Community Health Systems · Bluffton, IN
4 of 5
CMS star rating
40
Beds
465
Inpatient discharges a year
$25.9M
Net patient revenue a year
33
In-network payers
Bluffton Regional Medical Center is a 40-bed proprietary hospital in Bluffton, IN, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 229 disclosed rate categories.
The 24 services Bluffton Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
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Childbirth · Inpatient
MS-DRG 807
$8,847
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,896
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78452
$391 - $5,152
from 2 insurers · median $2,772
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$312 - $601
from 2 insurers · median $457
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,847
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$57,705
negotiated rate
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$116 - $140
from 2 insurers · median $128
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$146 - $854
from 2 insurers · median $500
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$109 - $314
from 3 insurers · median $218
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$36,439
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 42820
$21,164
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 71275
$260 - $707
from 2 insurers · median $483
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$208 - $365
from 2 insurers · median $287
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$25,627
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$597
negotiated rate
105 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$1,418
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$77 - $332
from 2 insurers · median $204
Common here, based on CMS Medicare volume
Urology
CPT 50590
$12,797
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$31 - $332
from 2 insurers · median $181
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$100 - $418
from 2 insurers · median $259
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$196 - $404
from 2 insurers · median $300
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$597
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$136 - $418
from 2 insurers · median $277
Common here, based on CMS Medicare volume
Gynecology
CPT 58563
$17,661
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 350% | 6 | 12 |
| Insurer B* | 2 | 211% | 0 | 0 |
| Insurer C* | 11 | 87% | 0 | 11 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Bluffton Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$25.9M net patient revenue
Ownership and leadership
Owned by CHS Community Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Bluffton Regional Medical Center 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 |
|---|---|---|
| 62-1792272Bluffton Regional Medical Center | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1376594366 Bluffton Health System LLC1750333688 Bluffton Health System LLC1912959842 Bluffton Health System LLCand 4 more |
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.
303 South Main Street, Bluffton, IN 46714
(260) 824-3210
How Bluffton Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Would definitely recommend
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
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
Serious complications (PSI 90)
0.99
Higher than 60% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
122 min
Lower than 72% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
52%
Lower than 78% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 1 of 5 measures | |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.99 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: 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 better | 122 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 52% | 2024-10-01 to 2025-09-30 |
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.
How Medicare adjusts Bluffton Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.08% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.24% 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).
Each result CMS publishes for Bluffton Regional Medical Center, beside the US median and the average of IN hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.223 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 223 cases | 3.6 | 3.9 | 4.041 | Better than 69% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.13 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.479 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.628 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 25 cases | 10 | 11 | 11.45 | Better than 69% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 100 cases | 17.8 | 15.2 | 15.69 | Worse than 84% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.44 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 302 cases | 0.59 | 0.51 | 0.487 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 180 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 420 cases | 0.28 | 0.2 | 0.2199 | No Different Than the National Rate | Worse than 91% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 427 cases | 0.27 | 0.27 | 0.2682 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 36 cases | 2.32 | 2.29 | 2.221 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.718 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.677 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 36 cases | 3.47 | 3.4 | 3.374 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.188 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 26 cases | 1.75 | 1.72 | 1.757 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 58 cases | 1.03 | 1.02 | 1.054 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 3.221 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 28 cases | 3.8 | 1.25 | -4.257 | Worse than 53% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 97 cases | -4 | 3.85 | -1.706 | Better than 61% of US hospitals | |
| 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 · 293 cases | 12.2 | 12.9 | 12.92 | No Different Than the National Rate | Better than 86% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.527 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.012 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.24 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.8 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 47 cases | 20.8 | 19.8 | 19.64 | Worse than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 69 cases | 21 | 21.3 | 20.96 | Better than 60% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.687 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 149 cases | 17.2 | 17.2 | 16.99 | Better than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.999 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 3,654 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.695 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.945 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2611 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.872 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 3,278 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.981 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.89 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5887 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2335 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.51 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 85.67 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.324 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.517 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6725 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3586 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 65.5 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.5781 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.5769 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.127 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1776 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.236 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 3,165 | 14,451 | 30,946 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.064 | 0.567 | 1.802 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.157 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5507 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1983 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.34 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 3,165 | 13,646 | 28,686 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.758 | 5.683 | 14.93 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 5.452 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3807 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 77 cases | 86 | 73 | 73.32 | Better than 91% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 77 cases | 4 | 8 | 8.475 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 77 cases | 10 | 18 | 18.21 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 86.92 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.539 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 77 cases | 85 | 80 | 79.54 | Better than 79% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 91.55 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 77 cases | 3 | 4 | 3.673 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.539 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 77 cases | 12 | 16 | 16.78 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 77 cases | 83 | 79 | 78.89 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 90.7 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 77 cases | 3 | 5 | 4.871 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.079 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 77 cases | 14 | 16 | 16.24 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 77 cases | 65 | 61 | 60.05 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 76.1 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 77 cases | 12 | 19 | 20.45 | Better than 86% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 2.494 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 · 77 cases | 23 | 19 | 19.5 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 86.69 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 77 cases | 10 | 13 | 12.7 | Better than 78% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.573 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 77 cases | 90 | 87 | 87.3 | Better than 78% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 77 cases | 7 | 14 | 13.57 | Better than 95% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 77 cases | 93 | 86 | 86.43 | Better than 95% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 76 | 74 | 73.26 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 5 | 7 | 6.316 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 19 | 19 | 20.43 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 83 | 77 | 77.15 | Better than 81% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 3 | 6 | 5.469 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 14 | 17 | 17.38 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 89 | 85 | 85.09 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 2 | 3 | 3.418 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 9 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 77 cases | 6 | 8 | 7.436 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 77 cases | 21 | 20 | 19.5 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 77 cases | 73 | 72 | 73.07 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 88.67 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.539 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 77 cases | 74 | 74 | 73.46 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 77 cases | 6 | 9 | 9.908 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 77 cases | 20 | 16 | 16.63 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 84 | 75 | 74.65 | Better than 92% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 5 | 5 | 5.184 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 77 cases | 11 | 20 | 20.16 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 82 | 77 | 76.87 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 3 | 4 | 4.01 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 77 cases | 15 | 19 | 19.12 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 88 | 86 | 86.3 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 1 | 3 | 2.327 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 77 cases | 11 | 11 | 11.38 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 77 cases | 63 | 59 | 59.53 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 77 cases | 9 | 9 | 8.455 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 77 cases | 28 | 31 | 32.01 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 82.71 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.517 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 77 cases | 6 | 5 | 4.822 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 77 cases | 64 | 71 | 71.47 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 87.91 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 77 cases | 30 | 23 | 23.71 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.82 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 77 cases | 55 | 47 | 45.48 | Better than 81% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 77 cases | 18 | 30 | 31.64 | Better than 92% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 77 cases | 27 | 22 | 22.88 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 77 cases | Not Applicable | 3.382 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 77 cases | 13 | 12 | 11.77 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 77 cases | 87 | 88 | 88.23 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | 6.4 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 177 cases | 0 | 1 | 0.8718 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.125 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 279 cases | 74 | 79 | 81.09 | Worse than 58% 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 · 426 cases | 128 | 154 | 155 | Better than 72% of US hospitals | |
| 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 · 383 cases | 122 | 148 | 150 | Better than 72% of US hospitals | |
| 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 | 240 | |||
| 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 · 37 cases | 261 | 293 | 307 | Better than 64% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 9,880 cases | 1 | 1 | 1.5 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.52 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 34 cases | 82 | 97 | 91.79 | Worse than 89% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 55 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 51.85 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 133 cases | 10 | 15 | 15.17 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 31 cases | 52 | 65 | 64.84 | Worse than 78% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 55 | 73 | 69.13 | Worse than 84% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.4 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 84 | 82 | 82.45 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 95 | 94 | 92.86 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.86 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 72.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.11 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 475 cases | 93 | 90 | 89.36 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 33 cases | 97 | 97 | 94.47 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 10.5 | 5 | 5.816 | Worse than 89% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 3.4 | 6.6 | 6.045 | Better than 89% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.95 | 0.99 | 1.009 | Better than 68% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 18.11 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 4.553 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 11.25 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 2.839 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 63 | 34 | 37.66 | Better than 88% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.75 | 8.75 | 9.491 | Better than 87% of US hospitals | |
| VBP safety domain scoreFY 2026 | 85 | 40 | 43.71 | Better than 96% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 21.25 | 10 | 10.93 | Better than 96% of US hospitals | |
| VBP total performance scoreFY 2026 | 47 | 29.5 | 27.64 | Better than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 20 | 20 | 0 | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 6.667 | 5 | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 100 | 60 | 50 | 40 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | Not Available | 25 | 20 | 16.67 | 10 |
| VBP person and community engagement domain score | 48 | Not Available | Not Available | 25 | 38 | 63 |
| VBP person and community engagement weighted domain score | 16 | Not Available | Not Available | 8.333 | 12.67 | 15.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 85 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 21.25 |
| VBP total performance score | 39.33 | Not Available | Not Available | 28.33 | 29.33 | 47 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9945 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.004 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.017 | 0.9969 | 1.004 | Worse than 66% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9865 | 0.9983 | 1.001 | Better than 59% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9883 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9534 | 0.9955 | 0.993 | Better than 78% of US hospitals |
| 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 | 0.9701 | 0.978 | 0.9727 | 1.023 | 1.001 | 1.017 |
| READM-30-HF-HRRP | 0.9589 | 0.9324 | 0.9497 | 0.9705 | 0.9696 | 0.9865 |
| READM-30-HIP-KNEE-HRRP | 1.019 | 1.047 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.062 | 1.036 | 1.018 | 1.012 | 0.9829 | 0.9534 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5461 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.478 | 0.346 | 0.4008 | Worse than 69% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5853 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5928 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.985 | 0.9628 | 0.9572 | Worse than 60% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9162 | |||
| Total HAC scoreFY 2026 | 0.1823 | -0.0453 | -0.151 | Worse than 64% 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 | -1.109 | -0.7496 | 0 | -0.7731 | 0.038 | 0.1823 |
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.
The Joint Commission (since 2021)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
50
Medicare-certified beds
67
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Bluffton Regional Medical Center reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
465
Inpatient discharges
Medicare 31%, Medicaid 13%
2,939
Inpatient days
20% of available bed days used
134
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831152). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Bluffton Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 992 | 5 | 1,942 | 2,939 |
| Discharges | 143 | 60 | 262 | 465 |
| Average length of stay | 6.9 days | 0.1 days | 7.4 days | 6.3 days |
| Average daily census | 2.7 | 0.0 | 5.3 | 8.1 |
760
Medicare Advantage days
247 discharges
132
Medicaid managed care days
496
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 31 | 1,437 | 463 | 13% |
| Intensive care unit | 9 | 17 | 5 | 1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Bluffton Regional Medical Center treats Medicare patients for most often, in 2024. 73 Medicare discharges in 5 published DRGs; 0% surgical; 85% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $49,741 | $10,767 | $17,559 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 19 | $54,420 | $15,368 | $19,210 | 1.98 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $28,007 | $5,716 | $9,886 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $50,134 | $8,720 | $17,697 | 1.10 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $31,713 | $6,770 | $11,195 | 1.03 |
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.
The comprehensive outpatient service groups (APCs) Bluffton Regional Medical Center billed Medicare for most in 2024: 184 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 105 | 70 | $25,196 | $1,596 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 41 | 39 | $26,263 | $1,901 | $2,090 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 21 | 20 | $20,568 | $1,664 | $1,780 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 16 | $13,459 | $1,365 | $1,445 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Bluffton Regional Medical Center 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 398 in 2020 to 300 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 46714 | 227 | 76% | 724 | $10.4M | 25% | 33% |
| 46777 | 22 | 7% | 61 | $896,953 | 7% | 14% |
| 46792 | 14 | 5% | 35 | $520,180 | 5% | 12% |
| 47359 | 13 | 4% | 31 | $515,150 | 11% | 12% |
| 46733 | 12 | 4% | 57 | $672,138 | 2% | 2% |
| 46781 | 12 | 4% | 35 | $569,799 | 23% | 45% |
Source: CMS Hospital Service Area file. Shares are of the 300 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Bluffton Regional Medical Center reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
5
Operating rooms
2
Endoscopy rooms
33
Psychiatric unit beds
1
Off-site locations
1
Off-site emergency departments
67
Registered nurses
2
Licensed practical nurses
3
Pharmacists
7
Respiratory therapists
3
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
13
Radiology technicians
1
Nuclear medicine technicians
2
Laboratory technicians
6
Medical technologists
1
Dietitians
1
Social workers
144
Other personnel
Source: CMS Provider of Services file.
129 clinicians who bill Medicare list Bluffton Regional Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Sunil Babu, M.D.
Medical Oncology Physician
NPI 1891968301
See commercial rates for Sunil Babu, M.D.Ryan Gonzales, M.D.
Hematology & Oncology Physician
NPI 1134330061
See commercial rates for Ryan Gonzales, M.D.Matthew Carr, MD
Hematology & Oncology Physician
NPI 1447252135
See commercial rates for Matthew Carr, MDAnil Rao, M.D.
Rheumatology Physician
NPI 1649216391
See commercial rates for Anil Rao, M.D.Michael Epstein, MD
Hematology & Oncology Physician
NPI 1437151347
See commercial rates for Michael Epstein, MDYasolatha Nalamolu, MD
Hematology & Oncology Physician
NPI 1831173269
See commercial rates for Yasolatha Nalamolu, MDNaga Vutukuri, MD
Hematology & Oncology Physician
NPI 1518255942
See commercial rates for Naga Vutukuri, MDSteven Rhinehart, MD
Hematology & Oncology Physician
NPI 1790787604
See commercial rates for Steven Rhinehart, MDCharles Lindzy, MD
Pain Medicine (Anesthesiology) Physician
NPI 1245449172
See commercial rates for Charles Lindzy, MDLori Skidmore, M.D.
Family Medicine Physician
NPI 1538129184
See commercial rates for Lori Skidmore, M.D.Pamela Strange, MD
Diagnostic Radiology Physician
NPI 1992776181
See commercial rates for Pamela Strange, MDMohammad Najib, MD
Cardiovascular Disease Physician
NPI 1578510103
See commercial rates for Mohammad Najib, MDMichael Parker, MD
Diagnostic Radiology Physician
NPI 1619948726
See commercial rates for Michael Parker, MDSrinivas Pamidi, MD
Cardiovascular Disease Physician
NPI 1598725913
See commercial rates for Srinivas Pamidi, MDJames Arata, MD
Diagnostic Radiology Physician
NPI 1336110527
See commercial rates for James Arata, MDBrett Hagedorn, MD
Diagnostic Radiology Physician
NPI 1275504458
See commercial rates for Brett Hagedorn, MDJason Rodriguez, MD
Clinical Cardiac Electrophysiology Physician
NPI 1093078339
See commercial rates for Jason Rodriguez, MDJ. Gimbel, MD
Clinical Cardiac Electrophysiology Physician
NPI 1932199627
See commercial rates for J. Gimbel, MDBryce Biberstein, M.D.
Orthopaedic Surgery Physician
NPI 1831684893
See commercial rates for Bryce Biberstein, M.D.Ashley Marshall, N.P.
Nurse Practitioner
NPI 1386875094
See commercial rates for Ashley Marshall, N.P.Irfan Munir
Nephrology Physician
NPI 1073515086
See commercial rates for Irfan MunirAdam Hall, MD
Orthopaedic Surgery Physician
NPI 1154572055
See commercial rates for Adam Hall, MDEric Purdy, M.D.
Ophthalmology Physician
NPI 1497799472
See commercial rates for Eric Purdy, M.D.Sherrill Lindsey, M.D.
Family Medicine Physician
NPI 1922085372
See commercial rates for Sherrill Lindsey, M.D.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.
Revenue, expenses and income Bluffton Regional Medical Center reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $175.2M | 676.5% |
| Inpatient | $29.3M | 113.0% |
| Outpatient | $146M | 563.5% |
| Contractual allowances and discounts | -$149.3M | -576.5% |
| Net patient revenue | $25.9M | 100.0% |
| Operating expenses | -$37.3M | -143.9% |
| Operating income from patient care | -$11.4M | -43.9% |
| Other income | $463,646 | 1.8% |
| Net income | -$10.9M | -42.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $28.3M | 16.2% |
| Medicaid (including managed care) | $27.5M | 15.7% |
| Other payers and self-pay | $119.2M | 68.1% |
| Total charges | $175M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, 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.
Computed from Bluffton Regional Medical Center's latest cost report.
-43.9%
Operating margin
Operating income from patient care / net patient revenue
-41.3%
Total margin
Net income / net patient revenue plus other income
-34.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.38
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-47.3%
Return on assets
Net income for a year / total assets
0.14
Current ratio
Current assets / current liabilities
0.13
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
94 days
Days in patient receivables
Net patient receivables / daily net patient revenue
531 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.14
Asset turnover
Total revenue for a year / total assets
23.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Bluffton Regional Medical Center owned and owed at the end of its reporting period (Sep 2025), across all fund types: $23M in total assets and a -$28.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $8,525 | 0.0% |
| Patient receivables, net | $6.7M | 29.0% |
| Inventory | $1.2M | 5.1% |
| Total current assets | $7.3M | 31.7% |
| Property and equipment, net of depreciation | $14.3M | 62.0% |
| Investments and other assets | $1.5M | 6.3% |
| Total assets | $23M | 100.0% |
| Current liabilities | $51.9M | 225.0% |
| Long-term debt | $73,489 | 0.3% |
| Total liabilities | $51.9M | 225.4% |
| Fund balance (net assets) | -$28.9M | -125.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Bluffton Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$423,606
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.3M
Bad debt
Patient bills written off as uncollectible, at charges
$1.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.9M
Total unreimbursed and uncompensated care
5.0% 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 831152, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Bluffton Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $30.6M | $37.5M | $40.2M | $39.9M | $31.7M | $25.9M |
| Operating expenses | $38M | $41.8M | $41.4M | $41.7M | $40M | $37.3M |
| Operating margin | -24.1% | -11.3% | -2.9% | -4.4% | -26.1% | -43.9% |
| Net income | -$4.9M | -$1.9M | $283,911 | -$975,555 | -$8M | -$10.9M |
| Total assets | $33.9M | $30.8M | $27M | $26.3M | $22.6M | $23M |
| Discharges | 962 | 1,112 | 1,059 | 938 | 729 | 465 |
| Inpatient days | 3,274 | 4,720 | 5,167 | 4,029 | 3,903 | 2,939 |
| Medicare Advantage days | 691 | 830 | 993 | 781 | 865 | 760 |
| Beds | 44 | 44 | 54 | 45 | 45 | 40 |
| Employees (FTE) | 181 | 179 | 142 | 171 | 102 | 134 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Bluffton Regional Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Laboratory | $1M | $4.1M | $37.3M | 0.11 | 4,264 |
| Emergency | $1.1M | $3.9M | $24.6M | 0.16 | 4,620 |
| Radiology-diagnostic | $1M | $3.8M | $45.5M | 0.08 | 10,855 |
| Operating room | $577,961 | $3.4M | $12.3M | 0.27 | 13,355 |
| Drugs charged to patients | $2.2M | $8M | 0.27 | ||
| Observation beds (non-distinct part | $1.8M | $1.8M | 1.01 | ||
| Physical therapy | $589,505 | $1.7M | $6.1M | 0.27 | 3,932 |
| Occupational therapy | $412,041 | $1.2M | $4.6M | 0.25 | 2,932 |
| Respiratory therapy | $416,410 | $1M | $2.8M | 0.36 | 769 |
| Electrocardiology | $190,665 | $539,419 | $11.4M | 0.05 | 548 |
| Radioisotope | $65,829 | $494,480 | $3.7M | 0.13 | 575 |
| Medical supplies charged to patient | $487,472 | $3.2M | 0.15 | ||
| Speech pathology | $86,727 | $245,841 | $962,113 | 0.26 | 619 |
| Impl. dev. charged to patients | $233,221 | $3M | 0.08 | ||
| Whole blood & packed red blood cell | $129,649 | $321,063 | 0.40 | 180 | |
| Wound care | $46,623 | $125,478 | $320,359 | 0.39 | |
| Sleep lab | $29,387 | $113,373 | $252,864 | 0.45 | 546 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.2M | $7M | $8.5M | 0.82 | 29,070 |
| Intensive care unit | $65,618 | $526,279 | $346,215 | 1.52 | 2,171 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.5M | $10.3M | 45,318 | $32.00 | 21,642 |
| Employee benefits department | $143,696 | $2.5M | 2,594 | $55.40 | 731 |
| Operation of plant | $337,574 | $2.3M | 9,624 | $35.08 | 106,187 |
| Cap rel costs-bldg & fixt | $1.2M | 222,349 | |||
| Cap rel costs-mvble equip | $998,042 | ||||
| Nursing administration | $688,659 | $915,504 | 12,972 | $53.09 | 1,257 |
| Cafeteria | $755,597 | 4 | $38.34 | 2,397 | |
| Pharmacy | $536,675 | $640,888 | 9,436 | $56.88 | 1,632 |
| Central services & supply | $133,991 | $500,838 | 5,467 | $24.51 | 3,835 |
| Housekeeping | $356,147 | $423,142 | 18,287 | $19.48 | 928 |
| Medical records & library | $44,707 | $324,850 | 1,437 | $31.11 | 6,256 |
| Social service | $156,057 | $178,130 | 2,931 | $53.24 | 170 |
| Dietary | $205 | $148,506 | 1 | $38.20 | 2,878 |
| Laundry & linen service | $98,208 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831152, 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.
The factors Medicare uses to set what it pays Bluffton Regional Medical Center for an inpatient stay.
1.14
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).
20.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
141
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).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.23 | 1.22 | 1.30 | 1.31 | 1.29 | 1.27 | 1.14 |
| Wage index | 0.907 | 0.900 | 0.928 | 0.922 | 1.079 | 1.059 | 1.038 |
| Readmissions adjustment | -1.00% | -0.82% | -0.73% | 0.00% | -0.27% | -0.03% | -0.08% |
| Value-based purchasing adjustment | +1.40% | +0.52% | +0.52% | +0.91% | +0.69% | +0.63% | +1.24% |
| Medicare inpatient stays | 367 | 367 | 236 | 253 | 214 | 184 | 141 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Bluffton Regional Medical Center reports to Medicare as owners or with operational control.
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Hma-tri Holdings LLC
5% or greater indirect ownership interest, 100%, since 2015
Tennyson Holdings LLC
5% or greater indirect ownership interest, 100%, since 2007
Triad Healthcare LLC
5% or greater indirect ownership interest, 100%, since 2007
Qhg Of Bluffton Compnay LLC
5% or greater direct ownership interest, 99%, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Bluffton Regional Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 10 of 13 are shown.
Accountable care organization (Medicare Shared Savings Program)
CHSPSC ACO 2, LLC
ACO A3664, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Bluffton Regional Medical Center's legal name.
Bluffton regional medical center
CCN 15U075, certified 2020, Medicare prospective payment
Source: Worksheet S-2 Part I of Bluffton Regional Medical Center's latest Medicare cost report (HCRIS).
About Bluffton Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Bluffton Regional Medical Center range from $1,418 to $1,418 across 1 insurers. Blue Cross Blue Shield's rate is $1,418. The median at nearby comparable hospitals is $865. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Bluffton Regional Medical Center range from $312 to $601 across 2 insurers. Aetna's rate is $312. The median at nearby comparable hospitals is $608. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Bluffton Regional Medical Center range from $597 to $597 across 1 insurers. Blue Cross Blue Shield's rate is $597. The median at nearby comparable hospitals is $6,152. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Bluffton Regional Medical Center range from $8,847 to $8,847 across 1 insurers. Blue Cross Blue Shield's rate is $8,847. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Bluffton Regional Medical Center range from $116 to $140 across 2 insurers. Aetna's rate is $116. The median at nearby comparable hospitals is $182. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Bluffton Regional Medical Center range from $25,627 to $25,627 across 1 insurers. Blue Cross Blue Shield's rate is $25,627. The median at nearby comparable hospitals is $49,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
Bluffton Regional Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Bluffton Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Bluffton Regional Medical Center's base inpatient payments by an estimated 0.08% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were simple pneumonia and pleurisy with mcc (20 discharges), septicemia or severe sepsis without mv >96 hours with mcc (19 discharges), simple pneumonia and pleurisy with cc (12 discharges).
Bluffton Regional Medical Center's Medicare case mix index is 1.14 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.
Bluffton Regional Medical Center reported 465 inpatient discharges and 2,939 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Bluffton Regional Medical Center reported 134 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Bluffton Regional Medical Center reported $25.9M in net patient revenue on $175.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -43.9%, and net income of -$10.9M.
Bluffton Regional Medical Center reported $1.9M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $423,606 of charity care at cost.
Bluffton Regional Medical Center's Medicare enrollment lists Jason Kevin Johnson as Executive Vice President since 2026.
Insurers' price transparency files list Bluffton Regional Medical Center under employer identification number 62-1792272 (Bluffton Regional Medical Center). 55 health plans and networks list 62-1792272 for it.
129 clinicians who bill Medicare list Bluffton Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (20), internal medicine physician (13), family medicine physician (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Bluffton Regional Medical Center, effective 2021.
In its Medicare enrollment, Bluffton Regional Medical Center reports CHS Community Health Systems Inc as 5% or greater indirect ownership interest (100%).
CMS lists 30 services at Bluffton Regional Medical Center, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Bluffton Regional Medical Center came from ZIP codes 46714 (227), 46777 (22), 46792 (14).
Bluffton Regional Medical Center has 40 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 50 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Bluffton Regional Medical Center is located at 303 South Main Street, Bluffton, IN 46714. Its main phone number is (260) 824-3210.
Bluffton Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 150075.
The National Provider Identifier (NPI) on file for Bluffton Regional Medical Center is 1376594366.
Bluffton Regional Medical Center is affiliated with Community Health Systems.
Bluffton Regional Medical Center lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
229 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers