Quorum Health · Marion, IL
2 of 5
CMS star rating
116
Beds
3,186
Inpatient discharges a year
$135.9M
Net patient revenue a year
12
In-network payers
Heartland Regional Medical Center is a 116-bed proprietary hospital in Marion, IL, affiliated with Quorum Health. Below you'll find publicly disclosed negotiated rates and facility details, including 12 in-network payers and 41 disclosed rate categories.
The 24 services Heartland Regional Medical Center 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.
CT imaging
CPT 74177
$5,083 - $6,985
from 4 insurers · median $5,609
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$7,074 - $9,649
from 4 insurers · median $7,806
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,076
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$15,584
negotiated rate
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 70450
$1,164 - $1,865
from 4 insurers · median $1,744
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$3,338 - $4,531
from 4 insurers · median $3,684
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$3,198 - $3,572
from 3 insurers · median $3,486
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$4,267 - $5,789
from 4 insurers · median $4,710
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$5,043 - $6,845
from 4 insurers · median $5,565
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$158,974
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
Mammography
CPT 77067
$342 - $471
from 4 insurers · median $378
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$75 - $398
from 4 insurers · median $372
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$1,468 - $1,640
from 4 insurers · median $1,572
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$4,267 - $5,793
from 4 insurers · median $4,710
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$5,692 - $6,205
from 2 insurers · median $5,949
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$4,471 - $6,062
from 4 insurers · median $4,935
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$2,786 - $3,857
from 4 insurers · median $3,074
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$2,786 - $3,805
from 4 insurers · median $3,074
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$776 - $1,054
from 4 insurers · median $857
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$931 - $1,270
from 4 insurers · median $1,027
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$931 - $1,263
from 4 insurers · median $1,027
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,076
negotiated rate
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
Ultrasound
CPT 76642
$631 - $868
from 4 insurers · median $695
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$883 - $1,197
from 4 insurers · median $975
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* | 19 | 1277% | 15 | 1 |
| Insurer B* | 24 | 1246% | 15 | 4 |
| Insurer C* | 18 | 1186% | 15 | 2 |
| Insurer D* | 20 | 1143% | 4 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 20 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Heartland Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$135.9M net patient revenue
Ownership and leadership
Private (for profit)
3333 West Deyoung, Marion, IL 62959
(618) 998-7000
How Heartland Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% 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 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 2 of 7 measures
1 better, 4 no different, 2 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)
1
Higher than 65% 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
63%
Lower 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 | 2 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 2 of 7 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) | 1 | 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 | 63% | 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 Heartland Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.59% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.59% 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 Heartland Regional Medical Center, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.202 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 901 cases | 4.9 | 3.9 | 4.052 | Worse than 87% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 133 cases | 13.3 | 11.8 | 11.78 | Worse than 90% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 57 cases | 10.8 | 8.5 | 8.223 | Worse than 92% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 150 cases | 15.3 | 11 | 10.49 | Worse than 97% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 164 cases | 18.6 | 15.2 | 15.41 | Worse than 90% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 36 cases | 15.6 | 11.6 | 11.77 | Worse than 91% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,159 cases | 0.4 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 67% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,655 cases | 0.25 | 0.2 | 0.2122 | No Different Than the National Rate | Worse than 82% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,637 cases | 0.26 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 318 cases | 2.44 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 131 cases | 1.63 | 1.63 | 1.67 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 151 cases | 9.99 | 8.88 | 9.531 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 338 cases | 3.58 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 137 cases | 6.46 | 5.105 | 5.152 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 63 cases | 1.71 | 1.72 | 1.741 | No Different Than the National Rate | Better than 53% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 169 cases | 0.99 | 1.02 | 1.045 | No Different Than the National Rate | Better than 61% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 102 cases | 0.3 | 4.2 | 11.54 | Better than 57% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 161 cases | 32.4 | 1.25 | 8.216 | Worse than 84% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 162 cases | 19 | 3.85 | 13.94 | Worse than 71% 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 · 244 cases | 11.8 | 12.9 | 12.97 | No Different Than the National Rate | Better than 93% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 116 cases | 1.1 | 1 | 1.016 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 117 cases | 14.6 | 14.4 | 14.43 | Worse than 60% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 95 cases | 19.8 | 19.8 | 20.07 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 228 cases | 22.9 | 21.3 | 21.51 | Worse than 88% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.976 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 214 cases | 17.9 | 17.2 | 17.5 | Worse than 74% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.315 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,285 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.913 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.218 | 1.392 | 1.915 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,379 | 1,799 | 3,807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.46 | 1.377 | 4.51 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5759 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 28 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.767 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 84.23 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.7325 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.72 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1945 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 15,541 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.78 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.04 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.798 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 15,541 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 8.284 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.241 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 56% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 466 cases | 74 | 73 | 72.75 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 466 cases | 10 | 8 | 9.158 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 466 cases | 16 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 87 | 87 | 85.64 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 466 cases | 4 | 4 | 3.195 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 466 cases | 82 | 80 | 79.29 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 93 | 91 | 90.92 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 466 cases | 4 | 4 | 4.576 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 466 cases | 4 | 3 | 3.305 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 466 cases | 14 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 466 cases | 79 | 79 | 78.82 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 91 | 91 | 90.1 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 466 cases | 5 | 5 | 5.823 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 466 cases | 3 | 3 | 2.89 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 466 cases | 16 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 466 cases | 63 | 61 | 61.18 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 79 | 77 | 76.11 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 466 cases | 16 | 19 | 19.8 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 466 cases | 3 | 3 | 2.559 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 466 cases | 21 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 87 | 86 | 85.26 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 466 cases | 13 | 13 | 13.92 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 466 cases | 4 | 3 | 3.237 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 466 cases | 87 | 87 | 86.08 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 466 cases | 15 | 14 | 14.8 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 466 cases | 85 | 86 | 85.2 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 75 | 74 | 73.24 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 6 | 7 | 7.369 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 19 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 76 | 77 | 76.95 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 5 | 6 | 6.199 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 19 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 86 | 85 | 84.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 4 | 3 | 3.979 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 10 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 466 cases | 9 | 8 | 8.937 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 466 cases | 23 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 466 cases | 68 | 72 | 70.19 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 88 | 88 | 87.19 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 466 cases | 3 | 3 | 3.136 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 466 cases | 73 | 74 | 73.94 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 466 cases | 7 | 9 | 9.858 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 466 cases | 20 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 77 | 75 | 74.61 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 5 | 5 | 5.915 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 466 cases | 18 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 79 | 77 | 76.32 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 3 | 4 | 4.894 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 466 cases | 18 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 89 | 86 | 84.9 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 2 | 3 | 3.085 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 466 cases | 9 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 466 cases | 56 | 59 | 59.03 | Worse than 60% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 466 cases | 9 | 9 | 10.03 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 466 cases | 35 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 81 | 82 | 81.16 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 466 cases | 3 | 3 | 3.237 | 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 · 466 cases | 6 | 5 | 6.753 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 466 cases | 69 | 71 | 68.65 | Worse than 57% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 466 cases | 87 | 87 | 85.89 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 466 cases | 25 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 466 cases | 4 | 4 | 3.458 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 466 cases | 53 | 47 | 46.95 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 466 cases | 25 | 30 | 30.69 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 466 cases | 22 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 466 cases | 4 | 3 | 3.119 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 466 cases | 11 | 12 | 13.09 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 466 cases | 89 | 88 | 86.91 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 622 cases | 1 | 1 | 1.114 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 809 cases | 74 | 79 | 83.65 | Worse than 58% 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 · 399 cases | 167 | 154 | 183 | Worse than 59% 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 · 362 cases | 162 | 148 | 175 | 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 · 22 cases | 364 | 247 | 304 | Worse than 83% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 295 | 293 | 315 | Worse than 51% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 16,858 cases | 2 | 1 | 2.469 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 91 | 74 | 78.84 | Better than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 121 cases | 86 | 97 | 94.09 | Worse than 84% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 545 cases | 23 | 15 | 15.81 | Worse than 92% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 65 cases | 63 | 65 | 62.57 | Worse than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 17 cases | 47 | 73 | 71.03 | Worse than 91% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85.26 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 65 cases | 80 | 82 | 79.02 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 38 cases | 97 | 94 | 92.05 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.02 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 81.77 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.61 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.8 | 5 | 6.493 | Worse than 86% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.2 | 6.6 | 7.806 | Better than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.09 | 0.99 | 0.9996 | Worse than 89% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 28.09 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.071 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 13.71 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.521 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 45 | 34 | 34.29 | Better than 68% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.25 | 8.75 | 8.88 | Better than 67% of US hospitals | |
| VBP safety domain scoreFY 2026 | 36.67 | 40 | 36.66 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.167 | 10 | 9.377 | Worse than 55% of US hospitals | |
| VBP total performance scoreFY 2026 | 20.42 | 29.5 | 28.2 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 32 | 32 | 32.5 | 10 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 8 | 8 | 8.125 | 2.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 30 | 10 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 7.5 | 2.5 | 0 | 0 |
| VBP person and community engagement domain score | 14 | Not Available | Not Available | 10 | 8 | 45 |
| VBP person and community engagement weighted domain score | 3.5 | Not Available | Not Available | 2.5 | 2 | 11.25 |
| VBP safety domain score | 80 | Not Available | Not Available | 25 | 20 | 36.67 |
| VBP safety weighted domain score | 20 | Not Available | Not Available | 6.25 | 5 | 9.167 |
| VBP total performance score | 36.5 | Not Available | Not Available | 13.75 | 7 | 20.42 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9678 | 0.9995 | 1.015 | Better than 71% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 58 cases | 1.068 | 0.9969 | 1.009 | Worse than 92% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 115 cases | 1.08 | 0.9983 | 1.013 | Worse than 88% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 145 cases | 1.059 | 0.9955 | 1.018 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.012 | 1.017 | 1.025 | 0.9892 | 0.9988 | 0.9678 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9885 | 0.9789 | 0.9924 | 1.03 | 1.043 | 1.068 |
| READM-30-HF-HRRP | 1.001 | 0.9875 | 0.9609 | 0.964 | 1.01 | 1.08 |
| READM-30-HIP-KNEE-HRRP | 0.9317 | 0.9112 | 0.9756 | 1.014 | 0.9452 | N/A |
| READM-30-PN-HRRP | 1.046 | 1.065 | 1.022 | 0.9686 | 1.01 | 1.059 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.258 | 0.489 | 0.5958 | Better than 74% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.817 | 0.346 | 0.436 | Worse than 91% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.117 | 0.559 | 0.7638 | Worse than 98% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6364 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9971 | 0.9628 | 0.9883 | Worse than 65% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 3.259 | 0.7945 | 0.9041 | Worse than 99% of US hospitals | |
| Total HAC scoreFY 2026 | 1.095 | -0.0453 | 0.07842 | Worse than 96% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | Yes | Yes |
| Total HAC score | -0.1938 | 0.1061 | 0 | 0.2957 | 0.8429 | 1.095 |
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
Private (for profit)
Ownership type
92
Medicare-certified beds
182
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Heartland Regional Medical Center reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
3,186
Inpatient discharges
Medicare 45%, Medicaid 1%
13,204
Inpatient days
33% of available bed days used
314
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831837). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Heartland Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 6,067 | 135 | 7,002 | 13,204 |
| Discharges | 1,428 | 35 | 1,723 | 3,186 |
| Average length of stay | 4.2 days | 3.9 days | 4.1 days | 4.1 days |
| Average daily census | 16.6 | 0.4 | 19.2 | 36.2 |
2,987
Medicare Advantage days
597 discharges
1,546
Medicaid managed care days
382 discharges
2,191
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 98 | 9,202 | 4,335 | 28% |
| Intensive care unit | 18 | 4,002 | 1,732 | 61% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Heartland Regional Medical Center treats Medicare patients for most often, in 2024. 634 Medicare discharges in 25 published DRGs; 6% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 134 | $101,808 | $12,090 | $16,696 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 76 | $70,393 | $7,933 | $11,544 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 37 | $101,465 | $10,075 | $16,640 | 1.59 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $71,429 | $7,615 | $11,714 | 1.23 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $85,918 | $5,200 | $14,091 | 0.91 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $65,485 | $8,227 | $10,740 | 1.33 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $266,552 | $12,964 | $43,714 | 1.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $71,421 | $9,818 | $11,713 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 21 | $67,634 | $8,534 | $11,092 | 1.32 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $52,677 | $5,834 | $8,639 | 1.03 |
| Syncope and collapseMS-DRG 312, medical | 20 | $53,629 | $5,298 | $8,795 | 0.86 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $76,701 | $9,396 | $12,579 | 1.50 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $53,489 | $2,647 | $8,772 | 0.55 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $49,199 | $4,127 | $8,069 | 0.74 |
| Renal failure with CCMS-DRG 683, medical | 16 | $53,113 | $5,548 | $8,711 | 0.90 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $125,111 | $6,575 | $20,518 | 1.08 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $120,141 | $13,521 | $19,703 | 2.07 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $66,441 | $7,636 | $10,896 | 1.20 |
| Chest painMS-DRG 313, medical | 14 | $56,177 | $4,162 | $9,213 | 0.72 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $41,357 | $4,323 | $6,783 | 0.78 |
See all 25 Medicare inpatient DRGs at Heartland Regional Medical Center
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) Heartland Regional Medical Center billed Medicare for most in 2024: 564 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 132 | 123 | $29,092 | $2,041 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 69 | 68 | $86,124 | $2,165 | $2,208 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 58 | 58 | $91,829 | $6,253 | $6,514 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 41 | 41 | $42,082 | $2,383 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 37 | 36 | $113,328 | $10,512 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 34 | $71,179 | $5,117 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 32 | $30,686 | $1,376 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 24 | $26,424 | $1,404 | $1,445 |
| Level 2 Endovascular ProceduresAPC 5192 | 18 | 18 | $124,610 | $4,209 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $44,174 | $2,347 | $2,405 |
See all 17 Medicare outpatient services at Heartland Regional Medical Center
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 Heartland Regional Medical Center 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 973 in 2020 to 2,005 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62959 | 734 | 37% | 3,033 | $70.1M | 36% | 31% |
| 62896 | 116 | 6% | 546 | $14.2M | 12% | 8% |
| 62946 | 80 | 4% | 394 | $9.3M | 9% | 3% |
| 62812 | 76 | 4% | 395 | $8.8M | 10% | 5% |
| 62906 | 75 | 4% | 375 | $7.3M | 15% | 9% |
| 62930 | 70 | 3% | 275 | $5.5M | 19% | |
| 62948 | 66 | 3% | 286 | $8.2M | 7% | 4% |
| 62922 | 65 | 3% | 229 | $5.9M | 39% | 38% |
| 62918 | 64 | 3% | 285 | $6.6M | 10% | 7% |
| 62951 | 59 | 3% | 276 | $7M | 14% | 9% |
| 62864 | 49 | 2% | 197 | $5M | 3% | 1% |
| 62939 | 45 | 2% | 167 | $5M | 30% | 37% |
| 62995 | 44 | 2% | 246 | $5.3M | 18% | 10% |
| 62821 | 40 | 2% | 172 | $3.5M | 8% | |
| 62901 | 31 | 2% | 152 | $3.5M | 3% | 2% |
| 62832 | 28 | 1% | 149 | $3.8M | 5% | 3% |
| 62837 | 27 | 1% | 106 | $2.7M | 6% | |
| 62917 | 24 | 1% | 112 | $3.3M | 15% | |
| 62974 | 24 | 1% | 98 | $2.5M | 34% | 34% |
| 62920 | 22 | 1% | 151 | $2.7M | 12% | |
| 62822 | 20 | 1% | 60 | $1.9M | 10% | |
| 62933 | 20 | 1% | 91 | $2.2M | 12% | |
| 62859 | 19 | 1% | 71 | $1.6M | 6% | |
| 62890 | 18 | 1% | 101 | $2.3M | 21% | |
| 62966 | 18 | 1% | 77 | $2.3M | 2% | 2% |
Source: CMS Hospital Service Area file. Shares are of the 2,005 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 Heartland Regional Medical Center reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
182
Registered nurses
15
Licensed practical nurses
17
Physicians
2
Nurse practitioners
4
Physician assistants
9
Pharmacists
6
Respiratory therapists
2
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
10
Radiology technicians
4
Nuclear medicine technicians
8
Laboratory technicians
4
Medical technologists
3
Dietitians
288
Other personnel
Source: CMS Provider of Services file.
326 clinicians who bill Medicare list Heartland Regional Medical Center 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.
Mohammadali Mojarrad, M.D.
Diagnostic Radiology Physician
NPI 1487035887
See commercial rates for Mohammadali Mojarrad, M.D.Haritha Yepuri, MD
Diagnostic Radiology Physician
NPI 1265919146
See commercial rates for Haritha Yepuri, MDStacey Leithliter, PA
Physician Assistant
NPI 1437208410
See commercial rates for Stacey Leithliter, PAUdaya Liyanage, MD
Surgery Physician
NPI 1972548287
See commercial rates for Udaya Liyanage, MDAparna Devi Yepuri, MD
Diagnostic Radiology Physician
NPI 1699205229
See commercial rates for Aparna Devi Yepuri, MDZahoor Makhdoom, MD
Gastroenterology Physician
NPI 1982667309
See commercial rates for Zahoor Makhdoom, MDAamir Ehsan, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1467569459
See commercial rates for Aamir Ehsan, MDTennyson Lee, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1518964980
See commercial rates for Tennyson Lee, M.D.Hisham Youssef, MD RADIOLOGIST
Diagnostic Radiology Physician
NPI 1720078629
See commercial rates for Hisham Youssef, MD RADIOLOGISTBridget Herschap, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1336466895
See commercial rates for Bridget Herschap, M.D.Brenda Ly, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1871818617
See commercial rates for Brenda Ly, M.D.Robert Hatchett, M.D.
Urology Physician
NPI 1336210624
See commercial rates for Robert Hatchett, M.D.Craig Beyer, MD
Orthopaedic Surgery Physician
NPI 1437134731
See commercial rates for Craig Beyer, MDAlejandro Hornik
Neurology Physician
NPI 1134384977
See commercial rates for Alejandro HornikMatthew Kuhn, M.D.
Neuroradiology Physician
NPI 1992818991
See commercial rates for Matthew Kuhn, M.D.Kathleen Dumford, MD
Diagnostic Radiology Physician
NPI 1457364457
See commercial rates for Kathleen Dumford, MDMichael Wilczynski, DO
Diagnostic Radiology Physician
NPI 1750344768
See commercial rates for Michael Wilczynski, DOSrinivas Erragolla, M.D
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1326127283
See commercial rates for Srinivas Erragolla, M.DJohn Cerny, M.D.
Family Medicine Physician
NPI 1407852825
See commercial rates for John Cerny, M.D.Marshall Kong, M.D.
Diagnostic Radiology Physician
NPI 1497916852
See commercial rates for Marshall Kong, M.D.Rizwan Khan, M.D.
Interventional Cardiology Physician
NPI 1902288855
See commercial rates for Rizwan Khan, M.D.Jeffrey Mcintosh, MD
Orthopaedic Surgery Physician
NPI 1790754075
See commercial rates for Jeffrey Mcintosh, MDRhonda Heatherly, APN, FNP
Nurse Practitioner
NPI 1073048120
See commercial rates for Rhonda Heatherly, APN, FNPVictor Mwansa, M.D
Interventional Cardiology Physician
NPI 1811194244
See commercial rates for Victor Mwansa, M.DSource: 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 Heartland Regional Medical Center reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $833.1M | 613.0% |
| Inpatient | $333.4M | 245.3% |
| Outpatient | $499.7M | 367.7% |
| Contractual allowances and discounts | -$697.2M | -513.0% |
| Net patient revenue | $135.9M | 100.0% |
| Operating expenses | -$158.4M | -116.6% |
| Operating income from patient care | -$22.5M | -16.6% |
| Other income | $4.8M | 3.5% |
| Other expenses | -$1 | -0.0% |
| Net income | -$17.7M | -13.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $219.6M | 26.1% |
| Medicaid (including managed care) | $145.5M | 17.3% |
| Other payers and self-pay | $474.9M | 56.5% |
| Total charges | $840M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, 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 Heartland Regional Medical Center's latest cost report.
-16.6%
Operating margin
Operating income from patient care / net patient revenue
-12.6%
Total margin
Net income / net patient revenue plus other income
-5.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
24% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.34
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-8.3%
Return on assets
Net income for a year / total assets
-39.7%
Return on equity
Net income for a year / fund balance
0.31
Current ratio
Current assets / current liabilities
0.35
Quick ratio
Cash, temporary investments and net receivables / current liabilities
40 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
110 days
Days in patient receivables
Net patient receivables / daily net patient revenue
391 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.66
Asset turnover
Total revenue for a year / total assets
2.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Heartland Regional Medical Center owned and owed at the end of its reporting period (Sep 2025), across all fund types: $212.5M in total assets and a $44.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $17.2M | 8.1% |
| Patient receivables, net | $41M | 19.3% |
| Inventory | $3.3M | 1.6% |
| Total current assets | $52.8M | 24.8% |
| Property and equipment, net of depreciation | $6.6M | 3.1% |
| Investments and other assets | $153.1M | 72.0% |
| Total assets | $212.5M | 100.0% |
| Current liabilities | $168M | 79.0% |
| Total liabilities | $168M | 79.0% |
| Fund balance (net assets) | $44.6M | 21.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Heartland Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$9.8M
Bad debt
Patient bills written off as uncollectible, at charges
$20.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$24.8M
Total unreimbursed and uncompensated care
15.6% 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 831837, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Heartland Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Apr 2020 | Apr 2021 | Apr 2022 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|
| Net patient revenue | $94.9M | $87.5M | $96.1M | $129.2M | $135.9M |
| Operating expenses | $77M | $74.7M | $80.3M | $123.4M | $158.4M |
| Operating margin | 18.9% | 14.7% | 16.4% | 4.4% | -16.6% |
| Net income | $18M | $31M | $17.7M | $4M | -$17.7M |
| Total assets | $67.8M | $76.6M | $80.9M | $218.6M | $212.5M |
| Discharges | 2,511 | 1,892 | 1,865 | 2,832 | 3,186 |
| Inpatient days | 7,404 | 6,777 | 6,712 | 9,793 | 13,204 |
| Medicare Advantage days | 626 | 545 | 803 | 2,128 | 2,987 |
| Beds | 94 | 94 | 94 | 94 | 116 |
| Employees (FTE) | 282 | 242 | 235 | 299 | 314 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Heartland Regional Medical Center 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 |
|---|---|---|---|---|---|
| Operating room | $2.9M | $26.1M | $121M | 0.22 | 19,695 |
| Drugs charged to patients | $11M | $47.8M | 0.23 | ||
| Emergency | $2.8M | $10.4M | $76.1M | 0.14 | 9,538 |
| Laboratory | $2M | $9.8M | $122.3M | 0.08 | 4,738 |
| Impl. dev. charged to patients | $6.4M | $33.3M | 0.19 | ||
| Radiology-diagnostic | $1.3M | $4.8M | $25.8M | 0.18 | 9,376 |
| Observation beds (non-distinct part | $4.8M | $8M | 0.60 | ||
| Physical therapy | $3.5M | $26.7M | 0.13 | 6,545 | |
| Cardiac catheterization | $993,309 | $2.8M | $95.9M | 0.03 | 2,221 |
| Electrocardiology | $709,315 | $2.6M | $38M | 0.07 | 4,190 |
| Medical supplies charged to patient | $2.4M | $14.4M | 0.16 | ||
| Respiratory therapy | $1.2M | $2.2M | $23.5M | 0.09 | 1,085 |
| Ct scan | $470,644 | $2.1M | $82M | 0.03 | 1,202 |
| Recovery room | $399,315 | $1.2M | $17.7M | 0.07 | 834 |
| Radioisotope | $217,223 | $1.1M | $10.3M | 0.11 | 691 |
| Renal dialysis | $223,713 | $960,361 | $1.4M | 0.70 | 334 |
| Mri | $237,035 | $940,928 | $17.9M | 0.05 | 1,277 |
| Cardiac rehabilitation | $295,113 | $839,263 | $1.7M | 0.48 | |
| Sleep lab | $775,838 | $1.8M | 0.42 | 2,356 | |
| Whole blood & packed red blood cell | $100,230 | $648,278 | $2.6M | 0.25 | 252 |
| Ambulance services | $96,280 | $245,238 | |||
| Infusion services | $94,461 | $243,184 | $5.5M | 0.04 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.7M | $24.7M | $42.8M | 0.58 | 27,294 |
| Intensive care unit | $1.7M | $10.1M | $23.4M | 0.43 | 12,244 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4.1M | $40.5M | 59,261 | $68.97 | 23,845 |
| Employee benefits department | $229,169 | $12.2M | 5,392 | $42.50 | 1,208 |
| Operation of plant | $620,959 | $5.4M | 17,527 | $35.43 | 51,154 |
| Cap rel costs-mvble equip | $4.7M | ||||
| Cap rel costs-bldg & fixt | $4.6M | 217,384 | |||
| Pharmacy | $1.7M | $3M | 34,611 | $50.36 | 2,061 |
| Housekeeping | $2.2M | 1,345 | |||
| Dietary | $1.9M | 3,665 | |||
| Central services & supply | $282,098 | $1.6M | 12,251 | $23.03 | 2,331 |
| Social service | $599,419 | $1.4M | 15,164 | $39.53 | |
| Laundry & linen service | $576,286 | 496 | |||
| Medical records & library | $135,332 | 3,430 | |||
| Nursing administration | $123,760 | 5,710 | |||
| Cafeteria | $105,862 | 4,142 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831837, 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 Heartland Regional Medical Center for an inpatient stay.
1.61
Case mix index
Higher than 42% 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).
19.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,408
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 | 1.78 | 1.78 | 1.89 | 1.78 | 1.69 | 1.60 | 1.61 |
| Wage index | 0.838 | 0.844 | 0.846 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.51% | -0.28% | -0.31% | -0.05% | -0.06% | -0.05% | -0.59% |
| Value-based purchasing adjustment | +0.64% | +0.34% | +0.34% | -0.57% | -0.70% | -1.37% | -0.59% |
| Medicare inpatient stays | 1,458 | 1,458 | 890 | 752 | 802 | 1,117 | 1,408 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Heartland Regional Medical Center reports to Medicare as owners or with operational control.
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Heartland Regional Medical Center'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 8 of 13 are shown.
Helipad
Deaconess Illinois Medical Center
FAA location ID 5IL6, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Deaconess illinois medical center
CCN 14U184, certified 1999, Medicare prospective payment
Source: Worksheet S-2 Part I of Heartland Regional Medical Center's latest Medicare cost report (HCRIS).
About Heartland Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Heartland Regional Medical Center range from $4,267 to $5,789 across 4 insurers. Aetna's rate is $5,789. The median at nearby comparable hospitals is $3,823. 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 Heartland Regional Medical Center range from $5,083 to $6,985 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $5,541. The median at nearby comparable hospitals is $4,086. 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 Heartland Regional Medical Center range from $10,076 to $10,076 across 1 insurers. Blue Cross Blue Shield of Illinois's rate is $10,076. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Heartland Regional Medical Center range from $342 to $471 across 4 insurers. UnitedHealthcare's rate is $382. The median at nearby comparable hospitals is $393. What a patient pays depends on their plan's deductible, coinsurance and network status.
Heartland Regional Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Heartland Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Heartland Regional Medical Center's base inpatient payments by an estimated 0.59% 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 (134 discharges), heart failure and shock with mcc (76 discharges), acute myocardial infarction, discharged alive with mcc (37 discharges).
Heartland Regional Medical Center's Medicare case mix index is 1.61 for fiscal year 2027, higher than 42% of hospitals paid under the inpatient prospective payment system.
Heartland Regional Medical Center reported 3,186 inpatient discharges and 13,204 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Heartland Regional Medical Center reported 314 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Heartland Regional Medical Center reported $135.9M in net patient revenue on $833.1M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -16.6%, and net income of -$17.7M.
Heartland Regional Medical Center reported $24.8M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $2.9M of charity care at cost.
Heartland Regional Medical Center's Medicare enrollment lists William Davis as President since 2023.
326 clinicians who bill Medicare list Heartland Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (43), nurse practitioner (39), diagnostic radiology physician (33).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Heartland Regional Medical Center, effective 2019.
CMS lists 31 services at Heartland Regional Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Heartland Regional Medical Center came from ZIP codes 62959 (734), 62896 (116), 62946 (80).
Heartland Regional Medical Center has 116 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 92 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Heartland Regional Medical Center is located at 3333 West Deyoung, Marion, IL 62959. Its main phone number is (618) 998-7000.
Heartland Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 140184.
The National Provider Identifier (NPI) on file for Heartland Regional Medical Center is 1073584058.
Heartland Regional Medical Center is affiliated with Quorum Health.
Heartland Regional Medical Center lists 12 in-network payers, including Ameri Health, Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
41 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