | 0.395 | 0.399 | 0.5366 | No Different than National Benchmark | Better than 51% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.542 | 0.2345 | 0.32 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.279 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 117 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 3.38 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 5 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.479 | 0.7155 | 0.8107 | No Different than National Benchmark | Worse than 85% 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 | 41 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.372 | 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 | Better than the National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.685 | 1.855 | 2.305 | Better than the National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 69,608 | 14,451 | 52,601 | Better than the National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 4.376 | 0.567 | 3.111 | Better than the National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | Better than the National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.7784 | Better than the National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.107 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.482 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 66,179 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 28.71 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 7 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.244 | 0.279 | 0.383 | Better than the National Benchmark | Better than 55% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 479 cases | 61 | 73 | 72.2 | Worse than 92% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 479 cases | 13 | 8 | 8.78 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 479 cases | 26 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 82 | 87 | 86.82 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 479 cases | 2 | 4 | 3.514 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 479 cases | 68 | 80 | 75.76 | Worse than 97% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 86 | 91 | 89.84 | Worse than 96% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 479 cases | 9 | 4 | 5.713 | Worse than 95% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 479 cases | 1 | 3 | 2.855 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 479 cases | 23 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 479 cases | 66 | 79 | 75.81 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 84 | 91 | 89.11 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 479 cases | 12 | 5 | 7.043 | Worse than 98% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 479 cases | 1 | 3 | 2.688 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 479 cases | 22 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 479 cases | 51 | 61 | 58.95 | Worse than 94% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 69 | 77 | 75.75 | Worse than 95% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 479 cases | 29 | 19 | 21.56 | Worse than 95% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 479 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 479 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 81 | 86 | 84.61 | Worse than 87% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 479 cases | 18 | 13 | 15.03 | Worse than 85% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 479 cases | 2 | 3 | 3.08 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 479 cases | 82 | 87 | 84.97 | Worse than 85% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 479 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 · 479 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 · 479 cases | 60 | 74 | 70.69 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 479 cases | 15 | 7 | 8.855 | Worse than 99% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 479 cases | 25 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 63 | 77 | 73.94 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 13 | 6 | 7.637 | Worse than 98% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 24 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 76 | 85 | 81.99 | Worse than 97% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 8 | 3 | 4.958 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 16 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 479 cases | 18 | 8 | 10.01 | Worse than 97% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 479 cases | 30 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 479 cases | 52 | 72 | 67.63 | Worse than 98% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 80 | 88 | 86.85 | Worse than 97% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 479 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 479 cases | 69 | 74 | 72.06 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 479 cases | 13 | 9 | 10.94 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 479 cases | 18 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 479 cases | 65 | 75 | 71.11 | Worse than 95% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 479 cases | 11 | 5 | 7.488 | Worse than 95% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 479 cases | 24 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 63 | 77 | 72.49 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 10 | 4 | 6.121 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 479 cases | 27 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 77 | 86 | 82.8 | Worse than 95% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 6 | 3 | 3.779 | Worse than 92% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 479 cases | 17 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 479 cases | 33 | 59 | 47.5 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 479 cases | 29 | 9 | 17.79 | Worse than 99% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 479 cases | 38 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 65 | 82 | 74.85 | Worse than 99% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 479 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 · 479 cases | 12 | 5 | 7.623 | Worse than 93% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 479 cases | 53 | 71 | 68.6 | Worse than 96% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 479 cases | 79 | 87 | 85.85 | Worse than 93% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 479 cases | 35 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 479 cases | 2 | 4 | 3.431 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 479 cases | 34 | 47 | 45.33 | Worse than 98% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 479 cases | 44 | 30 | 32.51 | Worse than 97% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 479 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 479 cases | 1 | 3 | 2.859 | The lowest rating, shared by 2% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 479 cases | 18 | 12 | 13.94 | Worse than 90% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 479 cases | 82 | 88 | 86.06 | Worse than 90% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 · 2,118 cases | 42 | 79 | 69.96 | Worse than 91% 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 · 380 cases | 229 | 154 | 187 | Worse than 89% 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 · 352 cases | 228 | 148 | 182 | Worse than 91% 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 · 12 cases | 212 | 247 | 282 | Better than 64% 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 · 16 cases | 372 | 293 | 411 | Worse than 77% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 88,422 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 110 cases | 93 | 74 | 75.06 | Better than 93% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,320 cases | 14 | 15 | 13.67 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 173 cases | 61 | 65 | 68.8 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 58 cases | 69 | 73 | 76.38 | Worse than 59% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 33 cases | 79 | 88 | 86.64 | Worse than 75% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 176 cases | 80 | 82 | 82.89 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 101 cases | 98 | 94 | 93.98 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 321 cases | 96 | 98 | 93.4 | Worse than 66% 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 · 294 cases | 94 | 94 | 89.93 | Worse than 46% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,513 cases | 99 | 97 | 94.78 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.4 | 5 | 4.959 | Better than 96% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | St. Mary 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 | 0.99 | 0.99 | 1.024 | Worse than 47% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 30 | 20 | 30.07 | Better than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.5 | 5 | 7.571 | Better than 68% 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 | 12 | 34 | 28.67 | Worse than 93% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 3 | 8.75 | 7.519 | Worse than 94% of US hospitals | |
| VBP safety domain scoreFY 2026 | 23.33 | 40 | 45.16 | Worse than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5.833 | 10 | 11.79 | Worse than 81% of US hospitals | |
| VBP total performance scoreFY 2026 | 16.33 | 29.5 | 30.43 | Worse than 93% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 80 | 76.67 | 55 | 4 | 12 | 30 |
| VBP clinical outcomes weighted domain score | 20 | 19.17 | 13.75 | 1 | 3 | 7.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 20 | 40 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 5 | 10 | 2.5 | 0 |
| VBP person and community engagement domain score | 10 | Not Available | Not Available | 0 | 4 | 12 |
| VBP person and community engagement weighted domain score | 2.5 | Not Available | Not Available | 0 | 1 | 3 |
| VBP safety domain score | 16 | Not Available | Not Available | 34 | 30 | 23.33 |
| VBP safety weighted domain score | 4 | Not Available | Not Available | 8.5 | 7.5 | 5.833 |
| VBP total performance score | 26.5 | Not Available | Not Available | 19.5 | 14 | 16.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 133 cases | 0.9688 | 0.9995 | 1.015 | Better than 71% 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 | 0.9725 | 0.9969 | 1.002 | Better than 73% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 313 cases | 1.044 | 0.9983 | 1.017 | Worse than 76% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.427 | 0.9916 | 0.9788 | Worse than 99% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 256 cases | 1.055 | 0.9955 | 1.026 | Worse than 81% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.049 | 1.016 | 0.9778 | 0.9403 | 0.9938 | 0.9688 |
| READM-30-CABG-HRRP | 1.073 | 1.021 | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.055 | 1.031 | 1.01 | 0.9611 | 0.9666 | 0.9725 |
| READM-30-HF-HRRP | 1.092 | 1.085 | 1.032 | 1.031 | 1.031 | 1.044 |
| READM-30-HIP-KNEE-HRRP | 1.082 | 1.204 | 1.243 | 1.402 | 1.411 | 1.427 |
| READM-30-PN-HRRP | 1.065 | 1.049 | 1.021 | 1.049 | 1.124 | 1.055 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | St. Mary Medical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.189 | 0.489 | 0.6114 | Better than 80% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.576 | 0.346 | 0.449 | Worse than 80% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.383 | 0.559 | 0.679 | Worse than 93% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.704 | 0.6405 | 0.7204 | Worse than 56% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.053 | 0.9628 | 0.9656 | Worse than 74% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.184 | 0.7945 | 0.8116 | Worse than 74% of US hospitals | |
| Total HAC scoreFY 2026 | 0.4569 | -0.0453 | 0.02733 | Worse than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | Yes | Yes |
| Total HAC score | 0.5335 | 0.7519 | 0 | 0.1299 | 0.3671 | 0.4569 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2021)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
212
Medicare-certified beds
521
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. Mary Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
13,583
Inpatient discharges
Medicare 17%, Medicaid 6%
63,708
Inpatient days
82% of available bed days used
1,326
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824011). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Mary Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 12,473 | 0 | 51,235 | 63,708 |
| Discharges | 2,314 | 755 | 10,514 | 13,583 |
| Average length of stay | 5.4 days | 0.0 days | 4.9 days | 4.7 days |
| Average daily census | 34.2 | 0.0 | 140.4 | 174.5 |
18,119
Medicare Advantage days
3,652 discharges
24,322
Medicaid managed care days
4,228 discharges
9,135
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 180 | 51,257 | 11,116 | 78% |
| Intensive care unit | 20 | 6,649 | 1,357 | 91% |
| Other special care | 14 | 3,897 | 76% | |
| Nursery | 1,905 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. Mary Medical Center treats Medicare patients for most often, in 2024. 1,594 Medicare discharges in 52 published DRGs; 8% surgical; 85% 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 | 327 | $98,632 | $18,682 | $21,502 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 164 | $68,097 | $12,025 | $14,845 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 87 | $60,392 | $11,966 | $13,166 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $50,766 | $9,039 | $11,067 | 1.03 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 49 | $79,270 | $15,752 | $17,281 | 1.65 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $235,589 | $48,010 | $51,358 | 5.00 |
| Renal failure with MCCMS-DRG 682, medical | 37 | $63,756 | $14,009 | $13,899 | 1.50 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 36 | $51,884 | $8,913 | $11,311 | 1.02 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $106,655 | $16,390 | $23,251 | 1.70 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 34 | $90,530 | $18,114 | $19,736 | 2.00 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $72,646 | $15,684 | $15,837 | 1.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $57,223 | $10,931 | $12,475 | 1.17 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $112,955 | $18,027 | $24,624 | 1.59 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 25 | $56,391 | $12,751 | $12,293 | 1.32 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 24 | $52,303 | $18,605 | $11,402 | 1.92 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $105,202 | $20,074 | $22,934 | 2.09 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 23 | $51,888 | $7,160 | $11,312 | 0.81 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $63,441 | $10,808 | $13,830 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $36,215 | $6,749 | $7,895 | 0.74 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $44,490 | $6,539 | $9,699 | 0.79 |
See all 52 Medicare inpatient DRGs at St. Mary Medical Center
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) St. Mary Medical Center billed Medicare for most in 2024: 1,351 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 454 | 403 | $32,740 | $2,669 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 188 | 188 | $22,093 | $2,877 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 175 | 62 | $8,415 | $1,585 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 95 | 71 | $10,732 | $2,268 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 66 | 57 | $23,845 | $3,120 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 36 | $21,670 | $3,014 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 38 | 35 | $51,077 | $11,859 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 35 | 30 | $24,576 | $5,599 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $43,156 | $5,651 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 26 | $35,237 | $7,160 | $5,339 |
See all 21 Medicare outpatient services at St. Mary Medical Center
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 St. Mary 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 4,229 in 2020 to 5,640 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92308 | 1,061 | 19% | 5,132 | $96.8M | 47% | 52% |
| 92307 | 943 | 17% | 4,517 | $85M | 55% | 57% |
| 92395 | 645 | 11% | 3,181 | $57.2M | 33% | 37% |
| 92392 | 588 | 10% | 2,751 | $51M | 31% | 34% |
| 92345 | 580 | 10% | 2,618 | $50.6M | 19% | 25% |
| 92394 | 452 | 8% | 2,318 | $43M | 43% | 41% |
| 92301 | 383 | 7% | 1,795 | $32.7M | 40% | 46% |
| 92311 | 185 | 3% | 1,122 | $20.8M | 18% | 16% |
| 92356 | 166 | 3% | 835 | $16.1M | 53% | 67% |
| 92344 | 147 | 3% | 658 | $12.8M | 23% | 29% |
| 92342 | 116 | 2% | 486 | $9.3M | 43% | 51% |
| 92371 | 89 | 2% | 445 | $8.3M | 23% | 28% |
| 92329 | 74 | 1% | 307 | $6.2M | 30% | 27% |
| 92393 | 69 | 1% | 377 | $6.9M | 40% | 74% |
| 92372 | 38 | 1% | 166 | $3.7M | 18% | 20% |
| 92340 | 26 | 0% | 125 | $2.2M | 29% | 27% |
| 92398 | 17 | 0% | 110 | $2.3M | 33% | 38% |
| 92368 | 15 | 0% | 96 | $1.5M | 100% | 50% |
| 92365 | 12 | 0% | 43 | $630,649 | 16% | 24% |
| 92397 | 12 | 0% | 32 | $859,693 | 9% | |
| 92314 | 11 | 0% | 46 | $898,530 | 5% | 6% |
| 92315 | 11 | 0% | 40 | $1M | 6% |
Source: CMS Hospital Service Area file. Shares are of the 5,640 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 St. Mary Medical Center reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
9
Operating rooms
2
Endoscopy rooms
2
Cardiac catheterization rooms
22
Psychiatric unit beds
8
Off-site locations
521
Registered nurses
3
Licensed practical nurses
2
Nurse practitioners
9
Pharmacists
31
Respiratory therapists
4
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
13
Radiology technicians
4
Nuclear medicine technicians
31
Laboratory technicians
14
Medical technologists
6
Dietitians
2
Social workers
641
Other personnel
Source: CMS Provider of Services file.
277 clinicians who bill Medicare list St. Mary 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.
Ravindra Gautam, M.D.
Internal Medicine Physician
NPI 1891791703
See commercial rates for Ravindra Gautam, M.D.Samuel Lee, M.D.
Urology Physician
NPI 1194772418
See commercial rates for Samuel Lee, M.D.Mukeshchandra Patel, M.D.
Specialist
NPI 1639106198
See commercial rates for Mukeshchandra Patel, M.D.Venkat Devineni, MD
Cardiovascular Disease Physician
NPI 1588650675
See commercial rates for Venkat Devineni, MDRamin Ashtiani, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1427004977
See commercial rates for Ramin Ashtiani, M.D.Hassan Semaan, MD
Diagnostic Radiology Physician
NPI 1144209420
See commercial rates for Hassan Semaan, MDArash Milani, MD
Internal Medicine Physician
NPI 1043581317
See commercial rates for Arash Milani, MDSamir Nayyar, MD
Orthopaedic Surgery Physician
NPI 1063703270
See commercial rates for Samir Nayyar, MDBrian Puzsar, M.D.
Diagnostic Radiology Physician
NPI 1164468179
See commercial rates for Brian Puzsar, M.D.Seyed Shahrokni, M.D.
Diagnostic Neuroimaging (Radiology) Physician
NPI 1104877497
See commercial rates for Seyed Shahrokni, M.D.Chirag Mehta, M.D.
Cardiovascular Disease Physician
NPI 1144483256
See commercial rates for Chirag Mehta, M.D.Vincent Covelli, D.O.
Infectious Disease Physician
NPI 1528354347
See commercial rates for Vincent Covelli, D.O.Matthew Alvin, MD, MBA, MS, MA
Diagnostic Radiology Physician
NPI 1518393768
See commercial rates for Matthew Alvin, MD, MBA, MS, MAYuki Miura
Diagnostic Radiology Physician
NPI 1710348644
See commercial rates for Yuki MiuraShiv Bhanu, MD
Diagnostic Radiology Physician
NPI 1215208673
See commercial rates for Shiv Bhanu, MDNanda Biswas, M.D.
Hematology & Oncology Physician
NPI 1043316656
See commercial rates for Nanda Biswas, M.D.Ricardo Gomez, M.D.
Pulmonary Disease Physician
NPI 1790053528
See commercial rates for Ricardo Gomez, M.D.Sunil Patel, D.O.
Nephrology Physician
NPI 1134274012
See commercial rates for Sunil Patel, D.O.Bipinchandra Bhagat, M.D.
Infectious Disease Physician
NPI 1306046123
See commercial rates for Bipinchandra Bhagat, M.D.Charles Ananian, DPM
Podiatrist
NPI 1033120787
See commercial rates for Charles Ananian, DPMEzzat Nashed, MD
Family Medicine Physician
NPI 1336106640
See commercial rates for Ezzat Nashed, MDErika Franco, NP
Nurse Practitioner
NPI 1285299628
See commercial rates for Erika Franco, NPSoheil Sharifi-Amina, D.O.
Diagnostic Radiology Physician
NPI 1538382544
See commercial rates for Soheil Sharifi-Amina, D.O.Jerrick Thacker, MSN APRN FNP-C
Nurse Practitioner
NPI 1275275307
See commercial rates for Jerrick Thacker, MSN APRN FNP-CSource: 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 St. Mary 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) | $2.2B | 530.7% |
| Inpatient | $1.1B | 263.5% |
| Outpatient | $1.1B | 267.2% |
| Contractual allowances and discounts | -$1.8B | -430.7% |
| Net patient revenue | $414.6M | 100.0% |
| Operating expenses | -$437.4M | -105.5% |
| Operating income from patient care | -$22.8M | -5.5% |
| Other income | $10.8M | 2.6% |
| Contributions and donations | $1.5M | 0.4% |
| Investment income | $5.5M | 1.3% |
| Other | $3.8M | 0.9% |
| Net income | -$12M | -2.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $261.6M | 11.9% |
| Medicaid (including managed care) | $841.1M | 38.2% |
| Other payers and self-pay | $1.1B | 49.9% |
| Total charges | $2.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. Mary Medical Center's latest cost report.
-5.5%
Operating margin
Operating income from patient care / net patient revenue
-2.8%
Total margin
Net income / net patient revenue plus other income
0.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
50% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$57.76
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-2.0%
Return on assets
Net income for a year / total assets
-2.3%
Return on equity
Net income for a year / fund balance
0.06
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
14.71
Current ratio
Current assets / current liabilities
10.38
Quick ratio
Cash, temporary investments and net receivables / current liabilities
197 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
54 days
Days in patient receivables
Net patient receivables / daily net patient revenue
24 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.72
Asset turnover
Total revenue for a year / total assets
13.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. Mary Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $594.2M in total assets and a $531.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $227.7M | 38.3% |
| Patient receivables, net | $61.9M | 10.4% |
| Inventory | $5.1M | 0.9% |
| Total current assets | $410.4M | 69.1% |
| Property and equipment, net of depreciation | $105.3M | 17.7% |
| Investments and other assets | $78.5M | 13.2% |
| Total assets | $594.2M | 100.0% |
| Current liabilities | $27.9M | 4.7% |
| Long-term debt | $31.4M | 5.3% |
| Total liabilities | $62.6M | 10.5% |
| Fund balance (net assets) | $531.6M | 89.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Mary Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$8.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.2M
Bad debt
Patient bills written off as uncollectible, at charges
$79.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$23.1M
Total unreimbursed and uncompensated care
5.3% 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 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. Mary Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $374.2M | $364.4M | $361.1M | $367.7M | $385.4M | $414.6M |
| Operating expenses | $317.4M | $341.7M | $378.7M | $372.6M | $401.3M | $437.4M |
| Operating margin | 15.2% | 6.2% | -4.9% | -1.4% | -4.1% | -5.5% |
| Net income | $74.8M | $86M | -$1.4M | -$2.7M | $8.7M | -$12M |
| Total assets | $512.4M | $625.6M | $611.9M | $602.7M | $606.7M | $594.2M |
| Discharges | 12,453 | 10,951 | 13,530 | 13,663 | 12,654 | 13,583 |
| Inpatient days | 59,942 | 60,247 | 71,645 | 68,490 | 58,377 | 63,708 |
| Medicare Advantage days | 10,749 | 13,907 | 17,765 | 19,158 | 16,265 | 18,119 |
| Beds | 213 | 213 | 213 | 231 | 214 | 214 |
| Employees (FTE) | 1,265 | 1,138 | 1,231 | 1,260 | 1,242 | 1,326 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Mary 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 | $20.4M | $49.3M | $712M | 0.07 | 12,656 |
| Operating room | $11.2M | $39.8M | $134.4M | 0.30 | 18,107 |
| Drugs charged to patients | $19.3M | $119.7M | 0.16 | ||
| Observation beds (non-distinct part | $16.5M | $28.5M | 0.58 | ||
| Delivery room & labor room | $6.2M | $16.3M | $30.3M | 0.54 | 13,873 |
| Laboratory | $5M | $16.3M | $204.9M | 0.08 | 3,942 |
| Radiology-diagnostic | $5M | $10.9M | $69.3M | 0.16 | 6,680 |
| Medical supplies charged to patient | $10.4M | $23M | 0.45 | ||
| Impl. dev. charged to patients | $9.5M | $53.1M | 0.18 | ||
| Respiratory therapy | $4.4M | $9M | $111.9M | 0.08 | 1,202 |
| Cardiac catheterization | $3.1M | $7.2M | $62.3M | 0.12 | 2,367 |
| Ct scan | $496,945 | $6.2M | $205.6M | 0.03 | 1,171 |
| Hyperbaric oxygen therapy | $1.7M | $4.4M | $25.1M | 0.18 | 10 |
| Whole blood & packed red blood cell | $722,210 | $3.7M | $8.3M | 0.45 | 211 |
| Ultra sound | $1.2M | $3.1M | $45.3M | 0.07 | 327 |
| Renal dialysis | $2.7M | $4.3M | 0.61 | 308 | |
| Physical therapy | $1.1M | $2.6M | $17.4M | 0.15 | 1,455 |
| Electrocardiology | $1.2M | $2.1M | $44M | 0.05 | 3 |
| Radioisotope | $357,396 | $1.9M | $4.4M | 0.43 | 1,312 |
| Mri | $491,108 | $1.4M | $8.7M | 0.16 | 801 |
| Speech pathology | $394,652 | $1M | $6M | 0.17 | 500 |
| Occupational therapy | $416,451 | $950,673 | $8.1M | 0.12 | 250 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $46.2M | $109.2M | $196.2M | 0.56 | 32,255 |
| Intensive care unit | $12.2M | $26M | $45.5M | 0.57 | 7,807 |
| Neonatal intensive care unit | $5.6M | $11.8M | $28.7M | 0.41 | 1,663 |
| Nursery | $2.7M | $3.6M | 0.75 | 2,128 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.3M | $56.7M | 127,439 | $41.91 | 29,696 |
| Employee benefits department | $385,384 | $36.8M | 6,765 | $56.97 | |
| Nursing administration | $11.3M | $17.1M | 295,951 | $52.56 | 1,170 |
| Cap rel costs-bldg & fixt | $12.8M | 174,441 | |||
| Pharmacy | $5M | $7.4M | 77,640 | $64.93 | 1,869 |
| Operation of plant | $1.2M | $7.1M | 27,563 | $41.96 | 19,846 |
| Housekeeping | $2.7M | $4.1M | 102,067 | $26.25 | 3,960 |
| Maintenance & repairs | $686,029 | $3.3M | 13,917 | $49.29 | 1,227 |
| Cafeteria | $442,309 | $3.3M | 64,906 | $25.06 | 56 |
| Cap rel costs-mvble equip | $2.9M | ||||
| Social service | $5M | $2.6M | 19,269 | $38.08 | 227 |
| Nursing program | $53,672 | $2.1M | |||
| Laundry & linen service | $62,776 | $1.7M | 2,488 | $25.23 | |
| Dietary | $1.8M | $1.6M | 25,407 | $24.71 | 5,309 |
| Central services & supply | $824,741 | 2,053 | |||
| Medical records & library | $364,121 | ||||
| Paramed ed prgm- pharmacy | $141,656 | $169,510 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824011, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays St. Mary Medical Center for an inpatient stay.
1.84
Case mix index
Higher than 66% 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).
48.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,299
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 | 1.74 | 1.74 | 1.94 | 1.86 | 1.81 | 1.80 | 1.84 |
| Wage index | 1.275 | 1.272 | 1.277 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.86% | -0.82% | -0.70% | -0.26% | -0.40% | -0.55% | -0.42% |
| Value-based purchasing adjustment | -0.07% | -0.30% | -0.30% | +0.36% | -0.15% | -0.75% | -0.87% |
| Medicare inpatient stays | 3,107 | 3,107 | 2,043 | 2,437 | 2,225 | 2,063 | 2,299 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St. Mary Medical Center reports to Medicare as owners or with operational control.
St Mary Medical Center
5% or greater direct ownership interest, 100%, since 2020
Providence Health & Services - Washington
Operational/managerial control, since 2020
Sources: CMS Hospital All Owners.
The officers and board members on St. Mary 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 17 of 18 are shown.
| Name | Title |
|---|---|
| Brian Lee Helleland | Chief Exec So Ca Oc/hd |
| Jim Watson Esq | Secretary |
| Jim Martin | Assistant Treasurer |
| Randy Castillo | Trustee/ceo |
| Gene Gutierrez | CFO |
| Donald Anderson Jr | Assistant Secretary For Enrollment |
Board members: Prashanth Kumar, Adolph Collaso, Cr Burke, Derek King Edd, Jason Cunningham, Jason Lamoreaux, Jovy Yankaskas, Margaret Curran, Mark Lauron MD, Paul Gostanian, Regina Weatherspoon-Bell, Sister Judith Dugan, Sister Paulette Deters, Ziad El Hajjaoui.
Source: IRS Form 990 Part VII filed by St Mary Medical Center (EIN 95-1914489), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2010
340B ID DSH050300, registered as a disproportionate share hospital; 2 registered outpatient sites; 7 active contract pharmacies. Authorizing official: Jeffrey Robey, Service Area Chief Financial Officer Oc/hd.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About St. Mary Medical Center's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at St. Mary Medical Center range from $353 to $4,126 across 4 insurers. Aetna's rate is $353. The median at nearby comparable hospitals is $1,608. 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 St. Mary Medical Center range from $611 to $2,614 across 4 insurers. Cigna's rate is $2,128. The median at nearby comparable hospitals is $890. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St. Mary Medical Center range from $3,227 to $10,656 across 3 insurers. Aetna's rate is $7,800. The median at nearby comparable hospitals is $3,110. 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 St. Mary Medical Center range from $7,987 to $15,623 across 4 insurers. UnitedHealthcare's rate is $9,058. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Mary Medical Center range from $160 to $1,057 across 4 insurers. UnitedHealthcare's rate is $160. The median at nearby comparable hospitals is $292. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Mary Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at St. Mary Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Mary Medical Center's base inpatient payments by an estimated 0.42% 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 (327 discharges), heart failure and shock with mcc (164 discharges), simple pneumonia and pleurisy with mcc (87 discharges).
St. Mary Medical Center's Medicare case mix index is 1.84 for fiscal year 2027, higher than 66% of hospitals paid under the inpatient prospective payment system.
St. Mary Medical Center reported 13,583 inpatient discharges and 63,708 inpatient days from Jul 1, 2024 to Jun 30, 2025.
St. Mary Medical Center reported 1,326 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
St. Mary Medical Center reported $414.6M in net patient revenue on $2.2B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -5.5%, and net income of -$12M.
St. Mary Medical Center reported $23.1M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $8.2M of charity care at cost.
St. Mary Medical Center's Medicare enrollment lists Gregory David Hoffman as President/ceo & Treasurer since 2020. Its 2024 IRS Form 990 lists Randy Castillo as Trustee/ceo.
Insurers' price transparency files list St. Mary Medical Center under employer identification number 95-1914489 (St Mary Medical Center). 40 health plans and networks list 95-1914489 for it.
Yes. HRSA's 340B database lists St. Mary Medical Center (340B ID DSH050300) as a participating disproportionate share hospital since 2010, with 7 active contract pharmacies.
277 clinicians who bill Medicare list St. Mary Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (37), diagnostic radiology physician (28), emergency medicine physician (19).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. Mary Medical Center, effective 2021.
In its Medicare enrollment, St. Mary Medical Center reports St Mary Medical Center as 5% or greater direct ownership interest (100%).
CMS lists 38 services at St. Mary Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. Mary Medical Center came from ZIP codes 92308 (1,061), 92307 (943), 92395 (645).
St. Mary Medical Center has 214 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 212 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. Mary Medical Center is located at 18300 Highway 18, Apple Valley, CA 92307. Its main phone number is (760) 242-2311.
St. Mary Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050300.
The National Provider Identifier (NPI) on file for St. Mary Medical Center is 1669456299.
St. Mary Medical Center is affiliated with Providence Saint Joseph Health.
St. Mary Medical Center lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
336 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