The Carle Foundation · Urbana, IL
2 of 5
CMS star rating
509
Beds
28,166
Inpatient discharges a year
$1.6B
Net patient revenue a year
36
In-network payers
Carle Foundation Hospital is a 509-bed voluntary non-profit - private hospital in Urbana, IL, affiliated with The Carle Foundation. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 268 disclosed rate categories.
The 24 services Carle Foundation Hospital 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
$9,837 - $14,832
from 4 insurers · median $11,242
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
CT imaging
CPT 74177
$725 - $4,887
from 4 insurers · median $4,728
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$14,650 - $21,094
from 4 insurers · median $15,501
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
Gynecology
CPT 58558
$1,711 - $9,828
from 4 insurers · median $7,995
44 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$330 - $4,027
from 4 insurers · median $3,821
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,360 - $3,772
from 4 insurers · median $3,063
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$698 - $5,153
from 4 insurers · median $4,997
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$637 - $3,290
from 4 insurers · median $2,738
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$363 - $3,235
from 4 insurers · median $2,801
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$283 - $601
from 4 insurers · median $503
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,549 - $7,057
from 4 insurers · median $6,780
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$783 - $5,153
from 4 insurers · median $4,943
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$71 - $403
from 4 insurers · median $386
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,837 - $14,832
from 4 insurers · median $11,242
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
MRI imaging
CPT 72148
$401 - $3,440
from 4 insurers · median $3,304
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$30,664 - $42,436
from 4 insurers · median $32,571
23 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 72197
$5,587 - $7,093
from 4 insurers · median $5,770
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,479 - $8,717
from 2 insurers · median $7,598
107 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$152,523 - $214,772
from 4 insurers · median $165,228
Hospital reports cardiac thoracic surgery services to CMS
Nuclear imaging
CPT 78452
$1,148 - $3,645
from 4 insurers · median $3,300
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,713 - $3,530
from 4 insurers · median $2,872
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,475 - $3,456
from 4 insurers · median $2,811
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$185 - $990
from 4 insurers · median $908
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,479 - $13,411
from 2 insurers · median $9,945
107 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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* | 22 | 927% | 14 | 4 |
| Insurer B* | 24 | 669% | 16 | 5 |
| Insurer C* | 24 | 507% | 16 | 3 |
| Insurer D* | 22 | 203% | 13 | 2 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 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 Carle Foundation Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by DNV
Finances
$1.6B net patient revenue
Ownership and leadership
Owned by The Carle Foundation
The employer identification numbers (EINs) health plans and networks list for Carle Foundation Hospital 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 |
|---|---|---|
| 37-1119538(multi-state) Carle Foundation Hospital | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1013071653 The Carle Foundation Hospital1437275328 The Carle Foundation Hospital1891780615 The Carle Foundation Hospitaland 25 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.
611 West Park Street, Urbana, IL 61801
(217) 383-3311
How Carle Foundation Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 7 measures
2 better, 4 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 11 measures
1 better, 7 no different, 3 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
70%
Lower than 53% 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)
0.8
Lower than 93% 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
214 min
Higher than 87% 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
69%
Higher than 58% 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 | 2 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 2 of 7 measures | |
| Readmissions | Worse on 3 of 11 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 | 70% | 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) | 0.8 | 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 | 214 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 69% | 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 Carle Foundation Hospital's inpatient payments for its readmissions, quality and cost results.
-0.95% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.18% 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 Carle Foundation Hospital, beside the US median and the average of IL 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 | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 110 cases | 3.2 | 4.1 | 4.202 | Better than 88% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 5,699 cases | 3.1 | 3.9 | 4.052 | Better than 90% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 269 cases | 12.7 | 11.8 | 11.78 | Worse than 78% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 84 cases | 3.8 | 2.3 | 2.39 | Worse than 94% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 149 cases | 10.6 | 8.5 | 8.223 | Worse than 90% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 691 cases | 11.2 | 11 | 10.49 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 601 cases | 12.6 | 15.2 | 15.41 | Better than 86% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 505 cases | 11.4 | 11.6 | 11.77 | Better than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 9,070 cases | 0.31 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 79% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 151 cases | 191 | 173 | 173 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 10,791 cases | 0.27 | 0.2 | 0.2122 | No Different Than the National Rate | Worse than 88% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 11,150 cases | 0.25 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 2,192 cases | 2.5 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 869 cases | 1.18 | 1.63 | 1.67 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 861 cases | 5.84 | 8.88 | 9.531 | No Different Than the National Rate | Better than 95% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 2,415 cases | 4.15 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 857 cases | 4.06 | 5.105 | 5.152 | No Different Than the National Rate | Better than 92% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 504 cases | 2.27 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 2,540 cases | 1.2 | 1.02 | 1.045 | No Different Than the National Rate | Worse than 81% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 280 cases | 6.3 | 4.2 | 11.54 | Worse than 53% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 802 cases | 35.2 | 1.25 | 8.216 | Worse than 86% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 630 cases | 30.8 | 3.85 | 13.94 | Worse than 82% 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 · 2,395 cases | 12.2 | 12.9 | 12.97 | 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 · 312 cases | 10.3 | 10.7 | 11.17 | No Different Than the National Rate | Better than 61% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 312 cases | 4.5 | 5.3 | 5.176 | No Different Than the National Rate | Better than 91% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 602 cases | 1 | 1 | 1.016 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 439 cases | 15.5 | 14.4 | 14.43 | Worse than 90% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 115 cases | 11.4 | 10.9 | 11.3 | Worse than 61% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 360 cases | 24.3 | 19.8 | 20.07 | Worse than 99% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,531 cases | 23.1 | 21.3 | 21.51 | Worse than 91% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 114 cases | 5.4 | 5.8 | 5.976 | Better than 71% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,241 cases | 20.1 | 17.2 | 17.5 | Worse than 99% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.163 | 0.172 | 0.315 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.735 | 1.504 | 2.097 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 17,660 | 1,370 | 4,356 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 18.84 | 0.9835 | 4.318 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 7 | 0 | 2.961 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.372 | 0.484 | 0.7494 | Better than the National Benchmark | Better than 60% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.477 | 0.138 | 0.2157 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.429 | 1.392 | 1.915 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 11,949 | 1,799 | 3,807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 15.17 | 1.377 | 4.51 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 13 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.857 | 0.399 | 0.5759 | No Different than National Benchmark | Worse than 83% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 1.311 | 0.2345 | 0.3411 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.325 | 2.135 | 2.549 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 303 | 61 | 96.21 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 8.39 | 1.591 | 2.6 | Worse than the National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 18 | 1 | 2.339 | Worse than the National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 2.145 | 0.7155 | 0.9044 | Worse than the National Benchmark | Worse than 96% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 109 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.903 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.72 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.034 | 0.193 | 0.1945 | Better than the National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.662 | 1.855 | 2.01 | Better than the National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 158,806 | 14,451 | 38,381 | Better than the National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 9.987 | 0.567 | 2.311 | Better than the National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.305 | Better than the National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.2 | 0.597 | 0.5504 | Better than the National Benchmark | Better than 79% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.154 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.365 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 141,987 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 86.5 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 21 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.243 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 56% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 420 cases | 61 | 73 | 72.75 | Worse than 92% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 420 cases | 12 | 8 | 9.158 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 420 cases | 27 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 83 | 87 | 85.64 | Worse than 77% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 420 cases | 3 | 4 | 3.195 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 420 cases | 79 | 80 | 79.29 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 92 | 91 | 90.92 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 420 cases | 3 | 4 | 4.576 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 420 cases | 4 | 3 | 3.305 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 420 cases | 18 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 420 cases | 76 | 79 | 78.82 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 90 | 91 | 90.1 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 420 cases | 5 | 5 | 5.823 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 420 cases | 3 | 3 | 2.89 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 420 cases | 19 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 420 cases | 56 | 61 | 61.18 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 73 | 77 | 76.11 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 420 cases | 24 | 19 | 19.8 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 420 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 420 cases | 20 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 82 | 86 | 85.26 | Worse than 82% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 420 cases | 18 | 13 | 13.92 | Worse than 85% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 420 cases | 2 | 3 | 3.237 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 420 cases | 82 | 87 | 86.08 | Worse than 85% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 420 cases | 21 | 14 | 14.8 | Worse than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 420 cases | 79 | 86 | 85.2 | Worse than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 69 | 74 | 73.24 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 6 | 7 | 7.369 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 25 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 75 | 77 | 76.95 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 7 | 6 | 6.199 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 18 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 85 | 85 | 84.2 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 3 | 3 | 3.979 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 12 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 420 cases | 6 | 8 | 8.937 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 420 cases | 24 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 420 cases | 70 | 72 | 70.19 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 88 | 88 | 87.19 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 420 cases | 3 | 3 | 3.136 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 420 cases | 72 | 74 | 73.94 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 420 cases | 11 | 9 | 9.858 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 420 cases | 17 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 73 | 75 | 74.61 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 5 | 5 | 5.915 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 420 cases | 22 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 75 | 77 | 76.32 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 3 | 4 | 4.894 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 420 cases | 22 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 87 | 86 | 84.9 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 1 | 3 | 3.085 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 420 cases | 12 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 420 cases | 45 | 59 | 59.03 | Worse than 90% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 420 cases | 14 | 9 | 10.03 | Worse than 76% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 420 cases | 41 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 76 | 82 | 81.16 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 420 cases | 2 | 3 | 3.237 | Worse than 76% 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 · 420 cases | 2 | 5 | 6.753 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 420 cases | 70 | 71 | 68.65 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 420 cases | 89 | 87 | 85.89 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 420 cases | 28 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 420 cases | 4 | 4 | 3.458 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 420 cases | 41 | 47 | 46.95 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 420 cases | 36 | 30 | 30.69 | Worse than 79% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 420 cases | 23 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 420 cases | 3 | 3 | 3.119 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 420 cases | 14 | 12 | 13.09 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 420 cases | 86 | 88 | 86.91 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.114 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 6,346 cases | 84 | 79 | 83.65 | Better 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 · 400 cases | 223 | 154 | 183 | 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 · 371 cases | 214 | 148 | 175 | Worse than 87% 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 · 28 cases | 418 | 247 | 304 | Worse than 89% 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 | Not Available | 315 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 94,458 cases | 2 | 1 | 2.469 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 91 | 74 | 78.84 | Better than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 120 cases | 91 | 97 | 94.09 | Worse than 76% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 7,838 cases | 14 | 15 | 15.81 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 195 cases | 69 | 65 | 62.57 | Better than 58% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 69 cases | 80 | 73 | 71.03 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 37 cases | 97 | 88 | 85.26 | Better than 82% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 195 cases | 83 | 82 | 79.02 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 127 cases | 91 | 94 | 92.05 | Worse than 68% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 423 cases | 98 | 98 | 97 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 385 cases | 89 | 94 | 94.02 | Worse than 83% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 81.77 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,489 cases | 96 | 97 | 94.61 | Worse than 55% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.4 | 5 | 6.493 | Worse than 85% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6 | 6.6 | 7.806 | Better than 58% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.96 | 0.99 | 0.9996 | Better than 63% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 18.33 | 20 | 28.09 | Worse than 52% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.583 | 5 | 7.071 | Worse than 53% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 13.71 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 7.5 | 2.5 | 3.521 | Better than 68% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 27 | 34 | 34.29 | Worse than 64% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.75 | 8.75 | 8.88 | Worse than 64% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 36.66 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 9.377 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 26.33 | 29.5 | 28.2 | Worse than 61% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 52 | 85 | 52 | 30 | 16.67 | 18.33 |
| VBP clinical outcomes weighted domain score | 13 | 21.25 | 13 | 7.5 | 4.167 | 4.583 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 0 | 10 | 30 | 30 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 0 | 2.5 | 7.5 | 7.5 |
| VBP person and community engagement domain score | 19 | Not Available | Not Available | 12 | 18 | 27 |
| VBP person and community engagement weighted domain score | 4.75 | Not Available | Not Available | 3 | 4.5 | 6.75 |
| VBP safety domain score | 30 | Not Available | Not Available | 22 | 42 | 30 |
| VBP safety weighted domain score | 7.5 | Not Available | Not Available | 5.5 | 10.5 | 7.5 |
| VBP total performance score | 30.25 | Not Available | Not Available | 18.5 | 26.67 | 26.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 314 cases | 1.031 | 0.9995 | 1.015 | Worse than 69% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 102 cases | 1.05 | 1 | 1.026 | Worse than 70% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 180 cases | 1.05 | 0.9969 | 1.009 | Worse than 86% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 838 cases | 1.153 | 0.9983 | 1.013 | Worse than 99% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9918 | 0.9916 | 1.055 | Worse than 50% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 552 cases | 1.089 | 0.9955 | 1.018 | Worse than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9943 | 0.9733 | 0.8608 | 0.9848 | 0.9944 | 1.031 |
| READM-30-CABG-HRRP | 1.124 | 0.9805 | 1.014 | 0.9927 | 1.084 | 1.05 |
| READM-30-COPD-HRRP | 1.005 | 1.056 | 1.067 | 0.9968 | 0.9821 | 1.05 |
| READM-30-HF-HRRP | 0.9789 | 0.9896 | 1.02 | 1.125 | 1.185 | 1.153 |
| READM-30-HIP-KNEE-HRRP | 1.245 | 1.385 | 1.328 | 1.164 | 1.056 | 0.9918 |
| READM-30-PN-HRRP | 1.045 | 1.061 | 1.055 | 0.9997 | 1.03 | 1.089 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Carle Foundation Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.851 | 0.489 | 0.5958 | Worse than 80% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.218 | 0.346 | 0.436 | Better than 70% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.382 | 0.559 | 0.7638 | Better than 68% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.411 | 0.6405 | 0.6364 | Better than 71% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.7979 | 0.9628 | 0.9883 | Better than 93% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.155 | 0.7945 | 0.9041 | Worse than 72% of US hospitals | |
| Total HAC scoreFY 2026 | -0.302 | -0.0453 | 0.07842 | Better than 68% 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 | 0.1283 | -0.2136 | 0 | 0.1247 | -0.1105 | -0.302 |
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.
DNV (since 2021)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
316
Medicare-certified beds
980
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Carle Foundation Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
28,166
Inpatient discharges
Medicare 20%, Medicaid 20%
148,029
Inpatient days
83% of available bed days used
4,002
Employees (full-time equivalent)
117
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838821). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Carle Foundation Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 30,473 | 9,821 | 107,735 | 148,029 |
| Discharges | 5,536 | 5,699 | 16,931 | 28,166 |
| Average length of stay | 5.5 days | 1.7 days | 6.4 days | 5.3 days |
| Average daily census | 83.5 | 26.9 | 295.2 | 405.6 |
47,870
Medicare Advantage days
8,382 discharges
28,759
Medicaid managed care days
11,720
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 406 | 119,043 | 27,079 | 80% |
| Coronary care unit | 20 | 5,668 | 1,852 | 78% |
| Surgical intensive care unit | 38 | 6,039 | 1,542 | 44% |
| Nursery | 16,144 | |||
| Subprovider - irf | 20 | 5,061 | 1,363 | 69% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Carle Foundation Hospital treats Medicare patients for most often, in 2024. 4,367 Medicare discharges in 126 published DRGs; 18% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 315 | $48,796 | $9,252 | $10,052 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 282 | $97,235 | $14,585 | $20,030 | 1.98 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 153 | $77,444 | $12,082 | $15,953 | 1.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 95 | $53,502 | $8,501 | $11,021 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 94 | $37,591 | $5,477 | $7,744 | 0.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 87 | $66,088 | $9,532 | $13,614 | 1.33 |
| Medical back problems without MCCMS-DRG 552, medical | 83 | $51,171 | $6,668 | $10,541 | 0.97 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 77 | $97,341 | $13,786 | $20,052 | 2.00 |
| Renal failure with CCMS-DRG 683, medical | 76 | $39,350 | $6,662 | $8,106 | 0.90 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 74 | $37,824 | $5,425 | $7,792 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 70 | $42,678 | $6,986 | $8,792 | 0.98 |
| Renal failure with MCCMS-DRG 682, medical | 70 | $57,996 | $10,895 | $11,947 | 1.50 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 70 | $189,624 | $34,719 | $39,063 | 5.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 69 | $55,131 | $6,957 | $11,357 | 1.02 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 68 | $70,249 | $13,471 | $14,471 | 1.79 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 67 | $58,857 | $11,040 | $12,125 | 1.65 |
| Cellulitis without MCCMS-DRG 603, medical | 64 | $32,533 | $6,206 | $6,702 | 0.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 60 | $107,417 | $15,474 | $22,128 | 2.16 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 60 | $55,383 | $9,457 | $11,409 | 1.32 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 59 | $65,574 | $11,508 | $13,508 | 1.59 |
See all 126 Medicare inpatient DRGs at Carle Foundation Hospital
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) Carle Foundation Hospital billed Medicare for most in 2024: 3,813 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 303 | 285 | $22,531 | $1,936 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 295 | 195 | $2,193 | $487 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 291 | 263 | $10,147 | $1,346 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 284 | 269 | $11,312 | $1,096 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 279 | 267 | $50,085 | $10,349 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 192 | 191 | $21,703 | $2,119 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 183 | 170 | $14,534 | $2,279 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 172 | 126 | $7,531 | $1,446 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 170 | 97 | $8,033 | $678 | $1,752 |
| Level 4 ENT ProceduresAPC 5164 | 113 | 24 | $4,511 | $522 | $2,217 |
See all 43 Medicare outpatient services at Carle Foundation Hospital
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 Carle Foundation Hospital 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 11,340 in 2020 to 13,604 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 61821 | 1,246 | 9% | 6,496 | $96.1M | 88% | 80% |
| 61802 | 1,226 | 9% | 6,768 | $96.6M | 92% | 82% |
| 61822 | 982 | 7% | 5,301 | $78.8M | 91% | 83% |
| 61832 | 874 | 6% | 4,706 | $76.5M | 44% | 31% |
| 61866 | 793 | 6% | 4,498 | $62M | 87% | 78% |
| 61801 | 624 | 5% | 3,529 | $49.4M | 91% | 87% |
| 61820 | 581 | 4% | 3,217 | $44.9M | 91% | 75% |
| 61853 | 503 | 4% | 2,533 | $38.5M | 92% | 85% |
| 61874 | 503 | 4% | 3,127 | $41M | 94% | 85% |
| 61953 | 286 | 2% | 1,425 | $20.8M | 73% | 64% |
| 61856 | 272 | 2% | 1,544 | $22.7M | 71% | 75% |
| 60957 | 258 | 2% | 1,387 | $21.7M | 82% | 73% |
| 61873 | 233 | 2% | 1,115 | $16.9M | 94% | 86% |
| 61834 | 217 | 2% | 1,195 | $19M | 58% | 40% |
| 60942 | 212 | 2% | 1,212 | $19.4M | 78% | 69% |
| 61880 | 193 | 1% | 977 | $13.5M | 100% | 87% |
| 61938 | 179 | 1% | 904 | $16.7M | 13% | 18% |
| 61920 | 166 | 1% | 912 | $16.8M | 18% | 20% |
| 61846 | 153 | 1% | 758 | $13.1M | 53% | 41% |
| 61944 | 143 | 1% | 743 | $12.4M | 22% | 15% |
| 61956 | 141 | 1% | 687 | $10.5M | 92% | 85% |
| 62401 | 115 | 1% | 693 | $11.8M | 11% | 11% |
| 61883 | 114 | 1% | 558 | $9.3M | 54% | 34% |
| 61858 | 109 | 1% | 548 | $8.9M | 64% | 59% |
| 60936 | 98 | 1% | 651 | $10M | 48% | 42% |
Source: CMS Hospital Service Area file. Shares are of the 13,604 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 Carle Foundation Hospital reported at its latest Medicare certification survey (2012). Counts are people, not full-time equivalents.
20
Operating rooms
8
Endoscopy rooms
7
Cardiac catheterization rooms
20
Rehabilitation unit beds
21
Off-site locations
980
Registered nurses
24
Licensed practical nurses
327
Physicians
30
Resident physicians
80
Nurse practitioners
49
Physician assistants
33
Nurse anesthetists (CRNAs)
23
Pharmacists
34
Respiratory therapists
49
Physical therapists
15
Occupational therapists
15
Speech pathologists and audiologists
114
Radiology technicians
6
Nuclear medicine technicians
9
Laboratory technicians
45
Medical technologists
9
Dietitians
3
Social workers
11
Psychologists
3,225
Other personnel
Source: CMS Provider of Services file.
1,107 clinicians who bill Medicare list Carle Foundation Hospital 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.
Muhammad Saad Khan, M.D.
Hematology & Oncology Physician
NPI 1669727590
See commercial rates for Muhammad Saad Khan, M.D.Barry Riskin, MD
Neurology Physician
NPI 1326233271
See commercial rates for Barry Riskin, MDAashish Gandhi, MD
Ophthalmology Physician
NPI 1518989847
See commercial rates for Aashish Gandhi, MDRyan Snowden, PA
Physician Assistant
NPI 1235414715
See commercial rates for Ryan Snowden, PAPaul Naour, M.D.
Interventional Pain Medicine Physician
NPI 1144206178
See commercial rates for Paul Naour, M.D.Sami Zabaneh, M.D.
Internal Medicine Physician
NPI 1548279110
See commercial rates for Sami Zabaneh, M.D.Matthew Jones, M.D.
Diagnostic Radiology Physician
NPI 1528221058
See commercial rates for Matthew Jones, M.D.Joshua Garrett, MD
Diagnostic Radiology Physician
NPI 1508993387
See commercial rates for Joshua Garrett, MDNicole Howell, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1679778815
See commercial rates for Nicole Howell, MDAziz Ahmed, MD
Diagnostic Radiology Physician
NPI 1790976918
See commercial rates for Aziz Ahmed, MDEmily Foertsch, NP
Family Nurse Practitioner
NPI 1356897003
See commercial rates for Emily Foertsch, NPSamuel Putnam, MD
Vascular & Interventional Radiology Physician
NPI 1023066404
See commercial rates for Samuel Putnam, MDNathan Walker, M.D.
Internal Medicine Physician
NPI 1629087325
See commercial rates for Nathan Walker, M.D.Christopher Vulin, MD
Urology Physician
NPI 1801870126
See commercial rates for Christopher Vulin, MDDonald Wendt, PA-C
Physician Assistant
NPI 1710172325
See commercial rates for Donald Wendt, PA-CHaydee Jabines-Stewart, MD
Family Medicine Physician
NPI 1558359240
See commercial rates for Haydee Jabines-Stewart, MDBrijnandan Sodhi, MD
Internal Medicine Physician
NPI 1700879178
See commercial rates for Brijnandan Sodhi, MDDaniel Deem, M.D.
Internal Medicine Physician
NPI 1487948386
See commercial rates for Daniel Deem, M.D.Constantine Katsamakis, DO
Cardiovascular Disease Physician
NPI 1407906100
See commercial rates for Constantine Katsamakis, DOMichael Lamonto, D.O.
Cardiovascular Disease Physician
NPI 1427164144
See commercial rates for Michael Lamonto, D.O.Craig Neitzel, MD
Dermatology Physician
NPI 1275640617
See commercial rates for Craig Neitzel, MDBatlagundu Lakshminarayanan, MD
Cardiovascular Disease Physician
NPI 1326060278
See commercial rates for Batlagundu Lakshminarayanan, MDAnitha Perinchery, MD
Cardiovascular Disease Physician
NPI 1740292564
See commercial rates for Anitha Perinchery, MDSalim Khazoum, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1053326579
See commercial rates for Salim Khazoum, 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 Carle Foundation Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $6.4B | 392.2% |
| Inpatient | $2.6B | 159.6% |
| Outpatient | $3.8B | 232.6% |
| Contractual allowances and discounts | -$4.8B | -292.2% |
| Net patient revenue | $1.6B | 100.0% |
| Operating expenses | -$1.3B | -78.7% |
| Operating income from patient care | $348.2M | 21.3% |
| Other income | $113.8M | 7.0% |
| Net income | $462M | 28.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $727.9M | 11.5% |
| Medicaid (including managed care) | $1B | 16.3% |
| Other payers and self-pay | $4.6B | 72.2% |
| Total charges | $6.3B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, 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 Carle Foundation Hospital's latest cost report.
21.3%
Operating margin
Operating income from patient care / net patient revenue
26.5%
Total margin
Net income / net patient revenue plus other income
28.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
38% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.78
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
32.2%
Return on assets
Net income for a year / total assets
48.9%
Return on equity
Net income for a year / fund balance
2.77
Current ratio
Current assets / current liabilities
2.70
Quick ratio
Cash, temporary investments and net receivables / current liabilities
331 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
142 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.22
Asset turnover
Total revenue for a year / total assets
6.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Carle Foundation Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $1.4B in total assets and a $945.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.1B | 79.2% |
| Patient receivables, net | $183.7M | 12.8% |
| Inventory | $9.1M | 0.6% |
| Total current assets | $1.4B | 94.2% |
| Property and equipment, net of depreciation | $82.3M | 5.7% |
| Investments and other assets | $945,036 | 0.1% |
| Total assets | $1.4B | 100.0% |
| Current liabilities | $487.8M | 34.0% |
| Total liabilities | $487.8M | 34.0% |
| Fund balance (net assets) | $945.5M | 66.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Carle Foundation Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$37.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$69.6M
Bad debt
Patient bills written off as uncollectible, at charges
-$263.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$51.6M
Total unreimbursed and uncompensated care
4.0% 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 838821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Carle Foundation Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $1B | $1.2B | $1.2B | $1.4B | $1.5B | $1.6B |
| Operating expenses | $898.5M | $995.3M | $1.1B | $1.1B | $1.2B | $1.3B |
| Operating margin | 13.5% | 16.9% | 11.8% | 20.1% | 20.1% | 21.3% |
| Net income | $182M | $219.7M | $169.5M | $295.9M | $339.5M | $462M |
| Total assets | $192.6M | $204.2M | $202.1M | $215.6M | $628.2M | $1.4B |
| Discharges | 27,221 | 26,698 | 27,400 | 28,711 | 27,159 | 28,166 |
| Inpatient days | 118,308 | 122,022 | 135,797 | 132,974 | 147,240 | 148,029 |
| Medicare Advantage days | 24,832 | 28,490 | 35,858 | 35,619 | 43,838 | 47,870 |
| Beds | 447 | 453 | 453 | 489 | 489 | 509 |
| Employees (FTE) | 3,958 | 3,489 | 3,410 | 3,498 | 3,529 | 4,002 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Carle Foundation Hospital 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $194.9M | $1.1B | 0.18 | ||
| Clinics | $51.6M | $147.1M | $461.5M | 0.32 | 405,498 |
| Home infusion | $2.4M | $77.4M | $545.5M | 0.14 | 7,125 |
| Operating room | $15.4M | $70.5M | $257.2M | 0.27 | 55,334 |
| Impl. dev. charged to patients | $66.8M | $188.8M | 0.35 | ||
| Radiology-diagnostic | $18.2M | $60.2M | $386.1M | 0.16 | 85,830 |
| Laboratory | $12.4M | $56.3M | $652.1M | 0.09 | 36,985 |
| Physical therapy | $21.7M | $44.6M | $127.7M | 0.35 | 82,469 |
| Emergency | $9.7M | $36.7M | $302.2M | 0.12 | 40,806 |
| Home health agency | $15.6M | $30.9M | $29.4M | 1.05 | 6,168 |
| Special procedures | $5.1M | $27.8M | $90.9M | 0.31 | 24,667 |
| Bronch & gastro lab | $5M | $19.3M | $103.8M | 0.19 | 15,627 |
| Observation beds (non-distinct part | $18.3M | $44.6M | 0.41 | ||
| Respiratory therapy | $3.6M | $17.8M | $125.1M | 0.14 | 10,404 |
| Ct scan | $3.7M | $17.7M | $444.5M | 0.04 | 6,620 |
| Mri | $4.4M | $12.5M | $181.9M | 0.07 | 7,396 |
| Cardiac catheterization | $1.8M | $10.9M | $74.1M | 0.15 | 4,424 |
| Electrocardiology | $2.8M | $9.2M | $110M | 0.08 | 6,053 |
| Medical supplies charged to patient | $8.8M | $206.7M | 0.04 | ||
| Delivery room & labor room | $7.6M | $17.5M | 0.43 | 2,391 | |
| Asc (non-distinct part) | $1.8M | $6.2M | $26M | 0.24 | 21,070 |
| Whole blood & packed red blood cell | $754,749 | $6.1M | $36.1M | 0.17 | 1,042 |
| Recovery room | $2.7M | $5.2M | $31.3M | 0.17 | 5,778 |
| Sleep lab | $1.3M | $3.2M | $16.4M | 0.19 | 11,209 |
| Acute dialysis | $2.6M | $5.8M | 0.45 | 1,990 | |
| Cardiac rehabilitation | $553,148 | $2M | $7.5M | 0.27 | 5,976 |
| Hyperbaric oxygen therapy | $730,645 | $1.3M | $778,880 | 1.67 | |
| Electroencephalography | $398,876 | $1.2M | $10.1M | 0.12 | 1,126 |
| Pallative clinic | $503,159 | $894,898 | $230,215 | 3.89 | 1,393 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $85.7M | $204.5M | $572.4M | 0.36 | 223,029 |
| Neonatal icu | $11.9M | $28.1M | $35.3M | 0.80 | 14,697 |
| Coronary care unit | $7M | $17M | $46.7M | 0.36 | 15,204 |
| Surgical intensive care unit | $6.5M | $16M | $50.1M | 0.32 | 15,593 |
| Subprovider - irf | $4.3M | $8.3M | $20.2M | 0.41 | 10,005 |
| Nursery | $5.5M | $38.3M | 0.14 | 522 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Shared administrative & general | $992,359 | $296.2M | 17,803 | ||
| Nursing administration | $2.1M | $39.8M | 33,134 | $62.61 | 1,440 |
| Pharmacy | $14.3M | $35.6M | 288,729 | $48.99 | 14,390 |
| Maintenance & repairs | $28.6M | ||||
| Medical records & library | $28.4M | 342 | |||
| Cap rel costs-mvble equip | $21M | ||||
| Cap rel costs-bldg & fixt | $12.6M | 1,272,709 | |||
| Admitting | $7.6M | $10.6M | 9,913 | ||
| Housekeeping | $9.8M | ||||
| Central services & supply | $9.4M | ||||
| I&r services-salary & fringes apprv | $7.9M | $7.9M | |||
| I&r services-other prgm costs apprv | $7.7M | 5,351 | |||
| Dietary | $7.4M | ||||
| Employee benefits department | $1.9M | ||||
| Paramed ed prgm-rx resident | $379,328 | ||||
| Other administrative & general | $12.2M | -$100.1M | 50,908 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838821, 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 Carle Foundation Hospital for an inpatient stay.
1.83
Case mix index
Higher than 64% 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
0.13 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
31.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
5,454
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 | 1.85 | 1.85 | 1.96 | 1.97 | 1.83 | 1.86 | 1.83 |
| Wage index | 0.882 | 0.878 | 0.898 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.17% | -1.06% | -1.45% | -0.80% | -0.60% | -0.86% | -0.95% |
| Value-based purchasing adjustment | -0.27% | -0.06% | -0.06% | +0.43% | -0.24% | +0.39% | -0.18% |
| Medicare inpatient stays | 6,864 | 6,864 | 6,365 | 5,944 | 5,943 | 5,638 | 5,454 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Carle Foundation Hospital reports to Medicare as owners or with operational control.
The Carle Foundation
5% or greater direct ownership interest, 100%, since 1982
Sources: CMS Hospital All Owners.
The officers and board members on Carle Foundation Hospital'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 7 of 8 are shown.
| Name | Title |
|---|---|
| James C Leonard MD | Ex-officio, Officer - President & CEO |
| Matthew Kolb JD MHA | Officer - President, Carle Health Regions // EVP, Chief Operating Officer |
| Dennis Hesch | Officer - EVP, Chief Finance & Strategy Officer |
| Napoleon Knight MD MBA | Officer - EVP, Chief Medical Officer |
| Lauren Schmid MBA | EVP, Chief Human Resources Officer |
| Blair Rowitz MD | Associate Chief Medical Officer, Surgical Services |
| Kenneth Aronson MD | Medical Director |
| Issam Moussa MD | Medical Director |
| Elizabeth Angelo DNP RN-BC | Ex Officio, Non-voting // Officer - President, Cher // CNO |
| Dawn Walden | SVP, Chief Revenue Cycle Officer Thru 04/01/2024 |
| David Chan MD | Associate Chief Medical Director, Acute Care & Children's Services |
| Kelly Cunningham MD | Secretary/treasurer // Physician |
| Sally Salmons MD | Associate Chief Medical Officer, Ambulatory Care |
| Scott Hendrie | VP, Finance & Treasury |
| Nicholas Crompton | VP, Construction & Facility Services |
| Martin O'Donnell | Vice Chair |
| Meredith Mills | Chair |
Board members: Caleb Miller.
Source: IRS Form 990 Part VII filed by The Carle Foundation Hospital (EIN 37-1119538), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2012
340B ID DSH140091, registered as a disproportionate share hospital; 109 registered outpatient sites; 68 active contract pharmacies. Authorizing official: Dennis P. Hesch, Executive VP And CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Carle Hospital
FAA location ID IS96, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Carle inpatient rehab
CCN 14T091, certified 1991, Medicare prospective payment
Carle home care
CCN 147241, certified 1983, Medicare prospective payment
Carle hospice
CCN 141526, certified 1989
Source: Worksheet S-2 Part I of Carle Foundation Hospital's latest Medicare cost report (HCRIS).
About Carle Foundation Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carle Foundation Hospital range from $698 to $5,153 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $5,153. The median at nearby comparable hospitals is $1,051. 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 Carle Foundation Hospital range from $725 to $4,887 across 4 insurers. Aetna's rate is $4,803. The median at nearby comparable hospitals is $788. 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 Carle Foundation Hospital range from $1,713 to $3,530 across 4 insurers. Aetna's rate is $1,713. The median at nearby comparable hospitals is $3,400. 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 Carle Foundation Hospital range from $9,837 to $14,832 across 4 insurers. Cigna's rate is $14,832. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carle Foundation Hospital range from $283 to $601 across 4 insurers. Aetna's rate is $434. 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 Carle Foundation Hospital range from $30,664 to $42,436 across 4 insurers. UnitedHealthcare's rate is $34,279. The median at nearby comparable hospitals is $29,344. What a patient pays depends on their plan's deductible, coinsurance and network status.
Carle Foundation Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
Yes. CMS counts 0.13 Medicare-funded residents per bed at Carle Foundation Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Carle Foundation Hospital's base inpatient payments by an estimated 0.95% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (315 discharges), septicemia or severe sepsis without mv >96 hours with mcc (282 discharges), respiratory infections and inflammations with mcc (153 discharges).
Carle Foundation Hospital's Medicare case mix index is 1.83 for fiscal year 2027, higher than 64% of hospitals paid under the inpatient prospective payment system.
Carle Foundation Hospital reported 28,166 inpatient discharges and 148,029 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Carle Foundation Hospital reported 4,002 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Carle Foundation Hospital reported $1.6B in net patient revenue on $6.4B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 21.3%, and net income of $462M.
Carle Foundation Hospital reported $51.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $37.8M of charity care at cost.
Carle Foundation Hospital's Medicare enrollment lists James C Leonard as President/ceo since 2007.
Insurers' price transparency files list Carle Foundation Hospital under employer identification number 37-1119538 ((multi-state) Carle Foundation Hospital). 59 health plans and networks list 37-1119538 for it.
Yes. HRSA's 340B database lists Carle Foundation Hospital (340B ID DSH140091) as a participating disproportionate share hospital since 2012, with 68 active contract pharmacies.
1,107 clinicians who bill Medicare list Carle Foundation Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (110), family medicine physician (104), family nurse practitioner (100).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Carle Foundation Hospital, effective 2021.
In its Medicare enrollment, Carle Foundation Hospital reports The Carle Foundation as 5% or greater direct ownership interest (100%).
CMS lists 41 services at Carle Foundation Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, 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 Carle Foundation Hospital came from ZIP codes 61821 (1,246), 61802 (1,226), 61822 (982).
Carle Foundation Hospital has 509 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 316 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Carle Foundation Hospital is located at 611 West Park Street, Urbana, IL 61801. Its main phone number is (217) 383-3311.
Carle Foundation Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140091.
The National Provider Identifier (NPI) on file for Carle Foundation Hospital is 1013071653.
Carle Foundation Hospital is affiliated with The Carle Foundation.
Carle Foundation Hospital lists 36 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.
268 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