Beacon Health System · Elkhart, IN
4 of 5
CMS star rating
222
Beds
11,095
Inpatient discharges a year
$382M
Net patient revenue a year
30
In-network payers
Elkhart General Hospital is a 222-bed government - local hospital in Elkhart, IN, affiliated with Beacon Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 200 disclosed rate categories.
The 24 services Elkhart General 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
$11,700 - $11,790
from 2 insurers · median $11,745
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,156 - $16,127
from 2 insurers · median $13,142
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$65,297 - $68,575
from 2 insurers · median $66,936
16 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$171,945 - $182,987
from 2 insurers · median $177,466
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$601 - $3,500
from 3 insurers · median $1,142
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$317 - $1,658
from 3 insurers · median $1,142
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$33,824 - $37,767
from 2 insurers · median $35,796
15 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$11,700 - $11,790
from 2 insurers · median $11,745
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 neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$6,065 - $8,778
from 2 insurers · median $7,421
69 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,037 - $1,632
from 2 insurers · median $1,335
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$18,848 - $33,508
from 2 insurers · median $26,178
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,016 - $3,510
from 2 insurers · median $2,763
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$510 - $1,658
from 3 insurers · median $1,142
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,194 - $2,791
from 2 insurers · median $2,493
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$140 - $314
from 3 insurers · median $234
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$4,252 - $4,342
from 2 insurers · median $4,297
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$530 - $1,658
from 3 insurers · median $1,142
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$2,694 - $16,000
from 2 insurers · median $9,347
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$43,168 - $48,874
from 2 insurers · median $46,021
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 47563
$1,973 - $12,056
from 2 insurers · median $7,014
69 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,065 - $5,628
from 3 insurers · median $2,458
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$422 - $2,495
from 2 insurers · median $1,458
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$4,767 - $5,628
from 2 insurers · median $5,198
11 Medicare claims in Level 4 ENT Procedures (CMS 2024)
MRI imaging
CPT 70553
$977 - $1,583
from 3 insurers · median $1,450
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* | 14 | 460% | 4 | 1 |
| Insurer B* | 24 | 287% | 13 | 6 |
| Insurer C* | 17 | 237% | 10 | 4 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Elkhart General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$382M net patient revenue
Ownership and leadership
Owned by Beacon Health System Inc
The employer identification numbers (EINs) health plans and networks list for Elkhart General 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 |
|---|---|---|
| 35-0877574(multi-state) Elkhart General Hospital | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1477551489 Elkhart General Hospital Inc.1003042318 Beacon Medical Group Inc.1134128705 Elkhart General Hospital Inc.and 20 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.
600 East Boulevard, Elkhart, IN 46514
(574) 294-2621
How Elkhart General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 11 measures
1 better, 10 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
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.96
Lower than 52% 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
195 min
Higher than 78% 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
57%
Lower than 69% 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 | 4 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 1 of 8 measures | |
| Readmissions | Better on 1 of 11 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 | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.96 | 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 | 195 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 57% | 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 Elkhart General Hospital's inpatient payments for its readmissions, quality and cost results.
-0.32% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.28% 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 Elkhart General Hospital, beside the US median and the average of IN 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 | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 42 cases | 4.4 | 4.1 | 4.223 | Worse than 64% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,702 cases | 3.8 | 3.9 | 4.041 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 134 cases | 11.6 | 11.8 | 12.13 | Better than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 113 cases | 1.6 | 2.3 | 2.479 | Better than 91% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 133 cases | 6.6 | 8.5 | 8.628 | Better than 93% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 289 cases | 10 | 11 | 11.45 | Better than 69% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 352 cases | 14.9 | 15.2 | 15.69 | Better than 53% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 273 cases | 10.8 | 11.6 | 12.44 | Better than 65% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,948 cases | 0.21 | 0.51 | 0.487 | No Different Than the National Rate | Better than 90% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 39 cases | 176 | 173 | 180 | No Different Than the National Rate | Worse than 54% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,633 cases | 0.23 | 0.2 | 0.2199 | No Different Than the National Rate | Worse than 77% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,920 cases | 0.31 | 0.27 | 0.2682 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,035 cases | 2.49 | 2.29 | 2.221 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 542 cases | 1.89 | 1.63 | 1.718 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 531 cases | 13.36 | 8.88 | 9.677 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,114 cases | 2.46 | 3.4 | 3.374 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 529 cases | 5.06 | 5.105 | 5.188 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 156 cases | 1.68 | 1.72 | 1.757 | No Different Than the National Rate | Better than 67% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 540 cases | 1.18 | 1.02 | 1.054 | No Different Than the National Rate | Worse than 80% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 132 cases | -22.1 | 4.2 | 3.221 | Better than 89% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 323 cases | 0.2 | 1.25 | -4.257 | Better than 51% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 368 cases | -27.5 | 3.85 | -1.706 | Better than 88% 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 · 499 cases | 12.8 | 12.9 | 12.92 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 54 cases | 10.6 | 10.7 | 10.62 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 54 cases | 5 | 5.3 | 5.527 | No Different Than the National Rate | Better than 68% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 278 cases | 1.1 | 1 | 1.012 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 210 cases | 13.7 | 14.4 | 14.24 | Better than 80% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 123 cases | 10.7 | 10.9 | 10.8 | Better than 55% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 313 cases | 18.2 | 19.8 | 19.64 | Better than 98% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 497 cases | 22 | 21.3 | 20.96 | Worse than 71% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 39 cases | 5.3 | 5.8 | 5.687 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 583 cases | 16.1 | 17.2 | 16.99 | Better than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2 | Better than the National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.655 | 1.504 | 1.999 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 6,144 | 1,370 | 3,654 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.576 | 0.9835 | 3.695 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.945 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5915 | Better than the National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.013 | 0.138 | 0.2611 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.245 | 1.392 | 1.872 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,534 | 1,799 | 3,278 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.961 | 1.377 | 3.981 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.89 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.252 | 0.399 | 0.5887 | No Different than National Benchmark | Better than 63% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.12 | 0.2345 | 0.2335 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.368 | 2.135 | 2.51 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 114 | 61 | 85.67 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.791 | 1.591 | 2.324 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 1.517 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.717 | 0.7155 | 0.6725 | No Different than National Benchmark | Worse than 50% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3586 | No Different than National Benchmark | ||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.716 | 3.068 | 3.862 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 118 | 38 | 65.5 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.103 | 0.328 | 0.5781 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5769 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0 | 0.812 | 1.127 | No Different than National Benchmark | The best result, shared by 22% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.25 | 0.193 | 0.1776 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.68 | 1.855 | 2.236 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 54,603 | 14,451 | 30,946 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 3.047 | 0.567 | 1.802 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 1.157 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.985 | 0.597 | 0.5507 | No Different than National Benchmark | Worse than 78% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.141 | 0.127 | 0.1983 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.636 | 0.747 | 1.34 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 51,896 | 13,646 | 28,686 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 21.77 | 5.683 | 14.93 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 7 | 2 | 5.452 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.322 | 0.279 | 0.3807 | Better than the National Benchmark | Worse than 56% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 580 cases | 67 | 73 | 73.32 | Worse than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 580 cases | 10 | 8 | 8.475 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 580 cases | 23 | 18 | 18.21 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 85 | 87 | 86.92 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 4 | 3.539 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 580 cases | 74 | 80 | 79.54 | Worse than 82% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 89 | 91 | 91.55 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 580 cases | 6 | 4 | 3.673 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 580 cases | 2 | 3 | 3.539 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 580 cases | 20 | 16 | 16.78 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 580 cases | 77 | 79 | 78.89 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 90 | 91 | 90.7 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 580 cases | 6 | 5 | 4.871 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 3 | 3.079 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 580 cases | 17 | 16 | 16.24 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 580 cases | 53 | 61 | 60.05 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 71 | 77 | 76.1 | Worse than 90% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 580 cases | 26 | 19 | 20.45 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 580 cases | 2 | 3 | 2.494 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 580 cases | 21 | 19 | 19.5 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 86 | 86 | 86.69 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 580 cases | 13 | 13 | 12.7 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 3 | 3.573 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 580 cases | 87 | 87 | 87.3 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 580 cases | 15 | 14 | 13.57 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 580 cases | 85 | 86 | 86.43 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 70 | 74 | 73.26 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 7 | 7 | 6.316 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 23 | 19 | 20.43 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 76 | 77 | 77.15 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 6 | 6 | 5.469 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 18 | 17 | 17.38 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 84 | 85 | 85.09 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 4 | 3 | 3.418 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 12 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 580 cases | 9 | 8 | 7.436 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 580 cases | 23 | 20 | 19.5 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 580 cases | 68 | 72 | 73.07 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 87 | 88 | 88.67 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 3 | 3.539 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 580 cases | 68 | 74 | 73.46 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 580 cases | 14 | 9 | 9.908 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 580 cases | 18 | 16 | 16.63 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 70 | 75 | 74.65 | Worse than 80% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 7 | 5 | 5.184 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 580 cases | 23 | 20 | 20.16 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 71 | 77 | 76.87 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 6 | 4 | 4.01 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 580 cases | 23 | 19 | 19.12 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 82 | 86 | 86.3 | Worse than 78% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 4 | 3 | 2.327 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 580 cases | 14 | 11 | 11.38 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 580 cases | 51 | 59 | 59.53 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 580 cases | 11 | 9 | 8.455 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 580 cases | 38 | 31 | 32.01 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 79 | 82 | 82.71 | Worse than 66% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 3 | 3.517 | 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 · 580 cases | 6 | 5 | 4.822 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 580 cases | 64 | 71 | 71.47 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 580 cases | 85 | 87 | 87.91 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 580 cases | 30 | 23 | 23.71 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 4 | 3.82 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 580 cases | 39 | 47 | 45.48 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 580 cases | 39 | 30 | 31.64 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 580 cases | 22 | 22 | 22.88 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 580 cases | 3 | 3 | 3.382 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 580 cases | 11 | 12 | 11.77 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 580 cases | 89 | 88 | 88.23 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | 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 | Not Available | 6.4 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8718 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.125 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,093 cases | 94 | 79 | 81.09 | Better 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 · 473 cases | 198 | 154 | 155 | 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 · 445 cases | 195 | 148 | 150 | Worse than 78% 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 · 19 cases | 231 | 247 | 240 | Better than 57% 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 | 307 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 47,761 cases | 4 | 1 | 1.5 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 77 | 74 | 71.52 | Better than 57% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 108 cases | 87 | 97 | 91.79 | Worse than 83% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 55 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 25 cases | 40 | 53 | 51.85 | Worse than 69% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 5,095 cases | 6 | 15 | 15.17 | Better than 95% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 199 cases | 57 | 65 | 64.84 | Worse than 69% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 70 cases | 81 | 73 | 69.13 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 47 cases | 66 | 88 | 83.4 | Worse than 91% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 199 cases | 79 | 82 | 82.45 | Worse than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 109 cases | 88 | 94 | 92.86 | Worse than 79% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 208 cases | 88 | 98 | 96.86 | Worse than 95% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 47 cases | 62 | 75 | 72.33 | Worse than 84% of US hospitals | |
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 151 cases | 82 | 94 | 94.11 | Worse than 96% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 89.36 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.47 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.6 | 5 | 5.816 | Better than 54% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.1 | 6.6 | 6.045 | Worse than 57% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.98 | 0.99 | 1.009 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 46.67 | 20 | 18.11 | Better than 88% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 11.67 | 5 | 4.553 | Better than 88% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 11.25 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 2.839 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 23 | 34 | 37.66 | Worse than 73% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5.75 | 8.75 | 9.491 | Worse than 73% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 43.71 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 10.93 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 24.92 | 29.5 | 27.64 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 34 | 34 | 26.67 | 38.33 | 46.67 |
| VBP clinical outcomes weighted domain score | 8.5 | 8.5 | 6.667 | 9.583 | 11.67 |
| VBP efficiency and cost reduction domain score | 20 | 10 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | 2.5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 16 | Not Available | 8 | 10 | 23 |
| VBP person and community engagement weighted domain score | 4 | Not Available | 2 | 2.5 | 5.75 |
| VBP safety domain score | 44 | Not Available | 18 | 44 | 30 |
| VBP safety weighted domain score | 11 | Not Available | 4.5 | 11 | 7.5 |
| VBP total performance score | 28.5 | Not Available | 13.17 | 23.08 | 24.92 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 137 cases | 0.9541 | 0.9995 | 0.9945 | Better than 79% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 111 cases | 1.032 | 1 | 1.004 | Worse than 63% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 165 cases | 0.9399 | 0.9969 | 1.004 | Better than 93% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 303 cases | 1.052 | 0.9983 | 1.001 | Worse than 79% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.003 | 0.9916 | 0.9883 | Worse than 53% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 358 cases | 0.8747 | 0.9955 | 0.993 | Better than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.918 | 0.9618 | 0.9777 | 0.9842 | 0.949 | 0.9541 |
| READM-30-CABG-HRRP | 0.8774 | 0.9158 | 0.9978 | 1.019 | 0.9942 | 1.032 |
| READM-30-COPD-HRRP | 0.9045 | 0.9311 | 0.966 | 0.9277 | 0.9296 | 0.9399 |
| READM-30-HF-HRRP | 0.8845 | 0.9313 | 1.026 | 0.9764 | 1.004 | 1.052 |
| READM-30-HIP-KNEE-HRRP | 0.9176 | 0.8982 | 0.9213 | 0.9884 | 1.122 | 1.003 |
| READM-30-PN-HRRP | 1.035 | 1.057 | 0.974 | 0.8691 | 0.8806 | 0.8747 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Elkhart General Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.4 | 0.489 | 0.5461 | Better than 60% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.288 | 0.346 | 0.4008 | Better than 59% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.537 | 0.559 | 0.5853 | Better than 52% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.694 | 0.6405 | 0.5928 | Worse than 55% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9587 | 0.9628 | 0.9572 | Better than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.961 | 0.7945 | 0.9162 | Worse than 62% of US hospitals | |
| Total HAC scoreFY 2026 | -0.1478 | -0.0453 | -0.151 | Better than 57% 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 | No |
| Total HAC score | -0.2387 | -0.2075 | 0 | -0.0876 | -0.2663 | -0.1478 |
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 2024)
Accreditation
Limited
Medical school affiliation
Local
Ownership type
297
Medicare-certified beds
463
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Elkhart General Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
11,095
Inpatient discharges
Medicare 23%, Medicaid 4%
49,033
Inpatient days
61% of available bed days used
1,205
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838238). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Elkhart General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 10,461 | 2,013 | 36,559 | 49,033 |
| Discharges | 2,538 | 438 | 8,119 | 11,095 |
| Average length of stay | 4.1 days | 4.6 days | 4.5 days | 4.4 days |
| Average daily census | 28.7 | 5.5 | 100.2 | 134.3 |
15,947
Medicare Advantage days
3,207 discharges
9,467
Medicaid managed care days
2,025 discharges
9,569
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 191 | 39,838 | 9,106 | 57% |
| Intensive care unit | 23 | 6,457 | 1,355 | 77% |
| Nursery | 2,015 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Elkhart General Hospital treats Medicare patients for most often, in 2024. 1,724 Medicare discharges in 64 published DRGs; 17% surgical; 59% 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 | 131 | $65,959 | $13,364 | $14,709 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 95 | $36,714 | $8,477 | $8,187 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 93 | $52,202 | $8,055 | $11,641 | 1.23 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 65 | $25,160 | $5,050 | $5,611 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 49 | $30,014 | $6,520 | $6,693 | 1.02 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 48 | $28,174 | $5,154 | $6,283 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $50,555 | $10,883 | $11,274 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 43 | $22,990 | $4,756 | $5,127 | 0.79 |
| Cellulitis without MCCMS-DRG 603, medical | 42 | $25,936 | $5,265 | $5,784 | 0.88 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $48,296 | $8,736 | $10,770 | 1.33 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $27,872 | $4,670 | $6,215 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 36 | $157,262 | $21,356 | $35,069 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 36 | $41,343 | $6,535 | $9,219 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 34 | $166,201 | $33,478 | $37,063 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 34 | $47,225 | $10,892 | $10,531 | 1.59 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $34,379 | $7,482 | $7,666 | 1.17 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $33,103 | $6,305 | $7,382 | 1.03 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $47,378 | $6,538 | $10,565 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 28 | $21,625 | $5,033 | $4,822 | 0.78 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $42,343 | $9,826 | $9,443 | 1.50 |
See all 64 Medicare inpatient DRGs at Elkhart General 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) Elkhart General Hospital billed Medicare for most in 2024: 1,542 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 333 | 311 | $13,218 | $1,987 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 205 | 192 | $8,750 | $1,183 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 174 | 172 | $18,705 | $2,150 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 79 | 78 | $74,355 | $10,505 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 69 | 69 | $24,781 | $3,999 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 63 | 57 | $67,612 | $8,516 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 48 | 46 | $158,834 | $20,243 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 44 | 44 | $15,213 | $2,292 | $2,405 |
| Level 5 Airway EndoscopyAPC 5155 | 41 | 41 | $38,973 | $5,036 | $5,183 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 39 | $11,378 | $2,037 | $2,141 |
See all 31 Medicare outpatient services at Elkhart General 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 Elkhart General 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 4,521 in 2020 to 5,479 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 46514 | 1,548 | 28% | 7,084 | $100.3M | 79% | 84% |
| 46516 | 1,004 | 18% | 4,665 | $65M | 80% | 85% |
| 46517 | 695 | 13% | 3,062 | $45.7M | 78% | 83% |
| 46507 | 270 | 5% | 1,160 | $18.9M | 70% | 71% |
| 46561 | 198 | 4% | 932 | $13.1M | 39% | 28% |
| 46526 | 192 | 4% | 813 | $17.5M | 17% | 19% |
| 46528 | 180 | 3% | 855 | $15.4M | 27% | 32% |
| 49112 | 180 | 3% | 852 | $11.9M | 41% | 36% |
| 46550 | 142 | 3% | 614 | $9.8M | 46% | 64% |
| 46540 | 128 | 2% | 548 | $9.8M | 49% | 52% |
| 46573 | 89 | 2% | 401 | $5.1M | 62% | 100% |
| 46544 | 88 | 2% | 358 | $6.3M | 6% | 4% |
| 49031 | 88 | 2% | 462 | $7.7M | 23% | 17% |
| 49099 | 64 | 1% | 229 | $3.5M | 28% | 24% |
| 46530 | 60 | 1% | 265 | $5M | 7% | 7% |
| 46506 | 54 | 1% | 289 | $3.9M | 17% | 11% |
| 49130 | 52 | 1% | 245 | $2.9M | 63% | 100% |
| 49095 | 42 | 1% | 202 | $2.9M | 66% | |
| 46545 | 40 | 1% | 178 | $3.2M | 3% | 3% |
| 46565 | 36 | 1% | 139 | $3.1M | 24% | 22% |
| 49120 | 32 | 1% | 112 | $2.3M | 2% | 1% |
| 49061 | 31 | 1% | 180 | $2.5M | 61% | 100% |
| 46567 | 28 | 1% | 125 | $3.2M | 7% | 9% |
| 46553 | 23 | 0% | 73 | $1.8M | 25% | 29% |
| 46614 | 20 | 0% | 142 | $2.4M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 5,479 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 Elkhart General Hospital reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.
10
Operating rooms
3
Endoscopy rooms
3
Cardiac catheterization rooms
18
Psychiatric unit beds
20
Rehabilitation unit beds
4
Off-site locations
1
Off-site emergency departments
463
Registered nurses
3
Nurse practitioners
21
Pharmacists
31
Respiratory therapists
8
Physical therapists
5
Occupational therapists
4
Speech pathologists and audiologists
10
Radiology technicians
3
Nuclear medicine technicians
5
Dietitians
1
Social workers
1
Psychologists
752
Other personnel
Source: CMS Provider of Services file.
532 clinicians who bill Medicare list Elkhart General 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.
Brent Mohr, MD
Rheumatology Physician
NPI 1710977319
See commercial rates for Brent Mohr, MDAhsanul Haque, M.D.
Hematology & Oncology Physician
NPI 1558364372
See commercial rates for Ahsanul Haque, M.D.Bilal Ansari, M.D.
Medical Oncology Physician
NPI 1386648749
See commercial rates for Bilal Ansari, M.D.Edith Cullen, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1720073521
See commercial rates for Edith Cullen, M.D.Muhammad Hussain, DO
Medical Oncology Physician
NPI 1669800728
See commercial rates for Muhammad Hussain, DOJose Bufill, M.D.
Medical Oncology Physician
NPI 1558365031
See commercial rates for Jose Bufill, M.D.James Jin, M.D.
Medical Oncology Physician
NPI 1215900311
See commercial rates for James Jin, M.D.Mohamed Farhat, MD
Medical Oncology Physician
NPI 1104082809
See commercial rates for Mohamed Farhat, MDNatali Balog, MD
Rheumatology Physician
NPI 1578552386
See commercial rates for Natali Balog, MDPavan Ahuja, M.D.
Internal Medicine Physician
NPI 1578566675
See commercial rates for Pavan Ahuja, M.D.William Buckley, M.D.
Internal Medicine Physician
NPI 1922001098
See commercial rates for William Buckley, M.D.Christopher Ketcham, DO
Physical Medicine & Rehabilitation Physician
NPI 1780098780
See commercial rates for Christopher Ketcham, DOCarolyn Hudson, M.D.
Internal Medicine Physician
NPI 1669475471
See commercial rates for Carolyn Hudson, M.D.Kamran Siddiqui, M.D.
Internal Medicine Physician
NPI 1871596700
See commercial rates for Kamran Siddiqui, M.D.Minnie Enriquez, M.D.
Internal Medicine Physician
NPI 1225031164
See commercial rates for Minnie Enriquez, M.D.Mary Ann Domingo, M.D.
Rheumatology Physician
NPI 1053396127
See commercial rates for Mary Ann Domingo, M.D.Thomas Vidic, M.D.
Neurology Physician
NPI 1265437404
See commercial rates for Thomas Vidic, M.D.Julie Rheinheimer, MSN FNP
Family Nurse Practitioner
NPI 1578869863
See commercial rates for Julie Rheinheimer, MSN FNPVikram Mehta, M.D.
Family Medicine Physician
NPI 1841293461
See commercial rates for Vikram Mehta, M.D.Neringa Juknis, MD
Physical Medicine & Rehabilitation Physician
NPI 1780600908
See commercial rates for Neringa Juknis, MDWhitney Boling, M.D.
Ophthalmology Physician
NPI 1629333133
See commercial rates for Whitney Boling, M.D.Sam Borrelli, M.D.
Family Medicine Physician
NPI 1114028743
See commercial rates for Sam Borrelli, M.D.Elizabeth Nafziger, MD
Neurology Physician
NPI 1699153593
See commercial rates for Elizabeth Nafziger, MDRita Schmid, M.D.
Internal Medicine Physician
NPI 1306057724
See commercial rates for Rita Schmid, 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 Elkhart General 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) | $1.4B | 366.1% |
| Inpatient | $694.7M | 181.9% |
| Outpatient | $703.9M | 184.3% |
| Contractual allowances and discounts | -$1B | -266.1% |
| Net patient revenue | $382M | 100.0% |
| Operating expenses | -$345.2M | -90.3% |
| Operating income from patient care | $36.9M | 9.7% |
| Other income | $18.9M | 4.9% |
| COVID-19 relief funding | $6.8M | 1.8% |
| Other | $12M | 3.2% |
| Net income | $55.7M | 14.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $243.6M | 17.4% |
| Medicaid (including managed care) | $215M | 15.4% |
| Other payers and self-pay | $940M | 67.2% |
| Total charges | $1.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, 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 Elkhart General Hospital's latest cost report.
9.7%
Operating margin
Operating income from patient care / net patient revenue
13.9%
Total margin
Net income / net patient revenue plus other income
19.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.02
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
21.6%
Return on assets
Net income for a year / total assets
29.6%
Return on equity
Net income for a year / fund balance
2.77
Current ratio
Current assets / current liabilities
2.11
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
56 days
Days in patient receivables
Net patient receivables / daily net patient revenue
31 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.56
Asset turnover
Total revenue for a year / total assets
18.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Elkhart General Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $257.8M in total assets and a $188.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.8M | 0.7% |
| Patient receivables, net | $58.1M | 22.5% |
| Inventory | $14.5M | 5.6% |
| Total current assets | $78.6M | 30.5% |
| Property and equipment, net of depreciation | $161.6M | 62.7% |
| Investments and other assets | $17.6M | 6.8% |
| Total assets | $257.8M | 100.0% |
| Current liabilities | $28.3M | 11.0% |
| Total liabilities | $69.5M | 27.0% |
| Fund balance (net assets) | $188.3M | 73.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Elkhart General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$20.1M
Bad debt
Patient bills written off as uncollectible, at charges
$6.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$791
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$15.7M
Total unreimbursed and uncompensated care
4.5% 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 838238, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Elkhart General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $282.5M | $320.3M | $323M | $339M | $350.6M | $382M |
| Operating expenses | $263.4M | $308M | $326.1M | $305.8M | $325.9M | $345.2M |
| Operating margin | 6.7% | 3.8% | -1.0% | 9.8% | 7.0% | 9.7% |
| Net income | $38.1M | $26.8M | $14.8M | $44.5M | $46.5M | $55.7M |
| Total assets | $282.6M | $272.1M | $270.8M | $274.2M | $269.2M | $257.8M |
| Discharges | 9,213 | 9,727 | 9,911 | 9,378 | 10,335 | 11,095 |
| Inpatient days | 47,120 | 51,145 | 50,432 | 40,830 | 44,357 | 49,033 |
| Medicare Advantage days | 10,342 | 12,997 | 14,130 | 11,841 | 14,160 | 15,947 |
| Beds | 270 | 244 | 211 | 214 | 222 | 222 |
| Employees (FTE) | 1,210 | 1,189 | 1,150 | 1,171 | 1,064 | 1,205 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Elkhart General 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $43.6M | $257.6M | 0.17 | ||
| Operating room | $10.9M | $38.3M | $165.6M | 0.23 | 58,586 |
| Impl. dev. charged to patients | $32.9M | $194.8M | 0.17 | ||
| Emergency | $9.6M | $17.9M | $53.5M | 0.33 | 16,656 |
| Radiology-diagnostic | $6.3M | $14.7M | $101.9M | 0.14 | 47,286 |
| Observation beds (non-distinct part | $13.4M | $37.1M | 0.36 | ||
| Laboratory | $2.3M | $13.4M | $95.1M | 0.14 | 5,429 |
| Cardiology | $2.4M | $4.9M | $32.7M | 0.15 | 11,396 |
| Respiratory therapy | $2.4M | $4.7M | $32.2M | 0.15 | 1,804 |
| Medical supplies charged to patient | $4.5M | $22.5M | 0.20 | ||
| Cardiac catheterization | $1.9M | $3.9M | $47.5M | 0.08 | 4,072 |
| Physical therapy | $1.7M | $3.4M | $7.9M | 0.44 | 4,967 |
| Intravenous therapy | $1.4M | $3.3M | $6.2M | 0.54 | 7,765 |
| Ct scan | $1.1M | $3.2M | $110M | 0.03 | 7,099 |
| Sleep clinic | $586,328 | $1.6M | $4.3M | 0.37 | 5,800 |
| Mri | $570,600 | $1.5M | $16.6M | 0.09 | 3,587 |
| Occupational therapy | $562,162 | $1.3M | $4.6M | 0.29 | 2,385 |
| Clinic | $320,473 | $966,731 | $1.3M | 0.74 | 4,737 |
| Speech pathology | $318,716 | $628,012 | $1.8M | 0.34 | 1,430 |
| Oncology clinic | $9,013 | $4,230 | $7,211 | 0.59 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $27.4M | $69.1M | $159M | 0.43 | 158,750 |
| Intensive care unit | $6M | $13.5M | $39M | 0.35 | 11,095 |
| Nursery | $5.3M | $4.6M | 1.16 | 9,961 | |
| Neonatal intensive care | $524,046 | $1.1M | $3M | 0.37 | 2,330 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5M | $60.8M | 117,045 | $41.38 | 1,749 |
| Cap rel costs-bldg & fixt | $15.2M | 642,998 | |||
| Operation of plant | $2.6M | $9.3M | 90,204 | $29.12 | 145,915 |
| Housekeeping | $2.7M | $4.7M | 136,305 | $19.85 | 4,127 |
| Cap rel costs-mvble equip | $3.9M | ||||
| Nursing administration | $2M | $2.5M | 33,349 | $54.48 | 1,861 |
| Dietary | $2.4M | $2.4M | 50,463 | $25.78 | 12,398 |
| Central services & supply | $1M | $1.8M | 44,049 | $22.75 | 14,966 |
| Cafeteria | $171,969 | $1.3M | 58,698 | $20.88 | 2,144 |
| Pharmacy | $5M | $976,770 | 2,080 | $92.30 | 5,754 |
| Laundry & linen service | $872,691 | 4,167 | |||
| Social service | $386,536 | $703,400 | 11,716 | $33.87 | 1,170 |
| Paramed ed prgm | $5,229 | $114,473 | 207 | ||
| Employee benefits department | $81,279 | 135 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838238, 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 Elkhart General Hospital for an inpatient stay.
1.81
Case mix index
Higher than 63% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
25.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,534
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 | 1.85 | 1.85 | 1.86 | 1.83 | 1.83 | 1.77 | 1.81 |
| Wage index | 0.972 | 1.005 | 1.011 | 0.975 | 1.079 | 1.059 | 1.038 |
| Readmissions adjustment | 0.00% | -0.19% | -0.28% | -0.09% | -0.07% | -0.13% | -0.32% |
| Value-based purchasing adjustment | +0.47% | -0.17% | -0.17% | +0.74% | -0.75% | +0.07% | -0.28% |
| Medicare inpatient stays | 3,465 | 3,465 | 2,888 | 2,484 | 2,640 | 2,519 | 2,534 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Elkhart General Hospital reports to Medicare as owners or with operational control.
Beacon Health System Inc
Operational/managerial control, 100%, since 2011
Sources: CMS Hospital All Owners.
The officers and board members on Elkhart General 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 4 of 5 are shown.
| Name | Title |
|---|---|
| Kreg R Gruber | CEO |
| Jeffrey P Costello | CFO |
| Carl W Risk II | President |
| Tim Morgan MD | Director, Chair Through 3/31/24 |
| Matt Zimmerman | Chair |
| Chris Annis MD | Secretary |
| Sam Borrelli MD | Vice Chair |
Board members: John Deputy, Dawn Fisher, Tonja Lucchese, Esleen Fultz, Shelley Moore, Bruce Newswanger DO.
Source: IRS Form 990 Part VII filed by Elkhart General Hospital Inc (EIN 35-0877574), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2021
340B ID RRC150018-00, registered as a rural referral center. Authorizing official: Jeffrey P. Costello, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
CHA ACO, LLC
ACO A2207, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Elkhart General Hospital's legal name.
About Elkhart General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Elkhart General Hospital range from $977 to $1,583 across 3 insurers. UnitedHealthcare's rate is $1,583. The median at nearby comparable hospitals is $1,106. 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 Elkhart General Hospital range from $601 to $3,500 across 3 insurers. Aetna's rate is $3,500. The median at nearby comparable hospitals is $1,898. 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 Elkhart General Hospital range from $2,016 to $3,510 across 2 insurers. Aetna's rate is $2,016. The median at nearby comparable hospitals is $1,327. 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 Elkhart General Hospital range from $11,700 to $11,790 across 2 insurers. UnitedHealthcare's rate is $11,700. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Elkhart General Hospital range from $140 to $314 across 3 insurers. UnitedHealthcare's rate is $234. The median at nearby comparable hospitals is $240. 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 Elkhart General Hospital range from $33,824 to $37,767 across 2 insurers. Blue Cross Blue Shield's rate is $37,767. The median at nearby comparable hospitals is $27,826. What a patient pays depends on their plan's deductible, coinsurance and network status.
Elkhart General Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Elkhart General Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Elkhart General Hospital's base inpatient payments by an estimated 0.32% 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 (131 discharges), heart failure and shock with mcc (95 discharges), pulmonary edema and respiratory failure (93 discharges).
Elkhart General Hospital's Medicare case mix index is 1.81 for fiscal year 2027, higher than 63% of hospitals paid under the inpatient prospective payment system.
Elkhart General Hospital reported 11,095 inpatient discharges and 49,033 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Elkhart General Hospital reported 1,205 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Elkhart General Hospital reported $382M in net patient revenue on $1.4B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 9.7%, and net income of $55.7M.
Elkhart General Hospital reported $15.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.9M of charity care at cost.
Elkhart General Hospital's Medicare enrollment lists Carl Risk as President since 2016. Its 2024 IRS Form 990 lists Kreg R Gruber as CEO.
Insurers' price transparency files list Elkhart General Hospital under employer identification number 35-0877574 ((multi-state) Elkhart General Hospital). 59 health plans and networks list 35-0877574 for it.
Yes. HRSA's 340B database lists Elkhart General Hospital (340B ID RRC150018-00) as a participating rural referral center since 2021.
532 clinicians who bill Medicare list Elkhart General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (78), family medicine physician (75), internal medicine physician (46).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Elkhart General Hospital, effective 2024.
In its Medicare enrollment, Elkhart General Hospital reports Beacon Health System Inc as Operational/managerial control (100%).
CMS lists 36 services at Elkhart General Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Elkhart General Hospital came from ZIP codes 46514 (1,548), 46516 (1,004), 46517 (695).
Elkhart General Hospital has 222 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 297 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Elkhart General Hospital is located at 600 East Boulevard, Elkhart, IN 46514. Its main phone number is (574) 294-2621.
Elkhart General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 150018.
The National Provider Identifier (NPI) on file for Elkhart General Hospital is 1477551489.
Elkhart General Hospital is affiliated with Beacon Health System.
Elkhart General Hospital lists 30 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.
200 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