40/100
#1,601 nationally
Providence St Mary Medical Center
18300 Highway 18, Apple Valley, CA 92307 · (760) 242-2311
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Providence St Mary Medical Center billed $4.87 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in CA
- #67
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 37% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 39% 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 |
454 | $32,740 | $3,352 | +68% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
327 | $98,632 | $21,560 | +51% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
188 | $22,093 | $4,013 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
175 | $8,415 | $1,993 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
164 | $68,097 | $13,299 | +57% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
95 | $10,732 | $2,847 | -9% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
87 | $60,392 | $13,836 | +30% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
66 | $23,845 | $3,919 | +25% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
51 | $50,766 | $11,063 | +29% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
49 | $79,270 | $16,782 | +40% |
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 |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$106,655 | $17,498 | +94% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$112,955 | $18,981 | +84% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$51,888 | $10,949 | +74% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$32,740 | $3,352 | +68% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$61,784 | $10,586 | +64% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$244,820 | $44,183 | +59% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$68,097 | $13,299 | +57% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$57,370 | $9,813 | +57% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$52,303 | $20,318 | -35% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$87,088 | $26,615 | -34% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,970 | $2,339 | -32% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$24,576 | $7,027 | -29% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$70,749 | $21,503 | -26% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$51,077 | $13,503 | -25% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$79,221 | $18,888 | -22% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$42,774 | $13,108 | -17% |
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.