Canton, IL
3 of 5
CMS star rating
80
Beds
916
Inpatient discharges a year
$87.1M
Net patient revenue a year
32
In-network payers
Graham Hospital Association is an 80-bed voluntary non-profit - private hospital in Canton, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 181 disclosed rate categories.
The 24 services Graham Hospital Association 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
$2,516 - $6,264
from 3 insurers · median $5,856
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
Medicine & Surgery · Inpatient
MS-DRG 470
$12,763 - $18,190
from 2 insurers · median $15,476
40 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$5,089 - $8,634
from 2 insurers · median $6,862
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
CT imaging
CPT 74177
$319 - $2,474
from 4 insurers · median $789
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,516 - $6,264
from 3 insurers · median $5,856
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
Cardiology and vascular testing
CPT 93306
$668 - $2,300
from 4 insurers · median $914
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$400 - $4,502
from 4 insurers · median $3,130
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$117 - $773
from 4 insurers · median $289
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$19,352 - $34,930
from 2 insurers · median $27,141
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 71275
$649 - $907
from 4 insurers · median $826
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$203 - $1,475
from 4 insurers · median $610
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$79 - $283
from 4 insurers · median $144
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$11,547 - $23,113
from 2 insurers · median $17,330
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70553
$372 - $1,544
from 4 insurers · median $738
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,300 - $2,314
from 4 insurers · median $1,643
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$792 - $1,698
from 4 insurers · median $1,309
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$395 - $985
from 4 insurers · median $844
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,857 - $11,700
from 2 insurers · median $11,279
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 72197
$1,056 - $1,698
from 4 insurers · median $1,452
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$719 - $903
from 3 insurers · median $808
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$31 - $110
from 3 insurers · median $74
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$423 - $793
from 4 insurers · median $671
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$273 - $630
from 4 insurers · median $532
Common here, based on CMS Medicare volume
Urology
CPT 50590
$1,226 - $1,495
from 3 insurers · median $1,239
43 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
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 | 312% | 2 | 8 |
| Insurer B* | 20 | 270% | 2 | 15 |
| Insurer C* | 17 | 162% | 1 | 15 |
| Insurer D* | 23 | 104% | 2 | 18 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Graham Hospital Association, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
No Medicare-funded residents
Finances
$87.1M net patient revenue
Ownership and leadership
Robert Senneff, chief executive
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Graham Hospital Association 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 |
|---|---|---|
| 37-0673506Graham Medical Group | 52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 47 more | 1780692087 Graham Hospital Association1114938859 Graham Hospital Association1134236748 Graham Hospital Associationand 27 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.
210 West Walnut Street, Canton, IL 61520
(309) 647-5240
How Graham Hospital Association compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
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
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 7 measures
0 better, 6 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
58%
Lower than 89% 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)
0.88
Lower than 79% 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
121 min
Lower than 73% 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
41%
Lower 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 | 3 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 1 of 7 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 | 58% | 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) | 0.88 | 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 | 121 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 41% | 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 Graham Hospital Association's inpatient payments for its readmissions, quality and cost results.
-0.30% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
-0.26% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Each result CMS publishes for Graham Hospital Association, beside the US median and the average of IL 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 | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 41 cases | 3.9 | 4.1 | 4.202 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 545 cases | 5 | 3.9 | 4.052 | Worse than 89% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.78 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 41 cases | 9.7 | 8.5 | 8.223 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 91 cases | 12.7 | 11 | 10.49 | Worse than 80% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 141 cases | 17.6 | 15.2 | 15.41 | Worse than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 27 cases | 23.5 | 11.6 | 11.77 | Worse than 99% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 963 cases | 0.42 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 63% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,200 cases | 0.2 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,147 cases | 0.26 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 237 cases | 2.58 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 132 cases | 1.65 | 1.63 | 1.67 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 130 cases | 8.07 | 8.88 | 9.531 | No Different Than the National Rate | Better than 69% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 247 cases | 3.18 | 3.4 | 3.714 | No Different Than the National Rate | Better than 69% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 120 cases | 5 | 5.105 | 5.152 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 55 cases | 1.74 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 156 cases | 1.01 | 1.02 | 1.045 | No Different Than the National Rate | Better than 53% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 92 cases | 49.5 | 1.25 | 8.216 | Worse than 92% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 125 cases | 24.4 | 3.85 | 13.94 | 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 · 507 cases | 15 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 181 cases | 1.3 | 1 | 1.016 | No Different than expected | Worse than 97% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 50 cases | 20.4 | 19.8 | 20.07 | Worse than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 113 cases | 21.8 | 21.3 | 21.51 | Worse than 65% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 29 cases | 5.9 | 5.8 | 5.976 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 149 cases | 17.8 | 17.2 | 17.5 | Worse than 70% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.315 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 396 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.241 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,627 | 1,799 | 3,807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.822 | 1.377 | 4.51 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5759 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 34 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.919 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 47 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.413 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.72 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1945 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 6,323 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.252 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.018 | 0.127 | 0.1833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.745 | 0.747 | 1.212 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,972 | 13,646 | 35,800 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.826 | 5.683 | 19.22 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 7.192 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.354 | 0.279 | 0.4067 | No Different than National Benchmark | Worse than 61% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 172 cases | 70 | 73 | 72.75 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 172 cases | 8 | 8 | 9.158 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 172 cases | 22 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 87 | 87 | 85.64 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 172 cases | 4 | 4 | 3.195 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 172 cases | 75 | 80 | 79.29 | Worse than 78% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 89 | 91 | 90.92 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 172 cases | 7 | 4 | 4.576 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 172 cases | 2 | 3 | 3.305 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 172 cases | 18 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 172 cases | 79 | 79 | 78.82 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 91 | 91 | 90.1 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 172 cases | 3 | 5 | 5.823 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 172 cases | 3 | 3 | 2.89 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 172 cases | 18 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 172 cases | 52 | 61 | 61.18 | Worse than 93% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 72 | 77 | 76.11 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 172 cases | 23 | 19 | 19.8 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 172 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 172 cases | 25 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 85 | 86 | 85.26 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 172 cases | 15 | 13 | 13.92 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 172 cases | 3 | 3 | 3.237 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 172 cases | 85 | 87 | 86.08 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 172 cases | 16 | 14 | 14.8 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 172 cases | 84 | 86 | 85.2 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 73 | 74 | 73.24 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 6 | 7 | 7.369 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 21 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 76 | 77 | 76.95 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 3 | 6 | 6.199 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 21 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 88 | 85 | 84.2 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 2 | 3 | 3.979 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 10 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 172 cases | 9 | 8 | 8.937 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 172 cases | 26 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 172 cases | 65 | 72 | 70.19 | Worse than 75% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 86 | 88 | 87.19 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 172 cases | 3 | 3 | 3.136 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 172 cases | 64 | 74 | 73.94 | Worse than 96% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 172 cases | 13 | 9 | 9.858 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 172 cases | 23 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 67 | 75 | 74.61 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 9 | 5 | 5.915 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 172 cases | 24 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 76 | 77 | 76.32 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 6 | 4 | 4.894 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 172 cases | 18 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 81 | 86 | 84.9 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 5 | 3 | 3.085 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 172 cases | 14 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 172 cases | 47 | 59 | 59.03 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 172 cases | 18 | 9 | 10.03 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 172 cases | 35 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 75 | 82 | 81.16 | Worse than 84% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 172 cases | 2 | 3 | 3.237 | 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 · 172 cases | 6 | 5 | 6.753 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 172 cases | 58 | 71 | 68.65 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 172 cases | 83 | 87 | 85.89 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 172 cases | 36 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 172 cases | 3 | 4 | 3.458 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 172 cases | 40 | 47 | 46.95 | Worse than 85% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 172 cases | 33 | 30 | 30.69 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 172 cases | 27 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 172 cases | 3 | 3 | 3.119 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 172 cases | 13 | 12 | 13.09 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 172 cases | 87 | 88 | 86.91 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.114 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,028 cases | 98 | 79 | 83.65 | Better than 96% 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 · 406 cases | 126 | 154 | 183 | Better than 74% 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 · 374 cases | 121 | 148 | 175 | Better than 73% 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 · 11 cases | 196 | 247 | 304 | Better than 70% 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 · 21 cases | 274 | 293 | 315 | Better than 59% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 13,508 cases | 2 | 1 | 2.469 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 17 cases | 71 | 74 | 78.84 | Worse than 55% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 95 cases | 100 | 97 | 94.09 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 507 cases | 17 | 15 | 15.81 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 167 cases | 41 | 65 | 62.57 | Worse than 91% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 58 cases | 57 | 73 | 71.03 | Worse than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 74 | 88 | 85.26 | Worse than 83% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 167 cases | 62 | 82 | 79.02 | Worse than 95% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 96 | 94 | 92.05 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.02 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 695 cases | 88 | 90 | 81.77 | Worse than 54% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 398 cases | 94 | 97 | 94.61 | Worse than 68% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.9 | 5 | 6.493 | Worse than 60% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.8 | 6.6 | 7.806 | Worse than 64% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.93 | 0.99 | 0.9996 | Better than 78% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 28.09 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.071 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 13.71 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 3.521 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 48 | 34 | 34.29 | Better than 72% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 12 | 8.75 | 8.88 | Better than 72% of US hospitals | |
| VBP safety domain scoreFY 2026 | 5 | 40 | 36.66 | Worse than 97% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 1.25 | 10 | 9.377 | Worse than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 23.25 | 29.5 | 28.2 | Worse than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 30 | 42.5 | 26.67 | 10 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 10 | 10.63 | 6.667 | 2.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 30 | 10 | 50 | 40 |
| VBP efficiency and cost reduction weighted domain score | 20 | Not Available | 7.5 | 2.5 | 12.5 | 10 |
| VBP person and community engagement domain score | 36 | Not Available | Not Available | 18 | 28 | 48 |
| VBP person and community engagement weighted domain score | 12 | Not Available | Not Available | 4.5 | 7 | 12 |
| VBP safety domain score | Not Available | Not Available | Not Available | 25 | 0 | 5 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 6.25 | 0 | 1.25 |
| VBP total performance score | 42 | Not Available | Not Available | 15.75 | 19.5 | 23.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9992 | 0.9969 | 1.009 | Worse than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 86 cases | 1.034 | 0.9983 | 1.013 | Worse than 72% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8297 | 0.9916 | 1.055 | Better than 90% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 106 cases | 0.968 | 0.9955 | 1.018 | Better than 69% 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 | 1.002 | 1.042 | 1.057 | 1.063 | 1.042 | 0.9992 |
| READM-30-HF-HRRP | 1.083 | 1.057 | 1.079 | 1.06 | 1.067 | 1.034 |
| READM-30-HIP-KNEE-HRRP | 1.069 | 1.07 | 1.071 | 1.036 | 0.8948 | 0.8297 |
| READM-30-PN-HRRP | 0.9713 | 1.006 | 1.024 | 1.02 | 0.9935 | 0.968 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Graham Hospital Association | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.246 | 0.489 | 0.5958 | Worse than 91% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.951 | 0.346 | 0.436 | Worse than 95% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7638 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6364 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8803 | 0.9628 | 0.9883 | Better than 79% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.516 | 0.7945 | 0.9041 | Better than 68% of US hospitals | |
| Total HAC scoreFY 2026 | 0.6376 | -0.0453 | 0.07842 | Worse than 85% 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 | Yes | Yes |
| Total HAC score | -0.179 | -0.1374 | 0 | 0.1066 | 0.9766 | 0.6376 |
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.
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Graham Hospital Association reported to Medicare in its latest cost report, covering Jul 1, 2025 to Feb 8, 2026.
916
Inpatient discharges
Medicare 30%, Medicaid 19%
3,394
Inpatient days
35% of available bed days used
532
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 840695). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Graham Hospital Association reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,042 | 566 | 1,786 | 3,394 |
| Discharges | 272 | 171 | 473 | 916 |
| Average length of stay | 3.8 days | 3.3 days | 3.8 days | 3.7 days |
| Average daily census | 4.7 | 2.5 | 8.0 | 15.2 |
982
Medicare Advantage days
248 discharges
68
Medicaid managed care days
664
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 33 | 2,837 | 937 | 39% |
| Intensive care unit | 10 | 316 | 105 | 14% |
| Nursery | 241 | |||
| Skilled nursing facility | 20 | 1,098 | 491 | 25% |
| Nursing facility | 17 | 3,454 | 91% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Graham Hospital Association treats Medicare patients for most often, in 2024. 214 Medicare discharges in 10 published DRGs; 0% surgical; 67% 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 | 71 | $46,138 | $15,393 | $15,872 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 38 | $28,916 | $10,296 | $9,947 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $19,082 | $5,955 | $6,564 | 0.81 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $24,584 | $7,629 | $8,457 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 13 | $91,102 | $22,087 | $31,339 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $33,969 | $9,898 | $11,685 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $26,097 | $5,870 | $8,977 | 0.79 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 11 | $25,859 | $10,394 | $8,896 | 1.33 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $31,053 | $7,888 | $10,682 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $19,047 | $6,114 | $6,552 | 0.78 |
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) Graham Hospital Association billed Medicare for most in 2024: 528 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Urology and Related ServicesAPC 5373 | 80 | 74 | $11,203 | $1,605 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 76 | 72 | $17,212 | $2,101 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 62 | 58 | $3,479 | $506 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 43 | 31 | $15,163 | $2,740 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 43 | 40 | $18,887 | $4,081 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 39 | 38 | $9,581 | $1,390 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 37 | 37 | $30,089 | $4,547 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 30 | 28 | $61,250 | $10,608 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 27 | 25 | $8,600 | $1,279 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 27 | 26 | $17,936 | $2,550 | $2,373 |
See all 14 Medicare outpatient services at Graham Hospital Association
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 Graham Hospital Association 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 963 in 2020 to 796 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 61520 | 462 | 58% | 2,010 | $18.4M | 56% | 64% |
| 61542 | 110 | 14% | 406 | $3.5M | 59% | 57% |
| 61427 | 52 | 7% | 168 | $1.4M | 52% | 79% |
| 61531 | 40 | 5% | 149 | $1.5M | 30% | 38% |
| 62644 | 38 | 5% | 135 | $1.4M | 17% | 18% |
| 61563 | 24 | 3% | 72 | $733,377 | 52% | 50% |
| 61477 | 17 | 2% | 83 | $762,739 | 100% | 100% |
| 61432 | 15 | 2% | 68 | $689,881 | 58% | |
| 61501 | 14 | 2% | 58 | $399,077 | 47% | 23% |
| 61544 | 13 | 2% | 49 | $411,871 | 28% | 29% |
| 61441 | 11 | 1% | 45 | $532,378 | 100% | 60% |
Source: CMS Hospital Service Area file. Shares are of the 796 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
143 clinicians who bill Medicare list Graham Hospital Association 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.
Paul Fishkin, MD
Hematology & Oncology Physician
NPI 1063411379
See commercial rates for Paul Fishkin, MDGloria Riley, NP
Nurse Practitioner
NPI 1841463486
See commercial rates for Gloria Riley, NPJames Williams, MD
Orthopaedic Hand Surgery Physician
NPI 1104812155
See commercial rates for James Williams, MDRobert Sparrow, MD
Nephrology Physician
NPI 1134259781
See commercial rates for Robert Sparrow, MDNaveen Chapa, MD
Diagnostic Radiology Physician
NPI 1649479650
See commercial rates for Naveen Chapa, MDKeattiyoat Wattanakit, MD
Cardiovascular Disease Physician
NPI 1407821077
See commercial rates for Keattiyoat Wattanakit, MDJoseph Sarmiento, MD
Clinical Cardiac Electrophysiology Physician
NPI 1588691877
See commercial rates for Joseph Sarmiento, MDAlexander Alonso, M.D.
Nephrology Physician
NPI 1124152707
See commercial rates for Alexander Alonso, M.D.Scott Grossberg, MD
Diagnostic Radiology Physician
NPI 1801831078
See commercial rates for Scott Grossberg, MDElizabeth Kuntz, MD
Diagnostic Radiology Physician
NPI 1982677159
See commercial rates for Elizabeth Kuntz, MDEdrick Ferguson, M.D.
Diagnostic Radiology Physician
NPI 1659365872
See commercial rates for Edrick Ferguson, M.D.Samuel Selasie Mortoti, MBCHB
Cardiovascular Disease Physician
NPI 1154588762
See commercial rates for Samuel Selasie Mortoti, MBCHBMark Hsu, MD
Cardiovascular Disease Physician
NPI 1376573428
See commercial rates for Mark Hsu, MDMartin Kuntz, MD
Diagnostic Radiology Physician
NPI 1346220522
See commercial rates for Martin Kuntz, MDKavitha Kalvakuri, M.D.
Advanced Heart Failure and Transplant Cardiology Physician
NPI 1780811513
See commercial rates for Kavitha Kalvakuri, M.D.Marco Barzallo, M.D.
Cardiovascular Disease Physician
NPI 1316971823
See commercial rates for Marco Barzallo, M.D.Ashvarya Mangla, MD
Interventional Cardiology Physician
NPI 1457580680
See commercial rates for Ashvarya Mangla, MDJames Hlubocky, M.D.
Diagnostic Radiology Physician
NPI 1235441635
See commercial rates for James Hlubocky, M.D.Anthony Horinek, MD
Nephrology Physician
NPI 1609907195
See commercial rates for Anthony Horinek, MDKate Willhardt, APN
Nurse Practitioner
NPI 1619621604
See commercial rates for Kate Willhardt, APNAmeer Musa, MD
Interventional Cardiology Physician
NPI 1861876518
See commercial rates for Ameer Musa, MDMonika Prost, MD
Diagnostic Radiology Physician
NPI 1265409122
See commercial rates for Monika Prost, MDErin Martin, MD
Family Medicine Physician
NPI 1457573818
See commercial rates for Erin Martin, MDLihui Yang, APN
Nurse Practitioner
NPI 1104556919
See commercial rates for Lihui Yang, APNSource: 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 Graham Hospital Association reported to Medicare for Jul 1, 2025 to Feb 8, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $220.3M | 252.8% |
| Inpatient | $36.5M | 41.8% |
| Outpatient | $183.9M | 211.0% |
| Contractual allowances and discounts | -$133.2M | -152.8% |
| Net patient revenue | $87.1M | 100.0% |
| Operating expenses | -$91.4M | -104.9% |
| Operating income from patient care | -$4.3M | -4.9% |
| Other income | $16.1M | 18.4% |
| Contributions and donations | $8,421 | 0.0% |
| Investment income | $6.5M | 7.5% |
| Other | $9.5M | 10.9% |
| Net income | $11.8M | 13.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $33.4M | 16.2% |
| Medicaid (including managed care) | $43.2M | 20.9% |
| Other payers and self-pay | $129.6M | 62.9% |
| Total charges | $206.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, 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 Graham Hospital Association's latest cost report, which covers 223 days; income and expense figures are scaled to a year.
-4.9%
Operating margin
Operating income from patient care / net patient revenue
11.4%
Total margin
Net income / net patient revenue plus other income
16.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.47
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.2%
Return on assets
Net income for a year / total assets
9.2%
Return on equity
Net income for a year / fund balance
0.35
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.70
Current ratio
Current assets / current liabilities
1.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
12 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
65 days
Days in patient receivables
Net patient receivables / daily net patient revenue
76 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.54
Asset turnover
Total revenue for a year / total assets
10.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Graham Hospital Association owned and owed at the end of its reporting period (Feb 2026), across all fund types: $312.6M in total assets and a $209.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $4.6M | 1.5% |
| Patient receivables, net | $25.2M | 8.1% |
| Inventory | $3.3M | 1.1% |
| Total current assets | $50M | 16.0% |
| Property and equipment, net of depreciation | $119.3M | 38.2% |
| Investments and other assets | $143.4M | 45.9% |
| Total assets | $312.6M | 100.0% |
| Current liabilities | $29.4M | 9.4% |
| Long-term debt | $73.6M | 23.5% |
| Total liabilities | $103M | 33.0% |
| Fund balance (net assets) | $209.6M | 67.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Graham Hospital Association provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2M
Bad debt
Patient bills written off as uncollectible, at charges
$6.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$9M
Total unreimbursed and uncompensated care
9.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Graham Hospital Association's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $90.1M | $93.9M | $101.9M | $105M | $117.3M | $127.5M |
| Operating expenses | $97.4M | $106.1M | $109M | $109.9M | $130.6M | $135.7M |
| Operating margin | -8.1% | -13.0% | -7.0% | -4.7% | -11.3% | -6.4% |
| Net income | $804,775 | $28.7M | -$8.1M | $15.1M | $5.1M | $12.4M |
| Total assets | $226.4M | $248.4M | $233M | $261.5M | $285.5M | $300.4M |
| Discharges | 1,919 | 1,855 | 1,824 | 1,633 | 1,652 | 1,699 |
| Inpatient days | 7,257 | 7,126 | 7,779 | 6,664 | 6,768 | 6,404 |
| Medicare Advantage days | 893 | 1,267 | 1,922 | 1,739 | 1,896 | 2,159 |
| Beds | 81 | 81 | 81 | 81 | 80 | 80 |
| Employees (FTE) | 454 | 452 | 460 | 473 | 306 | 561 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Graham Hospital Association 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 |
|---|---|---|---|---|---|
| Rural health clinic | $12.8M | $21.3M | $21.3M | 1.00 | 58,491 |
| Operating room | $1.6M | $6.4M | $30.4M | 0.21 | 19,515 |
| Laboratory | $1.5M | $5.6M | $31.3M | 0.18 | 13,286 |
| Drugs charged to patients | $3.1M | $7.7M | 0.40 | ||
| Radiology-diagnostic | $929,157 | $3M | $17.1M | 0.18 | 6,246 |
| Rural health clinic iv | $2.9M | $1.5M | 1.93 | ||
| Emergency | $2M | $2.9M | $22.2M | 0.13 | 11,722 |
| Physical therapy | $1.2M | $2.3M | $8M | 0.29 | 8,777 |
| Rural health clinic v | $2.3M | $1.8M | 1.29 | ||
| Impl. dev. charged to patients | $1.7M | $4.3M | 0.38 | ||
| Rural health clinic vi | $1.6M | $1.6M | 0.99 | ||
| Durable medical equip-rented | $443,915 | $1.5M | $3.2M | 0.49 | 151 |
| Observation beds (non-distinct part | $1.5M | $2.7M | 0.56 | ||
| Respiratory therapy | $419,340 | $958,288 | $3.7M | 0.26 | 2,273 |
| Wound clinic | $582,990 | $900,630 | $2.8M | 0.32 | 4,173 |
| Rural health clinic ii | $746,547 | $546,246 | 1.37 | ||
| Cardiac rehabilitation | $215,559 | $701,568 | $1.3M | 0.53 | 8,590 |
| Medical supplies charged to patient | $685,472 | $2.7M | 0.26 | ||
| Galebsurg a | $516,410 | $86,621 | 5.96 | ||
| Ct scan | $483,265 | $16.8M | 0.03 | 6,158 | |
| Rural health clinic iii | $292,373 | $170,901 | 1.71 | ||
| Rural health clinic viii | $287,615 | $155,903 | 1.84 | ||
| Rural health clinic ix | $286,196 | $123,987 | 2.31 | ||
| Mri | $58,639 | $272,293 | $5.7M | 0.05 | 2,091 |
| Galebsurg c and south | $219,604 | $957,995 | 0.23 | ||
| Anesthesiology | $1.7M | $60,110 | $6.9M | 0.01 | 305 |
| Delivery room & labor room | $56,992 | $531,936 | 0.11 | 538 | |
| Rural health clinic vii | $55,279 | $1,500 | 36.85 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.8M | $7.9M | $7.5M | 1.06 | 21,624 |
| Nursing facility | $600,283 | $1.8M | $756,108 | 2.37 | 5,241 |
| Skilled nursing facility | $491,929 | $1.4M | $663,120 | 2.17 | 5,847 |
| Intensive care unit | $589,497 | $1.3M | $1.5M | 0.88 | 2,875 |
| Nursery | $66,039 | $202,365 | 0.33 | 896 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $7M | $11.2M | 189,598 | $36.84 | 33,856 |
| Employee benefits department | $181,262 | $10M | 5,916 | $30.64 | 1,433 |
| Cap rel costs-bldg & fixt | $3.5M | 350,962 | |||
| Operation of plant | $765,063 | $2.4M | 28,969 | $26.41 | 30,856 |
| Cap rel costs-mvble equip | $1.7M | ||||
| Housekeeping | $787,985 | $1.1M | 33,514 | $22.33 | 7,573 |
| Medical records & library | $500,518 | $609,459 | 19,859 | $25.20 | 5,627 |
| Nursing program | $494,119 | $601,515 | 30,914 | ||
| Nursing administration | $487,693 | $576,092 | 11,046 | $44.15 | 2,724 |
| Pharmacy | $578,229 | $553,120 | 13,123 | $44.06 | 6,506 |
| Cafeteria | $512,084 | 17,182 | $24.84 | 7,849 | |
| Central services & supply | $331,554 | $482,540 | 12,712 | $26.08 | 3,817 |
| Dietary | $681,651 | $274,965 | 10,263 | $24.84 | 4,690 |
| Laundry & linen service | $4,275 | $253,583 | 1,962 | $22.33 | 6,546 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840695, 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 Graham Hospital Association for an inpatient stay.
1.49
Case mix index
Higher than 25% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
21.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
572
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 1.29 | 1.29 | 1.41 | 1.54 | 1.43 | 1.49 |
| Wage index | 0.862 | 0.844 | 0.846 | 0.976 | 1.071 | 1.081 |
| Readmissions adjustment | -1.29% | -0.73% | -0.80% | -0.84% | -0.61% | -0.30% |
| Value-based purchasing adjustment | +0.40% | +0.69% | +0.69% | -0.66% | -0.50% | -0.26% |
| Medicare inpatient stays | 923 | 923 | 754 | 722 | 643 | 572 |
Source: CMS IPPS final rule Impact File (FY 2026).
The officers and board members on Graham Hospital Association's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
| Name | Title |
|---|---|
| Robert Senneff | President/ceo |
| Julie Reeder | VP Finance/cfo |
| Holly Henline | VP Ancillary/cco |
| Allison Sours | President/ceo |
| Michelle Daly | VP Clinic Services |
| Teresa Mcconkey | VP Patient Services |
| Mike Renner | Chairman (thru December 2024) |
| Kevin Meade | Chairman |
| Terry Moss | Vice Chairman |
| Bill Carlberg | Treasurer |
| Janis Blout | Secretary |
Board members: Erin Bailey MD, Laura Fidler, Paula Grigsby, Anne Hollis, Sarah Keefer, Kenneth Krock MD, Janet Krulac, Dan'L Lee, Joshua Miller, Val Ramirez, Chuck Taylor.
Source: IRS Form 990 Part VII filed by Graham Hospital Association (EIN 37-0673506), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID SCH140001-00, registered as a sole community hospital. Authorizing official: Holly Henline, VP Of Ancillary Services & Corporate Compliance Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Graham hospital association ecf
CCN 145572, certified 1987, Medicare prospective payment
Graham hospital association ecf
CCN 145572, certified 1987
Graham medical group - lewistown
CCN 143493, certified 2008, Medicare cost reimbursed
Graham medical group - elmwood
CCN 148603, certified 2019, Medicare cost reimbursed
Graham medical group - williamsfield
CCN 148636, certified 2023, Medicare cost reimbursed
Graham medical group - ambulatory ca
CCN 148659, certified 2024, Medicare cost reimbursed
Graham medical group - macomb bushne
CCN 148660, certified 2024, Medicare cost reimbursed
Gmg convenient care
CCN 148661, certified 2024, Medicare cost reimbursed
Graham medical group - galesburg
CCN 148662, certified 2024, Medicare cost reimbursed
Graham medical group glasford
CCN 148672, certified 2024, Medicare cost reimbursed
Graham medical group - south prim &
CCN 148678, certified 2025, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Graham Hospital Association's latest Medicare cost report (HCRIS).
About Graham Hospital Association's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Graham Hospital Association range from $372 to $1,544 across 4 insurers. UnitedHealthcare's rate is $372. The median at nearby comparable hospitals is $2,261. 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 Graham Hospital Association range from $319 to $2,474 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $711. The median at nearby comparable hospitals is $1,506. 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 Graham Hospital Association range from $719 to $903 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $903. The median at nearby comparable hospitals is $4,995. 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 Graham Hospital Association range from $2,516 to $6,264 across 3 insurers. Aetna's rate is $6,264. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Graham Hospital Association range from $79 to $283 across 4 insurers. Cigna's rate is $126. The median at nearby comparable hospitals is $238. 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 Graham Hospital Association range from $12,763 to $18,190 across 2 insurers. Aetna's rate is $18,190. The median at nearby comparable hospitals is $22,989. What a patient pays depends on their plan's deductible, coinsurance and network status.
Graham Hospital Association has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Graham Hospital Association for fiscal year 2026.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Graham Hospital Association's base inpatient payments by an estimated 0.30% in fiscal year 2026 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (71 discharges), heart failure and shock with mcc (38 discharges), kidney and urinary tract infections without mcc (17 discharges).
Graham Hospital Association's Medicare case mix index is 1.49 for fiscal year 2026, higher than 25% of hospitals paid under the inpatient prospective payment system.
Graham Hospital Association reported 916 inpatient discharges and 3,394 inpatient days from Jul 1, 2025 to Feb 8, 2026.
Graham Hospital Association reported 532 full-time-equivalent employees on payroll from Jul 1, 2025 to Feb 8, 2026.
Graham Hospital Association reported $87.1M in net patient revenue on $220.3M of gross charges for Jul 1, 2025 to Feb 8, 2026, an operating margin of -4.9%, and net income of $11.8M.
Graham Hospital Association reported $9M of unreimbursed and uncompensated care for Jul 1, 2025 to Feb 8, 2026, including $2M of charity care at cost.
Graham Hospital Association's 2024 IRS Form 990 lists Robert Senneff as President/ceo.
Insurers' price transparency files list Graham Hospital Association under employer identification number 37-0673506 (Graham Medical Group). 52 health plans and networks list 37-0673506 for it.
HRSA's 340B database lists Graham Hospital Association (340B ID SCH140001-00) as no longer participating since 2026.
143 clinicians who bill Medicare list Graham Hospital Association as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are nurse practitioner (22), family nurse practitioner (19), diagnostic radiology physician (16).
CMS lists 30 services at Graham Hospital Association, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Graham Hospital Association came from ZIP codes 61520 (462), 61542 (110), 61427 (52).
Graham Hospital Association has 80 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Graham Hospital Association is located at 210 West Walnut Street, Canton, IL 61520. Its main phone number is (309) 647-5240.
Graham Hospital Association's CMS Certification Number (CCN), also called its Medicare provider number, is 140001.
The National Provider Identifier (NPI) on file for Graham Hospital Association is 1780692087.
Graham Hospital Association lists 32 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.
181 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