Broadlawns Medical Center · Des Moines, IA
3 of 5
CMS star rating
113
Beds
4,085
Inpatient discharges a year
$249.3M
Net patient revenue a year
42
In-network payers
Broadlawns Medical Center is a 113-bed government - local hospital in Des Moines, IA, affiliated with Broadlawns Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 42 in-network payers and 294 disclosed rate categories.
The 24 services Broadlawns 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.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,960 - $5,915
from 2 insurers · median $5,437
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,693 - $8,724
from 2 insurers · median $7,708
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 obstetrics / child birth services to CMS
Ear, nose and throat
CPT 30520
$1,548 - $1,935
from 4 insurers · median $1,935
62 Medicare claims in Level 4 ENT Procedures (CMS 2024)
CT imaging
CPT 74177
$435 - $1,314
from 4 insurers · median $955
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,960 - $5,915
from 2 insurers · median $5,437
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$31,825 - $54,365
from 3 insurers · median $40,555
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$20,917 - $35,797
from 3 insurers · median $24,126
Hospital reports orthopedic surgery services to CMS
Urology
CPT 50590
$3,708 - $6,646
from 4 insurers · median $4,928
70 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$92 - $218
from 4 insurers · median $181
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$153 - $486
from 4 insurers · median $419
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,420 - $4,250
from 4 insurers · median $3,344
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$16,015 - $38,284
from 3 insurers · median $19,831
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$117 - $191
from 4 insurers · median $172
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$21,474
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,470 - $2,457
from 4 insurers · median $1,771
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,218 - $2,864
from 4 insurers · median $2,208
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$243 - $818
from 4 insurers · median $625
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$474 - $1,513
from 4 insurers · median $972
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,447 - $4,870
from 4 insurers · median $1,809
91 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$9,945 - $12,092
from 3 insurers · median $11,481
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74176
$332 - $868
from 4 insurers · median $653
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$683 - $2,189
from 4 insurers · median $854
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$260 - $1,141
from 4 insurers · median $325
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$314 - $936
from 4 insurers · median $634
Common here, based on CMS Medicare volume
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* | 20 | 255% | 10 | 4 |
| Insurer B* | 24 | 207% | 3 | 15 |
| Insurer C* | 16 | 204% | 0 | 9 |
| Insurer D* | 23 | 113% | 1 | 19 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 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 Broadlawns 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
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$249.3M net patient revenue
Ownership and leadership
Owned by Broadlawns Medical Center
The employer identification numbers (EINs) health plans and networks list for Broadlawns 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 |
|---|---|---|
| 42-6005830Broadlawns Medical Center | 68Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 63 more | 1467447508 Broadlawns Medical Center1306068754 Broadlawns Medical Center1467850727 Broadlawns Medical Centerand 14 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.
1801 Hickman Road, Des Moines, IA 50314
(515) 282-2200
How Broadlawns Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
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 5 measures
1 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% 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)
1.18
Higher than 88% 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
204 min
Higher than 83% 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
63%
Lower than 55% 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 | 3 of 5 | |
| Death rates | No different on 1 measures | |
| Safety | Better on 1 of 5 measures | |
| Readmissions | No different on 5 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 77% | 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) | 1.18 | 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 | 204 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 63% | 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 Broadlawns Medical Center'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.
+0.34% 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 Broadlawns Medical Center, beside the US median and the average of IA 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 | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.344 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 297 cases | 5.7 | 3.9 | 4.347 | Worse than 97% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.16 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.667 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 9.519 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 13.01 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 16.4 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 386 cases | 1.2 | 0.51 | 0.8413 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 187 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 470 cases | 0.21 | 0.2 | 0.2253 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 478 cases | 0.31 | 0.27 | 0.2856 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 62 cases | 2.31 | 2.29 | 2.411 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 29 cases | 1.67 | 1.63 | 1.697 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 30 cases | 9.13 | 8.88 | 9.791 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 67 cases | 3.94 | 3.4 | 3.742 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 25 cases | 5.2 | 5.105 | 5.374 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.73 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 35 cases | 1.05 | 1.02 | 1.043 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 0.915 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -4.234 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | -6.738 | |||
| 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 · 109 cases | 13.2 | 12.9 | 12.89 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 35 cases | 11.1 | 10.7 | 10.07 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 35 cases | 5.5 | 5.3 | 5.881 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 212 cases | 0.9 | 1 | 1.024 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.3 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.58 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 45 cases | 19 | 19.8 | 19.68 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 40 cases | 22.2 | 21.3 | 21.18 | Worse than 76% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.704 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 49 cases | 16.6 | 17.2 | 16.98 | Better than 77% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.045 | 0.172 | 0.1944 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.415 | 1.504 | 2.325 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,281 | 1,370 | 1,588 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.117 | 0.9835 | 1.519 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.9457 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.895 | 0.484 | 0.6257 | No Different than National Benchmark | Worse than 80% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.412 | 0.138 | 0.1513 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.406 | 1.392 | 2.026 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,883 | 1,799 | 1,799 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.853 | 1.377 | 1.992 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.9688 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.619 | 0.399 | 0.4956 | No Different than National Benchmark | Worse than 97% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2281 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.002 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 24 | 61 | 88.39 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.725 | 1.591 | 2.285 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 1.758 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9152 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.131 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.328 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 31 | 38 | 55.45 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.288 | 0.328 | 0.474 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.4848 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.888 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.037 | 0.193 | 0.2611 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.624 | 1.855 | 2.565 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 35,429 | 14,451 | 14,608 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.361 | 0.567 | 0.9252 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.6765 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.735 | 0.597 | 0.6471 | No Different than National Benchmark | Worse than 62% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.033 | 0.127 | 0.1573 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.643 | 0.747 | 1.7 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 33,830 | 13,646 | 12,946 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 10.27 | 5.683 | 5.819 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 2.429 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.195 | 0.279 | 0.4308 | Better than the National Benchmark | Better than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 263 cases | 70 | 73 | 78.08 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 263 cases | 7 | 8 | 5.763 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 263 cases | 23 | 18 | 16.15 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 87 | 87 | 87.71 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 4 | 3.688 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 263 cases | 78 | 80 | 82.7 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 91 | 91 | 91.94 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 263 cases | 6 | 4 | 2.598 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 3.688 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 263 cases | 16 | 16 | 14.7 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 263 cases | 81 | 79 | 82.29 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 91 | 91 | 91.44 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 263 cases | 6 | 5 | 3.897 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 3.458 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 263 cases | 13 | 16 | 13.81 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 263 cases | 60 | 61 | 64.85 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 77 | 77 | 78.21 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 263 cases | 18 | 19 | 15.07 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 3 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 263 cases | 22 | 19 | 20.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 86 | 86 | 87.9 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 263 cases | 13 | 13 | 11.25 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 3.875 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 263 cases | 87 | 87 | 88.75 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 263 cases | 14 | 14 | 12.09 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 263 cases | 86 | 86 | 87.91 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 77 | 74 | 76.91 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 7 | 7 | 5.171 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 16 | 19 | 17.92 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 77 | 77 | 80.46 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 6 | 6 | 4.303 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 17 | 17 | 15.24 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 88 | 85 | 87.3 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 2.895 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 8 | 11 | 9.803 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 263 cases | 8 | 8 | 5.68 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 263 cases | 17 | 20 | 16.62 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 263 cases | 75 | 72 | 77.7 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 89 | 88 | 89.17 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.625 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 72 | 74 | 75.21 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 12 | 9 | 8.053 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 263 cases | 16 | 16 | 16.74 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 74 | 75 | 76.58 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 7 | 5 | 3.974 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 263 cases | 19 | 20 | 19.45 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 76 | 77 | 79.34 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 7 | 4 | 3.092 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 263 cases | 17 | 19 | 17.57 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 85 | 86 | 88.28 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 1.829 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 263 cases | 12 | 11 | 9.895 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 63 | 59 | 64.8 | Better than 62% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 8 | 9 | 6.454 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 263 cases | 29 | 31 | 28.74 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 85 | 82 | 83.67 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 3 | 3.667 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 263 cases | 5 | 5 | 3.505 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 263 cases | 77 | 71 | 75.76 | Better than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 263 cases | 90 | 87 | 88.6 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 263 cases | 18 | 23 | 20.73 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 263 cases | 4 | 4 | 4.021 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 47 | 47 | 50.74 | Worse than 47% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 24 | 30 | 24.91 | Better than 77% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 263 cases | 29 | 22 | 24.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 263 cases | 3 | 3 | 3.688 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 263 cases | 13 | 12 | 10.79 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 263 cases | 87 | 88 | 89.21 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | 8.161 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.7059 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2727 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,332 cases | 96 | 79 | 78.77 | Better than 90% 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 · 483 cases | 225 | 154 | 133 | Worse than 88% 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 · 397 cases | 204 | 148 | 127 | Worse than 83% 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 · 62 cases | 302 | 247 | 233 | Worse than 68% of US hospitals | |
| 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 · 32 cases | 540 | 293 | 266 | Worse than 97% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 25,667 cases | 9 | 1 | 1.253 | Worse than 99% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 65.73 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 234 cases | 98 | 97 | 96.7 | Better than 54% of US hospitals | |
| 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 | 66 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 587 cases | 12 | 15 | 16.26 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 94 cases | 63 | 65 | 62.54 | Worse than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 72 | 73 | 74.87 | Worse than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 17 cases | 71 | 88 | 83.88 | Worse than 87% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 94 cases | 84 | 82 | 79.3 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 50 cases | 92 | 94 | 92.57 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.05 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 63.6 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 28 cases | 96 | 94 | 94.67 | Better than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 764 cases | 100 | 90 | 81.6 | The best result, shared by 5% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 323 cases | 100 | 97 | 92.06 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 10.4 | 5 | 5.165 | Worse than 89% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5 | 6.6 | 6.297 | Better than 71% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.98 | 0.99 | 0.943 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | Not Available | 16.47 | |||
| VBP clinical outcomes weighted domain scoreFY 2026 | Not Available | 4.245 | |||
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 38.89 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 3.333 | 2.5 | 10.19 | Better than 56% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 48 | 34 | 34.52 | Better than 72% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 16 | 8.75 | 8.969 | Better than 88% of US hospitals | |
| VBP safety domain scoreFY 2026 | 44 | 40 | 42.15 | Better than 56% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.67 | 10 | 10.68 | Better than 79% of US hospitals | |
| VBP total performance scoreFY 2026 | 34 | 29.5 | 33.13 | Better than 66% of US hospitals |
| By fiscal year | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|
| VBP clinical outcomes domain score | Not Available | Not Available | Not Available | Not Available |
| VBP clinical outcomes weighted domain score | Not Available | Not Available | Not Available | Not Available |
| VBP efficiency and cost reduction domain score | 60 | 70 | 40 | 10 |
| VBP efficiency and cost reduction weighted domain score | 15 | 23.33 | 13.33 | 3.333 |
| VBP person and community engagement domain score | Not Available | 21 | 25 | 48 |
| VBP person and community engagement weighted domain score | Not Available | 7 | 8.333 | 16 |
| VBP safety domain score | Not Available | 26.67 | 62.5 | 44 |
| VBP safety weighted domain score | Not Available | 8.889 | 20.83 | 14.67 |
| VBP total performance score | Not Available | 39.22 | 42.5 | 34 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9747 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9586 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9798 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9801 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 0.9631 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9632 |
| 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 | 1.043 | 1.057 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.011 | 1.023 | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Broadlawns Medical Center | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6165 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.336 | 0.346 | 0.6026 | Better than 51% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.742 | 0.559 | 0.883 | Worse than 66% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.352 | 0.6405 | 0.5263 | Better than 76% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.179 | 0.9628 | 1.094 | Worse than 88% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 4.174 | 0.7945 | 1.039 | Worse than 99% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2689 | -0.0453 | 0.3567 | Worse than 69% 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 | -0.8492 | 0.0161 | 0 | -0.2127 | -0.3419 | 0.2689 |
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 2018)
Accreditation
Limited
Medical school affiliation
Local
Ownership type
200
Medicare-certified beds
118
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Broadlawns Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
4,085
Inpatient discharges
Medicare 7%, Medicaid 52%
27,489
Inpatient days
67% of available bed days used
1,397
Employees (full-time equivalent)
33
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 827533). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Broadlawns Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,211 | 13,626 | 10,652 | 27,489 |
| Discharges | 279 | 2,119 | 1,687 | 4,085 |
| Average length of stay | 11.5 days | 6.4 days | 6.3 days | 6.7 days |
| Average daily census | 8.8 | 37.3 | 29.2 | 75.3 |
5,046
Medicare Advantage days
521 discharges
2,907
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 107 | 26,441 | 3,076 | 68% |
| Intensive care unit | 6 | 1,048 | 135 | 48% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Broadlawns Medical Center treats Medicare patients for most often, in 2024. 92 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 |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 59 | $54,785 | $17,446 | $33,912 | 1.37 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 22 | $35,681 | $11,621 | $22,086 | 0.86 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $29,298 | $13,945 | $18,135 | 1.23 |
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) Broadlawns Medical Center billed Medicare for most in 2024: 804 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 129 | 112 | $12,636 | $1,828 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 118 | 99 | $965 | $462 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 91 | 47 | $7,220 | $1,557 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 71 | $16,562 | $3,511 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 70 | 59 | $12,910 | $2,384 | $2,629 |
| Level 4 ENT ProceduresAPC 5164 | 62 | 62 | $5,199 | $2,197 | $2,217 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 45 | $6,186 | $1,389 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 41 | 38 | $8,400 | $1,109 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 30 | 18 | $6,287 | $1,320 | $1,407 |
| Level 5 Airway EndoscopyAPC 5155 | 25 | 25 | $41,381 | $4,680 | $5,183 |
See all 17 Medicare outpatient services at Broadlawns Medical Center
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 Broadlawns 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 510 in 2020 to 667 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 50317 | 99 | 15% | 822 | $3.4M | 6% | 4% |
| 50310 | 89 | 13% | 768 | $2.5M | 9% | 6% |
| 50315 | 86 | 13% | 634 | $2.8M | 6% | 6% |
| 50313 | 61 | 9% | 774 | $2.1M | 9% | 10% |
| 50314 | 60 | 9% | 708 | $2.3M | 14% | 16% |
| 50309 | 37 | 6% | 453 | $1.1M | 14% | 14% |
| 50316 | 36 | 5% | 368 | $1.1M | 6% | 6% |
| 50322 | 33 | 5% | 234 | $1.6M | 3% | 1% |
| 50265 | 26 | 4% | 297 | $923,008 | 2% | 2% |
| 50312 | 25 | 4% | 170 | $617,129 | 4% | 5% |
| 50320 | 25 | 4% | 305 | $929,155 | 3% | 4% |
| 50311 | 24 | 4% | 281 | $894,858 | 8% | 8% |
| 50023 | 22 | 3% | 238 | $1.1M | 2% | |
| 50266 | 18 | 3% | 103 | $801,010 | 2% | |
| 50009 | 13 | 2% | 88 | $254,806 | 2% | |
| 50125 | 13 | 2% | 70 | $384,590 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 667 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 Broadlawns Medical Center reported at its latest Medicare certification survey (2015). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
1
Off-site locations
118
Registered nurses
27
Licensed practical nurses
62
Physicians
29
Resident physicians
12
Nurse practitioners
12
Physician assistants
5
Nurse anesthetists (CRNAs)
10
Pharmacists
11
Respiratory therapists
6
Physical therapists
1
Occupational therapists
6
Radiology technicians
7
Laboratory technicians
8
Medical technologists
11
Dietitians
20
Social workers
2
Psychologists
580
Other personnel
Source: CMS Provider of Services file.
256 clinicians who bill Medicare list Broadlawns 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.
Douglas Lake, MD
Diagnostic Radiology Physician
NPI 1194808394
See commercial rates for Douglas Lake, MDJohn Mcgarity, D.O.
Diagnostic Radiology Physician
NPI 1538591896
See commercial rates for John Mcgarity, D.O.Tyler Mccurdy, D.O.
Diagnostic Radiology Physician
NPI 1902267198
See commercial rates for Tyler Mccurdy, D.O.Karl Hamouche
Diagnostic Radiology Physician
NPI 1003309766
See commercial rates for Karl HamoucheDean Gute, MD
Diagnostic Radiology Physician
NPI 1225144975
See commercial rates for Dean Gute, MDRandy Anderson, MD
Diagnostic Radiology Physician
NPI 1912115288
See commercial rates for Randy Anderson, MDMark Lee, D.O.
Diagnostic Radiology Physician
NPI 1245625003
See commercial rates for Mark Lee, D.O.Mark Kellerman, M.D.
Urology Physician
NPI 1891780995
See commercial rates for Mark Kellerman, M.D.Stephanie Courson Pothoven, DO
Urology Physician
NPI 1033230560
See commercial rates for Stephanie Courson Pothoven, DOAdam Bell, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1144430117
See commercial rates for Adam Bell, M.D.Matthew Andres, DO
Anatomic Pathology & Clinical Pathology Physician
NPI 1891720678
See commercial rates for Matthew Andres, DORamona Thompson, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1043363070
See commercial rates for Ramona Thompson, MDRichard Glowacki, M.D.
Urology Physician
NPI 1679567663
See commercial rates for Richard Glowacki, M.D.Joseph Mitros, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1487853479
See commercial rates for Joseph Mitros, M.D.Joseph Eaton, DO
Anatomic Pathology & Clinical Pathology Physician
NPI 1700049194
See commercial rates for Joseph Eaton, DOJohn Triantafyllos, M.D.
Radiation Oncology Physician
NPI 1720053705
See commercial rates for John Triantafyllos, M.D.Chauncy Handran, M.D.
Vascular & Interventional Radiology Physician
NPI 1821479593
See commercial rates for Chauncy Handran, M.D.Joel From, M.D.
Cardiovascular Disease Physician
NPI 1568444248
See commercial rates for Joel From, M.D.Carole Frier, D.O.
Internal Medicine Physician
NPI 1730151374
See commercial rates for Carole Frier, D.O.Jennifer Thompson, D.O.
Nephrology Physician
NPI 1215224589
See commercial rates for Jennifer Thompson, D.O.Brian Gallagher, M.D.
Urology Physician
NPI 1336358324
See commercial rates for Brian Gallagher, M.D.Crosby Rock
Radiation Oncology Physician
NPI 1457849259
See commercial rates for Crosby RockDhivya Sundaramurthy, M.D.
Nephrology Physician
NPI 1790073328
See commercial rates for Dhivya Sundaramurthy, M.D.Parvathy Geetha, MD
Nephrology Physician
NPI 1962923664
See commercial rates for Parvathy Geetha, MDSource: 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 Broadlawns Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $481.6M | 193.2% |
| Inpatient | $96.7M | 38.8% |
| Outpatient | $384.9M | 154.4% |
| Contractual allowances and discounts | -$232.3M | -93.2% |
| Net patient revenue | $249.3M | 100.0% |
| Operating expenses | -$294.2M | -118.0% |
| Operating income from patient care | -$44.9M | -18.0% |
| Other income | $104.8M | 42.1% |
| Contributions and donations | $74,281 | 0.0% |
| Investment income | $8.9M | 3.6% |
| Government appropriations | $78.2M | 31.4% |
| Other | $17.7M | 7.1% |
| Net income | $59.9M | 24.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $31.8M | 8.7% |
| Other payers and self-pay | $333.6M | 91.3% |
| Total charges | $365.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, 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 Broadlawns Medical Center's latest cost report.
-18.0%
Operating margin
Operating income from patient care / net patient revenue
16.9%
Total margin
Net income / net patient revenue plus other income
20.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
56% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.11
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
11.2%
Return on assets
Net income for a year / total assets
17.2%
Return on equity
Net income for a year / fund balance
2.55
Current ratio
Current assets / current liabilities
1.79
Quick ratio
Cash, temporary investments and net receivables / current liabilities
276 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
28 days
Days in patient receivables
Net patient receivables / daily net patient revenue
168 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.66
Asset turnover
Total revenue for a year / total assets
10.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Broadlawns Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $533M in total assets and a $348.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $214.3M | 40.2% |
| Patient receivables, net | $19.1M | 3.6% |
| Inventory | $3.4M | 0.6% |
| Total current assets | $332M | 62.3% |
| Property and equipment, net of depreciation | $109.5M | 20.5% |
| Investments and other assets | $91.5M | 17.2% |
| Total assets | $533M | 100.0% |
| Current liabilities | $130.4M | 24.5% |
| Total liabilities | $184.2M | 34.6% |
| Fund balance (net assets) | $348.8M | 65.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Broadlawns Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$16.3M
Bad debt
Patient bills written off as uncollectible, at charges
$13M
Total unreimbursed and uncompensated care
4.4% 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 827533, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Broadlawns Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $124.8M | $141.5M | $152.7M | $169.5M | $212.6M | $249.3M |
| Operating expenses | $190.4M | $205.9M | $214.8M | $232.3M | $274M | $294.2M |
| Operating margin | -52.6% | -45.5% | -40.7% | -37.0% | -28.9% | -18.0% |
| Net income | $13.2M | $15.7M | $18.3M | $24.6M | $33.2M | $59.9M |
| Total assets | $361.6M | $388.9M | $398.2M | $423.1M | $480M | $533M |
| Discharges | 3,192 | 3,193 | 3,675 | 3,674 | 4,047 | 4,085 |
| Inpatient days | 23,266 | 25,017 | 25,897 | 26,250 | 27,858 | 27,489 |
| Medicare Advantage days | 2,832 | 2,901 | 3,695 | 4,508 | 5,534 | 5,046 |
| Beds | 117 | 128 | 121 | 113 | 113 | 113 |
| Employees (FTE) | 1,209 | 1,224 | 1,263 | 1,288 | 1,353 | 1,397 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Broadlawns 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 |
|---|---|---|---|---|---|
| Clinic | $27.9M | $24.8M | $39.8M | 0.62 | 50,368 |
| Drugs charged to patients | $23.6M | $34.5M | 0.69 | ||
| Operating room | $8.2M | $17.5M | $79M | 0.22 | 2,432 |
| Laboratory | $2.4M | $13.6M | $33.1M | 0.41 | 5,682 |
| Radiology-diagnostic | $3.2M | $12M | $57.1M | 0.21 | 9,725 |
| Emergency | $10.1M | $11.1M | $25M | 0.44 | 12,215 |
| Impl. dev. charged to patients | $9.6M | $17.8M | 0.54 | ||
| Observation beds (non-distinct part | $3.5M | $5.7M | 0.61 | ||
| Mental health- clinical services | $2.9M | $3.2M | $6.7M | 0.49 | 586 |
| Family health center | $730,405 | $2.5M | $2.5M | 1.00 | |
| Medical supplies charged to patient | $2.3M | $1.4M | 1.70 | ||
| Respiratory therapy | $1.1M | $2.2M | $4.9M | 0.45 | 43 |
| Physical therapy | $1.1M | $2.1M | $3.6M | 0.59 | |
| Mental health -crisis team | $2.2M | $1.6M | $1.6M | 1.01 | 506 |
| Delivery room & labor room | $1M | $1.2M | 0.87 | ||
| Mental health-psychiatrists | $7M | $745,957 | |||
| Diagnostics | $147,174 | $472,714 | $334,973 | 1.41 | 1,033 |
| Occupational therapy | $154,982 | $293,254 | $370,026 | 0.79 | |
| Speech pathology | $42,110 | $268,292 | $501,027 | 0.54 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.1M | $35.1M | $44.5M | 0.79 | |
| Intensive care unit | $1.5M | $3.6M | $3.7M | 0.96 | |
| Nursery | $180,940 | $2.2M | 0.08 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $1.6M | $32.2M | 30,887 | $52.38 | 2,338 |
| Other admin & general | $8.7M | $13.1M | 69,352 | ||
| Ipers | $10.5M | ||||
| Maintenance & repairs | $3M | $9.5M | 92,943 | $29.41 | 27,826 |
| Data processing | $1.7M | $6.6M | 4,302 | ||
| Cap rel costs-mvble equip | $5.7M | ||||
| Pharmacy | $2.9M | $4.7M | 65,136 | $44.49 | 4,703 |
| Cap rel costs-bldg & fixt | $4.7M | 215,459 | |||
| Housekeeping | $2M | $3M | 99,485 | $20.24 | 2,635 |
| Admitting and collections | $2.8M | $2.8M | 6,226 | ||
| Cafeteria | $2.5M | ||||
| Teaching physician (salary) | $2.5M | ||||
| Billing | $1.2M | $2.2M | |||
| Nursing administration | $1.8M | $2M | 34,019 | $57.56 | 563 |
| Operation of plant | $1.7M | ||||
| Medical records & library | $1.5M | $1.5M | 62,624 | $24.55 | 1,702 |
| I&r services-salary & fringes apprv | $1.5M | ||||
| New crc - medical plaza | $1M | ||||
| Central services & supply | $399,724 | $929,140 | 17,780 | $22.48 | 766 |
| Purchase and stores | $412,520 | $884,624 | 4,385 | ||
| I&r services-other prgm costs apprv | $6.2M | $685,605 | 35 | ||
| Laundry & linen service | $42,438 | $578,404 | 2,545 | $16.68 | 429 |
| Mental health admin | $526,033 | $545,683 | 12,012 | $43.05 | |
| Dietary | $467,624 | 1,513 | |||
| Social service | $413,506 | $352,676 | 15,390 | $26.87 | 1,548 |
| Telecommunications | $199,921 | $344,913 | 140 | ||
| New crc - land impr & ins | $291,464 | ||||
| Ancillary services administration | $277,137 | $279,303 | 277 | ||
| New crc-east university clinic | $186,744 | ||||
| New crc - sands building | $81,055 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827533, 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 Broadlawns Medical Center for an inpatient stay.
1.55
Case mix index
Higher than 34% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.23 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
61.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
275
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 | 1.37 | 1.37 | 1.43 | 1.46 | 1.48 | 1.53 | 1.55 |
| Wage index | 0.884 | 0.886 | 0.859 | 0.859 | 0.877 | 0.909 | 0.890 |
| Readmissions adjustment | -0.08% | -0.16% | -0.24% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | -0.04% | +1.72% | +1.80% | +0.34% |
| Medicare inpatient stays | 429 | 429 | 356 | 266 | 215 | 275 | 275 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Broadlawns Medical Center reports to Medicare as owners or with operational control.
Broadlawns Medical Center
Operational/managerial control, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Broadlawns 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 2 of 6 are shown.
340B drug pricing program
Participating since 1997
340B ID DSH160101, registered as a disproportionate share hospital; 5 registered outpatient sites. Authorizing official: James Lynch, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Stellar Health ACO
ACO A5346, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Broadlawns Medical Center's legal name.
Helipad
Broadlawns Medical Center
FAA location ID 6IA4, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Broadlawns Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Broadlawns Medical Center range from $474 to $1,513 across 4 insurers. Blue Cross Blue Shield's rate is $1,167. The median at nearby comparable hospitals is $1,102. 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 Broadlawns Medical Center range from $435 to $1,314 across 4 insurers. Blue Cross Blue Shield's rate is $1,128. The median at nearby comparable hospitals is $1,181. 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 Broadlawns Medical Center range from $683 to $2,189 across 4 insurers. Aetna's rate is $2,189. The median at nearby comparable hospitals is $2,610. 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 Broadlawns Medical Center range from $4,960 to $5,915 across 2 insurers. UnitedHealthcare's rate is $4,960. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Broadlawns Medical Center range from $117 to $191 across 4 insurers. Blue Cross Blue Shield's rate is $191. The median at nearby comparable hospitals is $208. 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 Broadlawns Medical Center range from $16,015 to $38,284 across 3 insurers. Aetna's rate is $19,831. The median at nearby comparable hospitals is $22,052. What a patient pays depends on their plan's deductible, coinsurance and network status.
Broadlawns Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.23 Medicare-funded residents per bed at Broadlawns Medical Center for fiscal year 2027, so it is a teaching hospital.
No. Broadlawns Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were psychoses (59 discharges), alcohol, drug abuse or dependence without rehabilitation therapy without mcc (22 discharges), pulmonary edema and respiratory failure (11 discharges).
Broadlawns Medical Center's Medicare case mix index is 1.55 for fiscal year 2027, higher than 34% of hospitals paid under the inpatient prospective payment system.
Broadlawns Medical Center reported 4,085 inpatient discharges and 27,489 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Broadlawns Medical Center reported 1,397 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Broadlawns Medical Center reported $249.3M in net patient revenue on $481.6M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -18.0%, and net income of $59.9M.
Broadlawns Medical Center reported $13M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $5.5M of charity care at cost.
Broadlawns Medical Center's Medicare enrollment lists Proctor K Lureman as Chief Executive Officer since 2024.
Insurers' price transparency files list Broadlawns Medical Center under employer identification number 42-6005830 (Broadlawns Medical Center). 68 health plans and networks list 42-6005830 for it.
Yes. HRSA's 340B database lists Broadlawns Medical Center (340B ID DSH160101) as a participating disproportionate share hospital since 1997.
256 clinicians who bill Medicare list Broadlawns Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (44), psychiatry physician (20), family nurse practitioner (15).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Broadlawns Medical Center, effective 2018.
In its Medicare enrollment, Broadlawns Medical Center reports Broadlawns Medical Center as Operational/managerial control.
CMS lists 37 services at Broadlawns Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Broadlawns Medical Center came from ZIP codes 50317 (99), 50310 (89), 50315 (86).
Broadlawns Medical Center has 113 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 200 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Broadlawns Medical Center is located at 1801 Hickman Road, Des Moines, IA 50314. Its main phone number is (515) 282-2200.
Broadlawns Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 160101.
The National Provider Identifier (NPI) on file for Broadlawns Medical Center is 1467447508.
Broadlawns Medical Center lists 42 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
294 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