Sutter Health · Modesto, CA
Not rated by CMS
CMS star rating
23
Beds
218
Inpatient discharges a year
$14.5M
Net patient revenue a year
17
In-network payers
Stanislaus Surgical Center is a 23-bed voluntary non-profit - private hospital in Modesto, CA, affiliated with Sutter Health. Below you'll find publicly disclosed negotiated rates and facility details, including 17 in-network payers and 176 disclosed rate categories.
The 24 services Stanislaus Surgical 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$15,882 - $24,092
from 3 insurers · median $23,710
101 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$3,785 - $4,590
from 2 insurers · median $4,187
59 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$599 - $646
from 2 insurers · median $622
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,898 - $2,142
from 2 insurers · median $2,020
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,025 - $2,142
from 3 insurers · median $1,447
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,572 - $5,217
from 3 insurers · median $3,573
23 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$8,595 - $15,927
from 2 insurers · median $12,261
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$45,079 - $46,399
from 3 insurers · median $46,242
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45385
$1,301 - $1,898
from 2 insurers · median $1,599
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$400 - $882
from 3 insurers · median $619
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,590 - $9,135
from 3 insurers · median $6,217
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,457 - $1,577
from 2 insurers · median $1,517
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$146 - $294
from 3 insurers · median $187
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$316 - $759
from 2 insurers · median $537
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$3,626 - $5,217
from 2 insurers · median $4,422
23 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$304 - $409
from 3 insurers · median $314
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$103 - $253
from 3 insurers · median $120
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,217 - $9,135
from 3 insurers · median $6,745
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$55 - $152
from 3 insurers · median $103
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$6,307 - $9,135
from 3 insurers · median $7,140
Typical for a hospital with this service line
MRI imaging
CPT 70553
$481 - $646
from 2 insurers · median $563
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$2,433 - $2,958
from 2 insurers · median $2,695
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$7,693 - $11,593
from 2 insurers · median $9,643
Typical for a hospital with this service line
MRI imaging
CPT 70551
$409 - $666
from 2 insurers · median $538
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* | 24 | 156% | 0 | 0 |
| Insurer B* | 22 | 150% | 0 | 0 |
| Insurer C* | 14 | 107% | 0 | 0 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 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 Stanislaus Surgical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
No Medicare-funded residents
Finances
$14.5M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Stanislaus Surgical 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 |
|---|---|---|
| 91-1754157Stanislaus Surgical Hospital LLC | 22Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, BCBS and 17 more | 1437121886 Stanislaus Surgical Hospital LLC |
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.
1421 Oakdale Road, Modesto, CA 95355
(209) 572-2700
How Stanislaus Surgical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 55% 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
| Measure | Result | Period |
|---|---|---|
| Safety | No different on 2 measures | |
| Readmissions | No different on 3 measures | |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
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 Stanislaus Surgical Center's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Each result CMS publishes for Stanislaus Surgical 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 | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.075 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.81 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.235 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.29 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 14.49 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 44 cases | 0.62 | 0.51 | 0.4818 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 156 cases | 0.21 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 153 cases | 0.27 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 152 cases | 2.32 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 152 cases | 1.66 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 152 cases | 8.9 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 152 cases | 3.38 | 3.4 | 3.521 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 146 cases | 5.14 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 53% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.061 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 7.901 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 16.67 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 547 cases | 13 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 105 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| 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 | Not Available | 19.94 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.41 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.612 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.7 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 5,722 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.638 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 5,308 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 6.105 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 112 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.999 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 73.49 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6136 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 52,601 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.111 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.166 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1925 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.9502 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 48,317 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 27.04 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 9.99 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.383 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 72.2 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 8.78 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 19.02 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.82 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.514 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 75.76 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89.84 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.713 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.855 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 18.53 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 75.81 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89.11 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 7.043 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.688 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 17.15 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 58.95 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 75.75 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 21.56 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.449 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 19.48 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.61 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 15.03 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.08 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 84.97 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 16.39 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 83.61 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 70.69 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 8.855 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 20.45 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 73.94 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 7.637 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 18.43 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 81.99 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 4.958 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 13.06 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 10.01 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 22.36 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 67.63 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.85 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.047 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 72.06 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 10.94 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 17 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 71.11 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 7.488 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 21.4 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 72.49 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 6.121 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 21.39 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 82.8 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.779 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 13.42 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 47.5 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 17.79 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 34.71 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 74.85 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.203 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 7.623 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 68.6 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.85 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 23.77 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.431 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 45.33 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 32.51 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.16 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.859 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 13.94 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 86.06 |
How often the hospital gave recommended care, and how fast.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | 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 | Not Available | 69.96 | |||
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 187 | |||
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 182 | |||
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 282 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 2.162 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 75.06 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 13.67 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 68.8 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 76.38 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.64 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.89 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 93.98 | |||
| 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 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 4.959 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Stanislaus Surgical 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 | Not Available | 1.024 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.002 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1.017 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.7683 | 0.9916 | 0.9788 | Better than 95% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | 0.9445 | 0.8866 | 0.9341 | 0.8105 | 0.7508 | 0.7683 |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Stanislaus Surgical Center | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6114 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.449 | |||
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.679 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7204 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9718 | 0.9628 | 0.9656 | Worse than 55% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | -0.1162 | -0.0453 | 0.02733 | Better than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.4433 | -0.2441 | 0 | -0.1738 | -0.2056 | -0.1162 |
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.
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Stanislaus Surgical Center reported to Medicare in its latest cost report, covering Jan 1, 2024 to Oct 14, 2024.
218
Inpatient discharges
Medicare 6%, Medicaid n/a
376
Inpatient days
6% of available bed days used
103
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 810689). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Stanislaus Surgical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 37 | 0 | 339 | 376 |
| Discharges | 13 | 0 | 205 | 218 |
| Average length of stay | 2.8 days | 1.7 days | 1.7 days | |
| Average daily census | 0.1 | 0.0 | 1.2 | 1.3 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 23 | 376 | 37 | 6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) Stanislaus Surgical Center billed Medicare for most in 2024: 207 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 85 | 82 | $100,744 | $14,866 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 59 | 40 | $16,362 | $2,332 | $1,752 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 23 | $25,376 | $3,240 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 16 | $80,262 | $7,337 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $9,767 | $1,609 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $116,146 | $21,717 | $15,763 |
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.
Revenue, expenses and income Stanislaus Surgical Center reported to Medicare for Jan 1, 2024 to Oct 14, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $90.6M | 627.0% |
| Inpatient | $28.4M | 196.4% |
| Outpatient | $62.2M | 430.7% |
| Contractual allowances and discounts | -$76.2M | -527.0% |
| Net patient revenue | $14.5M | 100.0% |
| Operating expenses | -$22.5M | -155.5% |
| Operating income from patient care | -$8M | -55.5% |
| Other income | $3.8M | 26.6% |
| Net income | -$4.2M | -28.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $17.4M | 19.2% |
| Medicaid (including managed care) | $28.3M | 31.2% |
| Other payers and self-pay | $44.9M | 49.6% |
| Total charges | $90.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. 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 Stanislaus Surgical Center's latest cost report, which covers 288 days; income and expense figures are scaled to a year.
-55.5%
Operating margin
Operating income from patient care / net patient revenue
-22.8%
Total margin
Net income / net patient revenue plus other income
-11.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.73
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-17.5%
Return on assets
Net income for a year / total assets
-286.5%
Return on equity
Net income for a year / fund balance
0.17
Current ratio
Current assets / current liabilities
0.10
Quick ratio
Cash, temporary investments and net receivables / current liabilities
11 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
13 days
Days in patient receivables
Net patient receivables / daily net patient revenue
208 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.77
Asset turnover
Total revenue for a year / total assets
5.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Stanislaus Surgical Center owned and owed at the end of its reporting period (Oct 2024), across all fund types: $30.3M in total assets and a $1.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $781,318 | 2.6% |
| Patient receivables, net | $659,565 | 2.2% |
| Inventory | $949,779 | 3.1% |
| Total current assets | $2.6M | 8.5% |
| Property and equipment, net of depreciation | $1.7M | 5.5% |
| Investments and other assets | $26M | 86.0% |
| Total assets | $30.3M | 100.0% |
| Current liabilities | $14.8M | 48.9% |
| Total liabilities | $28.4M | 93.9% |
| Fund balance (net assets) | $1.8M | 6.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Stanislaus Surgical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$64,703
Bad debt
Patient bills written off as uncollectible, at charges
$3.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.5M
Total unreimbursed and uncompensated care
15.7% 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 810689, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Stanislaus Surgical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Oct 2024 |
|---|---|---|---|---|---|---|
| Net patient revenue | $29.6M | $28M | $26.8M | $24.7M | $28.1M | $14.5M |
| Operating expenses | $32M | $30.2M | $28.3M | $29.4M | $32.4M | $22.5M |
| Operating margin | -8.2% | -7.8% | -5.6% | -18.8% | -15.3% | -55.5% |
| Net income | -$1.7M | -$1.3M | -$1.2M | -$4.4M | -$3.9M | -$4.2M |
| Total assets | $46.5M | $46.3M | $41.3M | $38.4M | $33.8M | $30.3M |
| Discharges | 385 | 345 | 303 | 232 | 394 | 218 |
| Inpatient days | 591 | 458 | 353 | 279 | 586 | 376 |
| Medicare Advantage days | 6 | 15 | 5 | |||
| Beds | 23 | 23 | 23 | 23 | 23 | 23 |
| Employees (FTE) | 54 | 0 | 121 | 147 | 169 | 103 |
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Stanislaus Surgical 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 |
|---|---|---|---|---|---|
| Operating room | $2M | $11.4M | $70M | 0.16 | 18,998 |
| Mri | $1.2M | $4.7M | 0.25 | 766 | |
| Radiology-diagnostic | $1.1M | $983,471 | $3.9M | 0.25 | 2,086 |
| Physical therapy | $326,884 | $834,055 | $1.7M | 0.48 | 2,809 |
| Laboratory | $309,631 | $707,192 | $307,841 | 2.30 | 414 |
| Endoscopy | $225,392 | $594,005 | $4.8M | 0.12 | 288 |
| Ultra sound | $530,659 | $1.9M | 0.29 | 1,001 | |
| Drugs charged to patients | $418,709 | $675,790 | 0.62 | 120 | |
| Anesthesiology | $893 | $300,779 | $590,064 | 0.51 | |
| Ct scan | $264,666 | $926,631 | 0.29 | 499 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $4.1M | $1.2M | 3.36 | 8,909 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $149,299 | $2.7M | 3,357 | $44.47 | 223 |
| Administrative & general | $1.3M | $2.2M | 39,784 | $32.80 | 7,237 |
| Cap rel costs-bldg & fixt | $2M | 49,439 | |||
| Operation of plant | $221,026 | $991,667 | 10,931 | $20.22 | 1,918 |
| Nursing administration | $827,712 | $976,078 | 15,612 | $53.02 | 727 |
| Cap rel costs-mvble equip | $349,220 | ||||
| Maintenance & repairs | $244,225 | ||||
| Housekeeping | $170,462 | $197,512 | 7,376 | $23.11 | 280 |
| Dietary | $142,739 | $186,603 | 4,651 | $30.69 | 1,464 |
| Medical records & library | $124,293 | $161,944 | 4,673 | $26.60 | 1,332 |
| Laundry & linen service | $48,348 | 368 |
Source: CMS cost report (HCRIS, Form 2552-10), report 810689, settled without audit. 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 Stanislaus Surgical Center for an inpatient stay.
1.96
Case mix index
Higher than 76% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
11.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
22
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 2.01 | 2.01 | 1.98 | 1.90 | 2.07 | 1.96 |
| Wage index | 1.331 | 1.327 | 1.364 | 1.567 | 1.499 | 1.431 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 203 | 203 | 215 | 112 | 104 | 22 |
Source: CMS IPPS final rule Impact File (FY 2026).
About Stanislaus Surgical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Stanislaus Surgical Center range from $481 to $646 across 2 insurers. Aetna's rate is $481. 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 Stanislaus Surgical Center range from $599 to $646 across 2 insurers. UnitedHealthcare's rate is $646. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Stanislaus Surgical Center range from $1,898 to $2,142 across 2 insurers. UnitedHealthcare's rate is $1,898. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Stanislaus Surgical Center range from $103 to $253 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $120. 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 Stanislaus Surgical Center range from $15,882 to $24,092 across 3 insurers. Aetna's rate is $15,882. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Stanislaus Surgical Center for fiscal year 2026.
No. Stanislaus Surgical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2026.
Stanislaus Surgical Center's Medicare case mix index is 1.96 for fiscal year 2026, higher than 76% of hospitals paid under the inpatient prospective payment system.
Stanislaus Surgical Center reported 218 inpatient discharges and 376 inpatient days from Jan 1, 2024 to Oct 14, 2024.
Stanislaus Surgical Center reported 103 full-time-equivalent employees on payroll from Jan 1, 2024 to Oct 14, 2024.
Stanislaus Surgical Center reported $14.5M in net patient revenue on $90.6M of gross charges for Jan 1, 2024 to Oct 14, 2024, an operating margin of -55.5%, and net income of -$4.2M.
Stanislaus Surgical Center reported $3.5M of unreimbursed and uncompensated care for Jan 1, 2024 to Oct 14, 2024.
Insurers' price transparency files list Stanislaus Surgical Center under employer identification number 91-1754157 (Stanislaus Surgical Hospital LLC). 22 health plans and networks list 91-1754157 for it.
CMS lists 20 services at Stanislaus Surgical Center, including Anesthesia, Clinical Laboratory, CT Scan, Dental Care, Diagnostic Radiology, Dietary Care.
Stanislaus Surgical Center has 23 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Stanislaus Surgical Center is located at 1421 Oakdale Road, Modesto, CA 95355. Its main phone number is (209) 572-2700.
Stanislaus Surgical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050726.
The National Provider Identifier (NPI) on file for Stanislaus Surgical Center is 1437121886.
Stanislaus Surgical Center is affiliated with Sutter Health.
Stanislaus Surgical Center lists 17 in-network payers, including Aetna, BCBS, Centene, Cigna, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
176 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