Hancock Health · Greenfield, IN
4 of 5
CMS star rating
117
Beds
2,924
Inpatient discharges a year
$162.3M
Net patient revenue a year
34
In-network payers
Hancock Regional Hospital is a 117-bed government - local hospital in Greenfield, IN, affiliated with Hancock Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 288 disclosed rate categories.
The 24 services Hancock Regional 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
$7,456 - $10,312
from 4 insurers · median $8,644
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,457 - $23,465
from 4 insurers · median $13,865
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
$297 - $3,119
from 4 insurers · median $2,556
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$22,030 - $41,810
from 4 insurers · median $28,375
13 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$1,436 - $2,636
from 4 insurers · median $2,326
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,092 - $5,691
from 4 insurers · median $5,047
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$202 - $2,273
from 4 insurers · median $1,879
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$998 - $6,300
from 4 insurers · median $3,613
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$148 - $2,653
from 4 insurers · median $1,868
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$89 - $1,116
from 4 insurers · median $708
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,456 - $10,312
from 4 insurers · median $8,644
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
Mammography
CPT 77067
$83 - $376
from 4 insurers · median $316
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,343 - $33,000
from 3 insurers · median $18,347
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$775 - $4,956
from 4 insurers · median $2,576
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$998 - $6,300
from 4 insurers · median $3,540
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$297 - $2,929
from 4 insurers · median $2,459
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,991 - $18,000
from 4 insurers · median $11,269
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,547 - $1,944
from 4 insurers · median $1,729
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$27,882 - $38,565
from 3 insurers · median $31,175
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70551
$202 - $2,205
from 4 insurers · median $1,840
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,928 - $6,300
from 4 insurers · median $4,511
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$4,991 - $18,000
from 3 insurers · median $10,282
Typical for a hospital with this service line
MRI imaging
CPT 73721
$202 - $2,295
from 4 insurers · median $1,961
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$32 - $383
from 4 insurers · median $187
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 535% | 16 | 1 |
| Insurer B* | 24 | 515% | 13 | 6 |
| Insurer C* | 24 | 425% | 10 | 4 |
| Insurer D* | 24 | 83% | 2 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 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 Hancock Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by ACHC
Finances
$162.3M net patient revenue
Ownership and leadership
Local
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Hancock Regional Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 35-1092610Hancock Regional Hospital | 60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 55 more | 1467485003 Hancock Regional Hospital1396167284 Hancock Regional Hospital1831589498 Hancock Regional Hospitaland 49 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.
801 North State Street, Greenfield, IN 46140
(317) 462-5544
How Hancock Regional Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 6 measures
0 better, 5 no different, 1 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 9 measures
0 better, 8 no different, 1 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
75%
Higher than 62% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.88
Lower than 78% 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
162 min
Higher than 59% 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
85%
Higher than 92% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Worse on 1 of 6 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 1 of 9 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 | 75% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.88 | 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 | 162 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 85% | 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 Hancock Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-0.26% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.98% 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 Hancock Regional Hospital, beside the US median and the average of IN hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 25 cases | 4.5 | 4.1 | 4.223 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 940 cases | 5.2 | 3.9 | 4.041 | Worse than 92% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.13 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.479 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 123 cases | 9.4 | 8.5 | 8.628 | Worse than 73% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 88 cases | 9.5 | 11 | 11.45 | Better than 78% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 142 cases | 17.6 | 15.2 | 15.69 | Worse than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 78 cases | 14.9 | 11.6 | 12.44 | Worse than 88% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 992 cases | 0.44 | 0.51 | 0.487 | No Different Than the National Rate | Better than 61% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 180 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,425 cases | 0.2 | 0.2 | 0.2199 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,416 cases | 0.26 | 0.27 | 0.2682 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 194 cases | 2.28 | 2.29 | 2.221 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 91 cases | 1.63 | 1.63 | 1.718 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 87 cases | 7.86 | 8.88 | 9.677 | No Different Than the National Rate | Better than 73% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 203 cases | 3.67 | 3.4 | 3.374 | No Different Than the National Rate | Worse than 69% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 80 cases | 4.8 | 5.105 | 5.188 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 44 cases | 1.72 | 1.72 | 1.757 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 181 cases | 1 | 1.02 | 1.054 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 3.221 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 100 cases | 7.5 | 1.25 | -4.257 | Worse than 58% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 158 cases | -14.5 | 3.85 | -1.706 | Better than 74% 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 · 311 cases | 12.9 | 12.9 | 12.92 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 73 cases | 11.2 | 10.7 | 10.62 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 73 cases | 5.6 | 5.3 | 5.527 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 110 cases | 1 | 1 | 1.012 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 51 cases | 14.3 | 14.4 | 14.24 | Better than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.8 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 252 cases | 19.8 | 19.8 | 19.64 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 156 cases | 20.5 | 21.3 | 20.96 | Better than 75% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.687 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 241 cases | 17.7 | 17.2 | 16.99 | Worse than 67% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.999 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 380 | 1,370 | 3,654 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.234 | 0.9835 | 3.695 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.945 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2611 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.872 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 507 | 1,799 | 3,278 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.263 | 1.377 | 3.981 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.89 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5887 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2335 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.51 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 25 | 61 | 85.67 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.617 | 1.591 | 2.324 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 1.517 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6725 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3586 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 9 | 38 | 65.5 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.08 | 0.328 | 0.5781 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5769 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.127 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1776 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.236 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 13,818 | 14,451 | 30,946 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.561 | 0.567 | 1.802 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.157 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5507 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.062 | 0.127 | 0.1983 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.23 | 0.747 | 1.34 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 12,776 | 13,646 | 28,686 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.372 | 5.683 | 14.93 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 5.452 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.372 | 0.279 | 0.3807 | No Different than National Benchmark | Worse than 63% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 584 cases | 81 | 73 | 73.32 | Better than 78% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 584 cases | 3 | 8 | 8.475 | Better than 87% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 584 cases | 16 | 18 | 18.21 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 92 | 87 | 86.92 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 584 cases | 5 | 4 | 3.539 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 584 cases | 79 | 80 | 79.54 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 93 | 91 | 91.55 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 584 cases | 3 | 4 | 3.673 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 3 | 3.539 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 584 cases | 18 | 16 | 16.78 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 584 cases | 81 | 79 | 78.89 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 93 | 91 | 90.7 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 584 cases | 2 | 5 | 4.871 | Better than 87% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 3 | 3.079 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 584 cases | 17 | 16 | 16.24 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 584 cases | 59 | 61 | 60.05 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 80 | 77 | 76.1 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 584 cases | 17 | 19 | 20.45 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 584 cases | 3 | 3 | 2.494 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 584 cases | 24 | 19 | 19.5 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 91 | 86 | 86.69 | Better than 92% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 584 cases | 9 | 13 | 12.7 | Better than 84% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 584 cases | 5 | 3 | 3.573 | The top rating, shared by 8% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 584 cases | 91 | 87 | 87.3 | Better than 84% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 584 cases | 10 | 14 | 13.57 | Better than 83% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 584 cases | 90 | 86 | 86.43 | Better than 83% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 76 | 74 | 73.26 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 3 | 7 | 6.316 | Better than 89% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 21 | 19 | 20.43 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 80 | 77 | 77.15 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 2 | 6 | 5.469 | Better than 91% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 18 | 17 | 17.38 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 87 | 85 | 85.09 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 1 | 3 | 3.418 | Better than 91% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 12 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 584 cases | 4 | 8 | 7.436 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 584 cases | 21 | 20 | 19.5 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 584 cases | 75 | 72 | 73.07 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 92 | 88 | 88.67 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 3 | 3.539 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 584 cases | 76 | 74 | 73.46 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 584 cases | 6 | 9 | 9.908 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 584 cases | 18 | 16 | 16.63 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 75 | 75 | 74.65 | Better than 48% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 5 | 5 | 5.184 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 584 cases | 20 | 20 | 20.16 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 76 | 77 | 76.87 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 3 | 4 | 4.01 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 584 cases | 21 | 19 | 19.12 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 87 | 86 | 86.3 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 1 | 3 | 2.327 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 584 cases | 12 | 11 | 11.38 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 584 cases | 60 | 59 | 59.53 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 584 cases | 6 | 9 | 8.455 | Better than 70% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 584 cases | 34 | 31 | 32.01 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 85 | 82 | 82.71 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 3 | 3.517 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 584 cases | 4 | 5 | 4.822 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 584 cases | 75 | 71 | 71.47 | Better than 62% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 584 cases | 90 | 87 | 87.91 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 584 cases | 21 | 23 | 23.71 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 4 | 3.82 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 584 cases | 43 | 47 | 45.48 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 584 cases | 27 | 30 | 31.64 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 584 cases | 30 | 22 | 22.88 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 584 cases | 4 | 3 | 3.382 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 584 cases | 8 | 12 | 11.77 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 584 cases | 92 | 88 | 88.23 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.4 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8718 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.125 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,703 cases | 90 | 79 | 81.09 | Better than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 502 cases | 172 | 154 | 155 | Worse than 62% 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 · 432 cases | 162 | 148 | 150 | Worse than 59% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases | 102 | 247 | 240 | Better than 98% 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 · 58 cases | 292 | 293 | 307 | Better than 50% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 23,949 cases | 1 | 1 | 1.5 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 58 | 74 | 71.52 | Worse than 77% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 45 cases | 96 | 97 | 91.79 | Worse 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 | 55 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 51.85 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 737 cases | 14 | 15 | 15.17 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 181 cases | 85 | 65 | 64.84 | Better than 92% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 96 | 73 | 69.13 | Better than 94% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 50 cases | 98 | 88 | 83.4 | Better than 86% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 183 cases | 92 | 82 | 82.45 | Better than 88% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases | 92 | 94 | 92.86 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 40 cases | 92 | 98 | 96.86 | Worse than 89% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 72.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.11 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,636 cases | 93 | 90 | 89.36 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 170 cases | 96 | 97 | 94.47 | Worse than 55% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.6 | 5 | 5.816 | Worse than 67% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.7 | 6.6 | 6.045 | Worse than 80% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.03 | 0.99 | 1.009 | Worse than 70% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 14 | 20 | 18.11 | Worse than 62% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.5 | 5 | 4.553 | Worse than 62% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 11.25 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 2.839 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 69 | 34 | 37.66 | Better than 92% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 17.25 | 8.75 | 9.491 | Better than 91% of US hospitals | |
| VBP safety domain scoreFY 2026 | 70 | 40 | 43.71 | Better than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 17.5 | 10 | 10.93 | Better than 88% of US hospitals | |
| VBP total performance scoreFY 2026 | 43.25 | 29.5 | 27.64 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 46 | 3.333 | 2.5 | 2.5 | 14 |
| VBP clinical outcomes weighted domain score | 11.5 | 11.5 | 0.8333 | 0.8333 | 0.8333 | 3.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 5 |
| VBP person and community engagement domain score | 55 | Not Available | Not Available | 44 | 35 | 69 |
| VBP person and community engagement weighted domain score | 13.75 | Not Available | Not Available | 14.67 | 11.67 | 17.25 |
| VBP safety domain score | 65 | Not Available | Not Available | Not Available | Not Available | 70 |
| VBP safety weighted domain score | 16.25 | Not Available | Not Available | Not Available | Not Available | 17.5 |
| VBP total performance score | 41.5 | Not Available | Not Available | 15.5 | 12.5 | 43.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9945 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.004 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 144 cases | 1.036 | 0.9969 | 1.004 | Worse than 79% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 86 cases | 1.015 | 0.9983 | 1.001 | Worse than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9709 | 0.9916 | 0.9883 | Better than 57% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 126 cases | 0.9776 | 0.9955 | 0.993 | Better than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9939 | 1.015 | 1.026 | 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 | 0.983 | 0.9835 | 0.993 | 1.008 | 1.026 | 1.036 |
| READM-30-HF-HRRP | 0.9959 | 0.9783 | 0.9683 | 0.9937 | 0.9898 | 1.015 |
| READM-30-HIP-KNEE-HRRP | 0.9271 | 0.9814 | 1.171 | 1.038 | 1.177 | 0.9709 |
| READM-30-PN-HRRP | 0.9214 | 0.9195 | 0.9273 | 0.9807 | 0.9416 | 0.9776 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Hancock Regional Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.5461 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.195 | 0.346 | 0.4008 | Better than 73% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5853 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.5928 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8809 | 0.9628 | 0.9572 | Better than 78% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.277 | 0.7945 | 0.9162 | Worse than 77% of US hospitals | |
| Total HAC scoreFY 2026 | -0.7005 | -0.0453 | -0.151 | Better than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.0798 | -0.6411 | 0 | 0.3444 | -0.0723 | -0.7005 |
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.
ACHC (since 2020)
Accreditation
None
Medical school affiliation
Local
Ownership type
69
Medicare-certified beds
190
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Hancock Regional Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,924
Inpatient discharges
Medicare 25%, Medicaid 1%
10,534
Inpatient days
26% of available bed days used
1,008
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837256). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Hancock Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,376 | 148 | 6,010 | 10,534 |
| Discharges | 743 | 34 | 2,147 | 2,924 |
| Average length of stay | 5.9 days | 4.4 days | 2.8 days | 3.6 days |
| Average daily census | 12.0 | 0.4 | 16.5 | 28.9 |
3,409
Medicare Advantage days
910 discharges
1,511
Medicaid managed care days
405 discharges
2,783
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 86 | 3,803 | 2,679 | 12% |
| Intensive care unit | 24 | 5,675 | 1,697 | 65% |
| Nursery | 1,056 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Hancock Regional Hospital treats Medicare patients for most often, in 2024. 332 Medicare discharges in 11 published DRGs; 0% surgical; 68% 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 | 89 | $44,251 | $12,051 | $15,709 | 1.98 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 65 | $34,555 | $8,602 | $12,267 | 1.23 |
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $33,573 | $8,845 | $11,918 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 25 | $34,137 | $10,163 | $12,118 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $28,275 | $8,921 | $10,038 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $28,611 | $7,483 | $10,157 | 1.10 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $19,974 | $5,413 | $7,091 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $33,405 | $9,987 | $11,859 | 1.50 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $24,585 | $4,739 | $8,728 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 12 | $33,024 | $6,253 | $11,723 | 0.90 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $23,402 | $4,630 | $8,308 | 0.79 |
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) Hancock Regional Hospital billed Medicare for most in 2024: 611 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 209 | 196 | $18,389 | $1,931 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 114 | 110 | $7,396 | $1,164 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 48 | 47 | $9,870 | $1,370 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 47 | 41 | $9,558 | $1,383 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 37 | 36 | $46,933 | $9,949 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 27 | 27 | $31,426 | $1,881 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 19 | $10,284 | $1,156 | $1,196 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 19 | $11,565 | $2,726 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $32,651 | $4,855 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $12,882 | $2,045 | $2,141 |
See all 14 Medicare outpatient services at Hancock Regional Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Hancock Regional 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 1,219 in 2020 to 1,500 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 46140 | 992 | 66% | 3,619 | $36.9M | 48% | 46% |
| 46163 | 146 | 10% | 531 | $5.1M | 24% | 23% |
| 46148 | 77 | 5% | 268 | $2.7M | 48% | 53% |
| 46161 | 41 | 3% | 154 | $1.5M | 48% | 34% |
| 46115 | 37 | 2% | 151 | $1.5M | 70% | 100% |
| 47384 | 34 | 2% | 103 | $1.1M | 100% | 55% |
| 46040 | 27 | 2% | 100 | $1.1M | 7% | 10% |
| 46173 | 23 | 2% | 87 | $877,050 | 5% | 4% |
| 46186 | 21 | 1% | 114 | $1M | 57% | 100% |
| 46117 | 19 | 1% | 87 | $745,006 | 100% | 100% |
| 46130 | 18 | 1% | 61 | $645,649 | 27% | 27% |
| 46064 | 17 | 1% | 60 | $643,575 | 3% | 4% |
| 47362 | 13 | 1% | 54 | $496,657 | 1% | 1% |
| 46104 | 12 | 1% | 40 | $341,363 | 100% | |
| 47385 | 12 | 1% | 52 | $510,697 | 22% | |
| 46235 | 11 | 1% | 45 | $407,672 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,500 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 Hancock Regional Hospital reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
10
Psychiatric unit beds
5
Rehabilitation unit beds
8
Off-site locations
7
Off-site emergency departments
190
Registered nurses
8
Licensed practical nurses
9
Physicians
7
Nurse practitioners
7
Pharmacists
12
Respiratory therapists
10
Physical therapists
5
Occupational therapists
2
Speech pathologists and audiologists
40
Radiology technicians
2
Nuclear medicine technicians
4
Laboratory technicians
9
Medical technologists
4
Dietitians
4
Social workers
342
Other personnel
Source: CMS Provider of Services file.
262 clinicians who bill Medicare list Hancock Regional 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.
Christopher Wu, MD
Rheumatology Physician
NPI 1952342305
See commercial rates for Christopher Wu, MDKerri Kissell, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1043354483
See commercial rates for Kerri Kissell, MDKenneth Ney, M.D.
Urology Physician
NPI 1841204542
See commercial rates for Kenneth Ney, M.D.Lorraine Calvert, NP
Adult Health Nurse Practitioner
NPI 1730166778
See commercial rates for Lorraine Calvert, NPEric Scripture, M.D.
Ophthalmology Physician
NPI 1013367119
See commercial rates for Eric Scripture, M.D.Garrick Hubbard, M.D.
Specialist
NPI 1013910033
See commercial rates for Garrick Hubbard, M.D.Aaron Ludwig, MD
Urology Physician
NPI 1386956019
See commercial rates for Aaron Ludwig, MDLori Sanford, M.D.
Dermatology Physician
NPI 1427282763
See commercial rates for Lori Sanford, M.D.Girish Nair, MD
Clinical Cardiac Electrophysiology Physician
NPI 1477504694
See commercial rates for Girish Nair, MDScott Capen, MD
Family Medicine Physician
NPI 1386646925
See commercial rates for Scott Capen, MDEric Aitken, MD
Physical Medicine & Rehabilitation Physician
NPI 1083731145
See commercial rates for Eric Aitken, MDJeffrey Mossler, MD
Internal Medicine Physician
NPI 1356312896
See commercial rates for Jeffrey Mossler, MDDennis Myers, M.D.
Diagnostic Radiology Physician
NPI 1477581353
See commercial rates for Dennis Myers, M.D.Dmitry Blumenkrants, MD
Cardiovascular Disease Physician
NPI 1235428657
See commercial rates for Dmitry Blumenkrants, MDJoshua Ring, M.D.
Urology Physician
NPI 1487069696
See commercial rates for Joshua Ring, M.D.Mitchell Beckert, MD
Orthopaedic Surgery Physician
NPI 1235669573
See commercial rates for Mitchell Beckert, MDScott Harrison, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1194250886
See commercial rates for Scott Harrison, M.D.Raj Nagaraj, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1104935147
See commercial rates for Raj Nagaraj, M.D.Courtney Bumbalough, FNP-C
Family Nurse Practitioner
NPI 1952881435
See commercial rates for Courtney Bumbalough, FNP-CJohn Minturn, M.D.
Retina Specialist (Ophthalmology) Physician
NPI 1073513628
See commercial rates for John Minturn, M.D.Adam Miller, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1871904920
See commercial rates for Adam Miller, M.D.Amy Wooldridge, MD
Internal Medicine Physician
NPI 1386624070
See commercial rates for Amy Wooldridge, MDNakiisa Rogers, M.D.
Diagnostic Radiology Physician
NPI 1699735019
See commercial rates for Nakiisa Rogers, M.D.Maria Cudiamat, MD
Family Medicine Physician
NPI 1942283510
See commercial rates for Maria Cudiamat, 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 Hancock Regional Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $573.4M | 353.4% |
| Inpatient | $73.2M | 45.1% |
| Outpatient | $500.2M | 308.2% |
| Contractual allowances and discounts | -$411.1M | -253.4% |
| Net patient revenue | $162.3M | 100.0% |
| Operating expenses | -$215.2M | -132.6% |
| Operating income from patient care | -$52.9M | -32.6% |
| Other income | $12.8M | 7.9% |
| Investment income | $18.6M | 11.5% |
| Other | -$5.8M | -3.6% |
| Other expenses | -$11,344 | -0.0% |
| Net income | -$40.1M | -24.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $114M | 20.3% |
| Medicaid (including managed care) | $60.5M | 10.8% |
| Other payers and self-pay | $387.6M | 69.0% |
| Total charges | $562.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, 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 Hancock Regional Hospital's latest cost report.
-32.6%
Operating margin
Operating income from patient care / net patient revenue
-22.9%
Total margin
Net income / net patient revenue plus other income
-14.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.74
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-12.4%
Return on assets
Net income for a year / total assets
-14.9%
Return on equity
Net income for a year / fund balance
3.18
Current ratio
Current assets / current liabilities
0.53
Quick ratio
Cash, temporary investments and net receivables / current liabilities
5 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
58 days
Days in patient receivables
Net patient receivables / daily net patient revenue
98 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.54
Asset turnover
Total revenue for a year / total assets
15.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Hancock Regional Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $322.9M in total assets and a $268.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $3M | 0.9% |
| Patient receivables, net | $25.6M | 7.9% |
| Inventory | $5.2M | 1.6% |
| Total current assets | $170.1M | 52.7% |
| Property and equipment, net of depreciation | $120.5M | 37.3% |
| Investments and other assets | $32.3M | 10.0% |
| Total assets | $322.9M | 100.0% |
| Current liabilities | $53.5M | 16.6% |
| Total liabilities | $54.1M | 16.8% |
| Fund balance (net assets) | $268.8M | 83.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Hancock Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.4M
Bad debt
Patient bills written off as uncollectible, at charges
$12.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$15.7M
Total unreimbursed and uncompensated care
7.3% 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 837256, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Hancock Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $126.7M | $140.7M | $148.9M | $160.1M | $158.4M | $162.3M |
| Operating expenses | $152M | $160.4M | $187.8M | $196.4M | $203M | $215.2M |
| Operating margin | -20.0% | -14.0% | -26.1% | -22.7% | -28.2% | -32.6% |
| Net income | $5.8M | $13.5M | -$38M | $9.4M | -$13M | -$40.1M |
| Total assets | $323.9M | $343.4M | $326.8M | $337M | $341.9M | $322.9M |
| Discharges | 2,330 | 3,027 | 2,988 | 2,817 | 2,839 | 2,924 |
| Inpatient days | 8,703 | 10,900 | 10,766 | 11,151 | 11,016 | 10,534 |
| Medicare Advantage days | 2,063 | 2,548 | 3,297 | 3,995 | 3,412 | 3,409 |
| Beds | 93 | 95 | 105 | 120 | 114 | 117 |
| Employees (FTE) | 710 | 764 | 787 | 812 | 1,076 | 1,008 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Hancock Regional 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 | $35.3M | $134.1M | 0.26 | ||
| Operating room | $3.7M | $15M | $48.1M | 0.31 | 16,611 |
| Radiology-diagnostic | $5.1M | $14.7M | $116.4M | 0.13 | 25,581 |
| Emergency | $4.1M | $10.2M | $84.2M | 0.12 | 15,733 |
| Laboratory | $2.6M | $10.1M | $67.7M | 0.15 | 5,426 |
| Observation beds (non-distinct part | $5M | $5.5M | 0.89 | ||
| Oncology | $2M | $4.8M | $17.5M | 0.28 | 14,757 |
| Respiratory therapy | $1.7M | $4.2M | $10.6M | 0.40 | 5,658 |
| Physical therapy | $1.6M | $3.8M | $7.3M | 0.52 | 4,837 |
| Electrocardiology | $710,627 | $2.6M | $21.5M | 0.12 | 4,623 |
| Anderson womens center | $689,600 | $2.1M | $5.8M | 0.35 | 4,095 |
| Wound clinic | $489,955 | $2M | $6.8M | 0.29 | 3,351 |
| Impl. dev. charged to patients | $1.3M | $6.1M | 0.21 | ||
| Rural health clinic | $532,128 | $1.2M | $946,174 | 1.22 | |
| Medical supplies charged to patient | $1.1M | $436,001 | 2.43 | ||
| Delivery room & labor room | $828,641 | $1.1M | 0.72 | ||
| Occupational therapy | $338,214 | $612,157 | $1M | 0.60 | |
| Speech pathology | $231,771 | $469,123 | $1.2M | 0.39 | |
| Andis clinic | $41,685 | $244,935 | $52,099 | 4.70 | 478 |
| Cardiopulmonary | $84,514 | $221,221 | $493,056 | 0.45 | 1,247 |
| Diabetes clinic | $2,863 | ||||
| Prime time | $2,257 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Intensive care unit | $4.6M | $12.5M | $15.3M | 0.82 | 22,834 |
| Adults & pediatrics | $4.1M | $11.7M | $7.6M | 1.53 | 25,569 |
| Nursery | $1.8M | $2.2M | 0.84 | 4,354 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $13.4M | $36.5M | 277,416 | $47.17 | 41,172 |
| Cap rel costs-bldg & fixt | $15M | 490,977 | |||
| Employee benefits department | $1.5M | $13.2M | 22,441 | $66.81 | 2,525 |
| Operation of plant | $1.3M | $7.7M | 33,672 | $38.21 | 190,629 |
| Housekeeping | $2.1M | $2.9M | 96,343 | $21.52 | 1,038 |
| Nursing administration | $1.5M | $1.9M | 29,646 | $49.39 | 1,000 |
| Pharmacy | $2.8M | $1.4M | 52,718 | $53.91 | 7,515 |
| Cafeteria | $1.1M | 40,348 | $24.65 | ||
| Dietary | $1.7M | $628,452 | 29,555 | $24.62 | 9,627 |
| Medical records & library | $260,447 | $415,939 | 11,660 | $21.35 | 1,852 |
| Central services & supply | $256,359 | $358,662 | 7,029 | $36.44 | 3,856 |
| Paramed ed prgm | $123,230 | $105,251 | 949 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837256, 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 Hancock Regional 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).
19.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
714
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.50 | 1.50 | 1.51 | 1.53 | 1.49 | 1.47 | 1.43 |
| Wage index | 0.992 | 0.971 | 0.972 | 0.939 | 1.079 | 1.059 | 1.038 |
| Readmissions adjustment | -0.21% | -0.03% | -0.03% | -1.55% | -0.31% | -0.75% | -0.26% |
| Value-based purchasing adjustment | +0.82% | +0.66% | +0.66% | -0.69% | -0.53% | -0.88% | +0.98% |
| Medicare inpatient stays | 981 | 981 | 834 | 726 | 739 | 748 | 714 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Hancock Regional 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 3 of 6 are shown.
Knightstown rural health
CCN 153987, certified 1998, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Hancock Regional Hospital's latest Medicare cost report (HCRIS).
About Hancock Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hancock Regional Hospital range from $297 to $2,929 across 4 insurers. Aetna's rate is $2,587. The median at nearby comparable hospitals is $692. 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 Hancock Regional Hospital range from $297 to $3,119 across 4 insurers. Aetna's rate is $2,629. The median at nearby comparable hospitals is $664. 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 Hancock Regional Hospital range from $998 to $6,300 across 4 insurers. Cigna's rate is $2,078. The median at nearby comparable hospitals is $2,723. 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 Hancock Regional Hospital range from $7,456 to $10,312 across 4 insurers. UnitedHealthcare's rate is $8,991. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hancock Regional Hospital range from $83 to $376 across 4 insurers. UnitedHealthcare's rate is $83. The median at nearby comparable hospitals is $171. 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 Hancock Regional Hospital range from $22,030 to $41,810 across 4 insurers. Blue Cross Blue Shield's rate is $32,013. The median at nearby comparable hospitals is $32,941. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hancock Regional Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Hancock Regional Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hancock Regional Hospital's base inpatient payments by an estimated 0.26% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (89 discharges), pulmonary edema and respiratory failure (65 discharges), heart failure and shock with mcc (43 discharges).
Hancock Regional 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.
Hancock Regional Hospital reported 2,924 inpatient discharges and 10,534 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Hancock Regional Hospital reported 1,008 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Hancock Regional Hospital reported $162.3M in net patient revenue on $573.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -32.6%, and net income of -$40.1M.
Hancock Regional Hospital reported $15.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.6M of charity care at cost.
Insurers' price transparency files list Hancock Regional Hospital under employer identification number 35-1092610 (Hancock Regional Hospital). 60 health plans and networks list 35-1092610 for it.
262 clinicians who bill Medicare list Hancock Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (34), family medicine physician (31), internal medicine physician (22).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Hancock Regional Hospital, effective 2020.
CMS lists 33 services at Hancock Regional Hospital, including Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hancock Regional Hospital came from ZIP codes 46140 (992), 46163 (146), 46148 (77).
Hancock Regional Hospital has 117 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 69 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Hancock Regional Hospital is located at 801 North State Street, Greenfield, IN 46140. Its main phone number is (317) 462-5544.
Hancock Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 150037.
The National Provider Identifier (NPI) on file for Hancock Regional Hospital is 1467485003.
Hancock Regional Hospital is affiliated with Hancock Health.
Hancock Regional Hospital lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
288 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