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Short Term Acute Care HospitalGovernment - Local

Ventura County Medical Center

Ventura County Health Care Agency · Ventura, CA

3291 Loma Vista Road, Ventura, CA 93003(805) 652-6075

2 of 5

CMS star rating

272

Beds

14,257

Inpatient discharges a year

$633.5M

Net patient revenue a year

35

In-network payers

About this hospital

Ventura County Medical Center is a 272-bed government - local hospital in Ventura, CA, affiliated with Ventura County Health Care Agency. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 275 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050159
NPI
1629167457
Health system
Ventura County Health Care Agency
Teaching
Teaching hospital
County
Ventura County
Metro area
Oxnard-Thousand Oaks-Ventura, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Ventura County Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,946 - $11,458

from 2 insurers · median $8,702

Cigna$11,458
Insurer A*$5,946

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,677 - $16,295

from 2 insurers · median $12,486

Cigna$16,295
Insurer A*$8,677

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

Laparoscopic cholecystectomy

CPT 47562

$4,381 - $13,000

from 2 insurers · median $8,690

CignaNot published
Insurer A*$4,381
Insurer B*$13,000
Medicare $7,933Nearby hospitals $12,40130% below nearby hospitals

43 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,946 - $11,458

from 2 insurers · median $8,702

Cigna$11,458
Insurer A*$5,946

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

How the insurers pay at Ventura County Medical Center

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*9
325%
42
Insurer B*15
211%
010
Insurer C*7
121%
07
Insurer D*15
113%
015

How we chose these services: 6 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 9 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 Ventura County Medical Center, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    2 of 5 stars

    • 178 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.10%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 37 services, including trauma & transplant care
    • 352 affiliated clinicians
    See doctors and services
  • Finances

    $633.5M net patient revenue

    • Operating margin on patient care -14.1%
    • $93M unreimbursed and uncompensated care
    • $7.8M net income
    See finances
  • Ownership and leadership

    Owned by County Of Ventura

    • Local
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-6000944Ventura County Medical Center58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more1629167457 County Of Ventura1780821660 County Of Ventura1316188253 County Of Venturaand 41 more

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

Location

3291 Loma Vista Road, Ventura, CA 93003

(805) 652-6075

Get directions

Frequently asked questions

About Ventura County Medical Center's rates and hospital price transparency.

How much does an MRI cost at Ventura County Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ventura County Medical Center range from $594 to $858 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,585. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ventura County Medical Center?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Ventura County Medical Center range from $246 to $308 across 3 insurers. Aetna's rate is $249. The median at nearby comparable hospitals is $430. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ventura County Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Ventura County Medical Center range from $1,310 to $1,484 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,484. The median at nearby comparable hospitals is $4,251. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ventura County Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ventura County Medical Center range from $5,946 to $11,458 across 2 insurers. Cigna's rate is $11,458. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ventura County Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ventura County Medical Center range from $143 to $331 across 3 insurers. Aetna's rate is $143. The median at nearby comparable hospitals is $355. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ventura County Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ventura County Medical Center range from $32,782 to $32,782 across 1 insurers. Cigna's rate is $32,782. The median at nearby comparable hospitals is $34,525. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ventura County Medical Center's CMS star rating?

Ventura County Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Ventura County Medical Center a teaching hospital?

Yes. CMS counts 0.14 Medicare-funded residents per bed at Ventura County Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Ventura County Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ventura County Medical Center's base inpatient payments by an estimated 0.10% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ventura County Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (153 discharges), psychoses (89 discharges), septicemia or severe sepsis without mv >96 hours without mcc (51 discharges).

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.

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Publish a CMS-compliant machine-readable file

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

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

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