Victorville, CA
1 of 5
CMS star rating
101
Beds
5,405
Inpatient discharges a year
$87.8M
Net patient revenue a year
35
In-network payers
Victor Valley Global Medical Center is a 101-bed voluntary non-profit - private hospital in Victorville, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 200 disclosed rate categories.
The 24 services Victor Valley Global Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$5,536 - $6,213
from 2 insurers · median $5,874
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
$5,694 - $9,126
from 2 insurers · median $7,410
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
$20,875
negotiated rate
47 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,536 - $6,213
from 2 insurers · median $5,874
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$1,904 - $8,231
from 3 insurers · median $3,429
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$25,508
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$2,352 - $8,171
from 3 insurers · median $3,311
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$18,681
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$1,904 - $8,231
from 3 insurers · median $3,672
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$315 - $654
from 3 insurers · median $496
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$608 - $2,199
from 3 insurers · median $1,188
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,680 - $6,152
from 3 insurers · median $1,942
11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$712 - $2,199
from 3 insurers · median $1,188
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,050 - $8,231
from 2 insurers · median $7,640
Typical for a hospital with this service line
Mammography
CPT 77067
$77 - $189
from 3 insurers · median $161
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$80 - $334
from 4 insurers · median $178
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$342 - $352
from 2 insurers · median $347
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$129 - $722
from 3 insurers · median $435
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$668 - $1,514
from 3 insurers · median $1,188
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$271 - $792
from 4 insurers · median $604
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$165 - $292
from 3 insurers · median $220
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,904 - $8,171
from 3 insurers · median $4,140
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,353 - $2,222
from 3 insurers · median $2,066
Typical for a hospital with this service line
MRI imaging
CPT 70551
$165 - $710
from 3 insurers · median $400
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* | 19 | 164% | 6 | 4 |
| Insurer B* | 6 | 138% | 0 | 6 |
| Insurer C* | 17 | 120% | 7 | 9 |
| Insurer D* | 21 | 66% | 2 | 15 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Victor Valley Global Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$87.8M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Victor Valley Global Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 27-3777887Victor Valley Global Medical Center | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1679879589 Victor Valley Hospital Acquisition Inc.1619191079 Victor Valley Community Hospital1639487465 Phsf Victor Valley LLCand 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.
15248 Eleventh Street, Victorville, CA 92395
(760) 245-8691
How Victor Valley Global Medical Center 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 3 measures
0 better, 3 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 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
1 of 5
The lowest rating, shared by 2% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
44%
Lower than 99% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
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)
0.9
Lower than 74% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
213 min
Higher than 86% 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
34%
Lower than 95% 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 3 measures | |
| Safety | No different on 6 measures | |
| Readmissions | Worse on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 1 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 44% | 2024-10-01 to 2025-09-30 |
| 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) | 0.9 | 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 | 213 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 34% | 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 Victor Valley Global Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.51% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.52% 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 Victor Valley Global Medical Center, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 147 cases | 3.1 | 4.1 | 4.075 | Better than 91% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 651 cases | 4.9 | 3.9 | 3.81 | Worse than 87% of US hospitals | |
| 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 · 28 cases | 8.7 | 8.5 | 8.235 | Worse than 55% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 43 cases | 10.4 | 11 | 10.29 | Better than 61% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 89 cases | 16.2 | 15.2 | 14.49 | Worse than 65% 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 · 955 cases | 0.41 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 65% 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 · 1,230 cases | 0.2 | 0.2 | 0.21 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,227 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 · 201 cases | 2.25 | 2.29 | 2.308 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 124 cases | 1.64 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 121 cases | 8.89 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 204 cases | 3.28 | 3.4 | 3.521 | No Different Than the National Rate | Better than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 111 cases | 5.03 | 5.105 | 5.495 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 26 cases | 1.75 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 96 cases | 1.04 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This 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 · 57 cases | 65.2 | 1.25 | 7.901 | Worse than 96% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 111 cases | 45.9 | 3.85 | 16.67 | Worse than 91% 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 · 33 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 · 65 cases | 20 | 19.8 | 19.94 | Worse than 57% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 123 cases | 23.1 | 21.3 | 21.41 | Worse than 91% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 137 cases | 5.3 | 5.8 | 5.612 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 198 cases | 17.9 | 17.2 | 17.7 | Worse than 74% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.667 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,574 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.797 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5696 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.021 | 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 | 2.064 | 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 | 3,483 | 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 | 2.389 | 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 | 0.419 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 52% 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 | 22 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.639 | 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 | 38 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.453 | 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 | 20,255 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.701 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 0.168 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.274 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 18,676 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.573 | 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 | 0.528 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 78% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 277 cases | 64 | 73 | 72.2 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 277 cases | 14 | 8 | 8.78 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 277 cases | 22 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 82 | 87 | 86.82 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 277 cases | 2 | 4 | 3.514 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 277 cases | 65 | 80 | 75.76 | Worse than 99% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 84 | 91 | 89.84 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 277 cases | 12 | 4 | 5.713 | Worse than 98% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 2.855 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 277 cases | 23 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 277 cases | 62 | 79 | 75.81 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 79 | 91 | 89.11 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 277 cases | 16 | 5 | 7.043 | Worse than 99% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 2.688 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 277 cases | 22 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 277 cases | 49 | 61 | 58.95 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 66 | 77 | 75.75 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 277 cases | 31 | 19 | 21.56 | Worse than 98% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 277 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 72 | 86 | 84.61 | Worse than 99% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 277 cases | 28 | 13 | 15.03 | Worse than 99% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 3.08 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 277 cases | 72 | 87 | 84.97 | Worse than 99% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 277 cases | 28 | 14 | 16.39 | Worse than 98% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 277 cases | 72 | 86 | 83.61 | Worse than 98% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 56 | 74 | 70.69 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 19 | 7 | 8.855 | Worse than 99% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 25 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 59 | 77 | 73.94 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 17 | 6 | 7.637 | Worse than 99% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 24 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 73 | 85 | 81.99 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 13 | 3 | 4.958 | Worse than 99% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 14 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 277 cases | 22 | 8 | 10.01 | Worse than 99% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 277 cases | 30 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 277 cases | 48 | 72 | 67.63 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 76 | 88 | 86.85 | Worse than 99% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 3.047 | The lowest rating, shared by 2% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 277 cases | 65 | 74 | 72.06 | Worse than 94% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 277 cases | 15 | 9 | 10.94 | Worse than 91% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 277 cases | 20 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 60 | 75 | 71.11 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 14 | 5 | 7.488 | Worse than 98% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 277 cases | 26 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 62 | 77 | 72.49 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 13 | 4 | 6.121 | Worse than 98% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 277 cases | 25 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 74 | 86 | 82.8 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 9 | 3 | 3.779 | Worse than 98% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 277 cases | 17 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 277 cases | 40 | 59 | 47.5 | Worse than 97% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 277 cases | 25 | 9 | 17.79 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 277 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 69 | 82 | 74.85 | Worse than 97% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 2.203 | The lowest rating, shared by 4% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 277 cases | 21 | 5 | 7.623 | Worse than 99% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 277 cases | 44 | 71 | 68.6 | Worse than 99% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 277 cases | 70 | 87 | 85.85 | Worse than 99% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 277 cases | 35 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 4 | 3.431 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 277 cases | 34 | 47 | 45.33 | Worse than 98% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 277 cases | 47 | 30 | 32.51 | Worse than 99% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 277 cases | 19 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 277 cases | 1 | 3 | 2.859 | The lowest rating, shared by 2% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 277 cases | 27 | 12 | 13.94 | Worse than 99% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 277 cases | 73 | 88 | 86.06 | Worse than 99% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This 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 · 1,005 cases | 48 | 79 | 69.96 | Worse than 88% 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 · 382 cases | 220 | 154 | 187 | Worse than 87% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 352 cases | 213 | 148 | 182 | Worse than 86% 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 · 24 cases | 285 | 247 | 282 | Worse than 63% 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 · 38,065 cases | 2 | 1 | 2.162 | Worse than 58% 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 | 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 · 86 cases | 34 | 65 | 68.8 | Worse than 95% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 70 | 73 | 76.38 | Worse than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 55 | 88 | 86.64 | Worse than 96% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 86 cases | 60 | 82 | 82.89 | Worse than 95% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 37 cases | 68 | 94 | 93.98 | Worse than 97% 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 | 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 | This 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 | This 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 | 1.2 | 0.99 | 1.024 | Worse than 98% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 30.07 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.571 | The worst result, shared by 11% 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 | 0 | 34 | 28.67 | Worse than 99% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 0 | 8.75 | 7.519 | Worse than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | 28 | 40 | 45.16 | Worse than 75% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7 | 10 | 11.79 | Worse than 75% of US hospitals | |
| VBP total performance scoreFY 2026 | 7 | 29.5 | 30.43 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 37.5 | 45 | 50 | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 9.375 | 11.25 | 12.5 | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 40 | 60 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 10 | 15 | 0 | 0 |
| VBP person and community engagement domain score | 16 | Not Available | Not Available | 6 | 10 | 0 |
| VBP person and community engagement weighted domain score | 4 | Not Available | Not Available | 1.5 | 2.5 | 0 |
| VBP safety domain score | 56 | Not Available | Not Available | 40 | 56.67 | 28 |
| VBP safety weighted domain score | 14 | Not Available | Not Available | 10 | 14.17 | 7 |
| VBP total performance score | 27.38 | Not Available | Not Available | 26.5 | 16.67 | 7 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | 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 | 1.026 | 0.9969 | 1.002 | Worse than 74% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 1.001 | 0.9983 | 1.017 | Worse than 52% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9476 | 0.9916 | 0.9788 | Better than 63% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 103 cases | 1.095 | 0.9955 | 1.026 | Worse than 91% of US hospitals |
| 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 | 1.029 | 1.02 | N/A | N/A | N/A | 1.026 |
| READM-30-HF-HRRP | 0.9876 | 1.007 | 1.068 | 1.075 | 1.012 | 1.001 |
| READM-30-HIP-KNEE-HRRP | 1.121 | 1.069 | 0.9602 | 1.009 | 1.015 | 0.9476 |
| READM-30-PN-HRRP | 0.9966 | 1.015 | 1.031 | 1.102 | 1.113 | 1.095 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.582 | 0.489 | 0.6114 | Worse than 59% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.481 | 0.346 | 0.449 | Worse than 69% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.063 | 0.559 | 0.679 | Worse than 98% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.674 | 0.6405 | 0.7204 | Worse than 53% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8957 | 0.9628 | 0.9656 | Better than 74% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.8116 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0953 | -0.0453 | 0.02733 | Worse than 59% 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 | 0.0867 | 0.031 | 0 | 0.0903 | -0.1328 | 0.0953 |
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 2019)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
101
Medicare-certified beds
127
Registered nurses (full-time equivalent)
1967
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Victor Valley Global Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,405
Inpatient discharges
Medicare 18%, Medicaid 4%
21,366
Inpatient days
58% of available bed days used
418
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839924). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Victor Valley Global Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,811 | 1,276 | 15,279 | 21,366 |
| Discharges | 995 | 197 | 4,213 | 5,405 |
| Average length of stay | 4.8 days | 6.5 days | 3.6 days | 4.0 days |
| Average daily census | 13.2 | 3.5 | 41.9 | 58.5 |
3,412
Medicare Advantage days
765 discharges
7,878
Medicaid managed care days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 89 | 17,851 | 4,232 | 55% |
| Intensive care unit | 10 | 2,208 | 579 | 60% |
| Other special care | 2 | |||
| Nursery | 1,307 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Victor Valley Global Medical Center treats Medicare patients for most often, in 2024. 452 Medicare discharges in 20 published DRGs; 9% surgical; 68% 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 | 81 | $59,106 | $18,867 | $14,717 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $52,599 | $12,859 | $13,097 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $41,806 | $12,727 | $10,410 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $28,536 | $7,542 | $7,106 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 30 | $33,782 | $11,407 | $8,412 | 1.17 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 27 | $77,678 | $16,965 | $19,342 | 1.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 21 | $35,967 | $12,903 | $8,956 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $22,875 | $7,227 | $5,696 | 0.78 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 18 | $26,989 | $7,193 | $6,720 | 0.79 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 16 | $46,439 | $16,188 | $11,563 | 1.70 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $31,760 | $13,543 | $7,908 | 1.45 |
| Renal failure with MCCMS-DRG 682, medical | 14 | $53,952 | $14,862 | $13,434 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 14 | $37,319 | $8,555 | $9,293 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $128,019 | $44,761 | $31,877 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $267,121 | $70,750 | $66,513 | 6.96 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $36,894 | $12,203 | $9,187 | 1.23 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $302,707 | $65,749 | $75,374 | 6.91 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $59,714 | $14,826 | $14,869 | 1.59 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $59,329 | $16,338 | $14,773 | 1.65 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $32,765 | $9,000 | $8,159 | 1.03 |
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) Victor Valley Global Medical Center billed Medicare for most in 2024: 68 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Vascular ProceduresAPC 5183 | 16 | 15 | $11,842 | $3,111 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 15 | 14 | $12,865 | $1,482 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 14 | 14 | $14,448 | $2,668 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $17,101 | $5,417 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $17,214 | $3,171 | $2,373 |
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 Victor Valley Global Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,236 in 2020 to 1,467 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92395 | 276 | 19% | 1,435 | $16.5M | 14% | 18% |
| 92392 | 181 | 12% | 850 | $10.6M | 10% | 13% |
| 92301 | 175 | 12% | 861 | $11.5M | 18% | 26% |
| 92394 | 160 | 11% | 750 | $9.5M | 15% | 20% |
| 92345 | 154 | 10% | 647 | $8.2M | 5% | 8% |
| 92307 | 119 | 8% | 523 | $6.6M | 7% | 8% |
| 92308 | 118 | 8% | 558 | $7.9M | 5% | 8% |
| 92311 | 52 | 4% | 244 | $3.8M | 5% | 6% |
| 92404 | 40 | 3% | 204 | $2.4M | 2% | |
| 92371 | 26 | 2% | 112 | $1.5M | 7% | 9% |
| 92225 | 25 | 2% | 91 | $692,185 | 6% | |
| 92393 | 24 | 2% | 71 | $796,853 | 14% | |
| 92342 | 22 | 1% | 79 | $943,025 | 8% | 17% |
| 92344 | 21 | 1% | 113 | $1.6M | 3% | 7% |
| 92356 | 21 | 1% | 90 | $1M | 7% | 8% |
| 92329 | 19 | 1% | 63 | $812,881 | 8% | 9% |
| 92372 | 12 | 1% | 38 | $413,315 | 6% | |
| 92312 | 11 | 1% | 72 | $1.1M | 46% | |
| 92410 | 11 | 1% | 45 | $439,879 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,467 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 Victor Valley Global Medical Center reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
2
Off-site locations
127
Registered nurses
3
Pharmacists
16
Respiratory therapists
2
Physical therapists
11
Radiology technicians
1
Nuclear medicine technicians
6
Laboratory technicians
7
Medical technologists
1
Dietitians
1
Social workers
276
Other personnel
Source: CMS Provider of Services file.
88 clinicians who bill Medicare list Victor Valley Global Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Samuel Lee, M.D.
Urology Physician
NPI 1194772418
See commercial rates for Samuel Lee, M.D.Mukeshchandra Patel, M.D.
Specialist
NPI 1639106198
See commercial rates for Mukeshchandra Patel, M.D.Ramin Ashtiani, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1427004977
See commercial rates for Ramin Ashtiani, M.D.Arash Milani, MD
Internal Medicine Physician
NPI 1043581317
See commercial rates for Arash Milani, MDSamir Nayyar, MD
Orthopaedic Surgery Physician
NPI 1063703270
See commercial rates for Samir Nayyar, MDNanda Biswas, M.D.
Hematology & Oncology Physician
NPI 1043316656
See commercial rates for Nanda Biswas, M.D.Ricardo Gomez, M.D.
Pulmonary Disease Physician
NPI 1790053528
See commercial rates for Ricardo Gomez, M.D.Sunil Patel, D.O.
Nephrology Physician
NPI 1134274012
See commercial rates for Sunil Patel, D.O.Bipinchandra Bhagat, M.D.
Infectious Disease Physician
NPI 1306046123
See commercial rates for Bipinchandra Bhagat, M.D.Erika Franco, NP
Nurse Practitioner
NPI 1285299628
See commercial rates for Erika Franco, NPPallvi Popli, M.D.
Hematology & Oncology Physician
NPI 1467860221
See commercial rates for Pallvi Popli, M.D.Jerrick Thacker, MSN APRN FNP-C
Nurse Practitioner
NPI 1275275307
See commercial rates for Jerrick Thacker, MSN APRN FNP-CArtur Grigoriyan, MD
Pulmonary Disease Physician
NPI 1922251792
See commercial rates for Artur Grigoriyan, MDJimmy Tam Huy Pham, D.O.
Nephrology Physician
NPI 1982087391
See commercial rates for Jimmy Tam Huy Pham, D.O.Mark Russell, M.D.
Interventional Cardiology Physician
NPI 1639137540
See commercial rates for Mark Russell, M.D.Edgard Vera Tapia, MD
Nephrology Physician
NPI 1235127515
See commercial rates for Edgard Vera Tapia, MDTara Helling, M.D.
Diagnostic Radiology Physician
NPI 1093134223
See commercial rates for Tara Helling, M.D.Stephen Chow, MD
Orthopaedic Surgery Physician
NPI 1447296652
See commercial rates for Stephen Chow, MDRay Zhang
Vascular & Interventional Radiology Physician
NPI 1770015109
See commercial rates for Ray ZhangRobert Petruzzo, DO
Body Imaging Physician
NPI 1578615936
See commercial rates for Robert Petruzzo, DONeera Grover, MD
Gastroenterology Physician
NPI 1023169489
See commercial rates for Neera Grover, MDMichael Secrist, M.D.
Vascular & Interventional Radiology Physician
NPI 1184988669
See commercial rates for Michael Secrist, M.D.Kevin Ganesh
Infectious Disease Physician
NPI 1225563026
See commercial rates for Kevin GaneshBikramjit Ahluwalia, MD
Rheumatology Physician
NPI 1669402467
See commercial rates for Bikramjit Ahluwalia, 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 Victor Valley Global Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $387.1M | 441.0% |
| Inpatient | $245.7M | 279.9% |
| Outpatient | $141.4M | 161.1% |
| Contractual allowances and discounts | -$299.3M | -341.0% |
| Net patient revenue | $87.8M | 100.0% |
| Operating expenses | -$85.2M | -97.1% |
| Operating income from patient care | $2.6M | 2.9% |
| Other income | $28.6M | 32.6% |
| Investment income | $44,242 | 0.1% |
| Other | $28.6M | 32.6% |
| Net income | $31.2M | 35.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $38.8M | 10.0% |
| Medicaid (including managed care) | $174.4M | 45.1% |
| Other payers and self-pay | $173.8M | 44.9% |
| Total charges | $387.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, 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 Victor Valley Global Medical Center's latest cost report.
2.9%
Operating margin
Operating income from patient care / net patient revenue
26.8%
Total margin
Net income / net patient revenue plus other income
29.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
62% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$49.43
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
20.7%
Return on assets
Net income for a year / total assets
67.1%
Return on equity
Net income for a year / fund balance
1.04
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.65
Current ratio
Current assets / current liabilities
0.70
Quick ratio
Cash, temporary investments and net receivables / current liabilities
96 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
66 days
Days in patient receivables
Net patient receivables / daily net patient revenue
236 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.77
Asset turnover
Total revenue for a year / total assets
9.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Victor Valley Global Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $150.7M in total assets and a $46.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $21.6M | 14.3% |
| Patient receivables, net | $15.8M | 10.5% |
| Inventory | $1.2M | 0.8% |
| Total current assets | $141.5M | 93.9% |
| Property and equipment, net of depreciation | $9.2M | 6.1% |
| Total assets | $150.7M | 100.0% |
| Current liabilities | $53.3M | 35.4% |
| Long-term debt | $48.5M | 32.2% |
| Total liabilities | $104.2M | 69.1% |
| Fund balance (net assets) | $46.5M | 30.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Victor Valley Global Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$58,582
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11.9M
Bad debt
Patient bills written off as uncollectible, at charges
$9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.7M
Total unreimbursed and uncompensated care
3.1% 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 839924, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Victor Valley Global Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $68.5M | $72.4M | $77.7M | $73.1M | $79M | $87.8M |
| Operating expenses | $85.6M | $97.2M | $96.9M | $93.9M | $89.8M | $85.2M |
| Operating margin | -25.0% | -34.1% | -24.6% | -28.4% | -13.7% | 2.9% |
| Net income | $12.1M | $6.3M | $4.2M | $2.3M | $15.8M | $31.2M |
| Total assets | $85.5M | $77.7M | $81.6M | $106.5M | $110.3M | $150.7M |
| Discharges | 5,709 | 5,445 | 5,396 | 4,854 | 5,062 | 5,405 |
| Inpatient days | 22,517 | 22,496 | 18,535 | 17,282 | 18,877 | 21,366 |
| Medicare Advantage days | 3,162 | 3,879 | 3,736 | 2,804 | 3,234 | 3,412 |
| Beds | 101 | 101 | 101 | 101 | 101 | 101 |
| Employees (FTE) | 452 | 448 | 438 | 410 | 404 | 418 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Victor Valley Global Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $5.3M | $10.4M | $71.1M | 0.15 | 4,901 |
| Operating room | $4.1M | $9M | $44.2M | 0.20 | 12,713 |
| Radiology-diagnostic | $2.9M | $6.8M | $51.7M | 0.13 | 6,914 |
| Laboratory | $2.7M | $6.7M | $22.7M | 0.29 | 2,343 |
| Medical supplies charged to patient | $4.7M | $15M | 0.32 | ||
| Delivery room & labor room | $2.3M | $4.1M | $3.5M | 1.16 | 2,240 |
| Drugs charged to patients | $3.9M | $27.6M | 0.14 | ||
| Respiratory therapy | $1.4M | $2M | $16.1M | 0.13 | |
| Impl. dev. charged to patients | $2M | $9.3M | 0.21 | ||
| Cardiac catheterization | $819,538 | $1.3M | $12.5M | 0.11 | |
| Renal dialysis | $257,570 | $1.1M | 0.23 | ||
| Electrocardiology | $65,841 | $246,357 | $4.6M | 0.05 | 746 |
| Physical therapy | $128,841 | $764,948 | 0.17 | 544 | |
| Radioisotope | $78,546 | $45,883 | $1.3M | 0.03 | 397 |
| Whole blood & packed red blood cell | $4,672 | $1.6M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $11.3M | $23.1M | $83.1M | 0.28 | 23,701 |
| Intensive care unit | $2.7M | $5.6M | $18.7M | 0.30 | 6,287 |
| Nursery | $200,106 | $428,929 | $2.1M | 0.21 | 504 |
| Neonatal intensive care unit | $28,201 | 235 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.2M | $10.7M | 62,134 | $35.27 | |
| Employee benefits department | $345,979 | $6.4M | 8,181 | $42.29 | |
| Nursing administration | $2.1M | $2.5M | 29,590 | $69.75 | 3,422 |
| Cap rel costs-bldg & fixt | $2.3M | 154,174 | |||
| Operation of plant | $552,165 | $1.6M | 20,498 | $26.94 | 77,087 |
| Dietary | $954,053 | $1.4M | 32,127 | $29.70 | 4,229 |
| Housekeeping | $1.3M | 680 | |||
| Pharmacy | $1.2M | $1.1M | 22,976 | $52.74 | 2,852 |
| Maintenance & repairs | $656,544 | $957,391 | 15,665 | $41.91 | |
| Cap rel costs-mvble equip | $933,029 | ||||
| Central services & supply | $582,181 | $746,661 | 24,910 | $23.37 | 460 |
| Medical records & library | $479,434 | $685,367 | 13,765 | $34.83 | 2,199 |
| Laundry & linen service | $334,296 | 538 | |||
| Social service | $204,212 | $220,291 | 4,283 | $47.68 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839924, 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 Victor Valley Global Medical Center for an inpatient stay.
1.57
Case mix index
Higher than 36% 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).
62.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
907
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 | 1.57 | 1.57 | 1.76 | 1.87 | 1.73 | 1.71 | 1.57 |
| Wage index | 1.275 | 1.272 | 1.277 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.71% | -0.58% | -0.29% | -0.11% | -0.63% | -0.64% | -0.51% |
| Value-based purchasing adjustment | -0.43% | -0.24% | -0.24% | -0.40% | +0.51% | -0.51% | -1.52% |
| Medicare inpatient stays | 828 | 828 | 633 | 561 | 588 | 762 | 907 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Victor Valley Global Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 4 of 5 are shown.
About Victor Valley Global Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Victor Valley Global Medical Center range from $271 to $792 across 4 insurers. Aetna's rate is $731. The median at nearby comparable hospitals is $841. 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 Victor Valley Global Medical Center range from $315 to $654 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $315. The median at nearby comparable hospitals is $730. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Victor Valley Global Medical Center range from $712 to $2,199 across 3 insurers. Aetna's rate is $1,188. The median at nearby comparable hospitals is $1,931. 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 Victor Valley Global Medical Center range from $5,536 to $6,213 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $6,213. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Victor Valley Global Medical Center range from $77 to $189 across 3 insurers. Cigna's rate is $189. The median at nearby comparable hospitals is $235. 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 Victor Valley Global Medical Center range from $20,875 to $20,875 across 1 insurers. UnitedHealthcare's rate is $20,875. The median at nearby comparable hospitals is $17,336. What a patient pays depends on their plan's deductible, coinsurance and network status.
Victor Valley Global Medical Center 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 Victor Valley Global Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Victor Valley Global Medical Center's base inpatient payments by an estimated 0.51% 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 (81 discharges), simple pneumonia and pleurisy with mcc (47 discharges), heart failure and shock with mcc (34 discharges).
Victor Valley Global Medical Center's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% of hospitals paid under the inpatient prospective payment system.
Victor Valley Global Medical Center reported 5,405 inpatient discharges and 21,366 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Victor Valley Global Medical Center reported 418 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Victor Valley Global Medical Center reported $87.8M in net patient revenue on $387.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 2.9%, and net income of $31.2M.
Victor Valley Global Medical Center reported $2.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $58,582 of charity care at cost.
Victor Valley Global Medical Center's Medicare enrollment lists Peter R Baronoff as CEO since 2018.
Insurers' price transparency files list Victor Valley Global Medical Center under employer identification number 27-3777887 (Victor Valley Global Medical Center). 53 health plans and networks list 27-3777887 for it.
88 clinicians who bill Medicare list Victor Valley Global Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (10), certified registered nurse anesthetist (8), nephrology physician (8).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Victor Valley Global Medical Center, effective 2019.
CMS lists 33 services at Victor Valley Global Medical Center, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Victor Valley Global Medical Center came from ZIP codes 92395 (276), 92392 (181), 92301 (175).
Victor Valley Global Medical Center has 101 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Victor Valley Global Medical Center is located at 15248 Eleventh Street, Victorville, CA 92395. Its main phone number is (760) 245-8691.
Victor Valley Global Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050517.
The National Provider Identifier (NPI) on file for Victor Valley Global Medical Center is 1679879589.
Victor Valley Global Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
200 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.
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{
"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