Pacific Grove Hospital
5900 BROCKTON AVE, Riverside, CA 92506
Pacific Grove Hospital in Riverside, CA has an average Medicare payment of $26,219 and a Value Score of D (39/100). Compare prices for 17 procedures. Based on CMS inpatient data.
About Pacific Grove Hospital
Pacific Grove Hospital does not carry an overall CMS Hospital Compare star rating — typically because the hospital is too small, too specialized, or reports too few of the underlying measures to compute the composite. Outcome measures are mixed: 0 mortality, 0 safety, and 0 readmission measures rate better than benchmark; 0 mortality, 0 safety, and 0 rate worse. The composite outcome score is 50/100.
Average payment per documented procedure at Pacific Grove Hospital is $26,219 — among the higher-cost facilities in the dataset. The composite value score of 39/100 puts Pacific Grove Hospital in the middle of the value distribution: not a standout choice on cost-vs-quality grounds, but not poor either.
Pacific Grove Hospital is investor-owned — a proprietary hospital, the minority ownership pattern in U.S. acute care. For-profit hospitals are more concentrated in some regions (Florida, Texas, Nevada) than others. The CMS payment record for Pacific Grove Hospital lists 17 distinct DRG codes — a mid-range procedure mix, including Pulmonary Edema and Respiratory Failure, Esophagitis, Gastroenteritis with MCC, Nutritional and Misc Metabolic Disorders with MCC. Emergency services are not offered, which is unusual for an acute-care facility — most often reflects a specialty hospital or non-traditional inpatient model.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Pulmonary Edema and Respiratory Failure DRG 189 · Respiratory | $21,185 |
Esophagitis, Gastroenteritis with MCC DRG 392 · Digestive | $16,738 |
Nutritional and Misc Metabolic Disorders with MCC DRG 641 · Metabolic | $15,783 |
Major Hip and Knee Joint Replacement DRG 470 · Orthopedic | $30,614 |
GI Hemorrhage with MCC DRG 378 · Digestive | $24,662 |
Kidney and Urinary Tract Infections without MCC DRG 690 · Renal | $14,204 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $21,812 |
Spinal Fusion (Non-Cervical) with MCC DRG 460 · Orthopedic | $63,643 |
Simple Pneumonia and Pleurisy with CC DRG 194 · Respiratory | $10,625 |
Heart Failure and Shock with CC DRG 292 · Cardiac | $17,211 |
Respiratory System Diagnosis with Ventilator Support >96 Hours DRG 208 · Respiratory | $100,443 |
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent DRG 247 · Cardiac | $34,909 |
Renal Failure with CC DRG 683 · Renal | $19,733 |
Simple Pneumonia and Pleurisy with MCC DRG 193 · Respiratory | $19,008 |
Transient Ischemia DRG 069 · Neurological | $10,958 |
Cellulitis with MCC DRG 603 · Infectious | $12,982 |
Syncope and Collapse DRG 312 · Neurological | $11,212 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Pacific Grove Hospital Compares
Pacific Grove Hospital has an average Medicare payment of $26,219, 22% above the California state average of $21,491. That is 65% higher than the national hospital average of $15,878. Most of its procedures fall under Respiratory, where the typical payment is $22,953 (14% above this hospital's average). Its Value Score of D (39/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Pacific Grove Hospital Cost & Quality FAQ
Pacific Grove Hospital has an average payment of $26,219 across 17 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Pacific Grove Hospital does not currently have a CMS star rating on file. Quality measures may still be available for individual metrics like mortality and readmission rates.
Pacific Grove Hospital has a Value Score of D (39/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Proprietary facilities like this one are psychiatric.
Pacific Grove Hospital does not offer emergency services at this location. For emergencies, contact your local 911 service.
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Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.