CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$390 - $3,071
from 3 insurers · median $2,837
Typical for a hospital with this service line
Deckerville, MI
Not rated by CMS
CMS star rating
15
Beds
21
Inpatient discharges a year
$11M
Net patient revenue a year
26
In-network payers
Deckerville Community Hospital is a 15-bed voluntary non-profit - private hospital in Deckerville, MI. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 141 disclosed rate categories.
The 24 services Deckerville Community 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
$390 - $3,071
from 3 insurers · median $2,837
Typical for a hospital with this service line
CT imaging
CPT 70450
$110 - $946
from 3 insurers · median $865
Typical for a hospital with this service line
CT imaging
CPT 71275
$325 - $2,792
from 3 insurers · median $2,553
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,332 - $1,442
from 2 insurers · median $1,387
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,761 - $3,020
from 2 insurers · median $2,891
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$206 - $1,282
from 3 insurers · median $1,185
Typical for a hospital with this service line
Mammography
CPT 77067
$146 - $612
from 3 insurers · median $282
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$38 - $232
from 3 insurers · median $214
Typical for a hospital with this service line
MRI imaging
CPT 74183
$3,071 - $3,358
from 2 insurers · median $3,215
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,659 - $1,814
from 2 insurers · median $1,736
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,591 - $1,740
from 2 insurers · median $1,666
Typical for a hospital with this service line
Ultrasound
CPT 76705
$101 - $594
from 3 insurers · median $548
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$135 - $989
from 3 insurers · median $904
Typical for a hospital with this service line
Ultrasound
CPT 76830
$137 - $869
from 3 insurers · median $798
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,672 - $5,110
from 2 insurers · median $4,891
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$320 - $787
from 3 insurers · median $727
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,421 - $1,554
from 3 insurers · median $1,507
Typical for a hospital with this service line
Ultrasound
CPT 76536
$771 - $839
from 2 insurers · median $805
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$568 - $876
from 3 insurers · median $815
Typical for a hospital with this service line
Ultrasound
CPT 76856
$674 - $733
from 2 insurers · median $704
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$397 - $915
from 3 insurers · median $837
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$4,889 - $5,347
from 2 insurers · median $5,118
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$1,402 - $1,534
from 3 insurers · median $1,487
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$10 - $90
from 3 insurers · median $83
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* | 24 | 674% | 19 | 0 |
| Insurer B* | 24 | 607% | 16 | 0 |
| Insurer C* | 15 | 103% | 3 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Deckerville Community 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
Accredited by DNV
Finances
$11M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Deckerville Community 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 |
|---|---|---|
| 38-1415390Deckerville Community Hospital INC | 40Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 35 more | 1619095718 Deckerville Community Hospital Inc1790448801 Deckerville Community Hospital Inc1780011247 Deckerville Community Hospital Inc.and 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.
3559 Pine Street, Deckerville, MI 48427
(810) 376-2835
How Deckerville Community Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Readmissions
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Time in the ER before going home
85 min
Lower than 96% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Readmissions | No different on 1 measures | |
| 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 | 85 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Deckerville Community Hospital, beside the US median and the average of MI 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 | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.186 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.903 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.376 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.576 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.26 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.18 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.95 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.6149 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2198 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2762 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.378 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.689 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.51 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.553 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.252 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.76 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.117 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 1.007 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.875 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 2.533 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 5.307 | |||
| 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 · 106 cases | 13.1 | 12.9 | 12.94 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.6 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.333 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.9865 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.28 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.41 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.73 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.19 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.984 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.08 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2592 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.909 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 52 | 1,370 | 4,065 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.014 | 0.9835 | 4.274 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.649 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6721 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.389 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 39 | 1,799 | 4,188 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.045 | 1.377 | 5.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.168 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3966 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4382 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.741 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 118 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.112 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.074 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.6144 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 4.322 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 75.28 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9634 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.462 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2675 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.176 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 545 | 14,451 | 42,903 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.012 | 0.567 | 2.796 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.826 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7532 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1572 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.134 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 545 | 13,646 | 40,305 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.149 | 5.683 | 21.05 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.934 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3227 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 69.3 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 10.85 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 19.85 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.11 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.86 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.59 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.42 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.111 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.5 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.3 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 78.2 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 90.27 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.521 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.07 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.28 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 61.03 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 76.51 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 19.58 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.63 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 19.38 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.82 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 13.17 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.35 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 86.83 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 14.7 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 85.3 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 72.65 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 7.064 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 20.28 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 75.91 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 6.191 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 17.9 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 84.26 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.827 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.91 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 9.248 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 21.47 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 69.28 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.04 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.12 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.28 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 9.173 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 16.55 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 74.9 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 5.573 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19.53 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.58 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.364 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 19.05 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.7 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.773 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.53 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 56.73 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 11.16 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 32.11 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 80.12 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.12 | |||
| "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 | 6.291 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 68.51 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.75 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 25.2 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.39 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 46.3 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 30.8 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.9 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.21 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 12.2 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 87.8 |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | 8.08 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.9722 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4118 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 153 cases | 54 | 79 | 74.71 | Worse than 83% 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 · 248 cases | 96 | 154 | 167 | Better than 94% 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 · 212 cases | 85 | 148 | 161 | Better than 96% 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 · 13 cases | 181 | 247 | 300 | Better than 76% 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 · 26 cases | 205 | 293 | 338 | Better than 87% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 859 cases | 0 | 1 | 1.933 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 73.42 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 93.2 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 39.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 15.67 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 59.69 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 69.54 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.94 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 77.12 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.36 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 94.44 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.44 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.64 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 82.06 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 6.103 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 7.033 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9406 |
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
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
15
Medicare-certified beds
10
Registered nurses (full-time equivalent)
2000
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Deckerville Community Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
21
Inpatient discharges
Medicare 52%, Medicaid n/a
353
Inpatient days
6% of available bed days used
45
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835613). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Deckerville Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 218 | 0 | 135 | 353 |
| Discharges | 11 | 0 | 10 | 21 |
| Average length of stay | 19.8 days | 13.5 days | 16.8 days | |
| Average daily census | 0.6 | 0.0 | 0.4 | 1.0 |
13
Medicare Advantage days
6 discharges
48
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 15 | 57 | 30 | 1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Staff by profession and the rooms and units Deckerville Community Hospital reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
1
Operating rooms
1
Off-site locations
1
Off-site emergency departments
10
Registered nurses
2
Licensed practical nurses
1
Physicians
3
Nurse practitioners
1
Physical therapists
4
Radiology technicians
2
Laboratory technicians
2
Medical technologists
33
Other personnel
Source: CMS Provider of Services file.
61 clinicians who bill Medicare list Deckerville Community 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.
Scott Heithoff, D.O.
Orthopaedic Surgery Physician
NPI 1972505816
See commercial rates for Scott Heithoff, D.O.Suresh Tumma, MD
Cardiovascular Disease Physician
NPI 1588625743
See commercial rates for Suresh Tumma, MDFarrukh Anwar, MD
Internal Medicine Physician
NPI 1144268947
See commercial rates for Farrukh Anwar, MDChristie Laming, MD
Family Medicine Physician
NPI 1417047366
See commercial rates for Christie Laming, MDNick Buttar, M.D.
Family Medicine Physician
NPI 1326085861
See commercial rates for Nick Buttar, M.D.Mahir Sati, D.O
Cardiovascular Disease Physician
NPI 1275947848
See commercial rates for Mahir Sati, D.OAbida Zafar, MD
Nephrology Physician
NPI 1265434898
See commercial rates for Abida Zafar, MDEric Stover, DO
Diagnostic Radiology Physician
NPI 1194787085
See commercial rates for Eric Stover, DOAnubhav Jain, M.B.B.S, M.D.
Student in an Organized Health Care Education/Training Program
NPI 1770017360
See commercial rates for Anubhav Jain, M.B.B.S, M.D.Kavita Tumma, M.D.
Gastroenterology Physician
NPI 1871569095
See commercial rates for Kavita Tumma, M.D.Thomas Mullally, MD
Family Medicine Physician
NPI 1629030879
See commercial rates for Thomas Mullally, MDJames Hecksel, D.O.
Diagnostic Radiology Physician
NPI 1780801688
See commercial rates for James Hecksel, D.O.Michael Taipale, D.O.
Cardiovascular Disease Physician
NPI 1447697974
See commercial rates for Michael Taipale, D.O.Gaurav Bhalla, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1457616120
See commercial rates for Gaurav Bhalla, M.D.Mayar Jundi, MD
Cardiovascular Disease Physician
NPI 1962601435
See commercial rates for Mayar Jundi, MDNitin Golechha, MD
Internal Medicine Physician
NPI 1174507404
See commercial rates for Nitin Golechha, MDShahzad Manawar, M.D.
Pulmonary Disease Physician
NPI 1710915939
See commercial rates for Shahzad Manawar, M.D.Devan Schlund, M.D.
Surgery Physician
NPI 1558742890
See commercial rates for Devan Schlund, M.D.Amer Kadri
Interventional Cardiology Physician
NPI 1285076828
See commercial rates for Amer KadriSara Thueme, FNP-C
Family Nurse Practitioner
NPI 1649885872
See commercial rates for Sara Thueme, FNP-CGeri Grossi, NP
Family Nurse Practitioner
NPI 1992125223
See commercial rates for Geri Grossi, NPCaitlin Habib, DO
Internal Medicine Physician
NPI 1699331215
See commercial rates for Caitlin Habib, DODan Nguyen, M.D.
Emergency Medicine Physician
NPI 1750644977
See commercial rates for Dan Nguyen, M.D.Gudalia Fajardo
Family Nurse Practitioner
NPI 1083019012
See commercial rates for Gudalia FajardoSource: 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 Deckerville Community 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) | $16.1M | 147.0% |
| Inpatient | $894,470 | 8.1% |
| Outpatient | $15.2M | 138.9% |
| Contractual allowances and discounts | -$5.2M | -47.0% |
| Net patient revenue | $11M | 100.0% |
| Operating expenses | -$14.3M | -130.6% |
| Operating income from patient care | -$3.4M | -30.6% |
| Other income | $719,779 | 6.6% |
| Investment income | $10,840 | 0.1% |
| Other | $708,939 | 6.5% |
| Other expenses | -$6,896 | -0.1% |
| Net income | -$2.6M | -24.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2.5M | 16.9% |
| Medicaid (including managed care) | $3.2M | 21.6% |
| Other payers and self-pay | $9.1M | 61.5% |
| Total charges | $14.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, 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 Deckerville Community Hospital's latest cost report.
-30.6%
Operating margin
Operating income from patient care / net patient revenue
-22.6%
Total margin
Net income / net patient revenue plus other income
-22.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-33.9%
Return on assets
Net income for a year / total assets
-43.0%
Return on equity
Net income for a year / fund balance
0.15
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.48
Current ratio
Current assets / current liabilities
3.70
Quick ratio
Cash, temporary investments and net receivables / current liabilities
19 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
61 days
Days in patient receivables
Net patient receivables / daily net patient revenue
18 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.50
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Deckerville Community Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $7.8M in total assets and a $6.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $761,159 | 9.8% |
| Patient receivables, net | $1.8M | 23.6% |
| Inventory | $146,197 | 1.9% |
| Total current assets | $3.1M | 40.4% |
| Property and equipment, net of depreciation | $3.8M | 49.1% |
| Investments and other assets | $821,668 | 10.5% |
| Total assets | $7.8M | 100.0% |
| Current liabilities | $701,418 | 9.0% |
| Long-term debt | $928,795 | 11.9% |
| Total liabilities | $1.6M | 21.0% |
| Fund balance (net assets) | $6.2M | 79.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Deckerville Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$52,478
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$241,819
Bad debt
Patient bills written off as uncollectible, at charges
$1.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$755,166
Total unreimbursed and uncompensated care
5.3% 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 835613, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Deckerville Community Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $6.7M | $7M | $8.2M | $8.5M | $9.2M | $11M |
| Operating expenses | $6.9M | $7.3M | $8.6M | $9.2M | $10.5M | $14.3M |
| Operating margin | -3.1% | -4.4% | -5.3% | -8.4% | -14.2% | -30.6% |
| Net income | $204,609 | $3M | $342,192 | $317,168 | -$1.3M | -$2.6M |
| Total assets | $7.6M | $7.5M | $5.9M | $6.4M | $5M | $7.8M |
| Discharges | 31 | 20 | 21 | 11 | 24 | 21 |
| Inpatient days | 238 | 157 | 141 | 261 | 180 | 353 |
| Medicare Advantage days | 5 | 20 | 16 | 10 | 8 | 13 |
| Beds | 15 | 15 | 15 | 15 | 15 | 15 |
| Employees (FTE) | 49 | 50 | 57 | 53 | 56 | 45 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Deckerville Community 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 | $1.5M | $2.5M | $2.4M | 1.07 | 985 |
| Laboratory | $583,820 | $1.7M | $2.7M | 0.64 | 598 |
| Radiology-diagnostic | $539,366 | $1.6M | $2.9M | 0.55 | 2,710 |
| Rural health clinic | $671,767 | $1.4M | $895,446 | 1.56 | 3,145 |
| Physical therapy | $307,814 | $852,620 | $2.6M | 0.32 | 3,573 |
| Drugs charged to patients | $636,348 | $503,443 | 1.26 | ||
| Operating room | $178,815 | $577,111 | $1.2M | 0.48 | 1,249 |
| Respiratory therapy | $126,120 | $335,608 | $389,856 | 0.86 | 298 |
| Deckerville hospital clinic | $186,948 | $324,195 | $104,486 | 3.10 | 492 |
| Main street clinic | $293,456 | $322,392 | $79,548 | 4.05 | 1,119 |
| Observation beds (non-distinct part | $229,535 | $89,164 | 2.57 | ||
| Medical supplies charged to patient | $171,110 | $70,299 | 2.43 | ||
| Anesthesiology | $80,793 | $263,139 | 0.31 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $839,761 | $1.9M | $565,495 | 3.39 | 2,781 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $172,529 | $2.3M | 5,679 | ||
| Operation of plant | $222,164 | $663,649 | 7,890 | ||
| Pharmacy | $120,332 | $345,848 | 542 | ||
| Medical records & library | $309,869 | ||||
| Housekeeping | $143,579 | $220,449 | 50 | ||
| Employee benefits department | $125,048 | ||||
| Dietary | $59,924 | $107,173 | 1,209 | ||
| Central services & supply | $94,521 | 820 | |||
| Nonphysician anesthetists | $60,884 | ||||
| Laundry & linen service | $23,016 | 325 | |||
| Cap rel costs-mvble equip | $6,366 | ||||
| Cap rel costs-bldg & fixt | $5,246 | 33,595 | |||
| Nursing administration | $319 | $2,120 | 130 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835613, 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 officers and board members on Deckerville Community 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 12 of 13 are shown.
| Name | Title |
|---|---|
| Andrew Daniels | Co-ceo |
| Angela Mcconnachie | Co-ceo |
| Kim Gentner | CFO |
| Pat Curtis | Chairman |
| Gail Denton | Vice-chairman |
| David Messing | Secretary/treasurer |
Board members: Carol Starling, Erik Tamlyn, Faith Fahrner RN, Judy Brown, Paul Rohling, Scott Orr, Steve Ellis, Victoria Meiburg.
Source: IRS Form 990 Part VII filed by Deckerville Community Hospital (EIN 38-1415390), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2014
340B ID CAH231311-00, registered as a critical access hospital; 2 registered outpatient sites; 8 active contract pharmacies. Authorizing official: Matthew Rick, Vice President Of Ancillary Services.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Mosaic ACO
ACO A5033, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Deckerville Community Hospital's legal name.
Deckerville community hospital
CCN 23Z311, certified 2018, Medicare cost reimbursed
Deckerville healthcare services rhc
CCN 238666, certified 2014, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Deckerville Community Hospital's latest Medicare cost report (HCRIS).
About Deckerville Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Deckerville Community Hospital range from $2,761 to $3,020 across 2 insurers. Blue Cross Blue Shield's rate is $3,020. The median at nearby comparable hospitals is $2,555. 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 Deckerville Community Hospital range from $390 to $3,071 across 3 insurers. Blue Cross Blue Shield's rate is $3,071. The median at nearby comparable hospitals is $390. 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 Deckerville Community Hospital range from $568 to $876 across 3 insurers. Aetna's rate is $568. The median at nearby comparable hospitals is $827. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Deckerville Community Hospital range from $146 to $612 across 3 insurers. Aetna's rate is $146. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.
Deckerville Community Hospital reported 21 inpatient discharges and 353 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Deckerville Community Hospital reported 45 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Deckerville Community Hospital reported $11M in net patient revenue on $16.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -30.6%, and net income of -$2.6M.
Deckerville Community Hospital reported $755,166 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $52,478 of charity care at cost.
Deckerville Community Hospital's Medicare enrollment lists Angela Mcconnachie as CEO since 2023. Its 2024 IRS Form 990 lists Andrew Daniels as Co-ceo.
Insurers' price transparency files list Deckerville Community Hospital under employer identification number 38-1415390 (Deckerville Community Hospital INC). 40 health plans and networks list 38-1415390 for it.
Yes. HRSA's 340B database lists Deckerville Community Hospital (340B ID CAH231311-00) as a participating critical access hospital since 2014, with 8 active contract pharmacies.
61 clinicians who bill Medicare list Deckerville Community Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (11), family nurse practitioner (9), cardiovascular disease physician (5).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Deckerville Community Hospital.
CMS lists 25 services at Deckerville Community Hospital, including Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, CT Scan, Dental Care, Designated Trauma Center.
Deckerville Community Hospital has 15 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Critical Access Hospital.
Deckerville Community Hospital is located at 3559 Pine Street, Deckerville, MI 48427. Its main phone number is (810) 376-2835.
Deckerville Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 231311.
The National Provider Identifier (NPI) on file for Deckerville Community Hospital is 1619095718.
Deckerville Community Hospital lists 26 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, 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