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Short Term Acute Care HospitalProprietary

Temecula Valley Hospital

Universal Health Services · Temecula, CA

31700 Temecula Parkway, Temecula, CA 92592(951) 331-2200

4 of 5

CMS star rating

140

Beds

10,513

Inpatient discharges a year

$332.3M

Net patient revenue a year

33

In-network payers

About this hospital

Temecula Valley Hospital is a 140-bed proprietary hospital in Temecula, CA, affiliated with Universal Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 318 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
050775
NPI
1679816201
Website
swhtemeculavalley.com
Health system
Universal Health Services
Teaching
Major teaching hospital
County
Riverside County
Metro area
Riverside-San Bernardino-Ontario, CA MSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12001)
In Medicare since
2013
Last CMS survey
2022

Prices for common services

The 24 services Temecula Valley 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.

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,948 - $8,986

from 3 insurers · median $6,995

Anthem / Blue Shield$8,986
Insurer A*$1,948
Insurer B*$6,995
Medicare $1,195Nearby hospitals $2,358197% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$602 - $2,810

from 4 insurers · median $1,912

Cigna$2,729
Insurer A*$602
Insurer B*$1,096
Insurer C*$2,810
Medicare $460Nearby hospitals $1,03385% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$246 - $2,105

from 4 insurers · median $1,490

Cigna$1,950
Insurer A*$246
Insurer B*$1,031
Insurer C*$2,105
Medicare $138Nearby hospitals $641132% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,948 - $8,230

from 3 insurers · median $6,861

Anthem / Blue Shield$6,861
Insurer A*$1,948
Insurer B*$8,230
Medicare $1,577Nearby hospitals $2,090228% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Temecula Valley Hospital

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
1031%
92
Insurer B*20
656%
200
Insurer C*24
434%
157
Insurer D*23
163%
88

How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 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 Temecula Valley Hospital, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    4 of 5 stars

    • 215 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.25%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 24 services
    • 282 affiliated clinicians
    See doctors and services

  • Finances

    $332.3M net patient revenue

    • Operating margin on patient care 11.5%
    • $18.6M unreimbursed and uncompensated care
    • $40M net income
    See finances

  • Ownership and leadership

    Owned by Universal Health Services Inc

    • Private (for profit)
    • Hong K Min, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Temecula Valley Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
46-1246570Temecula Valley Hospital59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1679816201 Temecula Valley Hospital Inc1255327920 Uhs Corona Inc

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

Location

31700 Temecula Parkway, Temecula, CA 92592

(951) 331-2200

Get directions

Frequently asked questions

About Temecula Valley Hospital's rates and hospital price transparency.

How much does an MRI cost at Temecula Valley Hospital?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Temecula Valley Hospital range from $394 to $4,423 across 4 insurers. UnitedHealthcare's rate is $394. The median at nearby comparable hospitals is $755. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Temecula Valley Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Temecula Valley Hospital range from $602 to $2,810 across 4 insurers. Cigna's rate is $2,729. The median at nearby comparable hospitals is $1,033. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Temecula Valley Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Temecula Valley Hospital range from $1,948 to $8,230 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $6,861. The median at nearby comparable hospitals is $2,090. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Temecula Valley Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Temecula Valley Hospital range from $153 to $1,444 across 4 insurers. Cigna's rate is $794. The median at nearby comparable hospitals is $263. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Temecula Valley Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Temecula Valley Hospital range from $7,696 to $35,162 across 3 insurers. Aetna's rate is $35,162. The median at nearby comparable hospitals is $27,956. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Temecula Valley Hospital's CMS star rating?

Temecula Valley Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Temecula Valley Hospital a teaching hospital?

Yes. CMS counts 0.81 Medicare-funded residents per bed at Temecula Valley Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Temecula Valley Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Temecula Valley Hospital's base inpatient payments by an estimated 0.25% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Temecula Valley Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (144 discharges), heart failure and shock with mcc (78 discharges), simple pneumonia and pleurisy with mcc (58 discharges).

What is Temecula Valley Hospital's case mix index?

Temecula Valley Hospital's Medicare case mix index is 1.94 for fiscal year 2027, higher than 74% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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