Cape Cod Healthcare · Falmouth, MA
4 of 5
CMS star rating
81
Beds
5,301
Inpatient discharges a year
$194.6M
Net patient revenue a year
36
In-network payers
Falmouth Hospital is an 81-bed voluntary non-profit - private hospital in Falmouth, MA, affiliated with Cape Cod Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 172 disclosed rate categories.
The 24 services Falmouth 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.
Gynecology
CPT 58558
$3,861 - $3,996
from 2 insurers · median $3,928
44 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$16,479 - $26,688
from 2 insurers · median $21,583
43 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,582 - $5,760
from 2 insurers · median $5,671
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
CT imaging
CPT 74177
$246 - $2,619
from 4 insurers · median $1,070
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$5,582 - $8,191
from 2 insurers · median $6,886
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
CPT 47562
$7,210 - $16,653
from 3 insurers · median $10,327
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$7,210 - $14,121
from 3 insurers · median $10,327
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$4,270 - $9,059
from 3 insurers · median $6,623
45 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$10,324 - $17,396
from 3 insurers · median $12,677
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$7,210 - $13,331
from 4 insurers · median $11,591
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$125 - $1,027
from 4 insurers · median $420
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$416 - $3,309
from 4 insurers · median $1,653
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$392 - $7,744
from 4 insurers · median $3,438
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$36 - $381
from 4 insurers · median $172
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$209 - $1,672
from 4 insurers · median $707
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$232 - $1,232
from 4 insurers · median $614
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $157
from 4 insurers · median $122
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,603 - $3,902
from 3 insurers · median $3,680
99 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 74183
$416 - $3,309
from 4 insurers · median $1,618
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$156 - $1,825
from 4 insurers · median $691
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,210 - $10,327
from 3 insurers · median $7,793
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$312 - $3,588
from 3 insurers · median $1,427
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$232 - $3,723
from 3 insurers · median $1,082
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$285 - $1,979
from 4 insurers · median $911
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* | 21 | 270% | 3 | 3 |
| Insurer B* | 22 | 221% | 12 | 1 |
| Insurer C* | 24 | 117% | 0 | 22 |
| Insurer D* | 13 | 106% | 5 | 7 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Falmouth 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
$194.6M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Falmouth 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 |
|---|---|---|
| 04-2220716Falmouth Hospital | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 53 more | 1336106806 Falmouth Hospital Association Inc1053379701 Cape Cod Healthcare Inc1255399903 Cape Cod Healthcare Incand 1 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.
100 Ter Heun Drive, Falmouth, MA 02540
(508) 548-5300
How Falmouth 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 7 measures
0 better, 7 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 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 10 measures
0 better, 9 no different, 1 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
71%
Lower than 49% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.18
Higher than 88% 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
160 min
Higher than 58% 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
84%
Higher than 91% 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 7 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 1 of 10 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 | 71% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.18 | 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 | 160 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 84% | 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 Falmouth Hospital's inpatient payments for its readmissions, quality and cost results.
-0.87% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.47% 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 Falmouth Hospital, beside the US median and the average of MA 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 | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 80 cases | 4.8 | 4.1 | 4.091 | Worse than 79% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,127 cases | 3.6 | 3.9 | 3.416 | Better than 69% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 123 cases | 10.7 | 11.8 | 11.44 | Better than 84% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.108 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 179 cases | 7.4 | 8.5 | 7.486 | Better than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 456 cases | 10.6 | 11 | 9.785 | Better than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 892 cases | 13.7 | 15.2 | 13.44 | Better than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 206 cases | 11.4 | 11.6 | 11.76 | Better than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,928 cases | 0.41 | 0.51 | 0.6721 | No Different Than the National Rate | Better than 65% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 38 cases | 180 | 173 | 175 | No Different Than the National Rate | Worse than 61% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,969 cases | 0.22 | 0.2 | 0.2083 | No Different Than the National Rate | Worse than 74% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 5,962 cases | 0.22 | 0.27 | 0.296 | No Different Than the National Rate | Better than 93% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 673 cases | 2.94 | 2.29 | 2.482 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 217 cases | 2.08 | 1.63 | 1.613 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 226 cases | 13.94 | 8.88 | 9.192 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 751 cases | 4.76 | 3.4 | 3.743 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 195 cases | 6.46 | 5.105 | 5.331 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 182 cases | 1.64 | 1.72 | 1.756 | No Different Than the National Rate | Better than 80% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 615 cases | 1.17 | 1.02 | 1.044 | No Different Than the National Rate | Worse than 79% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 65 cases | -8.7 | 4.2 | 18.16 | Better than 73% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 496 cases | 17.6 | 1.25 | 17.34 | Worse than 71% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 952 cases | 23.4 | 3.85 | 17.01 | Worse than 76% 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 · 2,543 cases | 12.6 | 12.9 | 12.66 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 30 cases | 9.9 | 10.7 | 10.92 | No Different Than the National Rate | Better than 75% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 30 cases | 5.3 | 5.3 | 5.182 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 618 cases | 1.1 | 1 | 0.9596 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 58 cases | 14.3 | 14.4 | 14.76 | Better than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.82 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 184 cases | 21.3 | 19.8 | 20.36 | Worse than 92% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 407 cases | 22 | 21.3 | 22.03 | Worse than 71% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 82 cases | 5.3 | 5.8 | 5.709 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 799 cases | 19 | 17.2 | 17.81 | Worse than 93% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2107 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.229 | 1.504 | 1.812 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 3,473 | 1,370 | 8,303 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.437 | 0.9835 | 8.287 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.273 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.4759 | No Different than 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 | 0.027 | 0.138 | 0.2845 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.633 | 1.392 | 1.932 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,210 | 1,799 | 7,314 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.873 | 1.377 | 8.986 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 5.818 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.534 | 0.399 | 0.6647 | No Different than National Benchmark | Worse than 63% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.684 | 0.2345 | 0.3618 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.196 | 2.135 | 2.379 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 78 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.857 | 1.591 | 3.928 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 3.531 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 2.154 | 0.7155 | 0.7845 | No Different than National Benchmark | Worse than 96% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4656 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.886 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 16 | 38 | 72.32 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.119 | 0.328 | 0.6066 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.7955 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.451 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.292 | 0.193 | 0.2428 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.746 | 1.855 | 2.383 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 25,097 | 14,451 | 69,453 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.15 | 0.567 | 4.799 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 3.018 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.739 | 0.597 | 0.6915 | No Different than National Benchmark | Worse than 95% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.032 | 0.127 | 0.2286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.635 | 0.747 | 0.9902 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 25,097 | 13,646 | 64,881 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 10.41 | 5.683 | 33.9 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 16.5 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.192 | 0.279 | 0.4375 | Better than the National Benchmark | Better than 63% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 531 cases | 76 | 73 | 69.54 | Better than 60% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 531 cases | 7 | 8 | 10.27 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 531 cases | 17 | 18 | 20.2 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 89 | 87 | 85.15 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 531 cases | 4 | 4 | 3.13 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 531 cases | 80 | 80 | 79.3 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 92 | 91 | 91.43 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 531 cases | 3 | 4 | 4.75 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 531 cases | 4 | 3 | 3.463 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 531 cases | 17 | 16 | 15.95 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 531 cases | 78 | 79 | 78.45 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 90 | 91 | 90.5 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 531 cases | 7 | 5 | 5.893 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 3 | 3.019 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 531 cases | 15 | 16 | 15.66 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 531 cases | 58 | 61 | 60.82 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 77 | 77 | 76.96 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 531 cases | 21 | 19 | 19.86 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 3 | 2.704 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 531 cases | 21 | 19 | 19.32 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 88 | 86 | 86.83 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 531 cases | 11 | 13 | 12.75 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 531 cases | 4 | 3 | 3.648 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 531 cases | 89 | 87 | 87.25 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 531 cases | 9 | 14 | 13.96 | Better than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 531 cases | 91 | 86 | 86.04 | Better than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 73 | 74 | 73.88 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 9 | 7 | 7.232 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 18 | 19 | 18.89 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 77 | 77 | 76.98 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 7 | 6 | 6.357 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 16 | 17 | 16.66 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 84 | 85 | 84.46 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 5 | 3 | 4.036 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 11 | 11 | 11.5 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 531 cases | 8 | 8 | 9.911 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 531 cases | 23 | 20 | 22.54 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 531 cases | 69 | 72 | 67.55 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 88 | 88 | 86.72 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 3 | 2.981 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 73 | 74 | 74.29 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 9 | 9 | 9.679 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 531 cases | 18 | 16 | 16.04 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 75 | 75 | 75.66 | Better than 48% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 5 | 5 | 6.125 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 531 cases | 20 | 20 | 18.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 78 | 77 | 77 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 3 | 4 | 4.946 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 531 cases | 19 | 19 | 18.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 86 | 86 | 85.23 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 3.125 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 531 cases | 12 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 45 | 59 | 47.63 | Worse than 90% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 15 | 9 | 17.7 | Worse than 79% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 531 cases | 40 | 31 | 34.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 75 | 82 | 74.48 | Worse than 84% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 531 cases | 2 | 3 | 2.111 | Worse than 76% 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 · 531 cases | 4 | 5 | 6.143 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 531 cases | 71 | 71 | 69.48 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 531 cases | 89 | 87 | 86.65 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 531 cases | 25 | 23 | 24.38 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 531 cases | 4 | 4 | 3.556 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 44 | 47 | 47.23 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 33 | 30 | 30.13 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 531 cases | 23 | 22 | 22.64 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 531 cases | 3 | 3 | 3.056 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 531 cases | 14 | 12 | 11.66 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 531 cases | 86 | 88 | 88.34 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | 9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.188 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,193 cases | 82 | 79 | 84.05 | Better than 54% 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 · 402 cases | 169 | 154 | 227 | Worse than 60% 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 · 367 cases | 160 | 148 | 219 | Worse than 58% 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 · 25 cases | 366 | 247 | 381 | Worse than 83% 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 · 12 cases | 299 | 293 | 358 | Worse than 52% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 33,435 cases | 1 | 1 | 3.981 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 17 cases | 82 | 74 | 69.39 | Better than 67% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 73 cases | 99 | 97 | 97.12 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 30.67 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,017 cases | 20 | 15 | 17.23 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 117 cases | 84 | 65 | 53.88 | Better than 91% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 90 | 73 | 63.72 | Better than 86% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 89 | 88 | 81.64 | Better than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 117 cases | 91 | 82 | 74.82 | Better than 85% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 70 cases | 97 | 94 | 90.31 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 148 cases | 98 | 98 | 97.42 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 81 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 142 cases | 96 | 94 | 93 | Better than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91.36 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 425 cases | 96 | 97 | 96.17 | Worse than 55% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.1 | 5 | 4.356 | Better than 60% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7 | 6.6 | 6.335 | Worse than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.99 | 0.99 | 0.9783 | Worse than 47% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 50 | 20 | 37.36 | Better than 89% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 12.5 | 5 | 9.341 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 15.42 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 3.854 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 25 | 34 | 33.06 | Worse than 68% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.25 | 8.75 | 8.266 | Worse than 68% of US hospitals | |
| VBP safety domain scoreFY 2026 | 58.33 | 40 | 34.38 | Better than 79% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.58 | 10 | 8.595 | Better than 78% of US hospitals | |
| VBP total performance scoreFY 2026 | 35.83 | 29.5 | 30.06 | Better than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 50 | 84 | 75 | 64 | 40 | 50 |
| VBP clinical outcomes weighted domain score | 12.5 | 21 | 18.75 | 16 | 10 | 12.5 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 0 | 30 | 20 | 10 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 0 | 7.5 | 5 | 2.5 |
| VBP person and community engagement domain score | 26 | Not Available | Not Available | 16 | 13 | 25 |
| VBP person and community engagement weighted domain score | 6.5 | Not Available | Not Available | 4 | 3.25 | 6.25 |
| VBP safety domain score | 15 | Not Available | Not Available | 15 | 0 | 58.33 |
| VBP safety weighted domain score | 3.75 | Not Available | Not Available | 3.75 | 0 | 14.58 |
| VBP total performance score | 27.75 | Not Available | Not Available | 31.25 | 18.25 | 35.83 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9988 | 0.9995 | 1.051 | Better than 51% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 202 cases | 1.024 | 0.9969 | 1.036 | Worse than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 487 cases | 1.045 | 0.9983 | 1.036 | Worse than 77% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.897 | 0.9916 | 1.008 | Better than 76% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 777 cases | 1.057 | 0.9955 | 1.046 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9673 | 1.01 | 1.08 | 1.055 | 0.9757 | 0.9988 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.008 | 0.9654 | 1.008 | 0.9619 | 0.9509 | 1.024 |
| READM-30-HF-HRRP | 0.8841 | 0.8786 | 0.9344 | 1.005 | 1.083 | 1.045 |
| READM-30-HIP-KNEE-HRRP | 0.9864 | 0.8607 | 0.812 | 0.7807 | 0.8237 | 0.897 |
| READM-30-PN-HRRP | 0.9265 | 0.9572 | 1.075 | 1.113 | 1.118 | 1.057 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Falmouth Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.778 | 0.489 | 0.7646 | Worse than 76% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.717 | 0.346 | 0.4801 | Worse than 88% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.6 | 0.559 | 0.683 | Worse than 54% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.945 | 0.6405 | 0.6605 | Worse than 74% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.176 | 0.9628 | 1.026 | Worse than 88% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.441 | 0.7945 | 0.9399 | Worse than 83% of US hospitals | |
| Total HAC scoreFY 2026 | 0.7823 | -0.0453 | 0.2232 | Worse than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | Yes | Yes | Yes |
| Total HAC score | 0.1207 | 0.6828 | 0 | 0.5902 | 0.9421 | 0.7823 |
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 2011)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
95
Medicare-certified beds
100
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Falmouth Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
5,301
Inpatient discharges
Medicare 61%, Medicaid 4%
23,024
Inpatient days
78% of available bed days used
569
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830419). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Falmouth Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 13,928 | 1,296 | 7,800 | 23,024 |
| Discharges | 3,246 | 228 | 1,827 | 5,301 |
| Average length of stay | 4.3 days | 5.7 days | 4.3 days | 4.3 days |
| Average daily census | 38.2 | 3.6 | 21.4 | 63.1 |
935
Medicaid managed care days
194 discharges
2,378
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 71 | 20,676 | 12,508 | 80% |
| Intensive care unit | 10 | 2,348 | 1,420 | 64% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Falmouth Hospital treats Medicare patients for most often, in 2024. 2,570 Medicare discharges in 64 published DRGs; 7% surgical; 73% 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 | 509 | $31,143 | $13,685 | $13,734 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 169 | $23,637 | $9,022 | $10,424 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 119 | $27,243 | $11,668 | $12,014 | 1.70 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 106 | $20,589 | $6,899 | $9,080 | 1.03 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 103 | $20,092 | $7,846 | $8,861 | 1.17 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 100 | $22,478 | $9,136 | $9,913 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 76 | $19,696 | $5,001 | $8,686 | 0.79 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 63 | $33,580 | $13,357 | $14,809 | 2.00 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 59 | $27,845 | $12,138 | $12,280 | 1.65 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 57 | $25,764 | $9,013 | $11,362 | 1.23 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $32,807 | $11,516 | $14,468 | 1.59 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $19,225 | $5,271 | $8,478 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 51 | $26,333 | $6,700 | $11,613 | 1.02 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 50 | $27,101 | $6,487 | $11,952 | 0.98 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 42 | $17,448 | $7,531 | $7,695 | 1.10 |
| Cellulitis without MCCMS-DRG 603, medical | 40 | $17,062 | $5,882 | $7,524 | 0.88 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $28,526 | $10,744 | $12,580 | 1.50 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $78,724 | $36,069 | $34,717 | 5.00 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 37 | $18,762 | $5,230 | $8,274 | 0.82 |
| Syncope and collapseMS-DRG 312, medical | 35 | $27,854 | $5,669 | $12,283 | 0.86 |
See all 64 Medicare inpatient DRGs at Falmouth 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) Falmouth Hospital billed Medicare for most in 2024: 1,694 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 471 | 449 | $18,977 | $2,297 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 172 | 156 | $6,875 | $1,371 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 152 | 150 | $29,860 | $12,396 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 124 | 123 | $21,588 | $6,121 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 99 | 94 | $9,920 | $2,768 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 97 | 92 | $10,914 | $1,647 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 66 | 61 | $9,258 | $1,634 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $22,538 | $4,852 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 57 | 55 | $12,802 | $4,424 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 51 | 51 | $14,875 | $2,724 | $2,405 |
See all 22 Medicare outpatient services at Falmouth 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 Falmouth Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,670 in 2020 to 2,890 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 02536 | 818 | 28% | 3,550 | $24.6M | 60% | 68% |
| 02649 | 563 | 19% | 2,548 | $17.4M | 44% | 48% |
| 02540 | 519 | 18% | 2,145 | $14.8M | 68% | 76% |
| 02532 | 249 | 9% | 1,078 | $7.8M | 26% | 31% |
| 02559 | 181 | 6% | 847 | $5.6M | 53% | 70% |
| 02556 | 163 | 6% | 683 | $4.9M | 66% | 69% |
| 02563 | 76 | 3% | 331 | $2.3M | 12% | 17% |
| 02553 | 51 | 2% | 248 | $1.5M | 82% | 75% |
| 02635 | 41 | 1% | 157 | $1.1M | 16% | 21% |
| 02534 | 38 | 1% | 169 | $1.1M | 100% | 67% |
| 02543 | 33 | 1% | 149 | $1.1M | 100% | 100% |
| 02574 | 30 | 1% | 93 | $758,481 | 100% | 100% |
| 02644 | 25 | 1% | 172 | $1M | 17% | 33% |
| 02360 | 24 | 1% | 101 | $677,189 | 1% | 0% |
| 02648 | 20 | 1% | 75 | $633,726 | 5% | 5% |
| 02537 | 17 | 1% | 55 | $471,940 | 5% | 7% |
| 02568 | 16 | 1% | 87 | $538,021 | 4% | |
| 02673 | 14 | 0% | 72 | $401,674 | 2% | |
| 02601 | 12 | 0% | 67 | $362,078 | 1% | 2% |
Source: CMS Hospital Service Area file. Shares are of the 2,890 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 Falmouth Hospital reported at its latest Medicare certification survey (1996). Counts are people, not full-time equivalents.
2
Off-site locations
100
Registered nurses
15
Licensed practical nurses
1
Nurse anesthetists (CRNAs)
5
Pharmacists
14
Respiratory therapists
5
Physical therapists
1
Speech pathologists and audiologists
2
Dietitians
3
Social workers
340
Other personnel
Source: CMS Provider of Services file.
517 clinicians who bill Medicare list Falmouth 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.
Victor Aviles, MD
Hematology & Oncology Physician
NPI 1275501645
See commercial rates for Victor Aviles, MDDavid Brown, MD
Rheumatology Physician
NPI 1225071962
See commercial rates for David Brown, MDBenjamin Levin, M.D.
Internal Medicine Physician
NPI 1356631436
See commercial rates for Benjamin Levin, M.D.Hannah Yamin, DO
Hematology & Oncology Physician
NPI 1841476934
See commercial rates for Hannah Yamin, DOJames Bleiler, MD
Urology Physician
NPI 1679539506
See commercial rates for James Bleiler, MDJohn Johnson, D.O.
Allergy & Immunology Physician
NPI 1043650641
See commercial rates for John Johnson, D.O.Emilio Melchionna, M.D.
Neurology Physician
NPI 1912908229
See commercial rates for Emilio Melchionna, M.D.Anit Patel, MD
Otolaryngic Allergy Physician
NPI 1982682860
See commercial rates for Anit Patel, MDJustin Cobis
Physician Assistant
NPI 1598108102
See commercial rates for Justin CobisEric Fortier, PA-C
Medical Physician Assistant
NPI 1447560743
See commercial rates for Eric Fortier, PA-CBernard Durante, MD
Otolaryngic Allergy Physician
NPI 1164400040
See commercial rates for Bernard Durante, MDPaul Dimond, M.D.
Orthopaedic Surgery Physician
NPI 1003881632
See commercial rates for Paul Dimond, M.D.Lara Baldasaro, PA
Orthopaedic Surgery Physician
NPI 1013001742
See commercial rates for Lara Baldasaro, PAXibei Jia, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI 1982024303
See commercial rates for Xibei Jia, MDSara Dalton, NP
Adult Health Nurse Practitioner
NPI 1194828244
See commercial rates for Sara Dalton, NPJose Reyes, M.D.
Urology Physician
NPI 1841455664
See commercial rates for Jose Reyes, M.D.Mark Wolfe, M.D.
Cardiovascular Disease Physician
NPI 1962500322
See commercial rates for Mark Wolfe, M.D.John Homa, D.O.
Urology Physician
NPI 1013994748
See commercial rates for John Homa, D.O.Hope Peters, MD
Diagnostic Radiology Physician
NPI 1790757193
See commercial rates for Hope Peters, MDJonathan Sunkin, M.D.
Orthopaedic Surgery Physician
NPI 1548325467
See commercial rates for Jonathan Sunkin, M.D.Matthew Rittel, M.D.
Internal Medicine Physician
NPI 1902864788
See commercial rates for Matthew Rittel, M.D.Helen Price, FNP-C
Family Medicine Physician
NPI 1306358791
See commercial rates for Helen Price, FNP-CPeter Crosson
Internal Medicine Physician
NPI 1952481095
See commercial rates for Peter CrossonDaniel Carr, M.D.
Diagnostic Radiology Physician
NPI 1801233507
See commercial rates for Daniel Carr, 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 Falmouth Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $560.3M | 288.0% |
| Inpatient | $170.2M | 87.5% |
| Outpatient | $390.1M | 200.5% |
| Contractual allowances and discounts | -$365.7M | -188.0% |
| Net patient revenue | $194.6M | 100.0% |
| Operating expenses | -$188.9M | -97.1% |
| Operating income from patient care | $5.6M | 2.9% |
| Other income | $17.4M | 9.0% |
| Investment income | $13.4M | 6.9% |
| Other | $4M | 2.1% |
| Net income | $23M | 11.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $194.9M | 37.1% |
| Medicaid (including managed care) | $52.8M | 10.1% |
| Other payers and self-pay | $277M | 52.8% |
| Total charges | $524.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, 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 Falmouth Hospital's latest cost report.
2.9%
Operating margin
Operating income from patient care / net patient revenue
10.9%
Total margin
Net income / net patient revenue plus other income
15.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$60.80
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.1%
Return on assets
Net income for a year / total assets
7.8%
Return on equity
Net income for a year / fund balance
0.47
Current ratio
Current assets / current liabilities
0.38
Quick ratio
Cash, temporary investments and net receivables / current liabilities
14 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
38 days
Days in patient receivables
Net patient receivables / daily net patient revenue
145 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.56
Asset turnover
Total revenue for a year / total assets
14.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Falmouth Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $378.2M in total assets and a $294.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $6.8M | 1.8% |
| Patient receivables, net | $20.2M | 5.4% |
| Inventory | $3.4M | 0.9% |
| Total current assets | $33.6M | 8.9% |
| Property and equipment, net of depreciation | $77.9M | 20.6% |
| Investments and other assets | $266.7M | 70.5% |
| Total assets | $378.2M | 100.0% |
| Current liabilities | $71.4M | 18.9% |
| Total liabilities | $83.4M | 22.1% |
| Fund balance (net assets) | $294.8M | 77.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Falmouth Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.4M
Bad debt
Patient bills written off as uncollectible, at charges
$5.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.9M
Total unreimbursed and uncompensated care
3.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$252,025
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Falmouth Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $155.8M | $158.7M | $172.1M | $178.6M | $181.8M | $194.6M |
| Operating expenses | $161.6M | $163.7M | $175.9M | $181M | $179.8M | $188.9M |
| Operating margin | -3.7% | -3.1% | -2.2% | -1.3% | 1.1% | 2.9% |
| Net income | $10.6M | $13.5M | -$28.5M | $15.4M | $37.3M | $23M |
| Total assets | $295.2M | $325.7M | $271.2M | $268.3M | $303.9M | $378.2M |
| Discharges | 5,381 | 5,092 | 4,772 | 4,902 | 5,286 | 5,301 |
| Inpatient days | 21,429 | 20,241 | 21,340 | 22,144 | 23,629 | 23,024 |
| Medicare Advantage days | 199 | 532 | ||||
| Beds | 81 | 81 | 81 | 81 | 81 | 81 |
| Employees (FTE) | 664 | 644 | 613 | 625 | 569 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Falmouth 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 | $13.4M | $20.6M | $94.2M | 0.22 | 29,183 |
| Radiology-diagnostic | $4.4M | $12M | $38.8M | 0.31 | 18,242 |
| Operating room | $2.9M | $9.8M | $36.4M | 0.27 | 10,452 |
| Drugs charged to patients | $9.2M | $14M | 0.65 | ||
| Laboratory | $2.4M | $7.7M | $39.2M | 0.20 | 5,316 |
| Impl. dev. charged to patients | $6.8M | $7.8M | 0.87 | ||
| Asc (non-distinct part) | $1.5M | $5.5M | $27.8M | 0.20 | 14,497 |
| Intravenous therapy | $296,343 | $4.9M | $8M | 0.61 | 724 |
| Recovery room | $2.3M | $4.7M | $4.2M | 1.13 | 1,690 |
| Physical therapy | $2M | $4.5M | $17.8M | 0.25 | 12,454 |
| Observation beds (non-distinct part | $4M | $21.5M | 0.19 | ||
| Medical supplies charged to patient | $3.9M | $5.1M | 0.77 | ||
| Clinic | $2.3M | $3.9M | $14.5M | 0.27 | 4,220 |
| Ct scan | $646,599 | $2.9M | $49.3M | 0.06 | 1,831 |
| Ultrasound | $838,028 | $2.7M | $18.7M | 0.14 | 7,542 |
| Respiratory therapy | $1.3M | $2.6M | $6.8M | 0.39 | 456 |
| Mri | $2.3M | $21.3M | 0.11 | 3,516 | |
| Electrocardiology | $643,167 | $1.3M | $19.9M | 0.07 | 1,487 |
| Cardiac catheterization | $395,130 | $1M | $3M | 0.35 | 4,135 |
| Electroencephalography | $324,937 | $1M | $3.8M | 0.26 | 1,946 |
| Blood storing processing & trans. | $922,009 | $4.9M | 0.19 | ||
| Radioisotope | $192,520 | $790,497 | $2.1M | 0.37 | 2,827 |
| Cardiac rehabilitation | $399,987 | $677,120 | $1.8M | 0.37 | |
| Speech pathology | $199,054 | $428,730 | $1M | 0.41 | 102 |
| Occupational therapy | $228,094 | $379,792 | $1.9M | 0.20 | 187 |
| Anesthesiology | $184,052 | $13.8M | 0.01 | 268 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.2M | $39.1M | $38.8M | 1.01 | 50,082 |
| Intensive care unit | $3.1M | $7.6M | $8.2M | 0.93 | 4,022 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.4M | $28.9M | 32,347 | $43.90 | 52,533 |
| Employee benefits department | $848,718 | $19M | 8,693 | $62.80 | |
| Cap rel costs-mvble equip | $5.8M | ||||
| Operation of plant | $1.9M | $5.3M | 51,464 | $36.81 | 41,918 |
| Cap rel costs-bldg & fixt | $5M | 392,876 | |||
| Social service | $2.9M | $3.3M | 38,325 | $75.52 | 1,577 |
| Housekeeping | $1.6M | $3M | 56,355 | $28.72 | 1,924 |
| Pharmacy | $1.7M | $2.1M | 28,876 | $59.02 | 2,464 |
| Nursing administration | $1.3M | $1.4M | 17,064 | $81.67 | 298 |
| Dietary | $1.4M | $1.2M | 24,142 | $28.29 | 4,891 |
| Cafeteria | $1.1M | 26,259 | $28.16 | ||
| Central services & supply | $763,491 | $1.1M | 24,249 | $31.89 | 3,945 |
| Medical records & library | $14,890 | $28,427 | 417 | $35.91 | 2,153 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830419, 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 Falmouth Hospital for an inpatient stay.
1.47
Case mix index
Higher than 24% 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).
12.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,232
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 | 1.54 | 1.54 | 1.58 | 1.56 | 1.56 | 1.52 | 1.47 |
| Wage index | 1.267 | 1.284 | 1.297 | 1.242 | 1.313 | 1.288 | 1.307 |
| Readmissions adjustment | -0.44% | -0.04% | -0.01% | -0.07% | -1.01% | -1.42% | -0.87% |
| Value-based purchasing adjustment | +0.28% | -0.22% | -0.22% | +0.18% | +0.97% | -0.37% | +0.47% |
| Medicare inpatient stays | 3,514 | 3,514 | 2,920 | 2,934 | 3,128 | 3,256 | 3,232 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Falmouth 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 17 of 18 are shown.
Helipad
Falmouth Hospital
FAA location ID MA37, a medical-use heliport 0.2 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Falmouth Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Falmouth Hospital range from $416 to $3,309 across 4 insurers. Aetna's rate is $1,468. The median at nearby comparable hospitals is $729. 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 Falmouth Hospital range from $246 to $2,619 across 4 insurers. Aetna's rate is $246. The median at nearby comparable hospitals is $1,074. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Falmouth Hospital range from $312 to $3,588 across 3 insurers. UnitedHealthcare's rate is $1,427. The median at nearby comparable hospitals is $2,035. 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 Falmouth Hospital range from $5,582 to $5,760 across 2 insurers. Blue Cross Blue Shield's rate is $5,582. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Falmouth Hospital range from $36 to $381 across 4 insurers. Cigna's rate is $234. The median at nearby comparable hospitals is $262. 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 Falmouth Hospital range from $16,479 to $26,688 across 2 insurers. UnitedHealthcare's rate is $16,479. The median at nearby comparable hospitals is $20,263. What a patient pays depends on their plan's deductible, coinsurance and network status.
Falmouth 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 Falmouth Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Falmouth Hospital's base inpatient payments by an estimated 0.87% 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 (509 discharges), heart failure and shock with mcc (169 discharges), respiratory infections and inflammations with mcc (119 discharges).
Falmouth Hospital's Medicare case mix index is 1.47 for fiscal year 2027, higher than 24% of hospitals paid under the inpatient prospective payment system.
Falmouth Hospital reported 5,301 inpatient discharges and 23,024 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Falmouth Hospital reported 569 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Falmouth Hospital reported $194.6M in net patient revenue on $560.3M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 2.9%, and net income of $23M.
Falmouth Hospital reported $6.9M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $1.3M of charity care at cost.
Falmouth Hospital's Medicare enrollment lists Michael K Lauf as President And CEO since 2020.
Insurers' price transparency files list Falmouth Hospital under employer identification number 04-2220716 (Falmouth Hospital). 58 health plans and networks list 04-2220716 for it.
517 clinicians who bill Medicare list Falmouth Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (74), family nurse practitioner (43), family medicine physician (32).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Falmouth Hospital, effective 2011.
CMS lists 24 services at Falmouth Hospital, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Falmouth Hospital came from ZIP codes 02536 (818), 02649 (563), 02540 (519).
Falmouth Hospital has 81 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 95 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Falmouth Hospital is located at 100 Ter Heun Drive, Falmouth, MA 02540. Its main phone number is (508) 548-5300.
Falmouth Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 220135.
The National Provider Identifier (NPI) on file for Falmouth Hospital is 1336106806.
Falmouth Hospital is affiliated with Cape Cod Healthcare.
Falmouth Hospital lists 36 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
172 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