Short Term Acute Care HospitalProprietary

Adcare Hospital Of Worcester

Worcester, MA

107 Lincoln Street, Worcester, MA 01605(508) 799-9000

Not rated by CMS

CMS star rating

114

Beds

5,604

Inpatient discharges a year

$36.8M

Net patient revenue a year

In-network payers

About this hospital

Adcare Hospital Of Worcester is a 114-bed proprietary hospital in Worcester, MA. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 36 disclosed rate categories.

Disproportionate share hospital

CCN: 220062
NPI: 1134281280
Teaching: No Medicare-funded residents
County: Worcester County
Metro area: Worcester, MA MSA
Medicare contractor: Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since: 1966
Last CMS survey: 2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037	Negotiated	Very High
Aetna	Outpatient	HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037	Per Diem	Very Low
Aetna	Outpatient	HCPCS Temporary National Codes (Non-Medicare) Range: S0012 - S9999	Negotiated	Very Low
Aetna	Outpatient	HCPCS Temporary National Codes (Non-Medicare) Range: S0012 - S9999	Per Diem	Very Low
Aetna	Facility	RC Behavioral Health Accommodations Range: 1000 - 1009	Per Diem	Very Low
Aetna	Facility	RC Behavioral Health Treatments/Services (also see 091X, and extension of 090X) Range: 0900 - 0909	Negotiated	Very Low
Aetna	Facility	RC Behavioral Health Treatments/Services (also see 091X, and extension of 090X) Range: 0900 - 0909	Per Diem	Very Low
Aetna	Facility	RC Behavioral Health Treatments/Services - Extension of 090X Range: 0910 - 0919	Negotiated	Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

Quality
Not rated by CMS
- No Medicare readmissions penalty
See quality ratings
Doctors and services
No Medicare-funded residents
- 9 services
- 14 affiliated clinicians
See doctors and services
Finances
$36.8M net patient revenue
- Operating margin on patient care 13.2%
- $2M unreimbursed and uncompensated care
- $5.1M net income
See finances
Ownership and leadership
Owned by Aac Healthcare Network, Inc.
- Private (for profit)
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adcare Hospital Of Worcester in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
04-2053042(multi-state) AdCare Hospital of Worcester INC.	51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 46 more	1134281280 Adcare Hospital Of Worcester Inc.1114979747 Counseling Associates Inc1669214896 Adcare Rhode Island Inc

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

107 Lincoln Street, Worcester, MA 01605

(508) 799-9000

Get directions

Quality ratings (CMS Care Compare)

How Adcare Hospital Of Worcester compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Death rates
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 1 measures
1 better, 0 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital

Measure details and reporting periods

Measure	Result	Period
Death rates	No different on 1 measures
Safety	Better on 1 of 1 measures
Readmissions	No different on 1 measures
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Adcare Hospital Of Worcester's inpatient payments for its readmissions, quality and cost results.

No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Adcare Hospital Of Worcester, beside the US median and the average of MA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	Adcare Hospital Of Worcester	US median	MA average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available		4.091
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 179 cases	2.6	3.9	3.416		Better than 98% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.44
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.108
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available		7.486
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available		9.785
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available		13.44
Death rate for stroke patients2023-07-01 to 2025-06-30	Not Available		11.76
Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,652 cases	0.45	0.51	0.6721	No Different Than the National Rate	Better than 59% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available		175
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,875 cases	0.2	0.2	0.2083	No Different Than the National Rate	Better than 46% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,876 cases	0.3	0.27	0.296	No Different Than the National Rate	Worse than 78% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30	Not Available		2.482
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30	Not Available		1.613
Postoperative respiratory failure rate2022-07-01 to 2024-06-30	Not Available		9.192
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30	Not Available		3.743
Postoperative sepsis rate2022-07-01 to 2024-06-30	Not Available		5.331
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30	Not Available		1.756
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30	Not Available		1.044

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	Adcare Hospital Of Worcester	MA average
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available	18.16
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available	17.34
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available	17.01
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31	Not Available	12.66
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	10.92
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	5.182
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31	Not Available	0.9596
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	14.76
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available	10.82
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30	Not Available	20.36
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	22.03
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available	5.709
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	17.81

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	Adcare Hospital Of Worcester	US median	MA average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2107
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.812
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	Not Available		8,303
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available		8.287
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available		4.273
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available		0.4759
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2845
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.932
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	Not Available		7,314
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available		8.986
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available		5.818
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available		0.6647
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.3618
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.379
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	Not Available		149
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	Not Available		3.928
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	Not Available		3.531
SSI - Colon Surgery2024-10-01 to 2025-09-30	Not Available		0.7845
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.4656
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		3.886
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	Not Available		72.32
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	Not Available		0.6066
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	Not Available		0.7955
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		1.451
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2428
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.383
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	37,598	14,451	69,453
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	0.88	0.567	4.799
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	0	0	3.018
MRSA Bacteremia2024-10-01 to 2025-09-30	Not Available		0.6915
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2286	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.357	0.747	0.9902	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	37,598	13,646	64,881	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	8.393	5.683	33.9	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	0	2	16.5	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0	0.279	0.4375	Better than the National Benchmark	The best result, shared by 19% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	Adcare Hospital Of Worcester	MA average
Room was "always" clean2024-10-01 to 2025-09-30	Not Available	69.54
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30	Not Available	10.27
Room was "usually" clean2024-10-01 to 2025-09-30	Not Available	20.2
Cleanliness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	85.15
Cleanliness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.13
Nurses "always" communicated well2024-10-01 to 2025-09-30	Not Available	79.3
Nurse communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.43
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	4.75
Nurse communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.463
Nurses "usually" communicated well2024-10-01 to 2025-09-30	Not Available	15.95
Doctors "always" communicated well2024-10-01 to 2025-09-30	Not Available	78.45
Doctor communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	90.5
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	5.893
Doctor communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.019
Doctors "usually" communicated well2024-10-01 to 2025-09-30	Not Available	15.66
Staff "always" explained2024-10-01 to 2025-09-30	Not Available	60.82
Communication about medicines - linear mean score2024-10-01 to 2025-09-30	Not Applicable	76.96
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30	Not Available	19.86
Communication about medicines - star rating2024-10-01 to 2025-09-30	Not Applicable	2.704
Staff "usually" explained2024-10-01 to 2025-09-30	Not Available	19.32
Discharge information - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.83
No, staff "did not" give patients this information2024-10-01 to 2025-09-30	Not Available	12.75
Discharge information - star rating2024-10-01 to 2025-09-30	Not Applicable	3.648
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30	Not Available	87.25
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	13.96
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	86.04
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	73.88
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	7.232
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	18.89
Doctors "always" listened carefully2024-10-01 to 2025-09-30	Not Available	76.98
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	6.357
Doctors "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	16.66
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	84.46
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	4.036
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	11.5
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30	Not Available	9.911
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30	Not Available	22.54
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30	Not Available	67.55
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.72
Overall hospital rating - star rating2024-10-01 to 2025-09-30	Not Applicable	2.981
Staff "always" explained new medications2024-10-01 to 2025-09-30	Not Available	74.29
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30	Not Available	9.679
Staff "usually" explained new medications2024-10-01 to 2025-09-30	Not Available	16.04
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	75.66
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	6.125
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	18.21
Nurses "always" listened carefully2024-10-01 to 2025-09-30	Not Available	77
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	4.946
Nurses "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	18.05
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	85.23
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	3.125
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	11.64
"Always" quiet at night2024-10-01 to 2025-09-30	Not Available	47.63
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30	Not Available	17.7
"Usually" quiet at night2024-10-01 to 2025-09-30	Not Available	34.68
Quietness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	74.48
Quietness - star rating2024-10-01 to 2025-09-30	Not Applicable	2.111
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30	Not Available	6.143
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30	Not Available	69.48
Recommend hospital - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.65
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30	Not Available	24.38
Recommend hospital - star rating2024-10-01 to 2025-09-30	Not Applicable	3.556
Staff "always" explained possible side effects2024-10-01 to 2025-09-30	Not Available	47.23
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30	Not Available	30.13
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30	Not Available	22.64
Summary star rating2024-10-01 to 2025-09-30	Not Applicable	3.056
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	11.66
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	88.34

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	Adcare Hospital Of Worcester	US median	MA average	US rank
Emergency department volume2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		9
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		1.188
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 453 cases	41	79	84.05	Worse than 92% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		227
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		219
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		381
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		358
Left before being seen2024-01-01 to 2024-12-31	Not Available		3.981
Head CT results2024-10-01 to 2025-09-30	Not Available		69.39
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31	Not Available		97.12
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		30.67
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 499 cases	16	15	17.23	Worse than 57% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30	Not Available		53.88
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		63.72
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		81.64
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		74.82
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		90.31
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		97.42
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		81
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		93
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		91.36
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		96.17

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	Adcare Hospital Of Worcester	US median	MA average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	Not Available		4.356
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		6.335

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	Adcare Hospital Of Worcester	US median	MA average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.93	0.99	0.9783		Better than 78% of US hospitals

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Adcare Hospital Of Worcester	MA average
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A	1.051
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A	1.024
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	N/A	1.036
READM-30-HF-HRRP2021-07-01 to 2024-06-30	N/A	1.036
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A	1.008
READM-30-PN-HRRP2021-07-01 to 2024-06-30	N/A	1.046

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HF-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HIP-KNEE-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-PN-HRRP	N/A	N/A	N/A	N/A	N/A	N/A

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Adcare Hospital Of Worcester	US median	MA average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.7646
CDI standardized infection ratio2023-01-01 to 2024-12-31	0	0.346	0.4801	The best result, shared by 9% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.683
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0	0.6405	0.6605	The best result, shared by 12% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	N/A		1.026
SSI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.9399
Total HAC scoreFY 2026	-0.2492	-0.0453	0.2232	Better than 65% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	-1.06	-0.4165	0	-1.416	-0.3048	-0.2492

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

Not accredited
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
114
Medicare-certified beds
26
Registered nurses (full-time equivalent)
1966
In Medicare since

9 services at Adcare Hospital Of Worcester

Imaging: CT ScanDiagnostic Radiology
Women and children: Clinical Laboratory
Behavioral health: Alcohol and/or Drug Service
Rehabilitation and therapy: PT (Physical Therapy)
Other services: Dietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Adcare Hospital Of Worcester reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.

5,604
Inpatient discharges
Medicare 21%, Medicaid 2%
37,500
Inpatient days
90% of available bed days used
355
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 830345). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Adcare Hospital Of Worcester reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	8,718	803	27,979	37,500
Discharges	1,202	119	4,283	5,604
Average length of stay	7.3 days	6.7 days	6.5 days	6.7 days
Average daily census	23.9	2.2	76.7	102.7

4,768
Medicare Advantage days
709 discharges
20,436
Medicaid managed care days
3,062 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	114	37,500	8,718	90%

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Adcare Hospital Of Worcester treats Medicare patients for most often, in 2024. 1,248 Medicare discharges in 3 published DRGs; 0% surgical; 0% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical	676	$16,663	$12,930	$8,798	1.61
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical	429	$9,043	$6,715	$4,775	0.86
Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical	143	$4,214	$4,306	$2,225	0.57

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Adcare Hospital Of Worcester in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,505 in 2020 to 966 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
01605	49	5%	320	$548,082	4%	3%
01610	38	4%	230	$393,586	4%	3%
01453	37	4%	235	$399,284	2%	1%
02301	32	3%	238	$402,156	1%	1%
02740	30	3%	199	$336,338	1%	3%
01604	29	3%	144	$253,857	2%	2%
01104	26	3%	167	$282,195	2%	2%
02720	26	3%	193	$323,985	1%	1%
01040	23	2%	162	$271,650	1%	2%
02124	23	2%	162	$283,420	1%	1%
02703	23	2%	158	$278,283	1%
01301	22	2%	174	$292,998	2%	1%
01109	21	2%	161	$270,561	1%	2%
01060	20	2%	140	$232,322	2%	2%
01609	20	2%	114	$195,474	2%	4%
02116	20	2%	153	$255,214	3%	2%
02118	20	2%	189	$316,395	2%	3%
02169	19	2%	120	$205,323	1%	1%
01105	18	2%	135	$235,480	2%	2%
02125	18	2%	134	$227,174	2%	3%
01420	17	2%	130	$221,077	1%	1%
01752	17	2%	80	$134,110	1%
02119	17	2%	111	$186,444	1%	3%
01108	16	2%	123	$212,434	1%	4%
01201	16	2%	117	$197,647	1%	0%

Source: CMS Hospital Service Area file. Shares are of the 966 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Adcare Hospital Of Worcester reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.

6
Off-site locations

26
Registered nurses
16
Licensed practical nurses
1
Pharmacists
1
Laboratory technicians
3
Social workers
156
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

14 clinicians who bill Medicare list Adcare Hospital Of Worcester as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Physician Assistant 4
Family Medicine Physician 2
Internal Medicine Physician 2
Addiction Medicine (Internal Medicine) Physician 1
Adult Health Nurse Practitioner 1
Diagnostic Radiology Physician 1
Family Nurse Practitioner 1
Medical Physician Assistant 1
Nurse Practitioner 1

Lynne Walker, NP-C
Nurse Practitioner
NPI 1356854525
See commercial rates for Lynne Walker, NP-C
Sunita Godiwala, M.D., FAAFP.
Family Medicine Physician
NPI 1407838188
See commercial rates for Sunita Godiwala, M.D., FAAFP.
Linwood Kenneally, PHYSICIAN ASSISTANT
Medical Physician Assistant
NPI 1215682588
See commercial rates for Linwood Kenneally, PHYSICIAN ASSISTANT
Wojciech Poluha, MD
Addiction Medicine (Internal Medicine) Physician
NPI 1164409231
See commercial rates for Wojciech Poluha, MD
Heather Keefe, PA-C
Physician Assistant
NPI 1801456041
See commercial rates for Heather Keefe, PA-C
Mohammad Alhabbal, M.D.
Family Medicine Physician
NPI 1366469728
See commercial rates for Mohammad Alhabbal, M.D.
Marcos Bachman, M.D.
Internal Medicine Physician
NPI 1942664404
See commercial rates for Marcos Bachman, M.D.
Helen Chow, PA-C
Physician Assistant
NPI 1073375184
See commercial rates for Helen Chow, PA-C
Joseph Jacob, MD
Diagnostic Radiology Physician
NPI 1912469495
See commercial rates for Joseph Jacob, MD
Sarah Mary Amato, RN, MSN, ANP-BC
Adult Health Nurse Practitioner
NPI 1477832210
See commercial rates for Sarah Mary Amato, RN, MSN, ANP-BC
Diane Skwisz, FNP
Family Nurse Practitioner
NPI 1578539912
See commercial rates for Diane Skwisz, FNP
Kristen Place, PA-C
Physician Assistant
NPI 1285453514
See commercial rates for Kristen Place, PA-C
Austin Drexler, PA-C
Physician Assistant
NPI 1528953965
See commercial rates for Austin Drexler, PA-C
Raafe Islam, MD
Internal Medicine Physician
NPI 1629760715
See commercial rates for Raafe Islam, MD

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Adcare Hospital Of Worcester reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$67.4M	182.9%
Inpatient	$64M	173.7%
Outpatient	$3.4M	9.2%
Contractual allowances and discounts	-$30.6M	-82.9%
Net patient revenue	$36.8M	100.0%
Operating expenses	-$32M	-86.8%
Operating income from patient care	$4.8M	13.2%
Other income	$207,046	0.6%
Investment income	$611	0.0%
Other	$206,435	0.6%
Net income	$5.1M	13.7%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$1.9M	2.8%
Medicaid (including managed care)	$38.4M	57.0%
Other payers and self-pay	$27.1M	40.2%
Total charges	$67.4M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Adcare Hospital Of Worcester's latest cost report.

13.2%
Operating margin
Operating income from patient care / net patient revenue
13.6%
Total margin
Net income / net patient revenue plus other income
16.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
64% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$22.07
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
102.8%
Return on assets
Net income for a year / total assets
0.40
Current ratio
Current assets / current liabilities
0.40
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
33 days
Days in patient receivables
Net patient receivables / daily net patient revenue
102 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
7.53
Asset turnover
Total revenue for a year / total assets
1.6 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Adcare Hospital Of Worcester owned and owed at the end of its reporting period (Sep 2025), across all fund types: $4.9M in total assets and a -$4.4M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$90,849	1.8%
Patient receivables, net	$3.4M	68.4%
Inventory	$34,983	0.7%
Total current assets	$3.5M	71.6%
Property and equipment, net of depreciation	$1.2M	25.2%
Investments and other assets	$154,898	3.1%
Total assets	$4.9M	100.0%
Current liabilities	$8.7M	177.2%
Total liabilities	$9.4M	190.1%
Fund balance (net assets)	-$4.4M	-90.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Adcare Hospital Of Worcester provided without full payment, as reported on Worksheet S-10 of its cost report.

$1.2M
Bad debt
Patient bills written off as uncollectible, at charges
$1.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2M
Total unreimbursed and uncompensated care
6.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Adcare Hospital Of Worcester's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Sep 2020	Sep 2021	Sep 2022	Sep 2023	Sep 2024	Sep 2025
Net patient revenue	$37.1M	$35.4M	$36.3M	$32.2M	$38.5M	$36.8M
Operating expenses	$38.7M	$36.6M	$37M	$30.4M	$32.5M	$32M
Operating margin	-4.4%	-3.4%	-2.0%	5.5%	15.6%	13.2%
Net income	$919,190	$113,674	$3.9M	$2.6M	$6.8M	$5.1M
Total assets	$10.9M	$7.9M	$14.1M	$19.4M	$5.1M	$4.9M
Discharges	5,887	5,378	5,792	4,472	5,326	5,604
Inpatient days	34,013	31,025	36,054	29,935	35,997	37,500
Medicare Advantage days	2,859	3,526	4,837	4,681	5,112	4,768
Beds	114	114	114	114	114	114
Employees (FTE)	340	311	307	345	354	355

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Adcare Hospital Of Worcester reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 21 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Clinic	$899,494	$3M	$3.4M	0.89	17,563
Drugs charged to patients		$899,607	$2.1M	0.42
Laboratory	$137,241	$899,572	$2.2M	0.41	1,260
Medical supplies charged to patient		$572,609	$634,865	0.90
Radiology-diagnostic		$55,210	$76,375	0.72
Respiratory therapy		$774	$125,686	0.01

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$10.4M	$31.4M	$58.9M	0.53	22,159

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$3.1M	$16.3M	134,872	$22.97	15,985
Employee benefits department		$1.6M			1,087
Cap rel costs-bldg & fixt		$1.2M			71,790
Dietary	$530,072	$1.2M	26,407	$14.88	3,946
Housekeeping	$547,496	$585,393	38,562	$14.20	1,334
Operation of plant		$521,081
Maintenance & repairs	$190,130	$424,786	10,061	$18.90	4,078
Cafeteria		$410,876	9,209	$14.88	913
Social service	$319,265	$345,549	10,489	$30.44	631
Laundry & linen service		$246,558
Cap rel costs-mvble equip		$237,032
Nursing administration	$113,542	$159,868	2,080	$54.59	991
Medical records & library	$97,178	$158,073	4,248	$22.88	785
Pharmacy		$67,929			270

Source: CMS cost report (HCRIS, Form 2552-10), report 830345, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Adcare Hospital Of Worcester for an inpatient stay.

1.12
Case mix index
Higher than 4% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
74.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,203
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.10	1.10	1.09	1.11	1.07	1.16	1.12
Wage index	1.267	1.284	1.297	1.242	1.313	1.288	1.307
Readmissions adjustment	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
Value-based purchasing adjustment	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
Medicare inpatient stays	2,870	2,870	2,163	1,976	1,445	1,282	1,203

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Adcare Hospital Of Worcester's rates and hospital price transparency.

Is Adcare Hospital Of Worcester a teaching hospital?

CMS reports no Medicare-funded interns or residents at Adcare Hospital Of Worcester for fiscal year 2027.

Does Medicare penalize Adcare Hospital Of Worcester for readmissions?

No. Adcare Hospital Of Worcester has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Adcare Hospital Of Worcester?

In 2024, the most common were alcohol, drug abuse or dependence with rehabilitation therapy (676 discharges), alcohol, drug abuse or dependence without rehabilitation therapy without mcc (429 discharges), alcohol, drug abuse or dependence, left ama (143 discharges).

What is Adcare Hospital Of Worcester's case mix index?

Adcare Hospital Of Worcester's Medicare case mix index is 1.12 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.

How many patients does Adcare Hospital Of Worcester admit?

Adcare Hospital Of Worcester reported 5,604 inpatient discharges and 37,500 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Adcare Hospital Of Worcester have?

Adcare Hospital Of Worcester reported 355 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Adcare Hospital Of Worcester make?

Adcare Hospital Of Worcester reported $36.8M in net patient revenue on $67.4M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 13.2%, and net income of $5.1M.

How much charity and uncompensated care does Adcare Hospital Of Worcester provide?

Adcare Hospital Of Worcester reported $2M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025.

What is Adcare Hospital Of Worcester's tax ID (EIN)?

Insurers' price transparency files list Adcare Hospital Of Worcester under employer identification number 04-2053042 ((multi-state) AdCare Hospital of Worcester INC.). 51 health plans and networks list 04-2053042 for it.

How many doctors are affiliated with Adcare Hospital Of Worcester?

14 clinicians who bill Medicare list Adcare Hospital Of Worcester as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (4), family medicine physician (2), internal medicine physician (2).

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    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
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Adcare Hospital Of Worcester

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

9 services at Adcare Hospital Of Worcester

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

9 services at Adcare Hospital Of Worcester

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts