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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Community Hospital Anderson

Community Health Network · Anderson, IN

1515 North Madison Avenue, Anderson, IN 46011(765) 298-4242

3 of 5

CMS star rating

117

Beds

6,573

Inpatient discharges a year

$258.3M

Net patient revenue a year

40

In-network payers

About this hospital

Community Hospital Anderson is a 117-bed voluntary non-profit - private hospital in Anderson, IN, affiliated with Community Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 345 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
150113
NPI
1972500452
Health system
Community Health Network
Teaching
Teaching hospital
County
Madison County
Metro area
Indianapolis-Carmel-Greenwood, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Community Hospital Anderson most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,658 - $17,867

from 4 insurers · median $12,754

Cigna$17,867
Insurer A*$10,658
Insurer B*$12,163
Insurer C*$13,346

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,729 - $25,409

from 4 insurers · median $16,352

Cigna$25,409
Insurer A*$13,729
Insurer B*$15,157
Insurer C*$17,547

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$63,008 - $101,690

from 4 insurers · median $79,857

Aetna$69,258
Insurer A*$63,008
Insurer B*$90,456
Insurer C*$101,690
Medicare $29,679Nearby hospitals $70,70513% above nearby hospitals

15 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$30,492 - $51,118

from 4 insurers · median $39,444

Aetna$35,391
Insurer A*$30,492
Insurer B*$43,497
Insurer C*$51,118
Medicare $10,706Nearby hospitals $24,98958% above nearby hospitals

21 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Community Hospital Anderson

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*7
520%
20
Insurer B*17
334%
59
Insurer C*24
331%
131
Insurer D*23
177%
810

How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Community Hospital Anderson, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 154 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.06%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 33 services
    • 527 affiliated clinicians
    See doctors and services
  • Finances

    $258.3M net patient revenue

    • Operating margin on patient care 7.0%
    • $6M unreimbursed and uncompensated care
    • $25.8M net income
    See finances
  • Ownership and leadership

    Owned by Community Health Network Inc

    • Private (not for profit)
    • Elizabeth Tharp, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Community Hospital Anderson in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-1069822Community Hospital Of Anderson And Madison County59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 54 more1972500452 Community Hospital Of Anderson & Madison County Inc1083668586 Community Hospitals Of Indiana Inc1215988910 Madison County Cancer Care Centerand 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1515 North Madison Avenue, Anderson, IN 46011

(765) 298-4242

Get directions

Frequently asked questions

About Community Hospital Anderson's rates and hospital price transparency.

How much does a CT scan cost at Community Hospital Anderson?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Community Hospital Anderson range from $297 to $789 across 2 insurers. UnitedHealthcare's rate is $297. The median at nearby comparable hospitals is $355. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Community Hospital Anderson?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Community Hospital Anderson range from $3,494 to $6,029 across 3 insurers. Blue Cross Blue Shield's rate is $5,922. The median at nearby comparable hospitals is $2,171. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Community Hospital Anderson?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Community Hospital Anderson range from $10,658 to $17,867 across 4 insurers. Cigna's rate is $17,867. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Community Hospital Anderson?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Community Hospital Anderson range from $83 to $245 across 3 insurers. Cigna's rate is $245. The median at nearby comparable hospitals is $158. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Community Hospital Anderson?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Community Hospital Anderson range from $30,492 to $51,118 across 4 insurers. Aetna's rate is $35,391. The median at nearby comparable hospitals is $24,989. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Community Hospital Anderson's CMS star rating?

Community Hospital Anderson 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.

Is Community Hospital Anderson a teaching hospital?

Yes. CMS counts 0.00 Medicare-funded residents per bed at Community Hospital Anderson for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Community Hospital Anderson for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Community Hospital Anderson's base inpatient payments by an estimated 0.06% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Community Hospital Anderson?

In 2024, the most common were heart failure and shock with mcc (99 discharges), septicemia or severe sepsis without mv >96 hours with mcc (80 discharges), simple pneumonia and pleurisy with mcc (47 discharges).

What is Community Hospital Anderson's case mix index?

Community Hospital Anderson's Medicare case mix index is 1.67 for fiscal year 2027, higher than 48% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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