Unitypoint Health · Peoria, IL
3 of 5
CMS star rating
108
Beds
2,612
Inpatient discharges a year
$163.2M
Net patient revenue a year
34
In-network payers
Carle Health Proctor Hospital is a 108-bed voluntary non-profit - private hospital in Peoria, IL, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 329 disclosed rate categories.
The 24 services Carle Health Proctor 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.
CT imaging
CPT 74177
$829 - $3,273
from 4 insurers · median $986
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,061 - $4,862
from 2 insurers · median $3,961
566 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$241 - $1,789
from 4 insurers · median $679
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$20,459 - $24,753
from 2 insurers · median $22,606
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$533 - $3,162
from 4 insurers · median $1,512
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$11,734 - $13,871
from 2 insurers · median $12,803
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,438 - $2,803
from 2 insurers · median $2,620
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,438 - $2,803
from 2 insurers · median $2,620
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$526 - $2,762
from 4 insurers · median $824
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$6,095 - $6,701
from 2 insurers · median $6,398
127 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,859 - $2,228
from 2 insurers · median $2,043
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$17,044 - $25,301
from 4 insurers · median $21,937
14 Medicare discharges for this DRG in CMS hospital data
Nuclear imaging
CPT 78452
$337 - $4,003
from 4 insurers · median $2,667
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$11,734 - $13,871
from 2 insurers · median $12,803
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$14,892 - $16,983
from 2 insurers · median $15,938
126 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 42820
$12,021 - $14,064
from 2 insurers · median $13,043
Typical for a hospital with this service line
Mammography
CPT 77067
$99 - $373
from 4 insurers · median $162
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$829 - $3,343
from 4 insurers · median $1,134
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$82 - $2,418
from 4 insurers · median $732
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$11,734 - $14,264
from 2 insurers · median $12,999
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$29,376 - $31,284
from 2 insurers · median $30,330
662 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$75 - $366
from 4 insurers · median $141
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$6,365 - $7,602
from 2 insurers · median $6,984
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$4,047 - $4,728
from 2 insurers · median $4,387
173 Medicare claims in Level 1 Nerve Procedures (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* | 10 | 918% | 5 | 2 |
| Insurer B* | 10 | 416% | 9 | 1 |
| Insurer C* | 24 | 229% | 16 | 8 |
| Insurer D* | 24 | 201% | 10 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Health Proctor Hospital, 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 DNV
Finances
$163.2M net patient revenue
Ownership and leadership
Owned by Carle Health - West Region
The employer identification numbers (EINs) health plans and networks list for Carle Health Proctor 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 |
|---|---|---|
| 37-0681540(multi-state) Proctor Community Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 52 more | 1033116876 Proctor Community Hospital1134475940 Proctor Community Hospital1821068404 Proctor Community Hospitaland 7 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.
5409 North Knoxville Avenue, Peoria, IL 61614
(309) 691-1000
How Carle Health Proctor Hospital 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 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 6 measures
2 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
62%
Lower than 81% 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)
0.81
Lower than 91% 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
150 min
Higher than 51% 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
74%
Higher than 71% 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 6 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Better on 2 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 62% | 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) | 0.81 | 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 | 150 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 74% | 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 Health Proctor Hospital'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.
-1.63% 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 Health Proctor 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 | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 72 cases | 4 | 4.1 | 4.202 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,044 cases | 3.8 | 3.9 | 4.052 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 25 cases | 12.4 | 11.8 | 11.78 | Worse than 70% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 39 cases | 8.2 | 8.5 | 8.223 | Better than 56% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 180 cases | 10.2 | 11 | 10.49 | Better than 65% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 207 cases | 16.4 | 15.2 | 15.41 | Worse than 68% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 66 cases | 11.2 | 11.6 | 11.77 | Better than 57% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,543 cases | 0.35 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 73% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,064 cases | 0.2 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,875 cases | 0.29 | 0.27 | 0.2728 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 453 cases | 2.21 | 2.29 | 2.301 | No Different Than the National Rate | Better than 65% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 181 cases | 1.47 | 1.63 | 1.67 | No Different Than the National Rate | Better than 83% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 176 cases | 6.85 | 8.88 | 9.531 | No Different Than the National Rate | Better than 86% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 476 cases | 3.22 | 3.4 | 3.714 | No Different Than the National Rate | Better than 67% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 143 cases | 4.82 | 5.105 | 5.152 | No Different Than the National Rate | Better than 70% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 30 cases | 1.76 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 155 cases | 1.04 | 1.02 | 1.045 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 192 cases | -18.8 | 1.25 | 8.216 | Better than 77% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 202 cases | -5.4 | 3.85 | 13.94 | Better than 62% 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 | Not Available | 12.97 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 951 cases | 1.2 | 1 | 1.016 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 62 cases | 19 | 19.8 | 20.07 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 208 cases | 20.3 | 21.3 | 21.51 | Better than 81% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 82 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 · 236 cases | 15.5 | 17.2 | 17.5 | Better than 97% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | Not Available | 0.315 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 637 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.38 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,558 | 1,799 | 3,807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.985 | 1.377 | 4.51 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5759 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 96.21 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.6 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.339 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| 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 | 19 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.172 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | Not Available | 0.1945 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 19,003 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.695 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.196 | 0.127 | 0.1833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.101 | 0.747 | 1.212 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 19,003 | 13,646 | 35,800 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.886 | 5.683 | 19.22 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 3 | 2 | 7.192 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.772 | 0.279 | 0.4067 | No Different than National Benchmark | Worse than 90% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 484 cases | 53 | 73 | 72.75 | Worse than 99% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 484 cases | 19 | 8 | 9.158 | Worse than 97% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 484 cases | 28 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 77 | 87 | 85.64 | Worse than 97% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 484 cases | 1 | 4 | 3.195 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 484 cases | 73 | 80 | 79.29 | Worse than 87% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 89 | 91 | 90.92 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 484 cases | 6 | 4 | 4.576 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 3.305 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 484 cases | 21 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 484 cases | 75 | 79 | 78.82 | Worse than 77% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 89 | 91 | 90.1 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 484 cases | 6 | 5 | 5.823 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 2.89 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 484 cases | 19 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 484 cases | 55 | 61 | 61.18 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 72 | 77 | 76.11 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 484 cases | 26 | 19 | 19.8 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 484 cases | 19 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 484 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 · 484 cases | 18 | 13 | 13.92 | Worse than 85% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 3.237 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 484 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 · 484 cases | 16 | 14 | 14.8 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 484 cases | 84 | 86 | 85.2 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 70 | 74 | 73.24 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 7 | 7 | 7.369 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 23 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 74 | 77 | 76.95 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 8 | 6 | 6.199 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 18 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 82 | 85 | 84.2 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 4 | 3 | 3.979 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 14 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 484 cases | 12 | 8 | 8.937 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 484 cases | 28 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 484 cases | 60 | 72 | 70.19 | Worse than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 84 | 88 | 87.19 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 3.136 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 484 cases | 70 | 74 | 73.94 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 484 cases | 13 | 9 | 9.858 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 484 cases | 17 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 67 | 75 | 74.61 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 6 | 5 | 5.915 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 484 cases | 27 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 71 | 77 | 76.32 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 7 | 4 | 4.894 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 484 cases | 22 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 80 | 86 | 84.9 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 4 | 3 | 3.085 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 484 cases | 16 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 484 cases | 43 | 59 | 59.03 | Worse than 93% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 484 cases | 19 | 9 | 10.03 | Worse than 90% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 484 cases | 38 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 73 | 82 | 81.16 | Worse than 91% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 484 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 · 484 cases | 9 | 5 | 6.753 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 484 cases | 62 | 71 | 68.65 | Worse than 81% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 484 cases | 83 | 87 | 85.89 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 484 cases | 29 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 484 cases | 3 | 4 | 3.458 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 484 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 · 484 cases | 39 | 30 | 30.69 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 484 cases | 20 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 484 cases | 2 | 3 | 3.119 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 484 cases | 20 | 12 | 13.09 | Worse than 95% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 484 cases | 80 | 88 | 86.91 | Worse than 95% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | IL 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 | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 664 cases | 2 | 1 | 1.114 | Worse than 72% of US hospitals | |
| 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 · 1,160 cases | 83 | 79 | 83.65 | Better than 56% 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 · 374 cases | 150 | 154 | 183 | Better than 53% 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 · 356 cases | 150 | 148 | 175 | Worse than 51% 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 · 14 cases | 152 | 247 | 304 | Better than 87% 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 · 21,194 cases | 1 | 1 | 2.469 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 78.84 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 94.09 | |||
| 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 · 863 cases | 22 | 15 | 15.81 | Worse than 90% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 104 cases | 74 | 65 | 62.57 | Better than 71% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 21 cases | 81 | 73 | 71.03 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 91 | 88 | 85.26 | Better than 57% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 104 cases | 85 | 82 | 79.02 | Better than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 62 cases | 90 | 94 | 92.05 | Worse than 72% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 51 cases | 100 | 98 | 97 | The best result, shared by 14% 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 · 49 cases | 92 | 94 | 94.02 | Worse than 63% 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 | Not Available | 94.61 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.3 | 5 | 6.493 | Worse than 72% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.7 | 6.6 | 7.806 | Worse than 84% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 0.99 | 0.99 | 0.9996 | Worse than 47% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 58 cases | 70.7 | 60.8 | 61.49 | Better than 76% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 58 cases | 44.8 | 35.5 | 35.96 | Better than 76% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 3,117 cases | 1.03 | 0.05 | 0.399 | Better than 94% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 3,117 cases | 0.45 | 0.03 | 0.09122 | Better than 86% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 138 cases | 62 | 87 | 78.18 | Worse than 78% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 76.67 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 134 cases | 19.7 | 19.1 | 20.08 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 157 cases | 72 | 92 | 82.91 | Worse than 82% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 46 cases | 72 | 74 | 63.93 | Worse than 53% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 44 cases | 68 | 81 | 72.61 | Worse than 65% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 41 cases | 95 | 77 | 69.11 | Better than 78% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 41 cases | 80 | 56 | 55.13 | Better than 68% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 53 cases | 70 | 64 | 55.46 | Better than 56% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 53 cases | 36 | 4 | 24.33 | Better than 77% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 290 cases | 6 | 77 | 54.33 | Worse than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 2 | 20 | 28.09 | Worse than 88% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0.5 | 5 | 7.071 | Worse than 88% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 13.71 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.521 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 3 | 34 | 34.29 | Worse than 99% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 0.75 | 8.75 | 8.88 | Worse than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | 16.67 | 40 | 36.66 | Worse than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 4.167 | 10 | 9.377 | Worse than 89% of US hospitals | |
| VBP total performance scoreFY 2026 | 5.417 | 29.5 | 28.2 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 58 | 78 | 80 | 42 | 25 | 2 |
| VBP clinical outcomes weighted domain score | 14.5 | 19.5 | 20 | 10.5 | 6.25 | 0.5 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 50 | 60 | 50 | 0 |
| VBP efficiency and cost reduction weighted domain score | 15 | Not Available | 12.5 | 15 | 12.5 | 0 |
| VBP person and community engagement domain score | 31 | Not Available | Not Available | 11 | 6 | 3 |
| VBP person and community engagement weighted domain score | 7.75 | Not Available | Not Available | 2.75 | 1.5 | 0.75 |
| VBP safety domain score | 86.67 | Not Available | Not Available | 3.333 | 65 | 16.67 |
| VBP safety weighted domain score | 21.67 | Not Available | Not Available | 0.8333 | 16.25 | 4.167 |
| VBP total performance score | 58.92 | Not Available | Not Available | 29.08 | 36.5 | 5.417 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9763 | 0.9969 | 1.009 | Better than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 205 cases | 0.977 | 0.9983 | 1.013 | Better than 65% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9716 | 0.9916 | 1.055 | Better than 56% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 187 cases | 0.9596 | 0.9955 | 1.018 | Better than 75% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.016 | 1.048 | 1.062 | 1.007 | 1.032 | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.014 | 1.04 | 1.022 | 1.034 | 0.9973 | 0.9763 |
| READM-30-HF-HRRP | 1.005 | 1.004 | 1.053 | 1.004 | 1.022 | 0.977 |
| READM-30-HIP-KNEE-HRRP | 0.9782 | 0.8894 | 0.8925 | 0.8787 | N/A | 0.9716 |
| READM-30-PN-HRRP | 0.9576 | 1.007 | 0.9778 | 0.9805 | 0.9763 | 0.9596 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.372 | 0.489 | 0.5958 | Better than 63% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.61 | 0.346 | 0.436 | Worse than 82% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.7638 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6364 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.814 | 0.9628 | 0.9883 | Better than 91% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9041 | |||
| Total HAC scoreFY 2026 | -0.5367 | -0.0453 | 0.07842 | Better than 82% 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 | Yes | No | No |
| Total HAC score | 0.1145 | -0.8487 | 0 | 0.5366 | -0.0182 | -0.5367 |
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 2025)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
285
Medicare-certified beds
154
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 Health Proctor Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,612
Inpatient discharges
Medicare 36%, Medicaid 8%
12,314
Inpatient days
46% of available bed days used
419
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838481). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Carle Health Proctor Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,454 | 136 | 7,724 | 12,314 |
| Discharges | 938 | 199 | 1,475 | 2,612 |
| Average length of stay | 4.7 days | 0.7 days | 5.2 days | 4.7 days |
| Average daily census | 12.2 | 0.4 | 21.2 | 33.7 |
709
Medicaid managed care days
1,720
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 68 | 10,363 | 3,766 | 42% |
| Intensive care unit | 6 | 1,951 | 688 | 89% |
| Subprovider - ipf | 14 | 3,441 | 885 | 67% |
| Subprovider - irf | 20 | 5,530 | 4,242 | 76% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Carle Health Proctor Hospital treats Medicare patients for most often, in 2024. 538 Medicare discharges in 19 published DRGs; 41% surgical; 74% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 101 | $54,117 | $11,520 | $13,259 | 1.98 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 69 | $82,871 | $12,401 | $20,303 | 2.07 |
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $44,493 | $7,668 | $10,901 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 30 | $95,430 | $11,856 | $23,380 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 30 | $118,047 | $17,242 | $28,921 | 2.95 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $55,036 | $9,880 | $13,484 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $83,720 | $12,980 | $20,511 | 2.11 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $37,210 | $5,519 | $9,116 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $66,347 | $9,055 | $16,255 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $62,399 | $7,715 | $15,288 | 1.33 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 19 | $136,855 | $15,934 | $33,529 | 2.48 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 18 | $95,185 | $15,343 | $23,320 | 2.40 |
| Renal failure with CCMS-DRG 683, medical | 18 | $29,996 | $4,716 | $7,349 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 17 | $134,331 | $20,920 | $32,911 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $102,722 | $17,383 | $25,167 | 2.99 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $54,663 | $8,877 | $13,392 | 1.50 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $24,845 | $2,576 | $6,087 | 0.86 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $50,748 | $7,731 | $12,433 | 1.32 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $37,035 | $4,869 | $9,074 | 0.90 |
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 Health Proctor Hospital billed Medicare for most in 2024: 2,159 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 662 | 621 | $66,182 | $10,391 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 566 | 328 | $21,354 | $1,707 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 173 | 150 | $18,775 | $1,395 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 127 | 125 | $32,061 | $2,344 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 126 | 126 | $51,594 | $5,184 | $5,339 |
| Level 2 Intraocular ProceduresAPC 5492 | 105 | 97 | $33,908 | $2,964 | $3,116 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 104 | 100 | $98,343 | $15,553 | $15,763 |
| Comprehensive Observation ServicesAPC 8011 | 63 | 61 | $22,826 | $2,015 | $2,090 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 42 | 41 | $25,034 | $1,680 | $1,780 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 34 | $20,229 | $1,139 | $1,196 |
See all 17 Medicare outpatient services at Carle Health Proctor 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 Health Proctor 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 1,639 in 2020 to 820 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 61614 | 148 | 18% | 661 | $8.1M | 11% | 22% |
| 61615 | 108 | 13% | 453 | $5.7M | 10% | 20% |
| 61604 | 84 | 10% | 368 | $4.6M | 5% | 11% |
| 61554 | 66 | 8% | 280 | $5.3M | 3% | 3% |
| 61571 | 58 | 7% | 270 | $3.9M | 5% | 10% |
| 61523 | 56 | 7% | 210 | $3.1M | 9% | 18% |
| 61611 | 55 | 7% | 269 | $3.5M | 4% | 9% |
| 61548 | 34 | 4% | 131 | $1.8M | 6% | 15% |
| 61550 | 33 | 4% | 138 | $2M | 4% | 6% |
| 61607 | 31 | 4% | 145 | $1.7M | 5% | 9% |
| 61616 | 29 | 4% | 115 | $1.5M | 10% | 20% |
| 61525 | 24 | 3% | 119 | $1.4M | 10% | 18% |
| 61540 | 24 | 3% | 80 | $1M | 16% | 22% |
| 61605 | 22 | 3% | 86 | $963,393 | 3% | 5% |
| 61603 | 19 | 2% | 75 | $988,696 | 3% | 5% |
| 61559 | 18 | 2% | 70 | $1M | 15% | 18% |
| 61491 | 11 | 1% | 50 | $607,619 | 13% | 25% |
Source: CMS Hospital Service Area file. Shares are of the 820 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 Health Proctor Hospital reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
15
Operating rooms
1
Endoscopy rooms
2
Cardiac catheterization rooms
18
Psychiatric unit beds
35
Rehabilitation unit beds
1
Off-site locations
154
Registered nurses
11
Licensed practical nurses
5
Pharmacists
11
Respiratory therapists
12
Radiology technicians
2
Nuclear medicine technicians
4
Laboratory technicians
8
Medical technologists
2
Dietitians
265
Other personnel
Source: CMS Provider of Services file.
426 clinicians who bill Medicare list Carle Health Proctor 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.
Nguyet Le-Lindqwister, MD
Hematology & Oncology Physician
NPI 1174522486
See commercial rates for Nguyet Le-Lindqwister, MDMohammad Asad, MD
Hematology & Oncology Physician
NPI 1982910527
See commercial rates for Mohammad Asad, MDMin-Kyu Han, M.D.
Ophthalmology Physician
NPI 1912901877
See commercial rates for Min-Kyu Han, M.D.Donald Mitzelfelt, MD
Orthopaedic Surgery Physician
NPI 1962454983
See commercial rates for Donald Mitzelfelt, MDJoseph Banno, M.D.
Urology Physician
NPI 1811951072
See commercial rates for Joseph Banno, M.D.Michael Gibbons, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1407857311
See commercial rates for Michael Gibbons, M.D.Vatsala Katiyar, MD
Hematology & Oncology Physician
NPI 1215450119
See commercial rates for Vatsala Katiyar, MDAndrew Reese, PA
Surgical Physician Assistant
NPI 1851380570
See commercial rates for Andrew Reese, PAThomas Mulvey, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1174519219
See commercial rates for Thomas Mulvey, MDStephen Eyler, MD
Ophthalmology Physician
NPI 1275950263
See commercial rates for Stephen Eyler, MDVolkan Sumer, DO
Family Medicine Physician
NPI 1730185125
See commercial rates for Volkan Sumer, DOOmar Iqbal, MD
Ophthalmology Physician
NPI 1508397613
See commercial rates for Omar Iqbal, MDLuke Luetkemeyer, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1407084635
See commercial rates for Luke Luetkemeyer, M.D.Mark Lauffer, PA
Surgical Physician Assistant
NPI 1184927709
See commercial rates for Mark Lauffer, PAJames Williams, MD
Orthopaedic Hand Surgery Physician
NPI 1104812155
See commercial rates for James Williams, MDThomas Bollaert, MD
Sports Medicine (Family Medicine) Physician
NPI 1245680651
See commercial rates for Thomas Bollaert, MDJeffrey Akeson, M.D.
Orthopaedic Surgery Physician
NPI 1356342257
See commercial rates for Jeffrey Akeson, M.D.Adam Colen, DO
Sports Medicine (Family Medicine) Physician
NPI 1346534724
See commercial rates for Adam Colen, DOKamal Kishore, M.D.
Ophthalmology Physician
NPI 1215059977
See commercial rates for Kamal Kishore, M.D.Chittaranjan Reddy, MD
Ophthalmology Physician
NPI 1992737084
See commercial rates for Chittaranjan Reddy, MDLucas Roth, PA-C
Surgical Physician Assistant
NPI 1083124846
See commercial rates for Lucas Roth, PA-CEvan Lagouros, M.D.
Ophthalmology Physician
NPI 1629206891
See commercial rates for Evan Lagouros, M.D.Govind Ramadurai, M.D.
Cardiovascular Disease Physician
NPI 1184673089
See commercial rates for Govind Ramadurai, M.D.Matthew Kuhn, M.D.
Neuroradiology Physician
NPI 1992818991
See commercial rates for Matthew Kuhn, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Carle Health Proctor 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) | $821.5M | 503.5% |
| Inpatient | $219.4M | 134.5% |
| Outpatient | $602.1M | 369.0% |
| Contractual allowances and discounts | -$658.3M | -403.5% |
| Net patient revenue | $163.2M | 100.0% |
| Operating expenses | -$155.8M | -95.5% |
| Operating income from patient care | $7.4M | 4.5% |
| Other income | $3.8M | 2.3% |
| Net income | $11.2M | 6.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $185.3M | 22.6% |
| Medicaid (including managed care) | $74M | 9.0% |
| Other payers and self-pay | $560.2M | 68.4% |
| Total charges | $819.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, 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 Health Proctor Hospital's latest cost report.
4.5%
Operating margin
Operating income from patient care / net patient revenue
6.7%
Total margin
Net income / net patient revenue plus other income
8.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
32% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.04
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.2%
Return on assets
Net income for a year / total assets
6.1%
Return on equity
Net income for a year / fund balance
-19.92
Current ratio
Current assets / current liabilities
-2.86
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-16 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.92
Asset turnover
Total revenue for a year / total assets
8.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Carle Health Proctor Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $180.6M in total assets and a $183.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $100,940 | 0.1% |
| Patient receivables, net | $19.1M | 10.6% |
| Inventory | $3.7M | 2.0% |
| Total current assets | $133.7M | 74.0% |
| Property and equipment, net of depreciation | $39.7M | 22.0% |
| Investments and other assets | $7.3M | 4.0% |
| Total assets | $180.6M | 100.0% |
| Current liabilities | -$6.7M | -3.7% |
| Total liabilities | -$3M | -1.6% |
| Fund balance (net assets) | $183.6M | 101.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Carle Health Proctor Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.3M
Bad debt
Patient bills written off as uncollectible, at charges
$6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10M
Total unreimbursed and uncompensated care
6.4% 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 838481, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Carle Health Proctor 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 | $109.1M | $138.6M | $133.9M | $133.9M | $169.5M | $163.2M |
| Operating expenses | $90.3M | $93.4M | $87.1M | $100.5M | $113.5M | $155.8M |
| Operating margin | 17.3% | 32.6% | 34.9% | 24.9% | 33.0% | 4.5% |
| Net income | $6.7M | $37M | $27.5M | $11.3M | $28.8M | $11.2M |
| Total assets | $124.1M | $109.2M | $83.9M | $274.2M | $243.2M | $180.6M |
| Discharges | 2,355 | 2,400 | 2,349 | 2,765 | 2,663 | 2,612 |
| Inpatient days | 10,046 | 10,651 | 10,316 | 11,649 | 12,400 | 12,314 |
| Medicare Advantage days | 2,724 | 2,602 | 2,743 | 3,994 | 1,412 | |
| Beds | 170 | 153 | 106 | 86 | 108 | 108 |
| Employees (FTE) | 431 | 425 | 421 | 435 | 499 | 419 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Carle Health Proctor 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 |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $25.6M | $89.7M | 0.29 | ||
| Operating room | $3.1M | $22.5M | $189.3M | 0.12 | 35,521 |
| Medical supplies charged to patient | $15M | $40.2M | 0.37 | ||
| Emergency | $3.8M | $7.9M | $64.6M | 0.12 | 7,599 |
| Laboratory | $1.7M | $6M | $47M | 0.13 | 8,303 |
| Radiology-diagnostic | $2.1M | $5.9M | $24.5M | 0.24 | 12,981 |
| Recovery room | $2.6M | $5.7M | $38.2M | 0.15 | |
| Drugs charged to patients | $5.1M | $39.7M | 0.13 | ||
| Renal dialysis | $1.3M | $3.1M | $26.7M | 0.12 | 7,610 |
| Observation beds (non-distinct part | $2.4M | $5.3M | 0.46 | ||
| Respiratory therapy | $1M | $1.8M | $9.7M | 0.19 | 2,740 |
| Ct scan | $629,990 | $1.5M | $76.4M | 0.02 | 1,120 |
| Physical therapy | $1.5M | $5.3M | 0.28 | 2,880 | |
| Mri | $384,418 | $1.3M | $26.2M | 0.05 | 2,610 |
| Cardiac rehabilitation | $600,084 | $1.2M | $1.9M | 0.63 | 4,613 |
| Cardiology | $64,290 | $799,486 | $9.2M | 0.09 | 10,285 |
| Anesthesiology | $109,298 | $449,834 | $34.2M | 0.01 | |
| Blood storing processing & trans. | $295,431 | $545,803 | 0.54 | ||
| Clinic | $49,882 | $127,449 | $1.8M | 0.07 | |
| Electroencephalography | $703 | $212,880 | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.3M | $17.1M | $41.9M | 0.41 | 30,364 |
| Subprovider - irf | $2.5M | $7.3M | $24.4M | 0.30 | 13,874 |
| Subprovider - ipf | $1.9M | $4.7M | $9.9M | 0.47 | 4,358 |
| Intensive care unit | $1.1M | $3M | $12.4M | 0.24 | 5,275 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $10,434 | $24.7M | 385 | $27.10 | 5,661 |
| Employee benefits department | $5.4M | ||||
| Nursing administration | $1.3M | $5M | 18,603 | $69.97 | 353 |
| Central services & supply | $1M | $2.7M | 45,266 | $22.69 | 12,007 |
| Operation of plant | $1.3M | $2.4M | 39,826 | $31.43 | 158,868 |
| Cap rel costs-bldg & fixt | $2.3M | 359,914 | |||
| Housekeeping | $1.3M | $1.9M | 58,919 | $21.72 | 5,491 |
| Pharmacy | $1.2M | $1.4M | 25,455 | $46.65 | 2,973 |
| Maintenance & repairs | $1.2M | ||||
| Cafeteria | $724,781 | 27,434 | $23.06 | ||
| Dietary | $1.2M | $610,546 | 17,422 | $23.06 | 12,744 |
| Laundry & linen service | $38,253 | $61,328 | 2,135 | $17.92 | 1,749 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838481, 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 Health Proctor Hospital for an inpatient stay.
1.68
Case mix index
Higher than 49% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
10.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
965
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 | 1.54 | 1.53 | 1.58 | 1.65 | 1.55 | 1.64 | 1.68 |
| Wage index | 0.862 | 0.849 | 0.856 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -1.80% | -0.17% | -0.36% | -0.54% | -0.14% | -0.23% | 0.00% |
| Value-based purchasing adjustment | -0.48% | +1.78% | +1.78% | +0.37% | +0.76% | +1.27% | -1.63% |
| Medicare inpatient stays | 1,702 | 1,702 | 1,135 | 1,058 | 1,124 | 974 | 965 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Carle Health Proctor Hospital reports to Medicare as owners or with operational control.
Carle Health - West Region
5% or greater direct ownership interest, 100%, since 2025
The Carle Foundation
5% or greater indirect ownership interest, 100%, since 2025
Sources: CMS Hospital All Owners.
The officers and board members on Carle Health Proctor 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 18 of 21 are shown.
Proctor Hospital files the Form 990 for the tax ID insurers list for Carle Health Proctor Hospital, so these people may lead the wider organization rather than Carle Health Proctor Hospital alone.
| Name | Title |
|---|---|
| James C Leonard MD | Officer - President & CEO |
| Matthew Kolb JD MHA | Ex Officio, Non-voting // Officer - President, Carle Health Regions // EVP, COO |
| 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 |
| Keith Knepp MD | Ex Officio, Voting // Officer - President, Carle Health - West Region |
| Caleb Miller | SVP, Surgical Services & Ambulatory Care |
| Jeanette Murray | VP, Greater Peoria Hospital Operations |
| Ken Dicken MBA | VP, Finance - West Region |
| Nicholas Crompton | VP, Construction & Facility Services |
| Brook Fisher | Director, Revenue Cycle Denials |
| Anthony Stanowski DHA FACHE | Ex Officio, Voting |
| Debbie Simon | Vice Chair |
| Dennis Triggs JD | Secretary/treasurer |
| James Stevenson | Chair |
| Terry Waters | Ex Officio, Voting |
Board members: Jeffrey Leman MD, Keila Sierra-Cintron MD, Aaron Kilgore, Amy Darling, Brandon Moss, David Mueller, Dirk Roecker, Kevin Barbier, Melissa Yoder CPA, Rich Kriegsman, Rusty Dunn.
Source: IRS Form 990 Part VII filed by Proctor Hospital (EIN 37-0681540), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
Carle Health - Proctor
FAA location ID 2IS1, a medical-use heliport 0.2 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Proctor hospital
CCN 14S013, certified 2012, Medicare prospective payment
Proctor hospital
CCN 14T013, certified 2024, Medicare prospective payment
Proctor hospital
CCN 142337, certified 2019
Proctor hospital
CCN 142338, certified 2020
Source: Worksheet S-2 Part I of Carle Health Proctor Hospital's latest Medicare cost report (HCRIS).
About Carle Health Proctor Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carle Health Proctor Hospital range from $829 to $3,343 across 4 insurers. Aetna's rate is $894. The median at nearby comparable hospitals is $1,180. 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 Health Proctor Hospital range from $829 to $3,273 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $3,273. The median at nearby comparable hospitals is $972. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Carle Health Proctor Hospital range from $2,438 to $2,803 across 2 insurers. UnitedHealthcare's rate is $2,438. The median at nearby comparable hospitals is $3,465. 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 Health Proctor Hospital range from $99 to $373 across 4 insurers. Cigna's rate is $373. The median at nearby comparable hospitals is $273. 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 Health Proctor Hospital range from $17,044 to $25,301 across 4 insurers. Aetna's rate is $20,940. The median at nearby comparable hospitals is $28,269. What a patient pays depends on their plan's deductible, coinsurance and network status.
Carle Health Proctor Hospital 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.
CMS reports no Medicare-funded interns or residents at Carle Health Proctor Hospital for fiscal year 2027.
No. Carle Health Proctor Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (101 discharges), hip and femur procedures except major joint with cc (69 discharges), heart failure and shock with mcc (60 discharges).
Carle Health Proctor Hospital's Medicare case mix index is 1.68 for fiscal year 2027, higher than 49% of hospitals paid under the inpatient prospective payment system.
Carle Health Proctor Hospital reported 2,612 inpatient discharges and 12,314 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Carle Health Proctor Hospital reported 419 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Carle Health Proctor Hospital reported $163.2M in net patient revenue on $821.5M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 4.5%, and net income of $11.2M.
Carle Health Proctor Hospital reported $10M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2.3M of charity care at cost.
Carle Health Proctor Hospital's Medicare enrollment lists Keith Knepp as CEO since 2015.
Insurers' price transparency files list Carle Health Proctor Hospital under employer identification number 37-0681540 ((multi-state) Proctor Community Hospital). 57 health plans and networks list 37-0681540 for it.
426 clinicians who bill Medicare list Carle Health Proctor Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (61), internal medicine physician (48), certified registered nurse anesthetist (32).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Carle Health Proctor Hospital, effective 2025.
In its Medicare enrollment, Carle Health Proctor Hospital reports Carle Health - West Region as 5% or greater direct ownership interest (100%).
CMS lists 32 services at Carle Health Proctor Hospital, including Acute Renal Dialysis, Alcohol and/or Drug Service, Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Carle Health Proctor Hospital came from ZIP codes 61614 (148), 61615 (108), 61604 (84).
Carle Health Proctor Hospital has 108 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 285 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Carle Health Proctor Hospital is located at 5409 North Knoxville Avenue, Peoria, IL 61614. Its main phone number is (309) 691-1000.
Carle Health Proctor Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140013.
The National Provider Identifier (NPI) on file for Carle Health Proctor Hospital is 1033116876.
Carle Health Proctor Hospital is affiliated with Unitypoint Health.
Carle Health Proctor Hospital lists 34 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.
329 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