Munson Healthcare · Grayling, MI
3 of 5
CMS star rating
81
Beds
1,876
Inpatient discharges a year
$96.6M
Net patient revenue a year
20
In-network payers
Grayling Hospital is an 81-bed voluntary non-profit - church hospital in Grayling, MI, affiliated with Munson Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 277 disclosed rate categories.
The 24 services Grayling Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$8,047 - $11,946
from 2 insurers · median $9,996
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,193 - $13,300
from 2 insurers · median $13,246
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$603 - $2,526
from 4 insurers · median $1,499
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,147 - $6,834
from 3 insurers · median $3,695
170 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$8,047 - $11,946
from 2 insurers · median $9,996
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$178 - $953
from 4 insurers · median $593
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$194 - $317
from 4 insurers · median $274
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$275 - $1,779
from 4 insurers · median $1,101
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$575 - $2,846
from 4 insurers · median $1,888
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$528 - $1,667
from 4 insurers · median $1,068
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$203 - $1,416
from 4 insurers · median $969
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$37 - $306
from 4 insurers · median $193
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,937 - $11,227
from 2 insurers · median $9,582
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$957 - $5,390
from 3 insurers · median $1,731
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,667 - $5,117
from 4 insurers · median $3,941
49 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$929 - $2,767
from 4 insurers · median $2,169
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$666 - $3,100
from 4 insurers · median $1,971
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,195 - $9,552
from 4 insurers · median $5,156
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$18,807 - $21,387
from 2 insurers · median $20,097
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 49650
$6,345 - $6,803
from 2 insurers · median $6,574
Typical for a hospital with this service line
MRI imaging
CPT 72148
$350 - $1,896
from 4 insurers · median $969
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$155 - $492
from 4 insurers · median $383
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$232 - $2,181
from 4 insurers · median $1,068
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$239 - $556
from 4 insurers · median $412
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* | 18 | 551% | 17 | 1 |
| Insurer B* | 16 | 515% | 0 | 0 |
| Insurer C* | 24 | 195% | 0 | 0 |
| Insurer D* | 24 | 128% | 10 | 2 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Grayling Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$96.6M net patient revenue
Ownership and leadership
Owned by Munson Healthcare
The employer identification numbers (EINs) health plans and networks list for Grayling 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 |
|---|---|---|
| 47-1161992Munson Healthcare Grayling | 45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 40 more | 1083010953 Munson Healthcare Grayling1720484504 Munson Healthcare Grayling1891191698 Munson Healthcare Graylingand 21 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.
1100 East Michigan Avenue, Grayling, MI 49738
(989) 348-5461
How Grayling Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 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 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 8 measures
2 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
69%
Lower than 57% 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)
0.94
Lower than 59% 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
180 min
Higher than 70% 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
68%
Higher than 55% 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 5 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 2 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 69% | 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) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 180 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 68% | 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 Grayling Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.88% 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 Grayling Hospital, beside the US median and the average of MI 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 | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.186 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 692 cases | 4 | 3.9 | 3.903 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.376 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 48 cases | 11.8 | 8.5 | 8.576 | Worse than 97% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 100 cases | 11 | 11 | 11.26 | Worse than 49% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 116 cases | 13 | 15.2 | 15.18 | Better than 81% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 47 cases | 14.8 | 11.6 | 11.95 | Worse than 87% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 712 cases | 0.49 | 0.51 | 0.6149 | No Different Than the National Rate | Better than 53% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 927 cases | 0.2 | 0.2 | 0.2198 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 911 cases | 0.26 | 0.27 | 0.2762 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 75 cases | 2.31 | 2.29 | 2.378 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.689 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.51 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 87 cases | 3.34 | 3.4 | 3.553 | No Different Than the National Rate | Better than 56% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.252 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 37 cases | 1.73 | 1.72 | 1.76 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 116 cases | 1.02 | 1.02 | 1.117 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.875 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 100 cases | -8.8 | 1.25 | 2.533 | Better than 64% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 118 cases | -25.3 | 3.85 | 5.307 | Better than 86% 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 · 586 cases | 12 | 12.9 | 12.94 | No Different Than the National Rate | Better than 90% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 81 cases | 9.9 | 10.7 | 10.6 | 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 · 81 cases | 5.5 | 5.3 | 5.333 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 150 cases | 1 | 1 | 0.9865 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.28 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.41 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 74 cases | 20.2 | 19.8 | 19.73 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 185 cases | 20.9 | 21.3 | 21.19 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.984 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 206 cases | 16.1 | 17.2 | 17.08 | Better than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2592 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.909 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 289 | 1,370 | 4,065 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.212 | 0.9835 | 4.274 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.649 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6721 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.389 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,285 | 1,799 | 4,188 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.8 | 1.377 | 5.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.168 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3966 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4382 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.741 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 9 | 61 | 118 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.212 | 1.591 | 3.112 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.074 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.6144 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 4.322 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 30 | 38 | 75.28 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.254 | 0.328 | 0.6545 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.9634 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.462 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2675 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.176 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 6,135 | 14,451 | 42,903 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.189 | 0.567 | 2.796 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.826 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7532 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1572 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.28 | 0.747 | 1.134 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,413 | 13,646 | 40,305 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.34 | 5.683 | 21.05 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.934 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3227 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 390 cases | 58 | 73 | 69.3 | Worse than 96% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 390 cases | 13 | 8 | 10.85 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 390 cases | 29 | 18 | 19.85 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 81 | 87 | 84.11 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 4 | 2.86 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 390 cases | 80 | 80 | 79.59 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 92 | 91 | 91.42 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 390 cases | 3 | 4 | 4.111 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 390 cases | 4 | 3 | 3.5 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 390 cases | 17 | 16 | 16.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 390 cases | 81 | 79 | 78.2 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 92 | 91 | 90.27 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 390 cases | 3 | 5 | 5.521 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 390 cases | 4 | 3 | 3.07 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 390 cases | 16 | 16 | 16.28 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 390 cases | 65 | 61 | 61.03 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 79 | 77 | 76.51 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 390 cases | 19 | 19 | 19.58 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 2.63 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 390 cases | 16 | 19 | 19.38 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 89 | 86 | 85.82 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 390 cases | 10 | 13 | 13.17 | Better than 78% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 390 cases | 4 | 3 | 3.35 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 390 cases | 90 | 87 | 86.83 | Better than 78% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 390 cases | 13 | 14 | 14.7 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 390 cases | 87 | 86 | 85.3 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 77 | 74 | 72.65 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 3 | 7 | 7.064 | Better than 89% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 20 | 19 | 20.28 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 80 | 77 | 75.91 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 4 | 6 | 6.191 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 16 | 17 | 17.9 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 88 | 85 | 84.26 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 3.827 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 10 | 11 | 11.91 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 390 cases | 9 | 8 | 9.248 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 390 cases | 22 | 20 | 21.47 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 390 cases | 69 | 72 | 69.28 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 88 | 88 | 87.04 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 3.12 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 80 | 74 | 74.28 | Better than 80% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 8 | 9 | 9.173 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 12 | 16 | 16.55 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 76 | 75 | 74.9 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 4 | 5 | 5.573 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 20 | 20 | 19.53 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 78 | 77 | 76.58 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 2 | 4 | 4.364 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 20 | 19 | 19.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 86 | 86 | 85.7 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 2.773 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 11 | 11 | 11.53 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 49 | 59 | 56.73 | Worse than 82% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 13 | 9 | 11.16 | Worse than 71% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 38 | 31 | 32.11 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 78 | 82 | 80.12 | Worse than 72% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 3.12 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 390 cases | 6 | 5 | 6.291 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 390 cases | 69 | 71 | 68.51 | Worse than 57% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 87 | 87 | 85.75 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 390 cases | 25 | 23 | 25.2 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 390 cases | 4 | 4 | 3.39 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 50 | 47 | 46.3 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 30 | 30 | 30.8 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 20 | 22 | 22.9 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 390 cases | 4 | 3 | 3.21 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 390 cases | 8 | 12 | 12.2 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 390 cases | 92 | 88 | 87.8 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Grayling Hospital | US median | MI 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 · 1,813 cases | 12 | 8 | 8.08 | Worse than 78% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 479 cases | 0 | 1 | 0.9722 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 969 cases | 1 | 0 | 0.4118 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 530 cases | 97 | 79 | 74.71 | Better than 93% 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 · 385 cases | 185 | 154 | 167 | Worse than 70% 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 · 352 cases | 180 | 148 | 161 | Worse than 70% 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 · 13 cases | 260 | 247 | 300 | Worse than 55% 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 · 20 cases | 367 | 293 | 338 | Worse than 76% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 18,193 cases | 2 | 1 | 1.933 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 79 | 74 | 73.42 | Better than 60% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 57 cases | 98 | 97 | 93.2 | Better than 54% 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 | 39.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 461 cases | 19 | 15 | 15.67 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 75 cases | 68 | 65 | 59.69 | Better than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 22 cases | 73 | 73 | 69.54 | Worse than 49% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 91 | 88 | 83.94 | Better than 57% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 75 cases | 81 | 82 | 77.12 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 93 | 94 | 90.36 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 94.44 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.44 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.64 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 82.06 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.9 | 5 | 6.103 | Better than 50% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.3 | 6.6 | 7.033 | Worse than 77% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.86 | 0.99 | 0.9406 | Better than 94% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 19.22 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 4.872 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 90 | 10 | 42.06 | Better than 96% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 22.5 | 2.5 | 11.12 | Better than 95% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 62 | 34 | 38.03 | Better than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.5 | 8.75 | 9.925 | Better than 86% of US hospitals | |
| VBP safety domain scoreFY 2026 | 15 | 40 | 33.39 | Worse than 90% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.75 | 10 | 8.389 | Worse than 91% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.75 | 29.5 | 33.57 | Better than 83% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 30 | 23.33 | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 10 | 5.833 | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 50 | 80 | 80 | 80 | 90 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | 20 | 26.67 | 26.67 | 22.5 |
| VBP person and community engagement domain score | 56 | Not Available | 28 | 48 | 62 |
| VBP person and community engagement weighted domain score | 18.67 | Not Available | 9.333 | 16 | 15.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 15 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 3.75 |
| VBP total performance score | 45.33 | Not Available | 36 | 42.67 | 41.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.995 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9907 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9927 | 0.9969 | 0.9989 | Better than 54% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 127 cases | 0.9398 | 0.9983 | 1.002 | Better than 85% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.061 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9357 | 0.9955 | 0.9984 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9594 | 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 | 0.9247 | 0.9139 | 0.9422 | 0.9284 | 0.9533 | 0.9927 |
| READM-30-HF-HRRP | 1.005 | 0.9841 | 0.9896 | 0.9709 | 0.9384 | 0.9398 |
| READM-30-HIP-KNEE-HRRP | 1.14 | 1.099 | 1.119 | 0.9697 | N/A | N/A |
| READM-30-PN-HRRP | 0.9542 | 0.9243 | 0.9901 | 1.01 | 0.9985 | 0.9357 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Grayling Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.682 | 0.489 | 0.5894 | Worse than 96% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.944 | 0.346 | 0.3948 | Worse than 95% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7747 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8034 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.943 | 0.9628 | 1.007 | Better than 59% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.234 | |||
| Total HAC scoreFY 2026 | 1.421 | -0.0453 | 0.1353 | Worse than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | Yes | Yes | Yes |
| Total HAC score | 0.8156 | 0.2088 | 0 | 0.6785 | 1.274 | 1.421 |
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 2019)
Accreditation
None
Medical school affiliation
Church
Ownership type
90
Medicare-certified beds
38
Registered nurses (full-time equivalent)
1976
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Grayling Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,876
Inpatient discharges
Medicare 25%, Medicaid 2%
6,389
Inpatient days
42% of available bed days used
278
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844471). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Grayling Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,611 | 161 | 4,617 | 6,389 |
| Discharges | 474 | 35 | 1,367 | 1,876 |
| Average length of stay | 3.4 days | 4.6 days | 3.4 days | 3.4 days |
| Average daily census | 4.4 | 0.4 | 12.6 | 17.5 |
2,410
Medicare Advantage days
695 discharges
1,024
Medicaid managed care days
307 discharges
667
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 36 | 3,242 | 893 | 25% |
| Intensive care unit | 6 | 2,695 | 718 | 123% |
| Nursery | 452 | |||
| Skilled nursing facility | 39 | 9,837 | 1,054 | 69% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Grayling Hospital treats Medicare patients for most often, in 2024. 244 Medicare discharges in 9 published DRGs; 5% surgical; 80% 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 | 68 | $37,672 | $16,907 | $12,319 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $19,501 | $10,516 | $6,377 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $30,029 | $10,916 | $9,819 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $37,016 | $14,681 | $12,104 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $24,333 | $10,485 | $7,957 | 1.23 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $21,042 | $7,807 | $6,881 | 1.03 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $26,821 | $8,951 | $8,771 | 1.10 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $36,671 | $17,895 | $11,991 | 2.07 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $19,850 | $6,313 | $6,491 | 0.81 |
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) Grayling Hospital billed Medicare for most in 2024: 502 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 170 | 94 | $9,037 | $1,732 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 68 | 64 | $14,091 | $1,975 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 56 | $1,388 | $508 | $502 | |
| Level 4 Urology and Related ServicesAPC 5374 | 49 | 41 | $12,296 | $2,592 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 47 | 46 | $36,775 | $10,399 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 39 | $14,004 | $3,846 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 20 | $8,166 | $1,189 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 18 | $9,497 | $1,509 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 11 | $5,160 | $1,407 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 12 | $25,952 | $4,659 | $5,339 |
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 Grayling Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,030 in 2020 to 983 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 49738 | 281 | 29% | 1,046 | $8.6M | 53% | 52% |
| 48653 | 238 | 24% | 855 | $7.2M | 46% | 44% |
| 48629 | 126 | 13% | 442 | $3.6M | 25% | 43% |
| 48647 | 84 | 9% | 301 | $2.5M | 35% | 33% |
| 48651 | 56 | 6% | 185 | $1.5M | 18% | 24% |
| 49733 | 40 | 4% | 104 | $931,486 | 43% | 48% |
| 49735 | 34 | 3% | 127 | $1.1M | 4% | 4% |
| 49756 | 33 | 3% | 115 | $974,572 | 15% | 17% |
| 48621 | 28 | 3% | 88 | $780,449 | 43% | 52% |
| 48656 | 17 | 2% | 71 | $603,631 | 6% | 11% |
| 49659 | 16 | 2% | 42 | $245,153 | 5% | |
| 48627 | 15 | 2% | 56 | $449,469 | 45% | 42% |
| 48636 | 15 | 2% | 55 | $493,959 | 50% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 983 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 Grayling Hospital reported at its latest Medicare certification survey (1991). Counts are people, not full-time equivalents.
38
Registered nurses
18
Licensed practical nurses
2
Physicians
2
Pharmacists
8
Respiratory therapists
1
Dietitians
1
Social workers
Source: CMS Provider of Services file.
355 clinicians who bill Medicare list Grayling 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.
James Mackenzie, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1043260102
See commercial rates for James Mackenzie, M.D.Michael Kuhn, D.O.
Diagnostic Radiology Physician
NPI 1184843781
See commercial rates for Michael Kuhn, D.O.Andrew Cole, MD
Physical Medicine & Rehabilitation Physician
NPI 1699901611
See commercial rates for Andrew Cole, MDCornelius Robens, M.D.
Neurology Physician
NPI 1538158688
See commercial rates for Cornelius Robens, M.D.Clark Phelps, MD
Diagnostic Radiology Physician
NPI 1437173630
See commercial rates for Clark Phelps, MDDonald Cousineau, DO, PC
General Practice Physician
NPI 1841485133
See commercial rates for Donald Cousineau, DO, PCMichelle Lung, MD
Diagnostic Radiology Physician
NPI 1275557456
See commercial rates for Michelle Lung, MDDwayne Griffin, D.O.
Pulmonary Disease Physician
NPI 1699789727
See commercial rates for Dwayne Griffin, D.O.Jesse Johnson, M.D.
Diagnostic Radiology Physician
NPI 1033146212
See commercial rates for Jesse Johnson, M.D.David Dargis, D.O.
Family Medicine Physician
NPI 1457490609
See commercial rates for David Dargis, D.O.Richard Burke, MD
Anesthesiology Physician
NPI 1427039072
See commercial rates for Richard Burke, MDAndrew Adams, DO
Internal Medicine Physician
NPI 1174864383
See commercial rates for Andrew Adams, DOLeah Davis, D.O.
Diagnostic Radiology Physician
NPI 1568787034
See commercial rates for Leah Davis, D.O.Patrick Gartland, M.D.
Diagnostic Radiology Physician
NPI 1649329426
See commercial rates for Patrick Gartland, M.D.Kimberly Johnson, M.D.
Diagnostic Radiology Physician
NPI 1467682971
See commercial rates for Kimberly Johnson, M.D.Ryan Overby, MD
Diagnostic Radiology Physician
NPI 1881125516
See commercial rates for Ryan Overby, MDSivaraja Kuppuswami, M.D.
Diagnostic Radiology Physician
NPI 1780747600
See commercial rates for Sivaraja Kuppuswami, M.D.Andrew Osetek, M.D.
Diagnostic Radiology Physician
NPI 1073950945
See commercial rates for Andrew Osetek, M.D.Katie Wakeman, PA-C
Medical Physician Assistant
NPI 1356534572
See commercial rates for Katie Wakeman, PA-CTodd Galdes, D.O.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1376703868
See commercial rates for Todd Galdes, D.O.Tate Kern, D.O.
Diagnostic Radiology Physician
NPI 1912357831
See commercial rates for Tate Kern, D.O.William Austin, M.D.
Orthopaedic Surgery Physician
NPI 1275983108
See commercial rates for William Austin, M.D.John Reineck, M.D.
Orthopaedic Surgery Physician
NPI 1205995057
See commercial rates for John Reineck, M.D.Anna Stone, MD
Cardiovascular Disease Physician
NPI 1497054951
See commercial rates for Anna Stone, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Grayling Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $276.6M | 286.3% |
| Inpatient | $52.2M | 54.1% |
| Outpatient | $224.3M | 232.2% |
| Contractual allowances and discounts | -$180M | -186.3% |
| Net patient revenue | $96.6M | 100.0% |
| Operating expenses | -$99.5M | -103.0% |
| Operating income from patient care | -$2.9M | -3.0% |
| Other income | $6.4M | 6.7% |
| COVID-19 relief funding | $380,222 | 0.4% |
| Other | $6.1M | 6.3% |
| Net income | $3.5M | 3.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $39M | 14.5% |
| Medicaid (including managed care) | $34.3M | 12.8% |
| Other payers and self-pay | $195.5M | 72.7% |
| Total charges | $268.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, 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 Grayling Hospital's latest cost report.
-3.0%
Operating margin
Operating income from patient care / net patient revenue
3.4%
Total margin
Net income / net patient revenue plus other income
5.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
44% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.36
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.4%
Return on assets
Net income for a year / total assets
13.7%
Return on equity
Net income for a year / fund balance
1.19
Current ratio
Current assets / current liabilities
0.89
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
51 days
Days in patient receivables
Net patient receivables / daily net patient revenue
59 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.46
Asset turnover
Total revenue for a year / total assets
11.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Grayling Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $42M in total assets and a $25.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $536,204 | 1.3% |
| Patient receivables, net | $13.5M | 32.2% |
| Inventory | $2.2M | 5.1% |
| Total current assets | $18.7M | 44.5% |
| Property and equipment, net of depreciation | $22.5M | 53.7% |
| Investments and other assets | $770,471 | 1.8% |
| Total assets | $42M | 100.0% |
| Current liabilities | $15.7M | 37.5% |
| Total liabilities | $16.2M | 38.5% |
| Fund balance (net assets) | $25.8M | 61.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Grayling Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$570,234
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.8M
Bad debt
Patient bills written off as uncollectible, at charges
$1.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.6M
Total unreimbursed and uncompensated care
2.6% 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 844471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Grayling Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $76.8M | $85.8M | $91.3M | $87.2M | $91.7M | $96.6M |
| Operating expenses | $89.2M | $90.4M | $99.8M | $96.2M | $96M | $99.5M |
| Operating margin | -16.1% | -5.3% | -9.4% | -10.3% | -4.7% | -3.0% |
| Net income | $2.4M | $5.8M | $2.4M | -$4.6M | -$1.4M | $3.5M |
| Total assets | $53.1M | $58.6M | $57.4M | $37.9M | $38M | $42M |
| Discharges | 1,944 | 2,076 | 1,874 | 1,617 | 1,784 | 1,876 |
| Inpatient days | 5,831 | 7,069 | 7,143 | 5,977 | 6,068 | 6,389 |
| Medicare Advantage days | 1,307 | 1,878 | 1,923 | 1,939 | 1,939 | 2,410 |
| Beds | 81 | 81 | 81 | 81 | 81 | 81 |
| Employees (FTE) | 336 | 318 | 313 | 284 | 272 | 278 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Grayling Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $998,412 | $17.3M | $30.4M | 0.57 | 1,252 |
| Rural health clinic | $5.1M | $7.3M | $8.3M | 0.88 | |
| Rural health clinic ii | $3.6M | $5.9M | $4.9M | 1.21 | |
| Emergency | $2.5M | $5.1M | $32.7M | 0.16 | 14,540 |
| Laboratory | $1.2M | $4.5M | $32.3M | 0.14 | 2,914 |
| Physical therapy | $156,924 | $4.3M | $12.5M | 0.34 | 4,138 |
| Operating room | $1.5M | $4.2M | $26.6M | 0.16 | 9,781 |
| Rural health clinic iii | $1.9M | $3.3M | $2.7M | 1.22 | |
| Radiology-diagnostic | $1.3M | $3M | $18.8M | 0.16 | 3,935 |
| Impl. dev. charged to patients | $2M | $3.5M | 0.57 | ||
| Medical supplies charged to patient | $1.9M | $4.1M | 0.47 | 2,369 | |
| Outpatient infusion | $738,230 | $1.8M | $3.1M | 0.60 | 3,780 |
| Recovery room | $929,046 | $1.7M | $1.6M | 1.07 | 351 |
| Respiratory therapy | $925,870 | $1.6M | $3.7M | 0.44 | 1,187 |
| Ct scan | $514,615 | $1.6M | $29.7M | 0.05 | 1,493 |
| Observation beds (non-distinct part | $1.3M | $3.6M | 0.36 | ||
| Rural health clinic iv | $645,286 | $1.2M | $987,153 | 1.24 | |
| Rural health clinic v | $432,525 | $783,482 | $705,870 | 1.11 | |
| Mri | $227,837 | $574,188 | $8.5M | 0.07 | 1,326 |
| Electrocardiology | $162,321 | $337,159 | $3.6M | 0.09 | 895 |
| Medical profesional room | $68,985 | $222,473 | $5.7M | 0.04 | |
| Cardiac rehabilitation | $85,652 | $149,297 | $643,404 | 0.23 | |
| Anesthesiology | $134,111 | $3.4M | 0.04 | ||
| Specialty clinic | $53,079 | $69,615 | $2.7M | 0.03 | |
| Electroencephalography | $30,164 | $256,080 | 0.12 | 563 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.7M | $7.5M | $13.9M | 0.54 | 15,722 |
| Skilled nursing facility | $2.2M | $5.1M | $4.4M | 1.17 | 10,025 |
| Intensive care unit | $1M | $2.1M | $5.4M | 0.40 | 1,976 |
| Nursery | $719,521 | $446,810 | 1.61 | 232 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $531,279 | $18.8M | 10,699 | $49.66 | 12,476 |
| Employee benefits department | $8.1M | ||||
| Maintenance & repairs | $418,912 | $1.6M | 13,284 | $31.54 | |
| Housekeeping | $779,564 | $1.2M | 41,354 | $18.85 | 1,795 |
| Cap rel costs-mvble equip | $1.1M | ||||
| Nursing administration | $832,369 | $840,804 | 16,711 | $49.81 | 785 |
| Cap rel costs-bldg & fixt | $502,022 | 98,223 | |||
| Dietary | $569,529 | $441,260 | 10,028 | $19.88 | 1,519 |
| Cafeteria | $364,593 | 18,622 | $19.88 | 3,447 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844471, 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 Grayling Hospital for an inpatient stay.
1.43
Case mix index
Higher than 20% 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).
22.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
445
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
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 | 1.42 | 1.41 | 1.44 | 1.53 | 1.50 | 1.49 | 1.43 |
| Wage index | 0.850 | 0.842 | 0.834 | 0.882 | 0.966 | 0.959 | 0.955 |
| Readmissions adjustment | -0.07% | -0.75% | -0.44% | -0.41% | -0.08% | -0.03% | 0.00% |
| Value-based purchasing adjustment | +0.59% | +0.91% | +0.91% | +0.59% | +1.42% | +1.82% | +0.88% |
| Medicare inpatient stays | 943 | 943 | 627 | 568 | 488 | 460 | 445 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Grayling Hospital reports to Medicare as owners or with operational control.
Munson Healthcare
Operational/managerial control, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Grayling Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 22 of 23 are shown.
Munson Healthcare Grayling files the Form 990 for the tax ID insurers list for Grayling Hospital, so these people may lead the wider organization rather than Grayling Hospital alone.
| Name | Title |
|---|---|
| Laura Glenn | COO |
| Paul Konopacki | CFO |
| Ellen Smith | President Am |
| Kirsten Korth-White | President |
| Kathleen Laraia | VP Oncology |
| Christopher Squire | VP Ancillary |
| Michael Hodnett | Cno/coo |
| Bonnie Kruszka | Chief App/cf |
| Kenneth Bloem | Chair |
| Ruth Hoppe MD | V Chair |
| Dave Mengebier | Treasurer |
| Kim Morley | Director |
| Tim Nelson | Secretary |
Board members: Edwin A Ness, Dino Recchia MD, Vincent Schultz MD, Matt Bulloch, Nick Ceglarek, Kathy Dixon, Jennifer King, Karl Klimek, Andy Page, Brian Postma, Owen Roberts, Mary Sanders, Kristine Thomas, Tom Veryser, Elaine Wood, David Mccurdy, Sakura Takano.
Source: IRS Form 990 Part VII filed by Munson Healthcare Grayling (EIN 47-1161992), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2024
340B ID SCH230058-00, registered as a sole community hospital; 14 registered outpatient sites; 36 active contract pharmacies. Authorizing official: Kathleen M LaRaia, Vice President.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Munson crawford county continuing ca
CCN 235201, certified 1977, Medicare prospective payment
Grayling community health center
CCN 238561, certified 1998, Medicare cost reimbursed
Prudenville community health center
CCN 238562, certified 1998, Medicare cost reimbursed
Roscommon community health center
CCN 238573, certified 1998, Medicare cost reimbursed
Milltown primary care
CCN 238717, certified 2019, Medicare cost reimbursed
Mio primary care
CCN 238726, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Grayling Hospital's latest Medicare cost report (HCRIS).
About Grayling Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Grayling Hospital range from $575 to $2,846 across 4 insurers. Blue Cross Blue Shield's rate is $575. The median at nearby comparable hospitals is $1,262. 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 Grayling Hospital range from $603 to $2,526 across 4 insurers. Aetna's rate is $2,526. The median at nearby comparable hospitals is $1,012. 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 Grayling Hospital range from $8,047 to $11,946 across 2 insurers. Cigna's rate is $11,946. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Grayling Hospital range from $194 to $317 across 4 insurers. Aetna's rate is $317. The median at nearby comparable hospitals is $197. What a patient pays depends on their plan's deductible, coinsurance and network status.
Grayling Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Grayling Hospital for fiscal year 2027.
No. Grayling Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (68 discharges), heart failure and shock with mcc (43 discharges), simple pneumonia and pleurisy with mcc (33 discharges).
Grayling Hospital's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% of hospitals paid under the inpatient prospective payment system.
Grayling Hospital reported 1,876 inpatient discharges and 6,389 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Grayling Hospital reported 278 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Grayling Hospital reported $96.6M in net patient revenue on $276.6M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -3.0%, and net income of $3.5M.
Grayling Hospital reported $2.6M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $570,234 of charity care at cost.
Insurers' price transparency files list Grayling Hospital under employer identification number 47-1161992 (Munson Healthcare Grayling). 45 health plans and networks list 47-1161992 for it.
Yes. HRSA's 340B database lists Grayling Hospital (340B ID SCH230058-00) as a participating sole community hospital since 2024, with 36 active contract pharmacies.
355 clinicians who bill Medicare list Grayling Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (41), family nurse practitioner (35), internal medicine physician (28).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Grayling Hospital, effective 2019.
In its Medicare enrollment, Grayling Hospital reports Munson Healthcare as Operational/managerial control.
CMS lists 21 services at Grayling Hospital, including Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Grayling Hospital came from ZIP codes 49738 (281), 48653 (238), 48629 (126).
Grayling Hospital has 81 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 90 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Grayling Hospital is located at 1100 East Michigan Avenue, Grayling, MI 49738. Its main phone number is (989) 348-5461.
Grayling Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 230058.
The National Provider Identifier (NPI) on file for Grayling Hospital is 1083010953.
Grayling Hospital is affiliated with Munson Healthcare.
Grayling Hospital lists 20 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
277 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