Emory Healthcare · Lithonia, GA
1 of 5
CMS star rating
90
Beds
5,923
Inpatient discharges a year
$155.6M
Net patient revenue a year
34
In-network payers
Emory Hillandale Hospital is a 90-bed government - hospital district or authority hospital in Lithonia, GA, affiliated with Emory Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 490 disclosed rate categories.
The 24 services Emory Hillandale 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
$10,081 - $12,418
from 4 insurers · median $11,642
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
$15,038 - $16,393
from 4 insurers · median $15,325
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
Childbirth · Inpatient
MS-DRG 807
$10,081 - $12,418
from 4 insurers · median $11,642
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 · Inpatient
MS-DRG 460
$54,091 - $62,909
from 4 insurers · median $60,863
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$44,056 - $48,750
from 4 insurers · median $45,221
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$31,512 - $36,410
from 4 insurers · median $33,954
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$2,048 - $4,797
from 4 insurers · median $3,442
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,462 - $11,385
from 4 insurers · median $7,649
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$157 - $3,161
from 4 insurers · median $1,681
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$280 - $705
from 3 insurers · median $697
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$705 - $955
from 3 insurers · median $754
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,746 - $6,803
from 4 insurers · median $6,094
24 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 49650
$3,899 - $7,797
from 4 insurers · median $7,152
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,134 - $4,797
from 4 insurers · median $2,577
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,279 - $4,797
from 4 insurers · median $2,643
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$69 - $1,600
from 4 insurers · median $1,542
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$583 - $725
from 3 insurers · median $705
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$156 - $250
from 4 insurers · median $207
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$456 - $746
from 3 insurers · median $705
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$3,820 - $6,803
from 4 insurers · median $6,094
24 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$4,091 - $11,385
from 4 insurers · median $8,721
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$136 - $1,923
from 4 insurers · median $1,565
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,343 - $3,972
from 4 insurers · median $2,897
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93880
$111 - $1,676
from 4 insurers · median $1,594
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* | 24 | 392% | 20 | 1 |
| Insurer B* | 24 | 258% | 2 | 10 |
| Insurer C* | 20 | 184% | 5 | 12 |
| Insurer D* | 24 | 144% | 4 | 16 |
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 Emory Hillandale Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$155.6M net patient revenue
Ownership and leadership
Owned by Dekalb Regional Health System
The employer identification numbers (EINs) health plans and networks list for Emory Hillandale 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 |
|---|---|---|
| 58-1966795Dekalb Medical Center INC | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more | 1093716979 Dekalb Medical Center Inc.1962403865 Dekalb Medical Center Inc.1821099474 Dekalb Medical Psych Unitand 3 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.
2801 Dekalb Medical Parkway, Lithonia, GA 30058
(404) 501-8040
How Emory Hillandale Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 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 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 5 measures
0 better, 3 no different, 2 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
66%
Lower than 69% 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)
0.94
Lower than 61% 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
205 min
Higher than 83% 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
50%
Lower than 81% 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 | 1 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Worse on 2 of 5 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 | 66% | 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) | 0.94 | 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 | 205 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 50% | 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 Emory Hillandale Hospital's inpatient payments for its readmissions, quality and cost results.
-0.50% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.31% 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 Emory Hillandale 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 | Emory Hillandale 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 · 1,046 cases | 2.8 | 3.9 | 4.079 | Better than 96% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| 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 | Not Available | 8.691 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 71 cases | 11.4 | 11 | 10.84 | Worse than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 60 cases | 12.2 | 15.2 | 15.21 | Better than 89% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 108 cases | 6.7 | 11.6 | 12.45 | Better than 99% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 993 cases | 0.38 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 69% 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 · 1,202 cases | 0.27 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 88% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,213 cases | 0.26 | 0.27 | 0.2798 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 97 cases | 2.27 | 2.29 | 2.356 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.26 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 97 cases | 3.36 | 3.4 | 3.811 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.77 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 25 cases | 1.75 | 1.72 | 1.743 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 174 cases | 1.6 | 1.02 | 1.073 | No Different Than the National Rate | Worse than 97% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Emory Hillandale 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 · 83 cases | 154 | 1.25 | 12.52 | Worse than 99% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 63 cases | -4.5 | 3.85 | 12.69 | Better than 61% 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 · 64 cases | 13.1 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 55 cases | 1 | 1 | 0.9723 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 28 cases | 14.1 | 14.4 | 14.35 | Better than 61% 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 · 91 cases | 20.6 | 19.8 | 19.84 | Worse than 79% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 368 cases | 21.2 | 21.3 | 21.19 | Better than 53% 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 · 194 cases | 18.1 | 17.2 | 17.41 | Worse than 79% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Emory Hillandale 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 | 0.295 | 0.172 | 0.2721 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.155 | 1.504 | 1.762 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,889 | 1,370 | 5,571 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.588 | 0.9835 | 5.825 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.568 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.159 | 0.484 | 0.619 | No Different than National Benchmark | Worse than 89% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.022 | 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 | 2.125 | 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 | 2,310 | 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 | 2.321 | 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 | 0.431 | 0.399 | 0.3748 | No Different than National Benchmark | Worse than 53% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.519 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 35 | 61 | 136 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.976 | 1.591 | 3.769 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.756 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9605 | |||
| 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 | Not Available | 143 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.256 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | 0.155 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.045 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 28,757 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.17 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.922 | 0.597 | 0.6352 | No Different than National Benchmark | Worse than 75% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.058 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.623 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 28,757 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 13.11 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 3 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.229 | 0.279 | 0.2745 | Better than the National Benchmark | Better than 58% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Emory Hillandale Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 551 cases | 77 | 73 | 72.27 | Better than 64% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 551 cases | 7 | 8 | 9.85 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 551 cases | 16 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 90 | 87 | 85.97 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 551 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 551 cases | 75 | 80 | 78.79 | Worse than 78% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 89 | 91 | 90.82 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 551 cases | 7 | 4 | 4.903 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 551 cases | 2 | 3 | 3.204 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 551 cases | 18 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 551 cases | 78 | 79 | 79.46 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 90 | 91 | 90.77 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 551 cases | 7 | 5 | 5.717 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 551 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 551 cases | 15 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 551 cases | 56 | 61 | 60.14 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 72 | 77 | 75.68 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 551 cases | 25 | 19 | 21.5 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 551 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 551 cases | 19 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 80 | 86 | 84.09 | Worse than 91% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 551 cases | 19 | 13 | 14.95 | Worse than 89% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 551 cases | 2 | 3 | 2.935 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 551 cases | 81 | 87 | 85.05 | Worse than 89% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 551 cases | 22 | 14 | 17.13 | Worse than 91% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 551 cases | 78 | 86 | 82.87 | Worse than 91% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 551 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 · 551 cases | 9 | 7 | 7.087 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 551 cases | 17 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 77 | 77 | 77.43 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 8 | 6 | 6.146 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 15 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 84 | 85 | 85.2 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 5 | 3 | 3.728 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 11 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 551 cases | 11 | 8 | 8.69 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 551 cases | 20 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 551 cases | 69 | 72 | 71.31 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 86 | 88 | 87.94 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 551 cases | 3 | 3 | 3.269 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 551 cases | 71 | 74 | 73.43 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 551 cases | 12 | 9 | 10.45 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 551 cases | 17 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 551 cases | 71 | 75 | 74.03 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 551 cases | 9 | 5 | 6.592 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 551 cases | 20 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 74 | 77 | 75.78 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 8 | 4 | 5.34 | Worse than 88% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 551 cases | 18 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 79 | 86 | 84.54 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 5 | 3 | 3.437 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 551 cases | 16 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 551 cases | 68 | 59 | 63.8 | Better than 78% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 551 cases | 7 | 9 | 8.469 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 551 cases | 25 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 86 | 82 | 83.87 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 551 cases | 4 | 3 | 3.774 | Better than 56% 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 · 551 cases | 9 | 5 | 6.124 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 551 cases | 66 | 71 | 70.88 | Worse than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 551 cases | 84 | 87 | 87.15 | Worse than 74% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 551 cases | 25 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 551 cases | 3 | 4 | 3.602 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 551 cases | 41 | 47 | 46.49 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 551 cases | 39 | 30 | 32.79 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 551 cases | 20 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 551 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 · 551 cases | 17 | 12 | 13.65 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 551 cases | 83 | 88 | 86.35 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Emory Hillandale 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 · 8,652 cases | 11 | 8 | 6.667 | Worse than 70% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,637 cases | 4 | 1 | 1.71 | Worse than 97% of US hospitals | |
| 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 · 877 cases | 90 | 79 | 71.13 | Better 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 · 393 cases | 207 | 154 | 175 | Worse than 81% 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 · 379 cases | 205 | 148 | 169 | Worse than 83% 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 | 232 | 247 | 348 | Better than 56% 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 · 66,149 cases | 2 | 1 | 1.759 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 79 | 74 | 71.14 | Better than 60% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 33 cases | 76 | 97 | 90.05 | Worse than 92% 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 · 1,028 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 · 114 cases | 50 | 65 | 58.96 | Worse than 81% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 65 | 73 | 70.15 | Worse than 67% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 71 | 88 | 83.53 | Worse than 87% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 114 cases | 76 | 82 | 77.15 | Worse than 70% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 61 cases | 74 | 94 | 90.02 | Worse than 95% 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 · 3,087 cases | 81 | 90 | 83.63 | Worse than 69% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 823 cases | 92 | 97 | 95.53 | Worse than 76% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Emory Hillandale Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.2 | 5 | 5.623 | Better than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.4 | 6.6 | 6.411 | Better than 95% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Emory Hillandale 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 | 0.9 | 0.99 | 0.9648 | Better than 87% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Emory Hillandale Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 20.96 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 5.347 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 26.92 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 7.03 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 34 | 34 | 36.51 | Worse than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.5 | 8.75 | 9.439 | Worse than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 50 | 40 | 38.57 | Better than 64% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.5 | 10 | 9.691 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 33.5 | 29.5 | 31.07 | Better than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 35 | 50 | Not Available | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 8.75 | 12.5 | Not Available | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 70 | 20 | 30 | 50 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 17.5 | 5 | 7.5 | 12.5 |
| VBP person and community engagement domain score | 31 | Not Available | Not Available | 11 | 16 | 34 |
| VBP person and community engagement weighted domain score | 7.75 | Not Available | Not Available | 2.75 | 4 | 8.5 |
| VBP safety domain score | 55 | Not Available | Not Available | 27.5 | 52.5 | 50 |
| VBP safety weighted domain score | 13.75 | Not Available | Not Available | 6.875 | 13.13 | 12.5 |
| VBP total performance score | 35.25 | Not Available | Not Available | 14.63 | 24.63 | 33.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Emory Hillandale Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.012 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 77 cases | 1.115 | 0.9983 | 1.011 | Worse than 96% 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 | 1.021 | 0.9955 | 1.009 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.048 | 1.063 | 1.036 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9784 | 0.9335 | 0.9705 | 1.007 | 1.077 | 1.115 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.077 | 1.02 | 1.007 | 1.003 | 0.969 | 1.021 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Emory Hillandale Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.476 | 0.489 | 0.6612 | Better than 52% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.049 | 0.346 | 0.3286 | Better than 90% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.899 | 0.559 | 0.6574 | Worse than 77% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.623 | 0.6405 | 0.8117 | Better than 52% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9374 | 0.9628 | 1.068 | Better than 61% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.761 | 0.7945 | 1.054 | Worse than 91% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0473 | -0.0453 | 0.04361 | Worse than 56% 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 | 0.1582 | 0.0139 | 0 | 0.0864 | -0.2435 | 0.0473 |
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 2023)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
84
Medicare-certified beds
87
Registered nurses (full-time equivalent)
2005
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Emory Hillandale Hospital reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.
5,923
Inpatient discharges
Medicare 13%, Medicaid 11%
26,983
Inpatient days
82% of available bed days used
613
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 843574). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Emory Hillandale Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,652 | 2,134 | 21,197 | 26,983 |
| Discharges | 759 | 641 | 4,523 | 5,923 |
| Average length of stay | 4.8 days | 3.3 days | 4.7 days | 4.6 days |
| Average daily census | 10.0 | 5.8 | 58.1 | 73.9 |
10,521
Medicare Advantage days
1,944 discharges
1,438
Medicaid managed care days
161 discharges
3,893
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 82 | 24,295 | 2,356 | 81% |
| Intensive care unit | 8 | 2,688 | 1,296 | 92% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Emory Hillandale Hospital treats Medicare patients for most often, in 2024. 329 Medicare discharges in 14 published DRGs; 0% surgical; 83% 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 | 75 | $58,100 | $16,976 | $15,396 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $40,726 | $11,638 | $10,792 | 1.28 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 30 | $24,317 | $9,772 | $6,444 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $42,556 | $14,479 | $11,277 | 1.40 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $38,597 | $13,874 | $10,228 | 1.65 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $39,089 | $11,947 | $10,359 | 1.32 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $24,320 | $8,510 | $6,445 | 0.98 |
| Renal failure with CCMS-DRG 683, medical | 15 | $23,831 | $8,885 | $6,315 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $32,816 | $10,679 | $8,696 | 1.17 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $37,860 | $9,733 | $10,033 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $45,741 | $14,331 | $12,121 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $45,664 | $10,550 | $12,101 | 1.23 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $41,507 | $12,991 | $10,999 | 1.50 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $60,836 | $12,540 | $16,122 | 1.59 |
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) Emory Hillandale Hospital billed Medicare for most in 2024: 234 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 96 | 95 | $15,372 | $2,000 | $2,090 |
| Level 2 Endovascular ProceduresAPC 5192 | 42 | 32 | $14,039 | $4,226 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 25 | $19,642 | $2,354 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 21 | $17,065 | $2,294 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 23 | 22 | $6,148 | $1,199 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $29,416 | $5,290 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $33,434 | $4,266 | $4,358 |
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 Emory Hillandale 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 1,505 in 2020 to 2,469 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30058 | 596 | 24% | 3,091 | $29.4M | 29% | 27% |
| 30038 | 384 | 16% | 1,866 | $17.3M | 29% | 23% |
| 30034 | 284 | 12% | 1,450 | $14.8M | 14% | 11% |
| 30088 | 218 | 9% | 1,089 | $10.3M | 21% | 17% |
| 30035 | 158 | 6% | 815 | $8.7M | 19% | 16% |
| 30032 | 148 | 6% | 772 | $7.5M | 7% | 4% |
| 30294 | 124 | 5% | 594 | $5.8M | 8% | 6% |
| 30087 | 99 | 4% | 534 | $5.9M | 6% | 5% |
| 30083 | 94 | 4% | 451 | $4.6M | 5% | 4% |
| 30316 | 49 | 2% | 220 | $2M | 4% | 2% |
| 30094 | 48 | 2% | 278 | $3.1M | 3% | 2% |
| 30012 | 41 | 2% | 209 | $1.5M | 3% | 2% |
| 30016 | 33 | 1% | 178 | $1.5M | 1% | 1% |
| 30013 | 27 | 1% | 115 | $1.1M | 2% | 2% |
| 30281 | 27 | 1% | 197 | $1.9M | 1% | 1% |
| 30014 | 23 | 1% | 74 | $713,951 | 1% | |
| 30039 | 21 | 1% | 114 | $1.1M | 1% | 1% |
| 30021 | 18 | 1% | 112 | $1M | 4% | |
| 30312 | 17 | 1% | 78 | $612,677 | 2% | |
| 30288 | 14 | 1% | 77 | $654,625 | 4% | |
| 30331 | 13 | 1% | 97 | $763,338 | 0% | |
| 30036 | 11 | 0% | 42 | $402,621 | 100% | |
| 30052 | 11 | 0% | 52 | $398,664 | 0% | 1% |
| 30314 | 11 | 0% | 53 | $355,875 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 2,469 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 Emory Hillandale Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
87
Registered nurses
1
Physicians
2
Nurse anesthetists (CRNAs)
2
Pharmacists
1
Respiratory therapists
4
Physical therapists
1
Occupational therapists
10
Radiology technicians
1
Nuclear medicine technicians
4
Medical technologists
1
Dietitians
1
Social workers
11
Psychologists
Source: CMS Provider of Services file.
467 clinicians who bill Medicare list Emory Hillandale 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.
Anna Cruz, MD
Physical Medicine & Rehabilitation Physician
NPI 1568738227
See commercial rates for Anna Cruz, MDDavid Suh, MD
Cardiovascular Disease Physician
NPI 1366436297
See commercial rates for David Suh, MDZoubin Alikhani, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1962590893
See commercial rates for Zoubin Alikhani, M.D.Sandeep Chandra, MD FACC
Interventional Cardiology Physician
NPI 1093801029
See commercial rates for Sandeep Chandra, MD FACCThomas Mizell, M.D.
Internal Medicine Physician
NPI 1205829561
See commercial rates for Thomas Mizell, M.D.David Song, MD FACE
Interventional Cardiology Physician
NPI 1174619100
See commercial rates for David Song, MD FACEDavid Jacobson, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1487600748
See commercial rates for David Jacobson, M.D.Lambda Msezane, M.D.
Urology Physician
NPI 1306092184
See commercial rates for Lambda Msezane, M.D.Christopher Krebs, MD
Diagnostic Radiology Physician
NPI 1437105707
See commercial rates for Christopher Krebs, MDSumir Patel, MD
Diagnostic Radiology Physician
NPI 1811224017
See commercial rates for Sumir Patel, MDOlalekan Ajibowo, MD
Internal Medicine Physician
NPI 1235320151
See commercial rates for Olalekan Ajibowo, MDChristopher Haraszti, M.D.
Orthopaedic Surgery Physician
NPI 1548488802
See commercial rates for Christopher Haraszti, M.D.Taki Zaidi, M.D.
Diagnostic Radiology Physician
NPI 1417232711
See commercial rates for Taki Zaidi, M.D.Jay Mepani, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1174570378
See commercial rates for Jay Mepani, M.D.Linda Yan, M.D.
Cardiovascular Disease Physician
NPI 1306949854
See commercial rates for Linda Yan, M.D.Anthony Dorsey, MD
Cardiovascular Disease Physician
NPI 1871509422
See commercial rates for Anthony Dorsey, MDIzabella Verbitsky, M.D., PH.D.
Internal Medicine Physician
NPI 1427183243
See commercial rates for Izabella Verbitsky, M.D., PH.D.Walter Falconer, M.D.
Urology Physician
NPI 1841393188
See commercial rates for Walter Falconer, M.D.John Reid, MD
Diagnostic Radiology Physician
NPI 1588692081
See commercial rates for John Reid, MDMuthayyah Srinivasan, MD
Cardiovascular Disease Physician
NPI 1205835501
See commercial rates for Muthayyah Srinivasan, MDDarwin Brown, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1992751259
See commercial rates for Darwin Brown, M.D.Ellen Ferguson, D.O.
Family Medicine Physician
NPI 1770541518
See commercial rates for Ellen Ferguson, D.O.Dharmeshkumar Patel, M.D.
Family Medicine Physician
NPI 1902990336
See commercial rates for Dharmeshkumar Patel, M.D.Steven Storey, MD
Diagnostic Radiology Physician
NPI 1639371883
See commercial rates for Steven Storey, MDSource: 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 Emory Hillandale Hospital reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $628.1M | 403.7% |
| Inpatient | $252.3M | 162.2% |
| Outpatient | $375.8M | 241.5% |
| Contractual allowances and discounts | -$472.5M | -303.7% |
| Net patient revenue | $155.6M | 100.0% |
| Operating expenses | -$140.4M | -90.2% |
| Operating income from patient care | $15.2M | 9.8% |
| Other income | $9.9M | 6.3% |
| Net income | $25.1M | 16.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $43.2M | 6.9% |
| Medicaid (including managed care) | $74.3M | 11.8% |
| Other payers and self-pay | $510.7M | 81.3% |
| Total charges | $628.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. 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 Emory Hillandale Hospital's latest cost report.
9.8%
Operating margin
Operating income from patient care / net patient revenue
15.2%
Total margin
Net income / net patient revenue plus other income
16.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
55% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$47.72
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
174.3%
Return on assets
Net income for a year / total assets
359.3%
Return on equity
Net income for a year / fund balance
-7.11
Current ratio
Current assets / current liabilities
-7.74
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-805 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
610 days
Days in patient receivables
Net patient receivables / daily net patient revenue
16 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
11.49
Asset turnover
Total revenue for a year / total assets
15.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Emory Hillandale Hospital owned and owed at the end of its reporting period (Aug 2025), across all fund types: $14.4M in total assets and a $7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$306.1M | -2124.8% |
| Patient receivables, net | $260.2M | 1806.2% |
| Inventory | $1.8M | 12.7% |
| Total current assets | -$42.1M | -292.4% |
| Property and equipment, net of depreciation | $56.2M | 390.3% |
| Investments and other assets | $309,033 | 2.1% |
| Total assets | $14.4M | 100.0% |
| Current liabilities | $5.9M | 41.2% |
| Total liabilities | $7.4M | 51.5% |
| Fund balance (net assets) | $7M | 48.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Emory Hillandale Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$13.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$42.4M
Bad debt
Patient bills written off as uncollectible, at charges
$3.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$22M
Total unreimbursed and uncompensated care
15.7% 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 843574, amended. Hospitals report these figures themselves; they are not audited financial statements.
Emory Hillandale Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Aug 2020 | Aug 2021 | Aug 2022 | Aug 2023 | Aug 2024 | Aug 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $78.8M | $94.6M | $99.3M | $101.9M | $121.6M | $155.6M |
| Operating expenses | $76.3M | $92.1M | $116.1M | $116.2M | $119.4M | $140.4M |
| Operating margin | 3.1% | 2.6% | -16.9% | -14.0% | 1.8% | 9.8% |
| Net income | $3.4M | $11.1M | -$14.1M | -$14.1M | $5.6M | $25.1M |
| Total assets | $7.8M | $11.8M | -$4.2M | -$18.1M | -$11.3M | $14.4M |
| Discharges | 4,411 | 4,768 | 4,661 | 5,012 | 4,564 | 5,923 |
| Inpatient days | 23,459 | 22,792 | 24,215 | 24,440 | 23,296 | 26,983 |
| Medicare Advantage days | 4,921 | 6,723 | 7,893 | 8,504 | 8,181 | 10,521 |
| Beds | 90 | 90 | 90 | 90 | 90 | 90 |
| Employees (FTE) | 503 | 496 | 511 | 542 | 506 | 613 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Emory Hillandale 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 | $10.2M | $23.9M | $137.1M | 0.17 | 14,221 |
| Radiology-diagnostic | $5.8M | $18M | $145.7M | 0.12 | 12,335 |
| Operating room | $3.2M | $9.3M | $38.1M | 0.25 | 20,387 |
| Laboratory | $2.5M | $8.7M | $89.2M | 0.10 | 5,854 |
| Observation beds (non-distinct part | $5M | $7.7M | 0.65 | ||
| Respiratory therapy | $2.2M | $5M | $24.8M | 0.20 | 2,463 |
| Physical therapy | $2.4M | $4.7M | $12.7M | 0.37 | 6,357 |
| Radiation oncology | $431,108 | $3.7M | $4.9M | 0.74 | 13,292 |
| Drugs charged to patients | $3.5M | $50.2M | 0.07 | ||
| Impl. dev. charged to patients | $2.8M | $2.2M | 1.24 | ||
| Medical supplies charged to patient | $2.5M | $6.7M | 0.37 | ||
| Renal dialysis | $526,253 | $1.2M | $4.4M | 0.28 | 1,410 |
| Electrocardiology | $305,830 | $1M | $28.6M | 0.04 | 3,318 |
| Electroencephalography | $46,122 | $111,077 | $717,040 | 0.15 | 314 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14.7M | $36.5M | $46.5M | 0.78 | 50,706 |
| Intensive care unit | $3.7M | $8.6M | $28.5M | 0.30 | 5,489 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.5M | $26.5M | 85,732 | $40.95 | 10,952 |
| Employee benefits department | $17.9M | 957 | |||
| Pharmacy | $2.9M | $5.4M | 44,332 | $66.38 | 3,856 |
| Operation of plant | $2.1M | $4.7M | 56,296 | $36.50 | 62,710 |
| Nursing administration | $2.6M | $3.2M | 46,232 | $57.22 | 1,422 |
| Housekeeping | $1.4M | $2.3M | 62,140 | $23.04 | 3,330 |
| Dietary | $831,367 | $1.9M | 40,244 | $20.66 | 3,696 |
| Cap rel costs-bldg & fixt | $1.6M | 241,133 | |||
| Case management | $894,350 | $1.4M | 4,218 | ||
| Cap rel costs-mvble equip | $849,199 | ||||
| Central services & supply | $356,966 | $455,411 | 13,051 | $27.35 | 10,082 |
| Laundry & linen service | $352,628 | 9,045 | $19.64 | 950 | |
| Medical records & library | $327,929 | 19,261 | $46.43 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843574, amended. 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 Emory Hillandale Hospital for an inpatient stay.
1.51
Case mix index
Higher than 28% 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).
25.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
755
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 | 1.47 | 1.47 | 1.59 | 1.68 | 1.51 | 1.56 | 1.51 |
| Wage index | 0.931 | 0.939 | 0.936 | 0.983 | 0.992 | 0.970 | 0.997 |
| Readmissions adjustment | -0.39% | -0.34% | -0.19% | -0.04% | -0.01% | -0.23% | -0.50% |
| Value-based purchasing adjustment | -0.36% | +0.26% | +0.26% | -0.84% | -0.61% | +0.20% | +0.31% |
| Medicare inpatient stays | 902 | 902 | 745 | 661 | 656 | 561 | 755 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Emory Hillandale Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Dekalb Regional Health System
5% or greater direct ownership interest, 100%, since 2007
Emory Healthcare Inc
5% or greater indirect ownership interest, 100%, since 2018
Sources: CMS Hospital All Owners.
The officers and board members on Emory Hillandale 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 2 of 4 are shown.
340B drug pricing program
Not participating
340B ID DSH110226, registered as a disproportionate share hospital. Authorizing official: Lisa Urbistondo, Vice President & CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Emory Hillandale Hospital's rates and hospital price transparency.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Emory Hillandale Hospital range from $280 to $705 across 3 insurers. Cigna's rate is $705. The median at nearby comparable hospitals is $262. 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 Emory Hillandale Hospital range from $2,134 to $4,797 across 4 insurers. Blue Cross Blue Shield's rate is $2,134. The median at nearby comparable hospitals is $4,273. 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 Emory Hillandale Hospital range from $10,081 to $12,418 across 4 insurers. UnitedHealthcare's rate is $11,890. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Emory Hillandale Hospital range from $156 to $250 across 4 insurers. Cigna's rate is $228. The median at nearby comparable hospitals is $229. 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 Emory Hillandale Hospital range from $31,512 to $36,410 across 4 insurers. Aetna's rate is $33,537. The median at nearby comparable hospitals is $38,049. What a patient pays depends on their plan's deductible, coinsurance and network status.
Emory Hillandale Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Emory Hillandale Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Emory Hillandale Hospital's base inpatient payments by an estimated 0.50% 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 (75 discharges), heart failure and shock with mcc (58 discharges), red blood cell disorders without mcc (30 discharges).
Emory Hillandale Hospital's Medicare case mix index is 1.51 for fiscal year 2027, higher than 28% of hospitals paid under the inpatient prospective payment system.
Emory Hillandale Hospital reported 5,923 inpatient discharges and 26,983 inpatient days from Sep 1, 2024 to Aug 31, 2025.
Emory Hillandale Hospital reported 613 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.
Emory Hillandale Hospital reported $155.6M in net patient revenue on $628.1M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of 9.8%, and net income of $25.1M.
Emory Hillandale Hospital reported $22M of unreimbursed and uncompensated care for Sep 1, 2024 to Aug 31, 2025, including $13.3M of charity care at cost.
Insurers' price transparency files list Emory Hillandale Hospital under employer identification number 58-1966795 (Dekalb Medical Center INC). 49 health plans and networks list 58-1966795 for it.
HRSA's 340B database lists Emory Hillandale Hospital (340B ID DSH110226) as no longer participating since 2026.
467 clinicians who bill Medicare list Emory Hillandale Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (49), emergency medicine physician (45), internal medicine physician (43).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Emory Hillandale Hospital, effective 2023.
In its Medicare enrollment, Emory Hillandale Hospital reports Dekalb Regional Health System as 5% or greater direct ownership interest (100%).
CMS lists 26 services at Emory Hillandale Hospital, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Emory Hillandale Hospital came from ZIP codes 30058 (596), 30038 (384), 30034 (284).
Emory Hillandale Hospital has 90 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 84 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Emory Hillandale Hospital is located at 2801 Dekalb Medical Parkway, Lithonia, GA 30058. Its main phone number is (404) 501-8040.
Emory Hillandale Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110226.
The National Provider Identifier (NPI) on file for Emory Hillandale Hospital is 1962403865.
Emory Hillandale Hospital is affiliated with Emory Healthcare.
Emory Hillandale Hospital lists 34 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.
490 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