• Financial data for hospital cost report period ending 12/31/2010 (HCRIS 266998).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2010 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2010.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
Stanislaus Surgical Hospital
Modesto, CA  95355
Medicare Provider Number: 050726

Identification and Characteristics

Name and Address: Stanislaus Surgical Hospital
1421 Oakdale Road
Modesto, CA  95355
Telephone Number: (209) 572-2700
Hospital Website: www.stanislaussurgical.com
Medicare Provider ID: 050726
   
Type of Facility: Short Term Acute Care
Type of Control: Proprietary, Corporation
Total Staffed Beds: 23
   
Total Patient Revenue: $196,130,642
Total Discharges: 974
Total Patient Days: 2,318
     
 
N O T E S
 
     

Clinical Services

Orthopedic Services
Arthroscopy
Joint Replacement
Spine Surgery
Other Services
Inpatient Surgery
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)

Inpatient Utilization Statistics by Medical Service

  Number
Medicare
Inpatients
Average
Length
of Stay
Average
Charges
Medicare
Case Mix
Index (CMI)
Gynecology 17 1.65 $56,978 0.9595
Orthopedic Surgery 292 2.84 $89,780 1.9601
Surgery 12 2.67 $37,351 1.1680
Urology 18 2.17 $38,806 0.7907
Total 361 2.72 $81,281 1.7992

Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2010 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
95350 33 90 $2,229,764 -17.5% 1.3%
95355 26 68 $1,619,990 -21.2% 1.2%
95361 26 64 $1,739,176 8.3% 2.4%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
0207 Level III Nerve Injections 1,730 $2,922 $206
0246 Cataract Procedures with IOL Insert 591 $7,434 $523
0203 Level IV Nerve Injections 271 $4,207 $296
0039 Level I Implantation of Neurostimulator Generator 13 $13,133 $925
0041 Level I Arthroscopy 99 $10,591 $746
0143 Lower GI Endoscopy 298 $2,137 $240
0051 Level III Musculoskeletal Procedures Except Hand and Foot 58 $9,328 $657
0204 Level I Nerve Injections 903 $2,893 $204
0336 Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contr 310 $1,905 $430
0141 Level I Upper GI Procedures 212 $1,971 $221
0040 Percutaneous Implantation of Neurostimulator Electrodes 11 $10,652 $750
0055 Level I Foot Musculoskeletal Procedures 65 $5,757 $405
0220 Level I Nerve Procedures 63 $7,446 $524
0042 Level II Arthroscopy 28 $21,441 $1,509
0162 Level III Cystourethroscopy and other Genitourinary Procedures 46 $7,243 $510
0429 Level V Cystourethroscopy and other Genitourinary Procedures 21 $10,711 $754
0240 Level III Repair and Plastic Eye Procedures 48 $5,018 $353
0137 Level V Skin Repair 21 $5,503 $387
0260 Level I Plain Film Except Teeth 1,046 $326 $74
0154 Hernia/Hydrocele Procedures 22 $8,059 $567

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 23 2,318
Special Care 0 0
Nursery 0 0
Total Hospital 23 2,318

Financial Statistics

  $ %
Gross Patient Revenue $196,130,642 99.8
Non-Patient Revenue $417,735 0.2
Total Revenue $196,548,377  
Net Income (or Loss) $2,348,364 1.2