Henry County Hospital · New Castle, IN
4 of 5
CMS star rating
48
Beds
1,616
Inpatient discharges a year
$164.2M
Net patient revenue a year
35
In-network payers
Henry County Memorial Hospital is a 48-bed government - local hospital in New Castle, IN, affiliated with Henry County Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 270 disclosed rate categories.
The 24 services Henry County Memorial 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.
CT imaging
CPT 74177
$304 - $6,595
from 4 insurers · median $3,267
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,914 - $10,950
from 4 insurers · median $9,072
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$17,941 - $52,201
from 4 insurers · median $25,093
24 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$9,322 - $15,880
from 4 insurers · median $12,901
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$5,112 - $18,000
from 2 insurers · median $11,556
18 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$83 - $520
from 4 insurers · median $169
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$304 - $5,458
from 4 insurers · median $1,677
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,555 - $32,000
from 3 insurers · median $9,612
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,197 - $25,000
from 3 insurers · median $12,589
47 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$417 - $4,660
from 4 insurers · median $1,027
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,914 - $10,950
from 4 insurers · median $9,072
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Cardiology and vascular testing
CPT 93306
$250 - $379
from 3 insurers · median $365
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,112 - $18,000
from 2 insurers · median $11,556
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$5,093 - $12,800
from 2 insurers · median $8,947
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$43,011 - $64,813
from 2 insurers · median $53,912
Hospital reports orthopedic surgery services to CMS
Lung function and sleep
CPT 95810
$738 - $4,996
from 4 insurers · median $3,305
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$428 - $5,052
from 4 insurers · median $852
Common here, based on CMS Medicare volume
Urology
CPT 50590
$1,208 - $7,700
from 3 insurers · median $3,001
78 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58662
$5,112 - $18,000
from 2 insurers · median $11,556
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$9,612 - $32,000
from 2 insurers · median $20,806
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$6,197 - $25,000
from 2 insurers · median $15,598
Typical for a hospital with this service line
MRI imaging
CPT 72148
$207 - $2,813
from 4 insurers · median $907
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$828 - $7,409
from 4 insurers · median $1,372
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$772 - $6,222
from 4 insurers · median $3,226
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* | 24 | 337% | 15 | 4 |
| Insurer B* | 18 | 152% | 2 | 7 |
| Insurer C* | 14 | 89% | 1 | 10 |
| Insurer D* | 22 | 85% | 2 | 1 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 10 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 Henry County Memorial 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
$164.2M net patient revenue
Ownership and leadership
Local
The employer identification numbers (EINs) health plans and networks list for Henry County Memorial 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 |
|---|---|---|
| 35-6001583Henry County Memorial Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1356428429 Henry County Memorial Hospital1376616581 Henry County Memorial Hospital1962490649 Henry County Memorial Hospitaland 57 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.
1000 North 16th Street, New Castle, IN 47362
(765) 521-0890
How Henry County Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 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 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
65%
Lower than 73% 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)
0.94
Lower than 59% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
148 min
Lower than 50% 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
86%
Higher than 93% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 1 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 | 65% | 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) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 148 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 86% | 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 Henry County Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.51% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.43% 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 Henry County Memorial 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 | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 174 cases | 3.9 | 4.1 | 4.223 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 552 cases | 3.6 | 3.9 | 4.041 | Better than 69% 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 · 58 cases | 8.4 | 8.5 | 8.628 | Better than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 70 cases | 11.3 | 11 | 11.45 | Worse than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 149 cases | 19 | 15.2 | 15.69 | Worse than 92% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 28 cases | 13.7 | 11.6 | 12.44 | Worse than 79% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 919 cases | 0.46 | 0.51 | 0.487 | No Different Than the National Rate | Better than 58% 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 · 1,097 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 · 1,086 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 · 257 cases | 2.25 | 2.29 | 2.221 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 169 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 · 169 cases | 10.04 | 8.88 | 9.677 | 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 · 272 cases | 3.53 | 3.4 | 3.374 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 157 cases | 4.86 | 5.105 | 5.188 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 37 cases | 1.73 | 1.72 | 1.757 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 80 cases | 1.02 | 1.02 | 1.054 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This 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 · 80 cases | -5.7 | 1.25 | -4.257 | Better than 60% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 147 cases | 7 | 3.85 | -1.706 | Worse than 55% 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 · 630 cases | 11.9 | 12.9 | 12.92 | No Different Than the National Rate | Better than 92% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.527 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 277 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 | Not Available | 14.24 | |||
| 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 · 108 cases | 19.5 | 19.8 | 19.64 | Better than 63% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 77 cases | 20.6 | 21.3 | 20.96 | Better than 73% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 179 cases | 4.4 | 5.8 | 5.687 | Better than 98% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 212 cases | 17 | 17.2 | 16.99 | Better than 59% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | 486 | 1,370 | 3,654 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.297 | 0.9835 | 3.695 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 1,244 | 1,799 | 3,278 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.641 | 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 | 17 | 61 | 85.67 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.418 | 1.591 | 2.324 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | 19 | 38 | 65.5 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.165 | 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 | 11,210 | 14,451 | 30,946 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.504 | 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 | 0.566 | 0.127 | 0.1983 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.905 | 0.747 | 1.34 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 10,639 | 13,646 | 28,686 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.296 | 5.683 | 14.93 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 6 | 2 | 5.452 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.397 | 0.279 | 0.3807 | No Different than National Benchmark | Worse than 98% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 231 cases | 70 | 73 | 73.32 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 231 cases | 8 | 8 | 8.475 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 231 cases | 22 | 18 | 18.21 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 87 | 87 | 86.92 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 231 cases | 4 | 4 | 3.539 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 231 cases | 82 | 80 | 79.54 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 92 | 91 | 91.55 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 231 cases | 4 | 4 | 3.673 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 231 cases | 4 | 3 | 3.539 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 231 cases | 14 | 16 | 16.78 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 231 cases | 83 | 79 | 78.89 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 93 | 91 | 90.7 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 231 cases | 3 | 5 | 4.871 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 231 cases | 4 | 3 | 3.079 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 231 cases | 14 | 16 | 16.24 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 231 cases | 65 | 61 | 60.05 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 79 | 77 | 76.1 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 231 cases | 19 | 19 | 20.45 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 231 cases | 3 | 3 | 2.494 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 231 cases | 16 | 19 | 19.5 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 88 | 86 | 86.69 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 231 cases | 11 | 13 | 12.7 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 231 cases | 4 | 3 | 3.573 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 231 cases | 89 | 87 | 87.3 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 231 cases | 12 | 14 | 13.57 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 231 cases | 88 | 86 | 86.43 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 80 | 74 | 73.26 | Better than 82% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 4 | 7 | 6.316 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 16 | 19 | 20.43 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 79 | 77 | 77.15 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 4 | 6 | 5.469 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 17 | 17 | 17.38 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 90 | 85 | 85.09 | Better than 83% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 2 | 3 | 3.418 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 8 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 231 cases | 7 | 8 | 7.436 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 231 cases | 22 | 20 | 19.5 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 231 cases | 71 | 72 | 73.07 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 89 | 88 | 88.67 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 231 cases | 4 | 3 | 3.539 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 231 cases | 80 | 74 | 73.46 | Better than 80% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 231 cases | 10 | 9 | 9.908 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 231 cases | 10 | 16 | 16.63 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 79 | 75 | 74.65 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 6 | 5 | 5.184 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 231 cases | 15 | 20 | 20.16 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 77 | 77 | 76.87 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 4 | 4 | 4.01 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 231 cases | 19 | 19 | 19.12 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 89 | 86 | 86.3 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 2 | 3 | 2.327 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 231 cases | 9 | 11 | 11.38 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 231 cases | 56 | 59 | 59.53 | Worse than 60% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 231 cases | 12 | 9 | 8.455 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 231 cases | 32 | 31 | 32.01 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 81 | 82 | 82.71 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 231 cases | 3 | 3 | 3.517 | 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 · 231 cases | 5 | 5 | 4.822 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 231 cases | 65 | 71 | 71.47 | Worse than 73% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 231 cases | 86 | 87 | 87.91 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 231 cases | 30 | 23 | 23.71 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 231 cases | 3 | 4 | 3.82 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 231 cases | 51 | 47 | 45.48 | Better than 67% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 231 cases | 28 | 30 | 31.64 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 231 cases | 21 | 22 | 22.88 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 231 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 · 231 cases | 10 | 12 | 11.77 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 231 cases | 90 | 88 | 88.23 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This 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 · 1,389 cases | 95 | 79 | 81.09 | Better than 86% 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 · 443 cases | 164 | 154 | 155 | Worse than 57% 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 · 380 cases | 148 | 148 | 150 | Better than 50% 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 · 28 cases | 304 | 247 | 240 | Worse than 69% 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 · 37 cases | 306 | 293 | 307 | Worse than 56% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 20,607 cases | 2 | 1 | 1.5 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.52 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 320 cases | 100 | 97 | 91.79 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 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 · 517 cases | 16 | 15 | 15.17 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 42 cases | 86 | 65 | 64.84 | Better than 93% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 32 cases | 91 | 73 | 69.13 | Better than 87% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 21 cases | 95 | 88 | 83.4 | Better than 74% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 95 | 82 | 82.45 | Better than 95% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 100 | 94 | 92.86 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.86 | |||
| 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 · 717 cases | 91 | 90 | 89.36 | Better than 53% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.47 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.4 | 5 | 5.816 | Worse than 54% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.6 | 6.6 | 6.045 | Better than 76% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 1.06 | 0.99 | 1.009 | Worse than 82% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 18.11 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 4.553 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 11.25 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 2.839 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 61 | 34 | 37.66 | Better than 86% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.25 | 8.75 | 9.491 | Better than 85% 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 | 35.25 | 29.5 | 27.64 | Better than 70% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 0 | 12.5 | 6.667 | 7.5 | 7.5 | 10 |
| VBP clinical outcomes weighted domain score | 0 | 3.125 | 1.667 | 2.5 | 2.5 | 2.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 64 | Not Available | Not Available | 20 | 29 | 61 |
| VBP person and community engagement weighted domain score | 16 | Not Available | Not Available | 6.667 | 9.667 | 15.25 |
| VBP safety domain score | 85 | Not Available | Not Available | Not Available | Not Available | 70 |
| VBP safety weighted domain score | 21.25 | Not Available | Not Available | Not Available | Not Available | 17.5 |
| VBP total performance score | 37.25 | Not Available | Not Available | 9.167 | 12.17 | 35.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This 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 · 89 cases | 1.06 | 0.9969 | 1.004 | Worse than 90% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 98 cases | 0.9489 | 0.9983 | 1.001 | Better than 81% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.7609 | 0.9916 | 0.9883 | Better than 96% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 155 cases | 1.049 | 0.9955 | 0.993 | Worse than 79% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.006 | 0.9705 | 0.9684 | 1.033 | 1.058 | 1.06 |
| READM-30-HF-HRRP | 0.958 | 0.9513 | 0.9803 | 1.017 | 1.013 | 0.9489 |
| READM-30-HIP-KNEE-HRRP | 1.169 | 1.065 | 0.9319 | 0.7944 | 0.801 | 0.7609 |
| READM-30-PN-HRRP | 0.8289 | 0.883 | 0.9129 | 0.9725 | 1.039 | 1.049 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This 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 | 0.26 | 0.346 | 0.4008 | Better than 63% 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 | N/A | 0.5928 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9426 | 0.9628 | 0.9572 | Better than 59% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.9162 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.8876 | -0.0453 | -0.151 | Better than 94% 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 | -0.5654 | -0.6669 | 0 | -1.06 | -1.174 | -0.8876 |
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 2023)
Accreditation
None
Medical school affiliation
Local
Ownership type
90
Medicare-certified beds
133
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Henry County Memorial Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
1,616
Inpatient discharges
Medicare 28%, Medicaid 3%
6,437
Inpatient days
37% of available bed days used
532
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 843775). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Henry County Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,718 | 187 | 4,532 | 6,437 |
| Discharges | 454 | 41 | 1,121 | 1,616 |
| Average length of stay | 3.8 days | 4.6 days | 4.0 days | 4.0 days |
| Average daily census | 4.7 | 0.5 | 12.4 | 17.6 |
1,875
Medicare Advantage days
478 discharges
1,284
Medicaid managed care days
318 discharges
4,684
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 38 | 4,472 | 1,470 | 32% |
| Intensive care unit | 10 | 1,448 | 248 | 40% |
| Nursery | 517 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Henry County Memorial Hospital treats Medicare patients for most often, in 2024. 212 Medicare discharges in 9 published DRGs; 33% surgical; 39% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 36 | $73,684 | $15,274 | $21,884 | 1.88 |
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 33 | $99,271 | $24,261 | $29,484 | 2.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $28,077 | $6,467 | $8,339 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $38,356 | $10,491 | $11,392 | 1.23 |
| Heart failure and shock with MCCMS-DRG 291, medical | 27 | $33,173 | $10,694 | $9,852 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $31,772 | $6,215 | $9,436 | 0.81 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $27,372 | $5,755 | $8,130 | 0.78 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $37,201 | $10,827 | $11,049 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $34,163 | $7,838 | $10,146 | 0.99 |
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) Henry County Memorial Hospital billed Medicare for most in 2024: 1,063 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 322 | 286 | $54,577 | $10,207 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 297 | 261 | $18,905 | $1,950 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 78 | 55 | $13,981 | $2,507 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 71 | 63 | $7,272 | $1,366 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 44 | $37,100 | $4,929 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 45 | 42 | $15,588 | $2,277 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 40 | 35 | $17,610 | $3,724 | $3,918 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 24 | 24 | $89,179 | $26,334 | $26,719 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 22 | $74,378 | $15,165 | $15,763 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 23 | 23 | $20,698 | $4,922 | $4,524 |
See all 16 Medicare outpatient services at Henry County Memorial 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 Henry County Memorial 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 1,144 in 2020 to 774 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 47362 | 579 | 75% | 2,347 | $25.7M | 39% | 45% |
| 47385 | 30 | 4% | 115 | $1.2M | 56% | 57% |
| 47374 | 27 | 3% | 79 | $2M | 1% | 1% |
| 47360 | 25 | 3% | 100 | $1.1M | 46% | 35% |
| 47346 | 20 | 3% | 77 | $913,741 | 11% | 18% |
| 46148 | 19 | 2% | 95 | $996,151 | 12% | 7% |
| 47327 | 15 | 2% | 49 | $524,230 | 6% | 14% |
| 47354 | 14 | 2% | 57 | $592,327 | 27% | |
| 47356 | 12 | 2% | 41 | $376,626 | 5% | |
| 47331 | 11 | 1% | 27 | $835,067 | 1% | 2% |
| 47386 | 11 | 1% | 67 | $553,000 | 33% | 28% |
| 47387 | 11 | 1% | 36 | $417,206 | 100% | 59% |
Source: CMS Hospital Service Area file. Shares are of the 774 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 Henry County Memorial Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
5
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
1
Off-site locations
1
Off-site emergency departments
133
Registered nurses
31
Licensed practical nurses
31
Physicians
10
Nurse practitioners
4
Physician assistants
2
Nurse anesthetists (CRNAs)
4
Respiratory therapists
6
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
10
Radiology technicians
3
Nuclear medicine technicians
10
Laboratory technicians
10
Medical technologists
2
Dietitians
4
Social workers
381
Other personnel
Source: CMS Provider of Services file.
267 clinicians who bill Medicare list Henry County Memorial 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.
Kerri Kissell, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1043354483
See commercial rates for Kerri Kissell, MDDrew Anderson, M.D.
Dermatology Physician
NPI 1609832377
See commercial rates for Drew Anderson, M.D.Marwan Mustaklem
Internal Medicine Physician
NPI 1750357513
See commercial rates for Marwan MustaklemJonathan Staser, MD
Diagnostic Radiology Physician
NPI 1043339310
See commercial rates for Jonathan Staser, MDAaron Ludwig, MD
Urology Physician
NPI 1386956019
See commercial rates for Aaron Ludwig, MDAnne Campbell
Nurse Practitioner
NPI 1528559697
See commercial rates for Anne CampbellMichael Khamis, M.D.
Diagnostic Radiology Physician
NPI 1215994504
See commercial rates for Michael Khamis, M.D.William Gray, M.D.
Diagnostic Radiology Physician
NPI 1427015114
See commercial rates for William Gray, M.D.Daniella Stafford, NP
Family Nurse Practitioner
NPI 1821354614
See commercial rates for Daniella Stafford, NPMohammed Eid Madmani, M.D.
Interventional Cardiology Physician
NPI 1578819777
See commercial rates for Mohammed Eid Madmani, M.D.Lisa Wilson, M.D.
Dermatology Physician
NPI 1336223833
See commercial rates for Lisa Wilson, M.D.Roy Teng, D.O.
Vascular & Interventional Radiology Physician
NPI 1801853833
See commercial rates for Roy Teng, D.O.Jennifer Olson, MD
Internal Medicine Physician
NPI 1932202991
See commercial rates for Jennifer Olson, MDGirish Nair, MD
Clinical Cardiac Electrophysiology Physician
NPI 1477504694
See commercial rates for Girish Nair, MDEmily Rose, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1699793117
See commercial rates for Emily Rose, M.D.Scott 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 Haist, MD
Cardiovascular Disease Physician
NPI 1871689034
See commercial rates for Jeffrey Haist, MDTodd Wright, M.D.
Diagnostic Radiology Physician
NPI 1194852913
See commercial rates for Todd Wright, M.D.Mahendra Kalra, M.D.
Internal Medicine Physician
NPI 1306947197
See commercial rates for Mahendra Kalra, M.D.Najmeh Rohani, M.D.
Diagnostic Radiology Physician
NPI 1568724540
See commercial rates for Najmeh Rohani, M.D.Narsing Damera, MD
Cardiovascular Disease Physician
NPI 1861466377
See commercial rates for Narsing Damera, MDChristopher Bohyer, M.D.
Dermatology Physician
NPI 1285757856
See commercial rates for Christopher Bohyer, M.D.Bruce Graham, MD
Interventional Cardiology Physician
NPI 1598734659
See commercial rates for Bruce Graham, 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 Henry County Memorial 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) | $550.5M | 335.2% |
| Inpatient | $69.4M | 42.2% |
| Outpatient | $481.1M | 293.0% |
| Contractual allowances and discounts | -$386.3M | -235.2% |
| Net patient revenue | $164.2M | 100.0% |
| Operating expenses | -$166.7M | -101.5% |
| Operating income from patient care | -$2.5M | -1.5% |
| Other income | $11.3M | 6.9% |
| Investment income | $4.7M | 2.8% |
| Other | $6.7M | 4.1% |
| Net income | $8.8M | 5.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $94.7M | 18.5% |
| Medicaid (including managed care) | $81.9M | 16.0% |
| Other payers and self-pay | $336.1M | 65.6% |
| Total charges | $512.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. 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 Henry County Memorial Hospital's latest cost report.
-1.5%
Operating margin
Operating income from patient care / net patient revenue
5.0%
Total margin
Net income / net patient revenue plus other income
8.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$49.00
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.8%
Return on assets
Net income for a year / total assets
7.9%
Return on equity
Net income for a year / fund balance
1.49
Current ratio
Current assets / current liabilities
0.25
Quick ratio
Cash, temporary investments and net receivables / current liabilities
6 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
56 days
Days in patient receivables
Net patient receivables / daily net patient revenue
257 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.75
Asset turnover
Total revenue for a year / total assets
12.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Henry County Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $235.1M in total assets and a $111.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.6M | 1.1% |
| Patient receivables, net | $25.2M | 10.7% |
| Inventory | $1.3M | 0.6% |
| Total current assets | $167.7M | 71.3% |
| Property and equipment, net of depreciation | $28.5M | 12.1% |
| Investments and other assets | $38.9M | 16.5% |
| Total assets | $235.1M | 100.0% |
| Current liabilities | $112.5M | 47.9% |
| Total liabilities | $123.7M | 52.6% |
| Fund balance (net assets) | $111.4M | 47.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Henry County Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8M
Bad debt
Patient bills written off as uncollectible, at charges
$12.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$16M
Total unreimbursed and uncompensated care
9.6% 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 843775, amended. Hospitals report these figures themselves; they are not audited financial statements.
Henry County Memorial 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 | $99.4M | $131.6M | $137.8M | $141.9M | $154.1M | $164.2M |
| Operating expenses | $114.1M | $132.7M | $140M | $147.7M | $151.2M | $166.7M |
| Operating margin | -14.8% | -0.8% | -1.7% | -4.1% | 1.9% | -1.5% |
| Net income | $4.7M | $6.9M | $258,473 | $3.6M | $10.8M | $8.8M |
| Total assets | $166.1M | $181.3M | $190M | $210M | $228.8M | $235.1M |
| Discharges | 2,248 | 2,437 | 2,180 | 1,797 | 1,703 | 1,616 |
| Inpatient days | 8,365 | 9,684 | 9,389 | 7,726 | 7,111 | 6,437 |
| Medicare Advantage days | 1,765 | 2,139 | 2,819 | 2,286 | 2,311 | 1,875 |
| Beds | 48 | 48 | 48 | 48 | 48 | 48 |
| Employees (FTE) | 363 | 458 | 468 | 462 | 529 | 532 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Henry County Memorial 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 |
|---|---|---|---|---|---|
| Rural health clinic ii | $12.8M | $25.8M | $23.6M | 1.10 | |
| Rural health clinic | $7.1M | $13.7M | $17.6M | 0.78 | |
| Impl. dev. charged to patients | $13.5M | $63.6M | 0.21 | ||
| Operating room | $7.3M | $12.6M | $66.9M | 0.19 | 21,371 |
| Emergency | $2.9M | $8.6M | $82.2M | 0.10 | 10,023 |
| Laboratory | $2.5M | $8.5M | $63.8M | 0.13 | 8,261 |
| Observation beds (non-distinct part | $7.2M | $8.8M | 0.82 | ||
| Medical supplies charged to patient | $5.5M | $26.4M | 0.21 | ||
| Radiology-diagnostic | $2.2M | $5.2M | $30.1M | 0.17 | 11,322 |
| Drugs charged to patients | $4.4M | $15.6M | 0.28 | ||
| Physical therapy | $1.5M | $3.8M | $7.1M | 0.54 | 1,115 |
| Home health agency | $1.6M | $3.2M | $3.1M | 1.04 | |
| Rural health clinic iii | $1.4M | $2.8M | $2.7M | 1.07 | |
| Respiratory therapy | $1.3M | $2.6M | $9.6M | 0.27 | 2,470 |
| Rural health clinic iv | $1.1M | $2.4M | $1.9M | 1.25 | |
| Ct scan | $349,822 | $1.2M | $49.9M | 0.02 | 983 |
| Mri | $210,087 | $766,027 | $11.5M | 0.07 | 1,730 |
| Delivery room & labor room | $577,574 | $1M | 0.57 | 1,559 | |
| Cardiac rehab | $273,201 | $568,242 | $1.2M | 0.49 | 711 |
| Electrocardiology | $208,647 | $497,992 | $8.6M | 0.06 | |
| Occupational therapy | $247,596 | $432,458 | $838,461 | 0.52 | 132 |
| Speech pathology | $107,718 | $195,343 | $439,239 | 0.44 | 193 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7.9M | $14.1M | $8.7M | 1.63 | 28,917 |
| Intensive care unit | $1.8M | $4.7M | $4.2M | 1.12 | 11,601 |
| Nursery | $1.5M | $1.9M | 0.79 | 3,068 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $485,888 | $22.9M | 8,071 | $43.35 | 1,736 |
| Administrative & general | $7.4M | $19.3M | 186,623 | $39.86 | 37,813 |
| Cap rel costs-bldg & fixt | $6M | 264,840 | |||
| Operation of plant | $1.7M | $3.9M | 49,735 | $34.96 | 68,464 |
| Pharmacy | $3.6M | 1,562 | |||
| Nursing administration | $2.7M | $3.2M | 45,531 | $59.83 | 4,333 |
| Housekeeping | $1.3M | 1,987 | |||
| Medical records & library | $812,656 | $945,851 | 29,929 | $27.21 | 1,044 |
| Central services & supply | $411,554 | $673,333 | 17,422 | $23.67 | 7,153 |
| Dietary | $1.1M | $657,716 | 15,798 | $24.88 | 7,218 |
| Cap rel costs-mvble equip | $602,953 | ||||
| Laundry & linen service | $466,059 | 3,421 | |||
| Cafeteria | $274,096 | 14,737 | $23.86 | 1,972 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843775, amended. 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 Henry County Memorial Hospital for an inpatient stay.
1.55
Case mix index
Higher than 34% 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).
25.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
472
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 | 1.52 | 1.52 | 1.46 | 1.39 | 1.39 | 1.56 | 1.55 |
| Wage index | 0.981 | 0.971 | 0.972 | 0.939 | 1.140 | 1.083 | 1.038 |
| Readmissions adjustment | -0.83% | -3.00% | -1.47% | 0.00% | -0.20% | -0.39% | -0.51% |
| Value-based purchasing adjustment | -0.36% | +0.39% | +0.39% | -0.83% | -1.13% | -0.91% | +0.43% |
| Medicare inpatient stays | 876 | 876 | 880 | 694 | 571 | 501 | 472 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Henry County Memorial 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 6 of 9 are shown.
Accountable care organization (Medicare Shared Savings Program)
Caravan Health ACO 50 LLC
ACO A5160, current agreement since 2023. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Henry County Memorial Hospital's legal name.
Helipad
Henry County Hospital
FAA location ID 19II, a medical-use heliport 0.1 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Hcmh home care
CCN 157430, certified 1995, Medicare prospective payment
Hosp-based hospice
CCN 151564, certified 1998
New castle family and internal med
CCN 158520, certified 2017, Medicare cost reimbursed
Ncfim - norhtfield park
CCN 158525, certified 2017, Medicare cost reimbursed
Cambridge city family health partner
CCN 158556, certified 2020, Medicare cost reimbursed
Middletown
CCN 158589, certified 2025, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Henry County Memorial Hospital's latest Medicare cost report (HCRIS).
About Henry County Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Henry County Memorial Hospital range from $304 to $5,458 across 4 insurers. Cigna's rate is $2,960. The median at nearby comparable hospitals is $1,120. 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 Henry County Memorial Hospital range from $304 to $6,595 across 4 insurers. UnitedHealthcare's rate is $304. The median at nearby comparable hospitals is $933. 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 Henry County Memorial Hospital range from $417 to $4,660 across 4 insurers. Blue Cross Blue Shield's rate is $4,660. The median at nearby comparable hospitals is $4,588. 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 Henry County Memorial Hospital range from $6,914 to $10,950 across 4 insurers. Aetna's rate is $10,950. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Henry County Memorial Hospital range from $83 to $520 across 4 insurers. Aetna's rate is $139. The median at nearby comparable hospitals is $197. 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 Henry County Memorial Hospital range from $17,941 to $52,201 across 4 insurers. Blue Cross Blue Shield's rate is $28,253. The median at nearby comparable hospitals is $29,997. What a patient pays depends on their plan's deductible, coinsurance and network status.
Henry County Memorial 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 Henry County Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Henry County Memorial Hospital's base inpatient payments by an estimated 0.51% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (36 discharges), bilateral or multiple major joint procedures of lower extremity without mcc (33 discharges), simple pneumonia and pleurisy with cc (28 discharges).
Henry County Memorial Hospital's Medicare case mix index is 1.55 for fiscal year 2027, higher than 34% of hospitals paid under the inpatient prospective payment system.
Henry County Memorial Hospital reported 1,616 inpatient discharges and 6,437 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Henry County Memorial Hospital reported 532 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Henry County Memorial Hospital reported $164.2M in net patient revenue on $550.5M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.5%, and net income of $8.8M.
Henry County Memorial Hospital reported $16M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.3M of charity care at cost.
Henry County Memorial Hospital's Medicare enrollment lists Brian Ring as President, CEO since 2022.
Insurers' price transparency files list Henry County Memorial Hospital under employer identification number 35-6001583 (Henry County Memorial Hospital). 57 health plans and networks list 35-6001583 for it.
267 clinicians who bill Medicare list Henry County Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (46), internal medicine physician (25), family medicine physician (23).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Henry County Memorial Hospital, effective 2023.
CMS lists 27 services at Henry County Memorial Hospital, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Henry County Memorial Hospital came from ZIP codes 47362 (579), 47385 (30), 47374 (27).
Henry County Memorial Hospital has 48 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 90 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Henry County Memorial Hospital is located at 1000 North 16th Street, New Castle, IN 47362. Its main phone number is (765) 521-0890.
Henry County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 150030.
The National Provider Identifier (NPI) on file for Henry County Memorial Hospital is 1356428429.
Henry County Memorial Hospital is affiliated with Henry County Hospital.
Henry County Memorial Hospital lists 35 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.
270 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