46/100
#1,387 nationally
Mad River Community Hospital
3800 Janes Rd, Arcata, CA 95521 · (707) 822-3621
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Mad River Community Hospital billed $5.37 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.4x
- volume-weighted across all its priced work
- Procedures priced
- 13
- inpatient and outpatient combined
- Rank in CA
- #43
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 58% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 26% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
378 | $16,722 | $2,859 | +42% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
67 | $29,611 | $3,315 | +52% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
35 | $19,028 | $3,980 | -7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
33 | $70,451 | $19,426 | +8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
21 | $9,641 | $1,993 | -4% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
21 | $34,139 | $8,793 | -14% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
21 | $29,619 | $5,883 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
18 | $26,236 | $4,254 | +13% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
17 | $15,105 | $3,083 | -15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
15 | $28,161 | $7,093 | -20% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$41,177 | $3,919 | +115% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$29,611 | $3,315 | +52% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$16,734 | $1,976 | +49% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,722 | $2,859 | +42% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$22,218 | $3,452 | +34% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$26,236 | $4,254 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$70,451 | $19,426 | +8% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$29,619 | $5,883 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$28,161 | $7,093 | -20% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$15,105 | $3,083 | -15% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$34,139 | $8,793 | -14% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,028 | $3,980 | -7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,641 | $1,993 | -4% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$29,619 | $5,883 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$70,451 | $19,426 | +8% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$26,236 | $4,254 | +13% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.