WellStar Health System · Douglasville, GA
3 of 5
CMS star rating
112
Beds
7,991
Inpatient discharges a year
$251.7M
Net patient revenue a year
35
In-network payers
Douglas Hospital is a 112-bed voluntary non-profit - private hospital in Douglasville, GA, affiliated with WellStar Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 367 disclosed rate categories.
The 24 services Douglas Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$5,582 - $16,622
from 4 insurers · median $11,872
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,279 - $21,524
from 4 insurers · median $17,100
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$7,132 - $21,218
from 4 insurers · median $11,880
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$71,697 - $146,633
from 4 insurers · median $108,666
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$3,102 - $5,272
from 4 insurers · median $4,251
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,923 - $21,736
from 4 insurers · median $10,883
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,582 - $16,622
from 4 insurers · median $11,872
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 45385
$3,437 - $5,272
from 4 insurers · median $4,625
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$453 - $4,549
from 4 insurers · median $892
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,437 - $5,272
from 4 insurers · median $4,533
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$766 - $1,869
from 4 insurers · median $1,614
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$33,812 - $64,490
from 4 insurers · median $57,090
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$26,715 - $51,791
from 4 insurers · median $45,761
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78815
$2,447 - $5,864
from 4 insurers · median $4,171
Common here, based on CMS Medicare volume
Urology
CPT 50590
$9,032 - $18,670
from 4 insurers · median $12,310
33 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$4,923 - $12,245
from 4 insurers · median $7,244
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$101 - $689
from 4 insurers · median $207
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,698 - $36,354
from 4 insurers · median $12,029
Typical for a hospital with this service line
CT imaging
CPT 74176
$282 - $3,696
from 4 insurers · median $567
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$187 - $358
from 3 insurers · median $236
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,072 - $4,428
from 4 insurers · median $1,618
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$474 - $2,239
from 4 insurers · median $604
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$631 - $3,976
from 4 insurers · median $1,078
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,050 - $4,460
from 4 insurers · median $2,619
Common here, based on CMS Medicare volume
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* | 23 | 417% | 17 | 2 |
| Insurer B* | 24 | 335% | 9 | 5 |
| Insurer C* | 24 | 193% | 8 | 10 |
| Insurer D* | 24 | 176% | 2 | 2 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Douglas Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$251.7M net patient revenue
Ownership and leadership
Owned by WellStar Health System Inc
The employer identification numbers (EINs) health plans and networks list for Douglas 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 |
|---|---|---|
| 58-2026750Douglas Hospital INC | 64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 59 more | 1649247974 Douglas Hospital Inc. |
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.
8954 Hospital Drive, Douglasville, GA 30134
(770) 949-1500
How Douglas Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.01
Higher than 67% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
192 min
Higher than 77% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
83%
Higher than 89% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | Better on 1 of 6 measures | |
| Safety | Mixed on 6 measures | |
| Readmissions | Better on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.01 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 192 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 83% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Douglas Hospital's inpatient payments for its readmissions, quality and cost results.
-0.01% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.19% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Douglas Hospital, beside the US median and the average of GA 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 | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,592 cases | 2.9 | 3.9 | 4.079 | Better than 94% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 40 cases | 11.9 | 11.8 | 12.11 | Worse than 53% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 48 cases | 6.5 | 8.5 | 8.691 | Better than 94% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 200 cases | 7.9 | 11 | 10.84 | Better than 94% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 192 cases | 14.1 | 15.2 | 15.21 | Better than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 190 cases | 10.5 | 11.6 | 12.45 | Better than 70% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,085 cases | 0.53 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,460 cases | 0.19 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,552 cases | 0.29 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 211 cases | 2.23 | 2.29 | 2.356 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 38 cases | 1.64 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 45 cases | 10.09 | 8.88 | 10.26 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 230 cases | 3.98 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 40 cases | 5.65 | 5.105 | 5.77 | No Different Than the National Rate | Worse than 70% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 78 cases | 2.05 | 1.72 | 1.743 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 421 cases | 0.96 | 1.02 | 1.073 | No Different Than the National Rate | Better than 70% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 230 cases | -17.2 | 1.25 | 12.52 | Better than 75% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 205 cases | 2.4 | 3.85 | 12.69 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 223 cases | 12.3 | 12.9 | 12.97 | No Different Than the National Rate | Better than 83% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 175 cases | 1.1 | 1 | 0.9723 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 73 cases | 13.8 | 14.4 | 14.35 | Better than 77% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 125 cases | 18.7 | 19.8 | 19.84 | Better than 91% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 509 cases | 18.6 | 21.3 | 21.19 | Better than 99% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 422 cases | 15.4 | 17.2 | 17.41 | Better than 98% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 1.123 | 0.172 | 0.2721 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.941 | 1.504 | 1.762 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,035 | 1,370 | 5,571 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.523 | 0.9835 | 5.825 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 10 | 0 | 3.568 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 2.211 | 0.484 | 0.619 | Worse than the National Benchmark | Worse than 98% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.011 | 0.138 | 0.1792 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.088 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,488 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.532 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.221 | 0.399 | 0.3748 | No Different than National Benchmark | Better than 66% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.69 | 0.2345 | 0.4352 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.238 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 72 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.842 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 2.172 | 0.7155 | 0.9605 | No Different than National Benchmark | Worse than 97% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 15 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.164 | 0.328 | 1.256 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.77 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.031 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.035 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 32,065 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.625 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.615 | 0.597 | 0.6352 | No Different than National Benchmark | Worse than 52% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1286 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.256 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 30,410 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 11.68 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2745 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 568 cases | 74 | 73 | 72.27 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 568 cases | 10 | 8 | 9.85 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 568 cases | 16 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 86 | 87 | 85.97 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 4 | 3.301 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 568 cases | 76 | 80 | 78.79 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 90 | 91 | 90.82 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 568 cases | 6 | 4 | 4.903 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 3.204 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 568 cases | 18 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 568 cases | 79 | 79 | 79.46 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 91 | 91 | 90.77 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 568 cases | 5 | 5 | 5.717 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 568 cases | 16 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 568 cases | 57 | 61 | 60.14 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 74 | 77 | 75.68 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 568 cases | 22 | 19 | 21.5 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 568 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 568 cases | 21 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 84 | 86 | 84.09 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 568 cases | 16 | 13 | 14.95 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 568 cases | 84 | 87 | 85.05 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 568 cases | 18 | 14 | 17.13 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 568 cases | 82 | 86 | 82.87 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 74 | 74 | 74.33 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 6 | 7 | 7.087 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 20 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 77 | 77 | 77.43 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 6 | 6 | 6.146 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 17 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 86 | 85 | 85.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 2 | 3 | 3.728 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 12 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 568 cases | 8 | 8 | 8.69 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 568 cases | 22 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 568 cases | 70 | 72 | 71.31 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 88 | 88 | 87.94 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 3.269 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 568 cases | 70 | 74 | 73.43 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 568 cases | 11 | 9 | 10.45 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 568 cases | 19 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 73 | 75 | 74.03 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 8 | 5 | 6.592 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 568 cases | 19 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 73 | 77 | 75.78 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 6 | 4 | 5.34 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 568 cases | 21 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 81 | 86 | 84.54 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 4 | 3 | 3.437 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 568 cases | 15 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 568 cases | 61 | 59 | 63.8 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 568 cases | 12 | 9 | 8.469 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 568 cases | 27 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 82 | 82 | 83.87 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 3.774 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 568 cases | 6 | 5 | 6.124 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 568 cases | 72 | 71 | 70.88 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 568 cases | 87 | 87 | 87.15 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 568 cases | 22 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 568 cases | 4 | 4 | 3.602 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 568 cases | 44 | 47 | 46.49 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 568 cases | 33 | 30 | 32.79 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 568 cases | 23 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 568 cases | 3 | 3 | 3.151 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 568 cases | 14 | 12 | 13.65 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 568 cases | 86 | 88 | 86.35 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 14,620 cases | 9 | 8 | 6.667 | Worse than 53% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,018 cases | 65 | 79 | 71.13 | Worse than 71% 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 · 368 cases | 197 | 154 | 175 | Worse than 76% 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 · 353 cases | 192 | 148 | 169 | Worse than 77% 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 · 12 cases | 609 | 247 | 348 | Worse than 97% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 65,679 cases | 2 | 1 | 1.759 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 21 cases | 52 | 74 | 71.14 | Worse than 84% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 64 cases | 94 | 97 | 90.05 | Worse than 65% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,220 cases | 19 | 15 | 16.89 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 162 cases | 83 | 65 | 58.96 | Better than 89% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 57 cases | 81 | 73 | 70.15 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 97 | 88 | 83.53 | Better than 82% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 162 cases | 90 | 82 | 77.15 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 90 cases | 100 | 94 | 90.02 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.46 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,424 cases | 100 | 90 | 83.63 | The best result, shared by 5% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,052 cases | 100 | 97 | 95.53 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.2 | 5 | 5.623 | Worse than 63% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.1 | 6.6 | 6.411 | Worse than 82% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.9648 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 40 | 20 | 20.96 | Better than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10 | 5 | 5.347 | Better than 81% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 26.92 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 7.03 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 24 | 34 | 36.51 | Worse than 70% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6 | 8.75 | 9.439 | Worse than 71% of US hospitals | |
| VBP safety domain scoreFY 2026 | 23.33 | 40 | 38.57 | Worse than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5.833 | 10 | 9.691 | Worse than 81% of US hospitals | |
| VBP total performance scoreFY 2026 | 31.83 | 29.5 | 31.07 | Better than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42 | 46 | 46.67 | 17.5 | 15 | 40 |
| VBP clinical outcomes weighted domain score | 10.5 | 11.5 | 11.67 | 4.375 | 3.75 | 10 |
| VBP efficiency and cost reduction domain score | 40 | Not Available | 30 | 40 | 50 | 40 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 7.5 | 10 | 12.5 | 10 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 10 | 14 | 24 |
| VBP person and community engagement weighted domain score | 5 | Not Available | Not Available | 2.5 | 3.5 | 6 |
| VBP safety domain score | 42 | Not Available | Not Available | 28 | 50 | 23.33 |
| VBP safety weighted domain score | 10.5 | Not Available | Not Available | 7 | 12.5 | 5.833 |
| VBP total performance score | 36 | Not Available | Not Available | 23.88 | 32.25 | 31.83 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.001 | 0.9995 | 1.003 | Worse than 51% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9739 | 0.9969 | 1.012 | Better than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 258 cases | 0.983 | 0.9983 | 1.011 | Better than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 210 cases | 0.9328 | 0.9955 | 1.009 | Better than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9718 | 0.9702 | 1.032 | 1.048 | 1.074 | 1.001 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9852 | 0.9569 | 0.996 | 1.034 | 1.033 | 0.9739 |
| READM-30-HF-HRRP | 0.9802 | 0.9916 | 0.9366 | 0.901 | 0.8885 | 0.983 |
| READM-30-HIP-KNEE-HRRP | 1.081 | 1.061 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.976 | 1.009 | 1.02 | 0.9382 | 0.9421 | 0.9328 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Douglas Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.337 | 0.489 | 0.6612 | Better than 66% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.474 | 0.346 | 0.3286 | Worse than 68% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.096 | 0.559 | 0.6574 | Worse than 87% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.333 | 0.6405 | 0.8117 | Better than 77% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.01 | 0.9628 | 1.068 | Worse than 67% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 3.2 | 0.7945 | 1.054 | Worse than 99% of US hospitals | |
| Total HAC scoreFY 2026 | 0.4274 | -0.0453 | 0.04361 | Worse than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | Yes |
| Total HAC score | 0.0037 | 0.0833 | 0 | -0.0626 | -0.2218 | 0.4274 |
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.
The Joint Commission (since 2026)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
20
Medicare-certified beds
388
Registered nurses (full-time equivalent)
1974
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Douglas Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
7,991
Inpatient discharges
Medicare 16%, Medicaid 6%
33,798
Inpatient days
83% of available bed days used
1,019
Employees (full-time equivalent)
8
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835055). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Douglas Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 6,264 | 2,451 | 25,083 | 33,798 |
| Discharges | 1,295 | 511 | 6,185 | 7,991 |
| Average length of stay | 4.8 days | 4.8 days | 4.1 days | 4.2 days |
| Average daily census | 17.2 | 6.7 | 68.7 | 92.6 |
12,278
Medicare Advantage days
2,256 discharges
3,617
Medicaid managed care days
3,690
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 92 | 27,865 | 5,438 | 83% |
| Intensive care unit | 16 | 4,288 | 826 | 73% |
| Other special care | 4 | 354 | 24% | |
| Nursery | 1,291 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Douglas Hospital treats Medicare patients for most often, in 2024. 810 Medicare discharges in 30 published DRGs; 2% surgical; 82% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 180 | $130,195 | $16,352 | $21,873 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 70 | $78,836 | $10,772 | $13,244 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 58 | $118,496 | $12,957 | $19,907 | 1.59 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $109,790 | $13,530 | $18,445 | 1.70 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $308,028 | $38,196 | $51,749 | 6.96 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $65,067 | $9,057 | $10,931 | 1.17 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 27 | $86,046 | $11,183 | $14,456 | 1.32 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $60,780 | $6,480 | $10,211 | 1.03 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $102,411 | $15,889 | $17,205 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $49,713 | $6,580 | $8,352 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $96,251 | $14,956 | $16,170 | 2.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $98,782 | $10,185 | $16,595 | 1.23 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $131,504 | $14,366 | $22,093 | 1.79 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $159,279 | $12,257 | $26,759 | 1.65 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $62,281 | $8,046 | $10,463 | 0.98 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $93,996 | $11,653 | $15,791 | 1.45 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $90,676 | $11,691 | $15,234 | 1.33 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $73,139 | $10,108 | $12,287 | 1.40 |
| Renal failure with CCMS-DRG 683, medical | 16 | $44,597 | $6,730 | $7,492 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $266,355 | $38,723 | $44,748 | 5.00 |
See all 30 Medicare inpatient DRGs at Douglas Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Douglas Hospital billed Medicare for most in 2024: 595 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 134 | 133 | $31,179 | $1,933 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 48 | 45 | $76,161 | $10,565 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $36,274 | $3,840 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 37 | 36 | $37,679 | $3,723 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 36 | 36 | $32,001 | $2,174 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 33 | 30 | $35,730 | $2,578 | $2,629 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 33 | 30 | $21,671 | $1,728 | $1,780 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 32 | 31 | $17,938 | $1,161 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 31 | $24,273 | $1,409 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 25 | 23 | $24,765 | $2,017 | $2,141 |
See all 19 Medicare outpatient services at Douglas Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Douglas Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,904 in 2020 to 3,319 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30135 | 1,366 | 41% | 6,910 | $143.9M | 52% | 58% |
| 30134 | 716 | 22% | 3,591 | $77.6M | 40% | 45% |
| 30122 | 273 | 8% | 1,248 | $26.6M | 33% | 43% |
| 30187 | 147 | 4% | 750 | $15.6M | 35% | 54% |
| 30180 | 131 | 4% | 647 | $12.7M | 7% | 12% |
| 30331 | 111 | 3% | 588 | $11.7M | 3% | 2% |
| 30349 | 89 | 3% | 460 | $9.3M | 3% | 2% |
| 30213 | 76 | 2% | 366 | $7M | 5% | 3% |
| 30127 | 54 | 2% | 332 | $6.3M | 2% | 2% |
| 30179 | 40 | 1% | 146 | $3.4M | 4% | 4% |
| 30133 | 32 | 1% | 135 | $2.6M | 100% | 100% |
| 30141 | 31 | 1% | 176 | $3.6M | 3% | 3% |
| 30157 | 28 | 1% | 160 | $3.4M | 1% | 1% |
| 30168 | 27 | 1% | 150 | $3.1M | 4% | 3% |
| 30106 | 26 | 1% | 145 | $4M | 3% | |
| 30132 | 20 | 1% | 115 | $3.5M | 1% | |
| 30318 | 20 | 1% | 139 | $2.6M | 1% | |
| 30291 | 17 | 1% | 106 | $2.1M | 2% | |
| 30311 | 17 | 1% | 125 | $2.5M | 1% | 1% |
| 30117 | 15 | 0% | 72 | $1.5M | 1% | 1% |
| 30154 | 14 | 0% | 60 | $1M | 100% | 100% |
| 30126 | 13 | 0% | 60 | $1.9M | 1% | 1% |
| 30116 | 12 | 0% | 48 | $1.1M | 1% | 2% |
| 30110 | 11 | 0% | 47 | $1.3M | 1% | 2% |
| 30185 | 11 | 0% | 36 | $606,884 | 4% |
Source: CMS Hospital Service Area file. Shares are of the 3,319 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Douglas Hospital reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
7
Operating rooms
4
Endoscopy rooms
2
Cardiac catheterization rooms
4
Off-site locations
388
Registered nurses
1
Licensed practical nurses
10
Physicians
30
Nurse practitioners
18
Pharmacists
38
Respiratory therapists
4
Physical therapists
1
Occupational therapists
2
Speech pathologists and audiologists
53
Radiology technicians
4
Nuclear medicine technicians
8
Laboratory technicians
23
Medical technologists
3
Dietitians
12
Social workers
Source: CMS Provider of Services file.
668 clinicians who bill Medicare list Douglas 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.
April Amaral, PA-C
Physician Assistant
NPI 1487011771
See commercial rates for April Amaral, PA-CFreddy Achecar, M.D.
Orthopaedic Surgery Physician
NPI 1447245394
See commercial rates for Freddy Achecar, M.D.Allison Key, M.D.
Family Medicine Physician
NPI 1871781476
See commercial rates for Allison Key, M.D.Minesh Nandi, MD
Hematology & Oncology Physician
NPI 1306376421
See commercial rates for Minesh Nandi, MDVivek Nautiyal, MD
Cardiovascular Disease Physician
NPI 1487882429
See commercial rates for Vivek Nautiyal, MDRichard Boe, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1013327642
See commercial rates for Richard Boe, MDMark Duffield, DO
Orthopaedic Surgery Physician
NPI 1881697803
See commercial rates for Mark Duffield, DOGregory Franklin, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1316393291
See commercial rates for Gregory Franklin, M.D.Samish Dhungana, MD
Neurology Physician
NPI 1316275035
See commercial rates for Samish Dhungana, MDPhilip Louden, MD
Diagnostic Radiology Physician
NPI 1467795591
See commercial rates for Philip Louden, MDBryan Chang, MD
Diagnostic Radiology Physician
NPI 1154740017
See commercial rates for Bryan Chang, MDJames Odom, PAC
Physician Assistant
NPI 1790901957
See commercial rates for James Odom, PACFrank Corrigan, MD
Interventional Cardiology Physician
NPI 1932348885
See commercial rates for Frank Corrigan, MDKeirsun Crockett, MD
Diagnostic Radiology Physician
NPI 1750678967
See commercial rates for Keirsun Crockett, MDArun Joseph, MD
Interventional Pain Medicine Physician
NPI 1316189905
See commercial rates for Arun Joseph, MDJeffrey Winter, M.D.
Vascular Surgery Physician
NPI 1477594547
See commercial rates for Jeffrey Winter, M.D.Kevin Early, MD
Diagnostic Radiology Physician
NPI 1245206549
See commercial rates for Kevin Early, MDJay Cinnamon, MD
Diagnostic Radiology Physician
NPI 1194791491
See commercial rates for Jay Cinnamon, MDJuan Servat, M.D.
Ophthalmic Plastic and Reconstructive Surgery Physician
NPI 1255530762
See commercial rates for Juan Servat, M.D.Shivaprakash Tumkur, M.D.
Diagnostic Radiology Physician
NPI 1215114384
See commercial rates for Shivaprakash Tumkur, M.D.Chinedu Nweke, M.D
Nephrology Physician
NPI 1033341656
See commercial rates for Chinedu Nweke, M.DOlusola Obayomi-Davies, MD
Radiation Oncology Physician
NPI 1245521905
See commercial rates for Olusola Obayomi-Davies, MDEric Huh, MD
Diagnostic Radiology Physician
NPI 1710349790
See commercial rates for Eric Huh, MDRyan Gravolet, M.D.
Diagnostic Radiology Physician
NPI 1609294578
See commercial rates for Ryan Gravolet, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Douglas Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.5B | 615.4% |
| Inpatient | $758.1M | 301.2% |
| Outpatient | $791M | 314.2% |
| Contractual allowances and discounts | -$1.3B | -515.4% |
| Net patient revenue | $251.7M | 100.0% |
| Operating expenses | -$259.6M | -103.1% |
| Operating income from patient care | -$7.9M | -3.1% |
| Other income | $18.9M | 7.5% |
| Investment income | $88,007 | 0.0% |
| COVID-19 relief funding | $1.1M | 0.5% |
| Other | $17.7M | 7.0% |
| Net income | $11M | 4.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $176.9M | 11.4% |
| Medicaid (including managed care) | $169.1M | 10.9% |
| Other payers and self-pay | $1.2B | 77.7% |
| Total charges | $1.5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, 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 Douglas Hospital's latest cost report.
-3.1%
Operating margin
Operating income from patient care / net patient revenue
4.1%
Total margin
Net income / net patient revenue plus other income
8.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.89
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
10.1%
Return on assets
Net income for a year / total assets
16.3%
Return on equity
Net income for a year / fund balance
0.41
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.88
Current ratio
Current assets / current liabilities
2.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
49 days
Days in patient receivables
Net patient receivables / daily net patient revenue
19 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.48
Asset turnover
Total revenue for a year / total assets
10.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Douglas Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $108.9M in total assets and a $67.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $31,538 | 0.0% |
| Patient receivables, net | $33.5M | 30.8% |
| Inventory | $3.1M | 2.9% |
| Total current assets | $36.9M | 33.9% |
| Property and equipment, net of depreciation | $71.5M | 65.7% |
| Investments and other assets | $480,620 | 0.4% |
| Total assets | $108.9M | 100.0% |
| Current liabilities | $12.8M | 11.8% |
| Long-term debt | $27.8M | 25.5% |
| Total liabilities | $41.3M | 37.9% |
| Fund balance (net assets) | $67.7M | 62.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Douglas Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$23.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$29.7M
Bad debt
Patient bills written off as uncollectible, at charges
$8.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$178,892
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$28.2M
Total unreimbursed and uncompensated care
10.8% 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 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Douglas 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 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $153.9M | $186.5M | $193.4M | $217.2M | $226.6M | $251.7M |
| Operating expenses | $161.2M | $174.3M | $199.4M | $219M | $237.2M | $259.6M |
| Operating margin | -4.8% | 6.5% | -3.1% | -0.8% | -4.7% | -3.1% |
| Net income | $15.7M | $36.9M | $8.6M | $14.1M | $4.5M | $11M |
| Total assets | $77.8M | $84.2M | $90M | $91.3M | $98.8M | $108.9M |
| Discharges | 6,925 | 6,796 | 6,699 | 7,072 | 7,608 | 7,991 |
| Inpatient days | 28,534 | 30,764 | 32,044 | 32,193 | 32,748 | 33,798 |
| Medicare Advantage days | 7,534 | 8,545 | 10,005 | 10,712 | 11,604 | 12,278 |
| Beds | 102 | 102 | 108 | 112 | 112 | 112 |
| Employees (FTE) | 831 | 827 | 819 | 906 | 954 | 1,019 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Douglas 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 | $14.7M | $34.6M | $216M | 0.16 | 9,196 |
| Operating room | $8.2M | $22.2M | $149.7M | 0.15 | 19,892 |
| Drugs charged to patients | $16.3M | $89.9M | 0.18 | ||
| Medical supplies charged to patient | $14.2M | $36.8M | 0.39 | 935 | |
| Laboratory | $3.2M | $14.1M | $191.7M | 0.07 | 2,611 |
| Radiology-diagnostic | $5.5M | $13.2M | $94.2M | 0.14 | 9,045 |
| Respiratory therapy | $3.8M | $7.4M | $72.8M | 0.10 | 1,081 |
| Delivery room & labor room | $4M | $6.6M | $32.8M | 0.20 | 4,951 |
| Cardiac catheterization | $2.6M | $6.4M | $70.9M | 0.09 | 8,331 |
| Impl. dev. charged to patients | $6.2M | $21.4M | 0.29 | ||
| Physical therapy | $2.9M | $6.1M | $17.3M | 0.35 | 2,726 |
| Ct scan | $1.2M | $5.9M | $186.6M | 0.03 | 2,868 |
| Observation beds (non-distinct part | $5.6M | $13.3M | 0.43 | ||
| Mri | $516,508 | $2.4M | $38.8M | 0.06 | 2,957 |
| Radioisotope | $693,544 | $1.8M | $13.5M | 0.13 | 2,043 |
| Electroencephalography | $457,972 | $1.7M | $7.1M | 0.24 | 2,049 |
| Renal dialysis | $1.6M | $23.2M | 0.07 | 849 | |
| Anesthesiology | $61,073 | $315,368 | $54.2M | 0.01 | 228 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $17.3M | $48.2M | $163.2M | 0.30 | 36,225 |
| Intensive care unit | $5.7M | $12.9M | $46.9M | 0.27 | 3,951 |
| Nursery | $3.2M | $4.9M | 0.67 | 1,516 | |
| Nicu | $1.4M | $2.7M | $3.9M | 0.68 | 344 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $7.9M | $46.1M | 150,042 | $52.36 | 12,401 |
| Employee benefits department | $176,751 | $35.3M | 3,864 | $45.74 | 1,549 |
| Cap rel costs-mvble equip | $6.3M | ||||
| Cap rel costs-bldg & fixt | $5.4M | 200,004 | |||
| I&r services-other prgm costs apprv | $4.6M | 817 | |||
| Nursing administration | $3.2M | $4.2M | 50,240 | $63.30 | 1,061 |
| Operation of plant | $727,676 | $3.8M | 19,537 | $37.25 | 50,413 |
| Pharmacy | $3.4M | $3.8M | 64,274 | $53.29 | 3,434 |
| Dietary | $2.3M | $3.2M | 97,800 | $23.02 | 6,562 |
| Housekeeping | $2.1M | $2.8M | 96,659 | $21.88 | 1,957 |
| Central services & supply | $920,998 | $2.2M | 32,701 | $28.16 | 1,933 |
| Social service | $1.2M | $1.4M | 26,674 | $44.18 | 350 |
| Laundry & linen service | $1.4M | ||||
| I&r services-salary & fringes apprv | $915,508 | $915,508 | |||
| Medical records & library | $573,847 | 2,990 | |||
| Cafeteria | $100,520 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835055, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Douglas Hospital for an inpatient stay.
1.72
Case mix index
Higher than 54% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.08 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
23.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,264
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.57 | 1.57 | 1.77 | 1.74 | 1.77 | 1.71 | 1.72 |
| Wage index | 0.931 | 0.939 | 0.936 | 0.983 | 0.997 | 0.975 | 1.003 |
| Readmissions adjustment | -0.37% | -0.12% | -0.24% | -0.06% | -0.12% | -0.13% | -0.01% |
| Value-based purchasing adjustment | -0.09% | +0.31% | +0.31% | -0.78% | +0.27% | +0.89% | +0.19% |
| Medicare inpatient stays | 1,897 | 1,897 | 1,522 | 1,328 | 1,298 | 1,275 | 1,264 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Douglas Hospital reports to Medicare as owners or with operational control.
WellStar Health System Inc
5% or greater direct ownership interest, 100%, since 2007
WellStar Health System Inc
Operational/managerial control, 100%, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Douglas 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 22 of 25 are shown.
| Name | Title |
|---|---|
| Candice Saunders | President & CEO |
| Leo Reichert | EVP & General Counsel |
| Richard Capps | EVP Chief Info & Digital Offcr |
| David Jones | EVP Chief People Officer |
| Kem Mullins | EVP Ambulatory Ops & Bus Dev |
| Susan Grant | EVP Chief Nurs Exec (end 1/25) |
| Julie Teer | SVP & Wellstar Foundation Pres |
| Beth Kost | SVP Chief Compliance Officer |
| Richard Freeman | EVP Chf Ex Af Off (as Of 5/24) |
| John Hatfield | EVP Chf Ex Af Off (as Of 5/24) |
| John Kerndl | EVP & CFO (as Of 2/25) |
Board members: Arif Aziz MD, and 51 more on the return.
Source: IRS Form 990 Part VII filed by Douglas Hospital Inc (EIN 58-2026750), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
Wellstar Douglas Hospital
FAA location ID 3GE6, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Douglas Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Douglas Hospital range from $631 to $3,976 across 4 insurers. Blue Cross Blue Shield's rate is $1,193. The median at nearby comparable hospitals is $1,153. 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 Douglas Hospital range from $453 to $4,549 across 4 insurers. Cigna's rate is $591. The median at nearby comparable hospitals is $951. 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 Douglas Hospital range from $3,437 to $5,272 across 4 insurers. Blue Cross Blue Shield's rate is $4,092. The median at nearby comparable hospitals is $3,408. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Douglas Hospital range from $5,582 to $16,622 across 4 insurers. UnitedHealthcare's rate is $14,406. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Douglas Hospital range from $101 to $689 across 4 insurers. UnitedHealthcare's rate is $101. The median at nearby comparable hospitals is $230. 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 Douglas Hospital range from $26,715 to $51,791 across 4 insurers. Aetna's rate is $51,791. The median at nearby comparable hospitals is $33,548. What a patient pays depends on their plan's deductible, coinsurance and network status.
Douglas Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.08 Medicare-funded residents per bed at Douglas Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Douglas Hospital's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (180 discharges), heart failure and shock with mcc (70 discharges), acute myocardial infarction, discharged alive with mcc (58 discharges).
Douglas Hospital's Medicare case mix index is 1.72 for fiscal year 2027, higher than 54% of hospitals paid under the inpatient prospective payment system.
Douglas Hospital reported 7,991 inpatient discharges and 33,798 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Douglas Hospital reported 1,019 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Douglas Hospital reported $251.7M in net patient revenue on $1.5B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -3.1%, and net income of $11M.
Douglas Hospital reported $28.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $23.5M of charity care at cost.
Douglas Hospital's Medicare enrollment lists Candice Saunders as President And CEO since 2015.
Insurers' price transparency files list Douglas Hospital under employer identification number 58-2026750 (Douglas Hospital INC). 64 health plans and networks list 58-2026750 for it.
668 clinicians who bill Medicare list Douglas Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (71), family medicine physician (64), internal medicine physician (49).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Douglas Hospital, effective 2026.
In its Medicare enrollment, Douglas Hospital reports WellStar Health System Inc as 5% or greater direct ownership interest (100%).
CMS lists 34 services at Douglas Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Douglas Hospital came from ZIP codes 30135 (1,366), 30134 (716), 30122 (273).
Douglas Hospital has 112 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 20 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Douglas Hospital is located at 8954 Hospital Drive, Douglasville, GA 30134. Its main phone number is (770) 949-1500.
Douglas Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110184.
The National Provider Identifier (NPI) on file for Douglas Hospital is 1649247974.
Douglas Hospital is affiliated with WellStar Health System.
Douglas Hospital lists 35 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
367 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