Alecto Healthcare Services · Hayward, CA
1 of 5
CMS star rating
155
Beds
3,207
Inpatient discharges a year
$104.9M
Net patient revenue a year
30
In-network payers
St Rose Hospital is a 155-bed voluntary non-profit - church hospital in Hayward, CA, affiliated with Alecto Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 245 disclosed rate categories.
The 24 services St Rose Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$2,280 - $14,566
from 4 insurers · median $5,000
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
$4,135 - $13,474
from 4 insurers · median $5,225
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 · Inpatient
MS-DRG 470
$5,000 - $50,633
from 4 insurers · median $8,241
62 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$2,280 - $14,566
from 4 insurers · median $5,000
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
Digestive procedures
CPT 43239
$690 - $4,650
from 2 insurers · median $2,670
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$797 - $4,650
from 2 insurers · median $2,724
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805 - $4,650
from 2 insurers · median $2,727
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$326 - $901
from 4 insurers · median $549
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,200 - $8,459
from 3 insurers · median $5,534
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$785 - $4,650
from 2 insurers · median $2,717
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$116 - $750
from 4 insurers · median $311
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$202 - $2,638
from 4 insurers · median $751
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,000 - $14,847
from 2 insurers · median $10,923
Typical for a hospital with this service line
Mammography
CPT 77067
$134 - $400
from 4 insurers · median $216
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$5,000 - $32,528
from 4 insurers · median $6,551
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 70553
$417 - $1,600
from 4 insurers · median $1,149
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$167 - $750
from 4 insurers · median $375
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$942 - $5,200
from 2 insurers · median $3,071
Typical for a hospital with this service line
CT imaging
CPT 71275
$280 - $750
from 4 insurers · median $502
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$820 - $4,500
from 4 insurers · median $2,318
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$83 - $2,150
from 2 insurers · median $1,116
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$2,171 - $5,000
from 2 insurers · median $3,585
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$1,238 - $4,500
from 2 insurers · median $2,869
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$248 - $1,600
from 4 insurers · median $633
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* | 23 | 399% | 6 | 12 |
| Insurer B* | 16 | 253% | 2 | 10 |
| Insurer C* | 24 | 137% | 2 | 14 |
| Insurer D* | 14 | 108% | 0 | 10 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 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 Rose Hospital, 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
$104.9M net patient revenue
Ownership and leadership
Church
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for St Rose Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-1668344Hayward Sisters Hospital | 45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 40 more | 1942298153 Hayward Sisters Hospital1154167435 Hayward Sisters Hospital1902982358 Hayward Sisters Hospitaland 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.
27200 Calaroga Avenue, Hayward, CA 94545
(510) 782-6200
How St Rose Hospital 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
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 5 measures
0 better, 3 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% 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)
1.02
Higher 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
160 min
Higher than 58% 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
70%
Higher 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 | 1 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 2 of 5 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 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) | 1.02 | 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 | 160 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 70% | 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 Rose Hospital's inpatient payments for its readmissions, quality and cost results.
-1.89% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.58% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for St Rose Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 97 cases | 4.6 | 4.1 | 4.075 | Worse than 72% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 567 cases | 4.2 | 3.9 | 3.81 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 62 cases | 13.2 | 11.8 | 11.57 | Worse than 88% 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 · 57 cases | 11 | 8.5 | 8.235 | Worse than 94% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 82 cases | 11.2 | 11 | 10.29 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 152 cases | 20.6 | 15.2 | 14.49 | Worse than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,264 cases | 0.36 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 72% 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 · 1,834 cases | 0.32 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 95% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,870 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 295 cases | 2.23 | 2.29 | 2.308 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 124 cases | 2.13 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 123 cases | 11.87 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 285 cases | 3.71 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 120 cases | 5.19 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 43 cases | 1.74 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 227 cases | 1.02 | 1.02 | 1.061 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 116 cases | 35 | 1.25 | 7.901 | Worse than 86% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 152 cases | 29.5 | 3.85 | 16.67 | Worse than 81% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 12.91 | Number of Cases Too Small | ||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | 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 | Not Available | 1.001 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 84 cases | 15.5 | 14.4 | 14.43 | Worse than 90% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 72 cases | 20.9 | 19.8 | 19.94 | Worse than 86% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 120 cases | 20.3 | 21.3 | 21.41 | Better than 81% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 101 cases | 5.4 | 5.8 | 5.612 | Better than 71% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 147 cases | 18.8 | 17.2 | 17.7 | Worse than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| 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 | 1,297 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.942 | 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 | 0.038 | 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 | 3.703 | 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 | 1,890 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.332 | 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 | 1 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.751 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 78% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 18 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.433 | 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 | 3 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.021 | 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 | 12,369 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.473 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.179 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.359 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 12,369 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.102 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.563 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 80% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 389 cases | 78 | 73 | 72.2 | Better than 68% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 389 cases | 7 | 8 | 8.78 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 389 cases | 15 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 389 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 389 cases | 70 | 80 | 75.76 | Worse than 95% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 87 | 91 | 89.84 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 389 cases | 8 | 4 | 5.713 | Worse than 92% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 389 cases | 22 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 389 cases | 71 | 79 | 75.81 | Worse than 93% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 88 | 91 | 89.11 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 389 cases | 7 | 5 | 7.043 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 389 cases | 22 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 389 cases | 57 | 61 | 58.95 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 75 | 77 | 75.75 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 389 cases | 24 | 19 | 21.56 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 389 cases | 19 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 389 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 · 389 cases | 19 | 13 | 15.03 | Worse than 89% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 3.08 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 389 cases | 81 | 87 | 84.97 | Worse than 89% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 389 cases | 20 | 14 | 16.39 | Worse than 84% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 389 cases | 80 | 86 | 83.61 | Worse than 84% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 389 cases | 64 | 74 | 70.69 | Worse than 96% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 389 cases | 10 | 7 | 8.855 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 389 cases | 26 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 71 | 77 | 73.94 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 6 | 6 | 7.637 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 23 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 79 | 85 | 81.99 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 4 | 3 | 4.958 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 17 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 389 cases | 9 | 8 | 10.01 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 389 cases | 31 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 389 cases | 60 | 72 | 67.63 | Worse than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 85 | 88 | 86.85 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 389 cases | 73 | 74 | 72.06 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 389 cases | 13 | 9 | 10.94 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 389 cases | 14 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 389 cases | 64 | 75 | 71.11 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 389 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 · 389 cases | 25 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 65 | 77 | 72.49 | Worse than 96% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 9 | 4 | 6.121 | Worse than 92% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 389 cases | 26 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 80 | 86 | 82.8 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 5 | 3 | 3.779 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 389 cases | 15 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 389 cases | 52 | 59 | 47.5 | Worse than 74% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 389 cases | 13 | 9 | 17.79 | Worse than 71% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 389 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 80 | 82 | 74.85 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 389 cases | 3 | 3 | 2.203 | Worse than 44% 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 · 389 cases | 8 | 5 | 7.623 | Worse than 76% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 389 cases | 67 | 71 | 68.6 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 389 cases | 86 | 87 | 85.85 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 389 cases | 25 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 389 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 389 cases | 41 | 47 | 45.33 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 389 cases | 35 | 30 | 32.51 | Worse than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 389 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 389 cases | 2 | 3 | 2.859 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 389 cases | 17 | 12 | 13.94 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 389 cases | 83 | 88 | 86.06 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 909 cases | 85 | 79 | 69.96 | Better than 60% 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 · 381 cases | 161 | 154 | 187 | Worse than 55% 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 · 346 cases | 160 | 148 | 182 | Worse than 58% 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 · 30 cases | 154 | 247 | 282 | Better than 86% 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 · 27,063 cases | 3 | 1 | 2.162 | Worse than 78% 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 | 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 · 30 cases | 40 | 53 | 48.75 | Worse than 69% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 540 cases | 11 | 15 | 13.67 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 127 cases | 70 | 65 | 68.8 | Better than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 62 cases | 71 | 73 | 76.38 | Worse than 54% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases | 89 | 88 | 86.64 | Better than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 127 cases | 88 | 82 | 82.89 | Better than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 99 | 94 | 93.98 | Better than 86% 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 · 1,373 cases | 88 | 90 | 86.9 | Worse than 54% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 636 cases | 93 | 97 | 94.78 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.8 | 5 | 4.959 | Better than 94% 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 Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.12 | 0.99 | 1.024 | Worse than 94% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 6 | 20 | 30.07 | Worse than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.5 | 5 | 7.571 | Worse than 81% 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 | 19 | 34 | 28.67 | Worse than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.75 | 8.75 | 7.519 | Worse than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 57.5 | 40 | 45.16 | Better than 79% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.38 | 10 | 11.79 | Better than 77% of US hospitals | |
| VBP total performance scoreFY 2026 | 20.63 | 29.5 | 30.43 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2026 |
|---|---|---|
| VBP clinical outcomes domain score | 34 | 6 |
| VBP clinical outcomes weighted domain score | 8.5 | 1.5 |
| VBP efficiency and cost reduction domain score | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | 0 |
| VBP person and community engagement domain score | 20 | 19 |
| VBP person and community engagement weighted domain score | 5 | 4.75 |
| VBP safety domain score | 43.33 | 57.5 |
| VBP safety weighted domain score | 10.83 | 14.38 |
| VBP total performance score | 24.33 | 20.63 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 49 cases | 1.091 | 0.9995 | 1.015 | Worse than 92% 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 · 71 cases | 1.099 | 0.9969 | 1.002 | Worse than 97% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 135 cases | 1.077 | 0.9983 | 1.017 | Worse than 87% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.201 | 0.9916 | 0.9788 | Worse than 90% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 153 cases | 1.111 | 0.9955 | 1.026 | Worse than 94% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.21 | 1.141 | 1.085 | 1.012 | 1.008 | 1.091 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.068 | 1.09 | 1.111 | 1.092 | 1.092 | 1.099 |
| READM-30-HF-HRRP | 1.126 | 1.073 | 1.034 | 1.032 | 1.069 | 1.077 |
| READM-30-HIP-KNEE-HRRP | 1.077 | 0.9389 | 0.9168 | 1.025 | 1.187 | 1.201 |
| READM-30-PN-HRRP | 1.154 | 1.088 | 1.048 | 1.061 | 1.079 | 1.111 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | St Rose Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.849 | 0.489 | 0.6114 | Worse than 80% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.862 | 0.346 | 0.449 | Worse than 93% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.413 | 0.559 | 0.679 | Better than 65% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.649 | 0.6405 | 0.7204 | Worse than 94% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.022 | 0.9628 | 0.9656 | Worse than 69% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | 0.8753 | -0.0453 | 0.02733 | Worse than 92% 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 | 0.6452 | 0.3661 | 0 | -0.1093 | 0.6799 | 0.8753 |
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 2020)
Accreditation
None
Medical school affiliation
Church
Ownership type
129
Medicare-certified beds
200
Registered nurses (full-time equivalent)
1968
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St Rose Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
3,207
Inpatient discharges
Medicare 29%, Medicaid n/a
11,540
Inpatient days
25% of available bed days used
509
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831034). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St Rose Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,765 | 0 | 7,775 | 11,540 |
| Discharges | 937 | 0 | 2,270 | 3,207 |
| Average length of stay | 4.0 days | 3.4 days | 3.6 days | |
| Average daily census | 10.3 | 0.0 | 21.3 | 31.6 |
1,584
Medicare Advantage days
418 discharges
4,197
Medicaid managed care days
1,366 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 111 | 9,297 | 3,141 | 23% |
| Intensive care unit | 15 | 2,047 | 624 | 37% |
| Nursery | 196 | |||
| Skilled nursing facility | 29 | 1,083 | 10% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St Rose Hospital treats Medicare patients for most often, in 2024. 506 Medicare discharges in 19 published DRGs; 17% surgical; 63% 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 | 137 | $97,331 | $20,014 | $28,323 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 59 | $63,638 | $13,647 | $18,519 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 57 | $127,793 | $20,102 | $37,188 | 1.88 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $90,420 | $17,365 | $26,312 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 22 | $104,757 | $16,019 | $30,484 | 1.23 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $51,858 | $8,817 | $15,091 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $64,158 | $8,157 | $18,670 | 0.78 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $70,601 | $10,842 | $20,545 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $69,969 | $13,512 | $20,361 | 1.33 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $67,030 | $13,221 | $19,506 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $110,829 | $15,783 | $32,251 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $60,788 | $7,250 | $17,689 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $164,225 | $20,057 | $47,790 | 1.82 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $275,087 | $54,408 | $80,050 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $340,683 | $70,915 | $99,139 | 6.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $89,625 | $29,287 | $26,081 | 2.70 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $70,728 | $15,476 | $20,582 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $56,530 | $9,545 | $16,450 | 0.90 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $44,840 | $8,125 | $13,049 | 0.79 |
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 Rose Hospital billed Medicare for most in 2024: 247 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 180 | 167 | $28,878 | $3,012 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 27 | 27 | $46,702 | $3,183 | $2,208 |
| Level 4 Vascular ProceduresAPC 5184 | 15 | 15 | $37,315 | $5,877 | $3,946 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $30,301 | $3,513 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 11 | 11 | $30,462 | $6,384 | $4,358 |
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 Rose Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,300 in 2020 to 1,229 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 94544 | 305 | 25% | 1,233 | $28.5M | 15% | 25% |
| 94541 | 181 | 15% | 735 | $17.7M | 10% | 13% |
| 94545 | 175 | 14% | 661 | $14.6M | 17% | 28% |
| 94577 | 123 | 10% | 423 | $10.4M | 6% | 4% |
| 94587 | 89 | 7% | 308 | $7.7M | 4% | 5% |
| 94580 | 66 | 5% | 192 | $5.5M | 8% | 7% |
| 94578 | 55 | 4% | 213 | $5.3M | 5% | 6% |
| 94546 | 46 | 4% | 167 | $5.7M | 3% | 2% |
| 94579 | 33 | 3% | 113 | $2.8M | 5% | 4% |
| 94605 | 30 | 2% | 115 | $2.9M | 2% | 2% |
| 94603 | 19 | 2% | 55 | $1.9M | 2% | 3% |
| 94538 | 16 | 1% | 71 | $1.8M | 1% | 1% |
| 94536 | 15 | 1% | 55 | $1.4M | 1% | 2% |
| 94542 | 14 | 1% | 34 | $987,360 | 5% | 7% |
| 94606 | 14 | 1% | 106 | $1.5M | 1% | |
| 94601 | 12 | 1% | 41 | $1M | 1% | |
| 94607 | 12 | 1% | 30 | $768,362 | 2% | |
| 94612 | 12 | 1% | 37 | $1.1M | 2% | |
| 94621 | 12 | 1% | 62 | $921,759 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,229 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 Rose Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
1
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
200
Registered nurses
5
Licensed practical nurses
2
Nurse anesthetists (CRNAs)
10
Pharmacists
15
Respiratory therapists
5
Physical therapists
2
Occupational therapists
3
Dietitians
2
Social workers
450
Other personnel
Source: CMS Provider of Services file.
124 clinicians who bill Medicare list St Rose Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Qaiser Niaz, MD
Hematology & Oncology Physician
NPI 1528056389
See commercial rates for Qaiser Niaz, MDAshit Jain, M.D.
Cardiovascular Disease Physician
NPI 1154344919
See commercial rates for Ashit Jain, M.D.Neha Desouza, MD
Hematology & Oncology Physician
NPI 1598109324
See commercial rates for Neha Desouza, MDRajesh Suri, MD
Cardiovascular Disease Physician
NPI 1790700987
See commercial rates for Rajesh Suri, MDMichael Rigdon, MD
Diagnostic Radiology Physician
NPI 1629173935
See commercial rates for Michael Rigdon, MDHtay Win, M.D.
Internal Medicine Physician
NPI 1881642155
See commercial rates for Htay Win, M.D.Joselyn Deculing, NURSE PRACTITIONER
Nurse Practitioner
NPI 1992135081
See commercial rates for Joselyn Deculing, NURSE PRACTITIONERAditya Jain, MD
Cardiovascular Disease Physician
NPI 1821102641
See commercial rates for Aditya Jain, MDKwan Chen, MD
Interventional Cardiology Physician
NPI 1619928025
See commercial rates for Kwan Chen, MDBita Mostaghimi, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1497760938
See commercial rates for Bita Mostaghimi, D.P.M.Pradeep Kumar, MD FACC FSCAI
Cardiovascular Disease Physician
NPI 1295838746
See commercial rates for Pradeep Kumar, MD FACC FSCAIKeith Kwok, M.D.
Diagnostic Radiology Physician
NPI 1104807569
See commercial rates for Keith Kwok, M.D.Wayne Tran, MD
Internal Medicine Physician
NPI 1417156126
See commercial rates for Wayne Tran, MDRishi Kapila, M.D.
Hospitalist Physician
NPI 1811197973
See commercial rates for Rishi Kapila, M.D.Ricardo Molina, MD
Orthopaedic Surgery Physician
NPI 1063446953
See commercial rates for Ricardo Molina, MDSteven Degalan, M.D
Interventional Cardiology Physician
NPI 1508849860
See commercial rates for Steven Degalan, M.DGautam Pareek, M.D.
Internal Medicine Physician
NPI 1386756427
See commercial rates for Gautam Pareek, M.D.Claude Burdick, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1164484358
See commercial rates for Claude Burdick, MDChirag Pandya, MD
Critical Care Medicine (Internal Medicine) Physician
NPI 1891951083
See commercial rates for Chirag Pandya, MDMuhammad Raees, M.D.
Critical Care Medicine (Internal Medicine) Physician
NPI 1205820420
See commercial rates for Muhammad Raees, M.D.Agboola Awomolo, M.D.
Diagnostic Radiology Physician
NPI 1073877262
See commercial rates for Agboola Awomolo, M.D.Weiwei Xu, MD
Urology Physician
NPI 1992837702
See commercial rates for Weiwei Xu, MDSharon Stein, MD
Diagnostic Radiology Physician
NPI 1952348260
See commercial rates for Sharon Stein, MDAbid Majid, MD
Critical Care Medicine (Internal Medicine) Physician
NPI 1902828486
See commercial rates for Abid Majid, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income St Rose Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $445M | 424.3% |
| Inpatient | $298.5M | 284.6% |
| Outpatient | $146.5M | 139.7% |
| Contractual allowances and discounts | -$340.1M | -324.3% |
| Net patient revenue | $104.9M | 100.0% |
| Operating expenses | -$143.6M | -137.0% |
| Operating income from patient care | -$38.8M | -37.0% |
| Other income | $40.1M | 38.3% |
| Contributions and donations | $2M | 1.9% |
| Investment income | $337,085 | 0.3% |
| Government appropriations | $37.3M | 35.6% |
| Other | $471,300 | 0.4% |
| Net income | $1.4M | 1.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $75.5M | 17.0% |
| Medicaid (including managed care) | $201.2M | 45.2% |
| Other payers and self-pay | $168.3M | 37.8% |
| Total charges | $445M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, 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 Rose Hospital's latest cost report.
-37.0%
Operating margin
Operating income from patient care / net patient revenue
0.9%
Total margin
Net income / net patient revenue plus other income
3.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
59% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$61.00
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
1.7%
Return on assets
Net income for a year / total assets
0.88
Current ratio
Current assets / current liabilities
0.36
Quick ratio
Cash, temporary investments and net receivables / current liabilities
30 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
33 days
Days in patient receivables
Net patient receivables / daily net patient revenue
154 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.80
Asset turnover
Total revenue for a year / total assets
21.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St Rose Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $80.6M in total assets and a -$4.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $11.6M | 14.3% |
| Patient receivables, net | $9.5M | 11.8% |
| Inventory | $864,537 | 1.1% |
| Total current assets | $51.9M | 64.3% |
| Property and equipment, net of depreciation | $28.3M | 35.1% |
| Investments and other assets | $482,273 | 0.6% |
| Total assets | $80.6M | 100.0% |
| Current liabilities | $59.2M | 73.5% |
| Long-term debt | $26M | 32.2% |
| Total liabilities | $85.3M | 105.8% |
| Fund balance (net assets) | -$4.7M | -5.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St Rose Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.6M
Bad debt
Patient bills written off as uncollectible, at charges
$27.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.5M
Total unreimbursed and uncompensated care
1.7% 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 831034, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St Rose Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $104.2M | $76.3M | $105.2M | $96.7M | $111.6M | $104.9M |
| Operating expenses | $114M | $98.4M | $123.5M | $129.9M | $141.9M | $143.6M |
| Operating margin | -9.3% | -28.9% | -17.3% | -34.4% | -27.2% | -37.0% |
| Net income | -$3.7M | -$6.1M | -$3M | -$10.6M | -$5.8M | $1.4M |
| Total assets | $84.6M | $71M | $57.7M | $58.5M | $71.2M | $80.6M |
| Discharges | 4,034 | 3,918 | 3,991 | 3,787 | 3,337 | 3,207 |
| Inpatient days | 16,584 | 17,437 | 17,842 | 14,988 | 13,484 | 11,540 |
| Medicare Advantage days | 1,067 | 1,574 | 2,106 | 1,936 | 1,751 | 1,584 |
| Beds | 153 | 153 | 153 | 153 | 171 | 155 |
| Employees (FTE) | 522 | 538 | 550 | 546 | 541 | 509 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St Rose Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $7.7M | $16.1M | $77.5M | 0.21 | 1,735 |
| Radiology-diagnostic | $5.2M | $12.7M | $98.1M | 0.13 | 7,756 |
| Laboratory | $3.2M | $8.6M | $34.7M | 0.25 | 3,319 |
| Operating room | $2.4M | $6M | $31.2M | 0.19 | 7,071 |
| Drugs charged to patients | $5.5M | $8.3M | 0.67 | ||
| Respiratory therapy | $2.8M | $5.1M | $20.8M | 0.25 | 1,018 |
| Medical supplies charged to patient | $5M | $8.3M | 0.61 | ||
| Impl. dev. charged to patients | $4.1M | $9.2M | 0.44 | ||
| Delivery room & labor room | $1.3M | $2.8M | $3.3M | 0.86 | 4,224 |
| Asc (non-distinct part) | $986,005 | $2M | $707,344 | 2.80 | 1,983 |
| Electrocardiology | $824,453 | $1.7M | $14.9M | 0.12 | 421 |
| Physical therapy | $702,365 | $1.7M | $2.7M | 0.65 | 3,660 |
| Renal dialysis | $680,775 | $1.3M | $1.5M | 0.88 | |
| Occupational therapy | $253,616 | $515,894 | $1.3M | 0.41 | 608 |
| Whole blood & packed red blood cell | $430,033 | $2.2M | 0.19 | ||
| Speech pathology | $176,232 | $323,114 | $1.1M | 0.30 | 154 |
| Anesthesiology | $182,706 | $1.4M | 0.13 | 80 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14M | $34.1M | $96.2M | 0.35 | 40,273 |
| Intensive care unit | $5.9M | $11.9M | $28.6M | 0.42 | 2,073 |
| Skilled nursing facility | $930,551 | $4.4M | $3.2M | 1.39 | 13,894 |
| Nursery | $593,243 | $1.1M | $129,979 | 8.68 | 964 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.8M | $21M | 131,473 | $44.14 | 35,715 |
| Employee benefits department | $472,189 | $18.4M | 10,217 | $46.22 | 1,058 |
| Operation of plant | $2.2M | $5.9M | 63,675 | $35.29 | 53,750 |
| Medical records & library | $1.6M | $4.2M | 36,323 | $45.26 | 4,978 |
| Cap rel costs-bldg & fixt | $2.7M | 195,446 | |||
| Pharmacy | $2.3M | $2.6M | 36,085 | $62.97 | 990 |
| Housekeeping | $2M | $2.4M | 55,524 | $35.44 | 542 |
| Nursing administration | $1.1M | $1.2M | 11,248 | $95.92 | 1,958 |
| Cap rel costs-mvble equip | $1.1M | ||||
| Dietary | $1.7M | $1.1M | 22,370 | $38.82 | 493 |
| Central services & supply | $547,177 | $713,887 | 12,527 | $43.68 | 623 |
| Cafeteria | $682,838 | 17,055 | $38.82 | 2,794 | |
| Laundry & linen service | $87,104 | $437,873 | 2,074 | $42.00 | 2,845 |
| Social service | $325,111 | $378,811 | 8,744 | $37.18 | 144 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831034, 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 Rose Hospital for an inpatient stay.
1.72
Case mix index
Higher than 55% 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).
60.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
926
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 | 1.61 | 1.61 | 1.66 | 1.59 | 1.69 | 1.68 | 1.72 |
| Wage index | 1.756 | 1.776 | 1.800 | 1.802 | 1.714 | 1.653 | 1.636 |
| Readmissions adjustment | -2.03% | -2.48% | -1.30% | -0.61% | -0.66% | -1.50% | -1.89% |
| Value-based purchasing adjustment | -0.65% | -0.44% | -0.44% | 0.00% | 0.00% | 0.00% | -0.58% |
| Medicare inpatient stays | 1,678 | 1,678 | 1,144 | 1,093 | 952 | 910 | 926 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on St Rose Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Hayward Sisters Hospital files the Form 990 for the tax ID insurers list for St Rose Hospital, so these people may lead the wider organization rather than St Rose Hospital alone.
| Name | Title |
|---|---|
| Mark Fratze | Chair (as Of 11/24) |
| Kimberly Miranda | Treasurer (as Of 11/24) |
| Romoanetia Lofton | Secretary (as Of 11/24) |
| Michael Sarrao | Secretary (thru 10/24) |
| P Christopher Adams | Chief Administrative Officer |
| Shirley Joseph | Chief Nursing Officer |
Board members: Elizabeth Mahler MD, Lisa Laurent MD, Garrett Contreras, John P Jay Harris, Fred Naranjo, Katrina Rosseini, Michael Marchiano MD.
Source: IRS Form 990 Part VII filed by Hayward Sisters Hospital (EIN 94-1668344), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH050002, registered as a disproportionate share hospital. Authorizing official: Jeremy Redin, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
St rose hospital
CCN 056036, certified 1966, Medicare prospective payment
Source: Worksheet S-2 Part I of St Rose Hospital's latest Medicare cost report (HCRIS).
About St Rose Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Rose Hospital range from $417 to $1,600 across 4 insurers. Aetna's rate is $1,600. The median at nearby comparable hospitals is $2,488. 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 Rose Hospital range from $326 to $901 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $901. The median at nearby comparable hospitals is $3,478. 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 Rose Hospital range from $797 to $4,650 across 2 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $3,042. 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 Rose Hospital range from $2,280 to $14,566 across 4 insurers. Cigna's rate is $5,000. 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 Rose Hospital range from $134 to $400 across 4 insurers. Cigna's rate is $158. The median at nearby comparable hospitals is $314. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Rose Hospital range from $5,000 to $50,633 across 4 insurers. Aetna's rate is $6,200. The median at nearby comparable hospitals is $52,396. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Rose Hospital 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 St Rose Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St Rose Hospital's base inpatient payments by an estimated 1.89% 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 (137 discharges), heart failure and shock with mcc (59 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (57 discharges).
St Rose Hospital's Medicare case mix index is 1.72 for fiscal year 2027, higher than 55% of hospitals paid under the inpatient prospective payment system.
St Rose Hospital reported 3,207 inpatient discharges and 11,540 inpatient days from Oct 1, 2024 to Sep 30, 2025.
St Rose Hospital reported 509 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
St Rose Hospital reported $104.9M in net patient revenue on $445M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -37.0%, and net income of $1.4M.
St Rose Hospital reported $2.5M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $1.5M of charity care at cost.
Insurers' price transparency files list St Rose Hospital under employer identification number 94-1668344 (Hayward Sisters Hospital). 45 health plans and networks list 94-1668344 for it.
HRSA's 340B database lists St Rose Hospital (340B ID DSH050002) as no longer participating since 2022.
124 clinicians who bill Medicare list St Rose Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (21), emergency medicine physician (12), diagnostic radiology physician (8).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St Rose Hospital, effective 2020.
CMS lists 21 services at St Rose Hospital, including Acute Renal Dialysis, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St Rose Hospital came from ZIP codes 94544 (305), 94541 (181), 94545 (175).
St Rose Hospital has 155 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 129 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St Rose Hospital is located at 27200 Calaroga Avenue, Hayward, CA 94545. Its main phone number is (510) 782-6200.
St Rose Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050002.
The National Provider Identifier (NPI) on file for St Rose Hospital is 1942298153.
St Rose Hospital is affiliated with Alecto Healthcare Services.
St Rose Hospital lists 30 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
245 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