17/100
#2,250 nationally
Providence Queen Of The Valley Medical Center
1000 Trancas St, Napa, CA 94558 · (707) 252-4411
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Providence Queen Of The Valley Medical Center billed $7.21 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
- 7.2x
- volume-weighted across all its priced work
- Procedures priced
- 81
- inpatient and outpatient combined
- Rank in CA
- #180
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 17% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 18% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
421 | $52,413 | $3,832 | +170% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
286 | $25,604 | $3,255 | +118% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
268 | $152,981 | $21,924 | +134% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
105 | $92,714 | $14,793 | +114% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
99 | $13,668 | $2,271 | +36% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
90 | $57,946 | $4,571 | +130% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
85 | $138,552 | $18,390 | +122% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
82 | $100,862 | $8,081 | +187% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
82 | $58,529 | $7,247 | +113% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
76 | $65,459 | $9,917 | +64% |
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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$26,047 | $2,243 | +204% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$63,318 | $7,210 | +188% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$100,862 | $8,081 | +187% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$96,988 | $10,578 | +180% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$163,213 | $14,390 | +173% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$35,293 | $2,853 | +173% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$30,454 | $2,251 | +171% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$52,413 | $3,832 | +170% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,390 | $3,980 | +4% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$51,883 | $12,883 | +17% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$97,627 | $22,823 | +21% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$42,589 | $7,900 | +23% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$122,226 | $24,491 | +28% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$125,743 | $26,224 | +34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$13,668 | $2,271 | +36% |
|
Implantation of Drug Infusion Device
APC 5471 · Hospital outpatient visit |
$102,343 | $23,453 | +39% |
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.