Medicine & Surgery · Inpatient
Major cardiothoracic procedure with cardiac catheterization and MCC
MS-DRG 216
$131,638
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
Steward Health Care System · Boston, MA
Not rated by CMS
CMS star rating
122
Beds
1,369
Inpatient discharges a year
$50.5M
Net patient revenue a year
27
In-network payers
Carney Hospital is a 122-bed proprietary hospital in Boston, MA, affiliated with Steward Health Care System. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 141 disclosed rate categories.
The 24 services Carney 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.
Medicine & Surgery · Inpatient
MS-DRG 216
$131,638
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$18,240 - $25,679
from 2 insurers · median $21,959
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$50,252
negotiated rate
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$33,816
negotiated rate
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$15,789
negotiated rate
Hospital reports inpatient surgical services to CMS
Orthopedics and pain
CPT 64721
$651 - $2,639
from 2 insurers · median $1,645
23 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$739 - $882
from 2 insurers · median $810
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$94 - $221
from 2 insurers · median $158
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,187 - $3,146
from 2 insurers · median $2,666
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$541
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$157 - $257
from 2 insurers · median $207
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$13,343
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$429 - $1,590
from 2 insurers · median $1,009
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$343 - $527
from 2 insurers · median $435
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$265 - $461
from 2 insurers · median $363
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$366 - $1,590
from 2 insurers · median $978
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$285 - $1,212
from 2 insurers · median $749
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$541 - $883
from 2 insurers · median $712
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$128
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,653
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$157 - $161
from 2 insurers · median $159
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$157 - $161
from 2 insurers · median $159
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,949
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,653
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 158% | 7 | 3 |
| Insurer B* | 24 | 141% | 7 | 14 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Carney Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
Teaching hospital
Finances
$50.5M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Carney 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 |
|---|---|---|
| 27-2473755Steward Carney Hospital INC | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans and 35 more | 1427360981 Steward Carney Hospital Inc.1609189380 Steward Carney Hospital Inc.1497823579 Caritas Carney Hospital-psychiatryand 2 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.
2100 Dorchester Avenue, Boston, MA 02124
(617) 506-2000
How Carney Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
| Measure | Result | Period |
|---|---|---|
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Carney Hospital's inpatient payments for its readmissions, quality and cost results.
-0.12% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
+0.80% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Each result CMS publishes for Carney Hospital, beside the US median and the average of MA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.091 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.416 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.44 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.108 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 7.486 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 9.785 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 13.44 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.76 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.6721 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 175 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2083 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.296 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.482 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.613 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.192 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.743 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.331 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.756 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.044 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 18.16 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 17.34 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 17.01 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 12.66 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.92 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.182 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.9596 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.76 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.82 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 20.36 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 22.03 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.709 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.81 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2107 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.812 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 8,303 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 8.287 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 4.273 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4759 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2845 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.932 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 7,314 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 8.986 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 5.818 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6647 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3618 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.379 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 149 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.928 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.531 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7845 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4656 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.886 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 72.32 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6066 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.7955 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.451 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2428 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.383 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | Not Available | 69,453 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 4.799 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.018 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6915 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2286 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.9902 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 64,881 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 33.9 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 16.5 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.4375 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 69.54 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 10.27 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 20.2 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.15 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.13 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.3 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.43 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.75 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.463 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.95 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 78.45 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 90.5 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.893 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.019 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.66 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 60.82 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 76.96 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 19.86 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.704 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 19.32 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.83 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 12.75 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.648 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 87.25 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 13.96 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 86.04 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 73.88 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 7.232 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.89 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.98 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 6.357 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 16.66 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 84.46 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 4.036 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.5 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 9.911 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 22.54 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 67.55 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.72 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.981 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.29 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 9.679 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 16.04 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.66 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.125 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.21 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 77 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.946 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 18.05 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.23 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.125 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.64 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 47.63 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 17.7 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 34.68 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 74.48 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.111 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 6.143 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 69.48 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.65 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 24.38 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.556 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 47.23 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 30.13 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.64 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.056 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 11.66 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 88.34 |
How often the hospital gave recommended care, and how fast.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.188 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 | Not Available | 84.05 | |||
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 227 | |||
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 219 | |||
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 381 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 358 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 3.981 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.39 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 97.12 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 53.88 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 63.72 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 81.64 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 74.82 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.31 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 4.356 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.335 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9783 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.051 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.036 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9698 | 0.9983 | 1.036 | Better than 70% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.008 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 64 cases | 1.012 | 0.9955 | 1.046 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.01 | 1.049 | 1.048 | 1.033 | 1.038 | N/A |
| READM-30-HF-HRRP | 1.118 | 1.078 | 1.117 | 1.045 | 1.043 | 0.9698 |
| READM-30-HIP-KNEE-HRRP | 1.087 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.033 | 1.009 | 1.009 | 0.9731 | 1.014 | 1.012 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Carney Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7646 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4801 | |||
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.683 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6605 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | N/A | 1.026 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9399 | |||
| Total HAC scoreFY 2026 | N/A | 0.2232 |
| 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 | -0.153 | 0.1531 | 0 | 0.4981 | 0.3464 | N/A |
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.
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Carney Hospital reported to Medicare in its latest cost report, covering Jan 1, 2024 to Aug 30, 2024.
1,369
Inpatient discharges
Medicare 17%, Medicaid 16%
8,886
Inpatient days
34% of available bed days used
489
Employees (full-time equivalent)
30
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841452). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Carney Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,135 | 1,870 | 5,881 | 8,886 |
| Discharges | 234 | 220 | 915 | 1,369 |
| Average length of stay | 4.9 days | 8.5 days | 6.4 days | 6.5 days |
| Average daily census | 4.7 | 7.7 | 24.2 | 36.6 |
1,644
Medicare Advantage days
281 discharges
2,857
Medicaid managed care days
567
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 96 | 8,552 | 977 | 37% |
| Intensive care unit | 10 | 334 | 158 | 14% |
| Subprovider - ipf | 16 | 3,582 | 848 | 92% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Carney Hospital treats Medicare patients for most often, in 2024. 63 Medicare discharges in 3 published DRGs; 0% surgical; 51% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 31 | $20,967 | $12,685 | $18,157 | 1.37 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 21 | $25,249 | $16,988 | $21,866 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 11 | $17,448 | $12,282 | $15,110 | 1.28 |
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) Carney Hospital billed Medicare for most in 2024: 64 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Nerve ProceduresAPC 5431 | 23 | 21 | $8,612 | $1,652 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 14 | 14 | $4,968 | $1,743 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 14 | 13 | $7,216 | $2,342 | $2,090 |
| Level 5 Airway EndoscopyAPC 5155 | 13 | 13 | $15,230 | $5,406 | $5,183 |
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.
Revenue, expenses and income Carney Hospital reported to Medicare for Jan 1, 2024 to Aug 30, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $99.7M | 197.4% |
| Inpatient | $29.1M | 57.7% |
| Outpatient | $70.5M | 139.7% |
| Contractual allowances and discounts | -$49.2M | -97.4% |
| Net patient revenue | $50.5M | 100.0% |
| Operating expenses | -$85.4M | -169.3% |
| Operating income from patient care | -$35M | -69.3% |
| Other income | $15.4M | 30.6% |
| COVID-19 relief funding | $9.9M | 19.5% |
| Other | $5.6M | 11.1% |
| Net income | -$19.5M | -38.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $9.5M | 9.6% |
| Medicaid (including managed care) | $38.4M | 38.6% |
| Other payers and self-pay | $51.7M | 51.9% |
| Total charges | $99.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. 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 Carney Hospital's latest cost report, which covers 243 days; income and expense figures are scaled to a year.
-69.3%
Operating margin
Operating income from patient care / net patient revenue
-29.6%
Total margin
Net income / net patient revenue plus other income
-24.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.78
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-9.5%
Return on assets
Net income for a year / total assets
1.03
Current ratio
Current assets / current liabilities
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
441 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.32
Asset turnover
Total revenue for a year / total assets
7.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Carney Hospital owned and owed at the end of its reporting period (Aug 2024), across all fund types: $309.6M in total assets and a -$145M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Patient receivables, net | $8.9M | 2.9% |
| Inventory | $464,097 | 0.1% |
| Total current assets | $154M | 49.7% |
| Property and equipment, net of depreciation | $127M | 41.0% |
| Investments and other assets | $28.6M | 9.2% |
| Total assets | $309.6M | 100.0% |
| Current liabilities | $149.7M | 48.3% |
| Total liabilities | $454.6M | 146.8% |
| Fund balance (net assets) | -$145M | -46.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Carney Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.6M
Bad debt
Patient bills written off as uncollectible, at charges
$14M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$15.4M
Total unreimbursed and uncompensated care
18.0% 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 841452, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Carney Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 |
|---|---|---|---|---|---|
| Net patient revenue | $107M | $105M | $91.5M | $92.2M | $92.5M |
| Operating expenses | $145.1M | $156.3M | $130M | $135.1M | $133.8M |
| Operating margin | -35.6% | -48.9% | -42.0% | -46.6% | -44.7% |
| Net income | -$9.7M | $5M | -$356,455 | -$20.3M | -$6.5M |
| Total assets | $42.3M | $164.5M | $170.8M | $425M | $322.6M |
| Discharges | 4,362 | 4,094 | 3,484 | 2,861 | 2,638 |
| Inpatient days | 21,886 | 23,647 | 20,760 | 19,796 | 18,326 |
| Medicare Advantage days | 2,959 | 3,817 | 3,069 | 3,386 | 3,903 |
| Beds | 126 | 122 | 122 | 122 | 122 |
| Employees (FTE) | 683 | 658 | 616 | 563 | 523 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Carney 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 |
|---|---|---|---|---|---|
| Emergency | $3.4M | $9M | $27.5M | 0.33 | 8,491 |
| Clinic | $1.5M | $5.7M | $9.3M | 0.62 | 18,903 |
| Operating room | $966,209 | $4.6M | $6.9M | 0.67 | 14,116 |
| Laboratory | $1M | $4.3M | $11.8M | 0.37 | 14,315 |
| Radiology-diagnostic | $1.2M | $4M | $4.7M | 0.85 | 15,858 |
| Drugs charged to patients | $2.3M | $4.4M | 0.53 | ||
| Recovery room | $831,553 | $2M | $2.1M | 0.92 | 1,496 |
| Ct scan | $794,082 | $1.7M | $4M | 0.42 | 483 |
| Medical supplies charged to patient | $1.6M | $3.2M | 0.50 | ||
| Respiratory therapy | $587,969 | $1.6M | $1.6M | 1.00 | 1,331 |
| Observation beds (non-distinct part | $1.5M | $1.5M | 1.00 | ||
| Physical therapy | $559,130 | $1.3M | $1.8M | 0.73 | 3,513 |
| Electrocardiology | $127,535 | $378,807 | $2.3M | 0.16 | 473 |
| Mri | $166,477 | $373,833 | $908,184 | 0.41 | 483 |
| Blood storing processing & trans. | $64,308 | $361,036 | $362,035 | 1.00 | 1,696 |
| Radioisotope | $80,245 | $343,049 | $647,758 | 0.53 | 2,705 |
| Impl. dev. charged to patients | $282,936 | $1.4M | 0.21 | ||
| Anesthesiology | $35,012 | $262,330 | $680,083 | 0.39 | 1,562 |
| Renal dialysis | $77,380 | $204,178 | $204,402 | 1.00 | 624 |
| Speech pathology | $56,159 | $130,793 | $262,259 | 0.50 | 380 |
| Electroencephalography | $35,633 | $106,569 | $106,716 | 1.00 | 755 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.9M | $23.4M | $9.5M | 2.48 | 92,004 |
| Subprovider - ipf | $1.5M | $4.8M | $2.7M | 1.73 | 6,507 |
| Intensive care unit | $1.1M | $3.8M | $1.8M | 2.09 | 10,727 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.6M | $27.7M | 88,257 | $38.54 | 49,186 |
| Employee benefits department | $542,166 | $8.1M | 3,021 | $49.53 | 2,883 |
| Maintenance & repairs | $685,168 | $3.5M | 18,386 | $37.72 | 9,968 |
| Cap rel costs-mvble equip | $2.4M | ||||
| Housekeeping | $1.3M | $2.1M | 49,937 | $26.85 | 9,013 |
| Dietary | $533,714 | $2.1M | 23,085 | $23.40 | 19,667 |
| I&r services-salary & fringes apprv | $1.6M | $1.7M | 9,194 | ||
| Nursing administration | $1.2M | $1.2M | 24,282 | $49.87 | 792 |
| Operation of plant | $865,584 | $1.2M | 30,790 | $28.45 | 27,171 |
| Pharmacy | $1M | $1.2M | 20,741 | $49.45 | 5,366 |
| Cap rel costs-bldg & fixt | $887,849 | 394,982 | |||
| Medical records & library | $182,290 | $353,680 | 6,609 | $27.92 | 7,509 |
| Central services & supply | $119,058 | $196,203 | 3,564 | $33.81 | 7,567 |
| Social service | $189,476 | $191,775 | 2,389 | $80.27 | 1,736 |
| I&r services-other prgm costs apprv | $32,971 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841452, settled without audit. 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 Carney Hospital for an inpatient stay.
1.37
Case mix index
Higher than 14% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.25 residents per bed
Medicare-funded interns and residents per bed (FY 2026).
75.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
340
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 1.40 | 1.39 | 1.56 | 1.52 | 1.42 | 1.37 |
| Wage index | 1.267 | 1.284 | 1.297 | 1.242 | 1.313 | 1.288 |
| Readmissions adjustment | -0.24% | -0.53% | -0.34% | -0.45% | -0.14% | -0.12% |
| Value-based purchasing adjustment | -0.43% | +0.17% | +0.17% | -0.64% | -0.43% | +0.80% |
| Medicare inpatient stays | 1,325 | 1,325 | 993 | 713 | 508 | 340 |
Source: CMS IPPS final rule Impact File (FY 2026).
Steward carney hospital psy
CCN 22S017, certified 1985, Medicare prospective payment
Source: Worksheet S-2 Part I of Carney Hospital's latest Medicare cost report (HCRIS).
About Carney Hospital's rates and hospital price transparency.
For MRI of the abdomen, before and after contrast (CPT 74183), published negotiated rates at Carney Hospital range from $541 to $883 across 2 insurers. UnitedHealthcare's rate is $541. The median at nearby comparable hospitals is $856. 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 Carney Hospital range from $541 to $541 across 1 insurers. UnitedHealthcare's rate is $541. The median at nearby comparable hospitals is $839. 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 Carney Hospital range from $429 to $1,590 across 2 insurers. Blue Cross Blue Shield's rate is $429. The median at nearby comparable hospitals is $1,387. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carney Hospital range from $94 to $221 across 2 insurers. Blue Cross Blue Shield's rate is $221. The median at nearby comparable hospitals is $224. 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 Carney Hospital range from $18,240 to $25,679 across 2 insurers. UnitedHealthcare's rate is $25,679. The median at nearby comparable hospitals is $17,664. What a patient pays depends on their plan's deductible, coinsurance and network status.
Yes. CMS counts 0.25 Medicare-funded residents per bed at Carney Hospital for fiscal year 2026, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Carney Hospital's base inpatient payments by an estimated 0.12% in fiscal year 2026 for more readmissions than expected.
In 2024, the most common were psychoses (31 discharges), septicemia or severe sepsis without mv >96 hours with mcc (21 discharges), heart failure and shock with mcc (11 discharges).
Carney Hospital's Medicare case mix index is 1.37 for fiscal year 2026, higher than 14% of hospitals paid under the inpatient prospective payment system.
Carney Hospital reported 1,369 inpatient discharges and 8,886 inpatient days from Jan 1, 2024 to Aug 30, 2024.
Carney Hospital reported 489 full-time-equivalent employees on payroll from Jan 1, 2024 to Aug 30, 2024.
Carney Hospital reported $50.5M in net patient revenue on $99.7M of gross charges for Jan 1, 2024 to Aug 30, 2024, an operating margin of -69.3%, and net income of -$19.5M.
Carney Hospital reported $15.4M of unreimbursed and uncompensated care for Jan 1, 2024 to Aug 30, 2024, including $1.2M of charity care at cost.
Insurers' price transparency files list Carney Hospital under employer identification number 27-2473755 (Steward Carney Hospital INC). 40 health plans and networks list 27-2473755 for it.
CMS lists 42 services at Carney Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.
Carney Hospital has 122 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Carney Hospital is located at 2100 Dorchester Avenue, Boston, MA 02124. Its main phone number is (617) 506-2000.
Carney Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 220017.
The National Provider Identifier (NPI) on file for Carney Hospital is 1427360981.
Carney Hospital is affiliated with Steward Health Care System.
Carney Hospital lists 27 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
141 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