Elkin, NC
3 of 5
CMS star rating
81
Beds
618
Inpatient discharges a year
$27.1M
Net patient revenue a year
30
In-network payers
Hugh Chatham Memorial Hospital is an 81-bed voluntary non-profit - private hospital in Elkin, NC. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 364 disclosed rate categories.
The 24 services Hugh Chatham 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$25,072
negotiated rate
71 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$276 - $2,775
from 4 insurers · median $1,748
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,279
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,884
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 obstetrics / child birth services to CMS
CT imaging
CPT 70450
$67 - $1,300
from 4 insurers · median $840
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$265 - $1,919
from 4 insurers · median $1,409
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$143 - $1,635
from 4 insurers · median $1,297
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$213 - $1,740
from 4 insurers · median $1,236
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$356 - $2,398
from 4 insurers · median $1,659
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $254
from 4 insurers · median $177
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$96 - $204
from 4 insurers · median $176
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$221 - $1,591
from 4 insurers · median $1,340
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$218 - $1,943
from 4 insurers · median $1,479
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$523 - $2,027
from 4 insurers · median $1,512
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,279
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$46,686
negotiated rate
Hospital reports orthopedic surgery services to CMS
Ultrasound
CPT 76705
$99 - $608
from 4 insurers · median $352
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$463 - $3,085
from 4 insurers · median $2,193
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$346 - $522
from 4 insurers · median $456
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$32,241
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$286 - $318
from 2 insurers · median $302
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$329 - $439
from 2 insurers · median $384
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$60 - $255
from 4 insurers · median $178
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$15,818
negotiated rate
Hospital reports inpatient surgical services to CMS
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* | 17 | 442% | 4 | 0 |
| Insurer B* | 22 | 398% | 4 | 1 |
| Insurer C* | 16 | 334% | 6 | 3 |
| Insurer D* | 16 | 79% | 0 | 16 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hugh Chatham 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
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$27.1M net patient revenue
Ownership and leadership
Owned by Wake Forest University Baptist Medical Center
The employer identification numbers (EINs) health plans and networks list for Hugh Chatham 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 |
|---|---|---|
| 56-0642846(multi-state) Hugh Chatham Memorial Hospital | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more | 1942361308 Hugh Chatham Memorial Hospital Inc1609862192 Hugh Chatham Memorial Hospital Inc.1851567663 Hugh Chatham Memorial Hospital Incand 30 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.
180 Parkwood Drive, Elkin, NC 28621
(336) 527-7000
How Hugh Chatham Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 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
68%
Lower than 61% 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)
0.97
Higher than 52% 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
168 min
Higher than 63% 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
58%
Lower than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 4 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 | 68% | 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) | 0.97 | 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 | 168 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 58% | 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 Hugh Chatham Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.92% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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 Hugh Chatham Memorial Hospital, beside the US median and the average of NC 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 | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 76 cases | 3.8 | 4.1 | 4.042 | Better than 62% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 731 cases | 5.3 | 3.9 | 3.99 | Worse than 93% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.93 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 41 cases | 10 | 8.5 | 8.754 | Worse than 84% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 71 cases | 13.5 | 11 | 11.28 | Worse than 89% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 154 cases | 18 | 15.2 | 15.37 | Worse than 86% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 91 cases | 17.1 | 11.6 | 12.32 | Worse than 95% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 778 cases | 0.49 | 0.51 | 0.6392 | No Different Than the National Rate | Better than 53% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,181 cases | 0.2 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,151 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 216 cases | 2.3 | 2.29 | 2.327 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.616 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.086 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 242 cases | 3.73 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 4.934 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 46 cases | 2.09 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 132 cases | 1.03 | 1.02 | 1.018 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 86 cases | 31.4 | 1.25 | 4.059 | Worse than 84% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 164 cases | 14.9 | 3.85 | 4.357 | Worse than 66% 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 · 413 cases | 13.2 | 12.9 | 12.92 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 281 cases | 1.1 | 1 | 0.979 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.22 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 93 cases | 21.1 | 19.8 | 19.82 | Worse than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 153 cases | 22.4 | 21.3 | 21.37 | Worse than 81% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 60 cases | 5.2 | 5.8 | 5.698 | Better than 82% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 343 cases | 16.1 | 17.2 | 17.06 | Better than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3158 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.089 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,055 | 1,370 | 6,107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.659 | 0.9835 | 6.392 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.212 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6593 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2172 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.784 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,076 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.076 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5489 | 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 | 0.4264 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.632 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 15 | 61 | 148 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.388 | 1.591 | 3.971 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.869 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9259 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 2 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.023 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2893 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.314 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 11,174 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.317 | 0.567 | 4.657 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.863 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.742 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.213 | 0.127 | 0.1478 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.614 | 0.747 | 1.095 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 10,595 | 13,646 | 56,214 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.978 | 5.683 | 32.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 9.258 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.669 | 0.279 | 0.3119 | No Different than National Benchmark | Worse than 86% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 378 cases | 78 | 73 | 71.37 | Better than 68% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 378 cases | 7 | 8 | 9.762 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 378 cases | 15 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 90 | 87 | 85.7 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 378 cases | 4 | 4 | 3.269 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 378 cases | 82 | 80 | 80.26 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 93 | 91 | 91.65 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 378 cases | 4 | 4 | 4.218 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 378 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 378 cases | 14 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 378 cases | 81 | 79 | 80.9 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 91 | 91 | 91.66 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 378 cases | 6 | 5 | 5.01 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 378 cases | 3 | 3 | 3.452 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 378 cases | 13 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 378 cases | 63 | 61 | 62.62 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 78 | 77 | 77.77 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 378 cases | 19 | 19 | 18.97 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 378 cases | 3 | 3 | 2.839 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 378 cases | 18 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 87 | 86 | 86.12 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 378 cases | 11 | 13 | 13.33 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 378 cases | 4 | 3 | 3.441 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 378 cases | 89 | 87 | 86.67 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 378 cases | 12 | 14 | 14.2 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 378 cases | 88 | 86 | 85.8 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 76 | 74 | 76.04 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 8 | 7 | 6.586 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 16 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 80 | 77 | 79.47 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 6 | 6 | 5.475 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 14 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 86 | 85 | 86.33 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 4 | 3 | 3.465 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 10 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 378 cases | 9 | 8 | 8.446 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 378 cases | 21 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 378 cases | 70 | 72 | 71.41 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 88 | 88 | 88.02 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 378 cases | 3 | 3 | 3.323 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 378 cases | 76 | 74 | 75.25 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 378 cases | 9 | 9 | 9.232 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 378 cases | 15 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 78 | 75 | 75.79 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 6 | 5 | 5.697 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 378 cases | 16 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 80 | 77 | 77.57 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 3 | 4 | 4.424 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 378 cases | 17 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 89 | 86 | 86.24 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 2 | 3 | 2.859 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 378 cases | 9 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 378 cases | 61 | 59 | 60.2 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 378 cases | 10 | 9 | 9.109 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 378 cases | 29 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 83 | 82 | 82.46 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 378 cases | 4 | 3 | 3.419 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 378 cases | 6 | 5 | 5.683 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 378 cases | 68 | 71 | 70.04 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 378 cases | 86 | 87 | 86.94 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 378 cases | 26 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 378 cases | 3 | 4 | 3.656 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 378 cases | 50 | 47 | 49.27 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 378 cases | 29 | 30 | 29.43 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 378 cases | 21 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 378 cases | 4 | 3 | 3.387 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 378 cases | 11 | 12 | 12.81 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 378 cases | 89 | 88 | 87.19 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | NC 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 | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.182 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,131 cases | 94 | 79 | 85.95 | Better than 83% 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 · 1,451 cases | 172 | 154 | 190 | Worse than 62% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 1,367 cases | 168 | 148 | 183 | Worse than 63% 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 · 38 cases | 688 | 247 | 389 | Worse than 98% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 46 cases | 400 | 293 | 427 | Worse than 84% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 24,819 cases | 0 | 1 | 2.253 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 83 | 74 | 72.17 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 61 cases | 93 | 97 | 93.75 | Worse than 69% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 810 cases | 15 | 15 | 16.55 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 146 cases | 58 | 65 | 63.49 | Worse than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases | 83 | 73 | 72.19 | Better than 72% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 71 | 88 | 81.33 | Worse than 87% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 146 cases | 80 | 82 | 80.49 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 86 cases | 74 | 94 | 94.21 | Worse than 95% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 68 cases | 88 | 98 | 96.77 | Worse than 95% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 39 cases | 92 | 94 | 93.39 | Worse than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 88.42 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.7 | 5 | 4.658 | Worse than 58% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.6 | 6.6 | 6.699 | Worse than 79% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.04 | 0.99 | 0.9478 | Worse than 75% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.987 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.024 | 0.9969 | 0.9983 | Worse than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 99 cases | 1.009 | 0.9983 | 0.9982 | Worse than 57% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.06 | 0.9916 | 1.01 | Worse than 69% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 179 cases | 1.019 | 0.9955 | 0.989 | Worse than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.013 | 1.017 | 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 | 1.057 | 1.115 | 1.017 | 0.9939 | 0.9925 | 1.024 |
| READM-30-HF-HRRP | 1.045 | 1.06 | 1.018 | 1.004 | 1.009 | 1.009 |
| READM-30-HIP-KNEE-HRRP | 0.8929 | 0.9774 | 1.007 | 1.117 | 1.084 | 1.06 |
| READM-30-PN-HRRP | 1.063 | 1.102 | 1.123 | 1.009 | 1.045 | 1.019 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6937 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.976 | 0.346 | 0.3392 | Worse than 96% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.6866 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9073 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9678 | 0.9628 | 0.9914 | Worse than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9227 | |||
| Total HAC scoreFY 2026 | -0.1691 | -0.0453 | 0.09972 | Better than 59% 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 | Yes | No | No |
| Total HAC score | -0.6092 | 0.1213 | 0 | 0.5799 | -0.0344 | -0.1691 |
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 2001)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
81
Medicare-certified beds
144
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Hugh Chatham Memorial Hospital reported to Medicare in its latest cost report, covering Oct 1, 2025 to Dec 31, 2025.
618
Inpatient discharges
Medicare 18%, Medicaid 1%
1,937
Inpatient days
26% of available bed days used
137
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837812). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Hugh Chatham Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 357 | 16 | 1,564 | 1,937 |
| Discharges | 113 | 4 | 501 | 618 |
| Average length of stay | 3.2 days | 4.0 days | 3.1 days | 3.1 days |
| Average daily census | 3.9 | 0.2 | 17.0 | 21.1 |
859
Medicare Advantage days
241 discharges
320
Medicaid managed care days
113 discharges
359
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 81 | 1,852 | 357 | 25% |
| Nursery | 85 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Hugh Chatham Memorial Hospital treats Medicare patients for most often, in 2024. 181 Medicare discharges in 7 published DRGs; 0% surgical; 93% 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 | 46 | $49,058 | $13,336 | $17,465 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 36 | $38,191 | $8,498 | $13,596 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $33,455 | $8,936 | $11,910 | 1.28 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $38,693 | $8,026 | $13,775 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 20 | $33,219 | $11,585 | $11,826 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $19,768 | $5,550 | $7,037 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $22,213 | $5,489 | $7,908 | 0.80 |
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) Hugh Chatham Memorial Hospital billed Medicare for most in 2024: 772 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 130 | 86 | $10,805 | $1,586 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 118 | 112 | $14,098 | $1,866 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 107 | 98 | $7,008 | $1,322 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 65 | 64 | $40,119 | $9,807 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 65 | 56 | $1,064 | $471 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 62 | 54 | $7,545 | $1,114 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 40 | 39 | $3,778 | $1,110 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 39 | 38 | $11,308 | $2,244 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 37 | 32 | $4,809 | $1,407 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 24 | 22 | $19,249 | $3,580 | $3,918 |
See all 15 Medicare outpatient services at Hugh Chatham 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 Hugh Chatham 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 1,646 in 2020 to 1,037 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 28621 | 232 | 22% | 888 | $7.1M | 37% | 56% |
| 28642 | 118 | 11% | 482 | $3.8M | 34% | 44% |
| 27017 | 101 | 10% | 409 | $3.5M | 24% | 37% |
| 28676 | 88 | 8% | 368 | $2.8M | 48% | 56% |
| 27020 | 61 | 6% | 230 | $1.9M | 19% | 26% |
| 28675 | 55 | 5% | 201 | $1.7M | 20% | 28% |
| 28659 | 46 | 4% | 177 | $1.5M | 4% | 7% |
| 28685 | 42 | 4% | 138 | $1.1M | 34% | 52% |
| 27011 | 41 | 4% | 154 | $1.2M | 16% | 29% |
| 27030 | 41 | 4% | 153 | $1.4M | 2% | 3% |
| 28683 | 36 | 3% | 121 | $913,347 | 47% | 46% |
| 28670 | 35 | 3% | 139 | $1.2M | 26% | 45% |
| 28669 | 27 | 3% | 111 | $994,027 | 18% | 35% |
| 28627 | 22 | 2% | 87 | $611,145 | 33% | 54% |
| 27024 | 21 | 2% | 77 | $720,333 | 20% | 13% |
| 27055 | 18 | 2% | 80 | $734,583 | 2% | 7% |
| 24333 | 14 | 1% | 51 | $406,142 | 1% | 2% |
| 27018 | 14 | 1% | 53 | $430,153 | 3% | 5% |
| 28635 | 14 | 1% | 82 | $523,313 | 7% | 17% |
| 28623 | 11 | 1% | 67 | $505,336 | 19% | 68% |
Source: CMS Hospital Service Area file. Shares are of the 1,037 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 Hugh Chatham Memorial Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
5
Operating rooms
12
Rehabilitation unit beds
144
Registered nurses
9
Licensed practical nurses
23
Physicians
6
Nurse practitioners
7
Physician assistants
2
Pharmacists
10
Respiratory therapists
7
Physical therapists
3
Occupational therapists
2
Speech pathologists and audiologists
12
Radiology technicians
2
Nuclear medicine technicians
5
Laboratory technicians
5
Medical technologists
313
Other personnel
Source: CMS Provider of Services file.
181 clinicians who bill Medicare list Hugh Chatham 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.
Bob Wodecki, MD
Rheumatology Physician
NPI 1649270190
See commercial rates for Bob Wodecki, MDEmidio Novembre, DO
Interventional Pain Medicine Physician
NPI 1750308664
See commercial rates for Emidio Novembre, DOMarc Stevens, MD
Orthopaedic Surgery Physician
NPI 1861487605
See commercial rates for Marc Stevens, MDGregory Evans, M.D.
Diagnostic Radiology Physician
NPI 1467437525
See commercial rates for Gregory Evans, M.D.John Mclarney, M.D.
Diagnostic Radiology Physician
NPI 1760556997
See commercial rates for John Mclarney, M.D.Tomas Vybiral, M.D.
Cardiovascular Disease Physician
NPI 1740285824
See commercial rates for Tomas Vybiral, M.D.David Howe, MD
Orthopaedic Surgery Physician
NPI 1457324659
See commercial rates for David Howe, MDStephen Walker, M.D.
Family Medicine Physician
NPI 1265402572
See commercial rates for Stephen Walker, M.D.Tamas Soos, M.D.
Geriatric Medicine (Internal Medicine) Physician
NPI 1700858404
See commercial rates for Tamas Soos, M.D.Vikram Shivaji, M.D.
Body Imaging Physician
NPI 1770947822
See commercial rates for Vikram Shivaji, M.D.Challie Minton, MD
Family Medicine Physician
NPI 1831392174
See commercial rates for Challie Minton, MDAlvaro Castillejo, D.O.
Family Medicine Physician
NPI 1356311153
See commercial rates for Alvaro Castillejo, D.O.Paul Hiatt, MD
Diagnostic Radiology Physician
NPI 1356342893
See commercial rates for Paul Hiatt, MDThomas Santoro, M.D.
Diagnostic Radiology Physician
NPI 1689873713
See commercial rates for Thomas Santoro, M.D.Michael Robinson, M.D.
Diagnostic Radiology Physician
NPI 1770017964
See commercial rates for Michael Robinson, M.D.Nathan Fedors, M.D.
Diagnostic Radiology Physician
NPI 1699933366
See commercial rates for Nathan Fedors, M.D.Michael Lauffenburger, MD
Orthopaedic Surgery Physician
NPI 1194794644
See commercial rates for Michael Lauffenburger, MDYashashwi Pokharel, M.D.
Cardiovascular Disease Physician
NPI 1801050067
See commercial rates for Yashashwi Pokharel, M.D.Thomas Hinson, MD
Pulmonary Disease Physician
NPI 1538141767
See commercial rates for Thomas Hinson, MDSujethra Vasu, MD
Cardiovascular Disease Physician
NPI 1285889832
See commercial rates for Sujethra Vasu, MDKimberly Woodward, M.D.
Hematology (Pathology) Physician
NPI 1851552640
See commercial rates for Kimberly Woodward, M.D.Todd Reiter
Physical Medicine & Rehabilitation Physician
NPI 1194917732
See commercial rates for Todd ReiterAshton Molai, D.O
Family Medicine Physician
NPI 1528091758
See commercial rates for Ashton Molai, D.OMurugananthan Subbiah, M.D.
Internal Medicine Physician
NPI 1740252469
See commercial rates for Murugananthan Subbiah, M.D.Source: 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 Hugh Chatham Memorial Hospital reported to Medicare for Oct 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $90.6M | 333.8% |
| Inpatient | $14.1M | 51.9% |
| Outpatient | $76.5M | 281.9% |
| Contractual allowances and discounts | -$63.5M | -233.8% |
| Net patient revenue | $27.1M | 100.0% |
| Operating expenses | -$31.9M | -117.4% |
| Operating income from patient care | -$4.7M | -17.4% |
| Other income | $3.1M | 11.3% |
| Investment income | $87,345 | 0.3% |
| Government appropriations | $328,986 | 1.2% |
| Other | $2.7M | 9.8% |
| Net income | -$1.7M | -6.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $10.5M | 14.0% |
| Medicaid (including managed care) | $10.7M | 14.3% |
| Other payers and self-pay | $53.8M | 71.7% |
| Total charges | $75M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, 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 Hugh Chatham Memorial Hospital's latest cost report, which covers 92 days; income and expense figures are scaled to a year.
-17.4%
Operating margin
Operating income from patient care / net patient revenue
-5.5%
Total margin
Net income / net patient revenue plus other income
-1.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
52% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$46.40
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-3.9%
Return on assets
Net income for a year / total assets
-4.4%
Return on equity
Net income for a year / fund balance
2.06
Current ratio
Current assets / current liabilities
2.02
Quick ratio
Cash, temporary investments and net receivables / current liabilities
39 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
71 days
Days in patient receivables
Net patient receivables / daily net patient revenue
51 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.72
Asset turnover
Total revenue for a year / total assets
22.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Hugh Chatham Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $167.5M in total assets and a $150.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $13.2M | 7.9% |
| Patient receivables, net | $21M | 12.5% |
| Inventory | $1.2M | 0.7% |
| Total current assets | $34.9M | 20.8% |
| Property and equipment, net of depreciation | $49.1M | 29.3% |
| Investments and other assets | $83.5M | 49.9% |
| Total assets | $167.5M | 100.0% |
| Current liabilities | $16.9M | 10.1% |
| Total liabilities | $17M | 10.2% |
| Fund balance (net assets) | $150.5M | 89.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Hugh Chatham Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$769,356
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.2M
Bad debt
Patient bills written off as uncollectible, at charges
$104,877
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.1M
Total unreimbursed and uncompensated care
3.5% 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 837812, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Hugh Chatham Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $94.6M | $113.1M | $115.6M | $112.3M | $117.8M | $111.6M |
| Operating expenses | $107.7M | $118.7M | $128M | $140.5M | $157M | $137.9M |
| Operating margin | -13.8% | -5.0% | -10.7% | -25.1% | -33.3% | -23.5% |
| Net income | $12.9M | $33.7M | -$26.1M | -$5.2M | -$10.6M | -$10.5M |
| Total assets | $249.5M | $275.5M | $253.3M | $243M | $220.9M | $168M |
| Discharges | 3,565 | 3,797 | 3,025 | 2,647 | 2,566 | 2,242 |
| Inpatient days | 12,773 | 15,237 | 13,442 | 10,930 | 10,454 | 8,942 |
| Medicare Advantage days | 3,489 | 4,356 | 4,622 | 4,253 | 4,391 | 2,688 |
| Beds | 81 | 81 | 81 | 81 | 81 | 81 |
| Employees (FTE) | 642 | 661 | 668 | 677 | 703 | 608 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Hugh Chatham 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 |
|---|---|---|---|---|---|
| Home health agency | $1.2M | $2.3M | $2M | 1.15 | |
| Operating room | $650,812 | $2.2M | $7.3M | 0.31 | 25,624 |
| Laboratory | $444,318 | $1.7M | $7.2M | 0.24 | 3,332 |
| Emergency | $841,049 | $1.6M | $9.3M | 0.17 | 15,953 |
| Radiology-diagnostic | $358,376 | $998,323 | $2.5M | 0.40 | 14,444 |
| Impl. dev. charged to patients | $968,025 | $2.2M | 0.44 | ||
| Drugs charged to patients | $877,487 | $2.8M | 0.32 | ||
| Tri county | $628,362 | $719,475 | $1M | 0.70 | |
| Medical supplies charged to patient | $683,669 | $4.5M | 0.15 | ||
| Respiratory therapy | $273,985 | $578,769 | $2.6M | 0.22 | 1,754 |
| Family medicine elkin | $487,901 | $501,348 | $164,574 | 3.05 | |
| Radiation oncology | $57,079 | $462,596 | $3.9M | 0.12 | 7,844 |
| Ct scan | $194,559 | $405,302 | $13.2M | 0.03 | 860 |
| Observation beds (non-distinct part | $402,708 | $345,956 | 1.16 | ||
| Hc urgent care | $163,931 | $393,243 | $220,469 | 1.78 | |
| Delivery room & labor room | $281,572 | $376,179 | $279,473 | 1.35 | 7,141 |
| Hfcm dobson | $251,853 | $359,694 | $264,463 | 1.36 | |
| Gi clinic | $92,897 | $348,767 | $1.3M | 0.27 | |
| Mt view | $279,016 | $288,168 | $165,879 | 1.74 | |
| Hc urology | $264,499 | $257,711 | $168,916 | 1.53 | |
| Physical therapy | $218,165 | $257,356 | $787,048 | 0.33 | |
| Clingman | $292,652 | $246,403 | $116,389 | 2.12 | |
| Hc neurology | $216,703 | $186,121 | $133,586 | 1.39 | |
| Ultra sound | $99,447 | $174,275 | $1.5M | 0.12 | 312 |
| Surgical | $246,567 | $154,085 | $68,631 | 2.25 | |
| Cardiac rehabiliation | $25,329 | $139,238 | $122,712 | 1.13 | 9,777 |
| Hc endocrinology | $165,561 | $130,468 | $112,067 | 1.16 | |
| Occupational therapy | $111,391 | $327,594 | 0.34 | ||
| Mri | $63,121 | $106,505 | $3.1M | 0.03 | 1,920 |
| Electrocardiology | $43,852 | $94,743 | $1.5M | 0.06 | 300 |
| Hc podiatry | $172,863 | $86,585 | $118,061 | 0.73 | |
| Gastro office | $354,204 | $80,132 | $75,839 | 1.06 | |
| Yadkinv valley pulmonology | $124,234 | $76,784 | $177,266 | 0.43 | |
| Woundcare center | $28,874 | $73,245 | $236,883 | 0.31 | |
| Sleep study | $22,718 | $49,593 | $210,954 | 0.24 | 358 |
| Anesthesiology | $29,561 | $1.9M | 0.02 | 272 | |
| Dobson | $24,706 | $37,550 | 0.66 | ||
| Tri county/mt airy | $20,580 | $11,661 | 1.76 | ||
| Speech pathology | $19,375 | $59,425 | 0.33 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.7M | $2.5M | $3M | 0.83 | 73,028 |
| Nursery | $72,602 | $217,726 | $64,600 | 3.37 | 2,135 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $1.3M | $4.1M | 11,774 | ||
| Employee benefits department | $153,188 | $1.2M | 1,857 | $82.47 | 5,936 |
| Cap rel costs-bldg & fixt | $618,829 | 246,418 | |||
| Operation of plant | $97,197 | $571,851 | 2,596 | $37.44 | 39,838 |
| Housekeeping | $538,152 | 1,865 | |||
| Cap rel costs-mvble equip | $532,208 | ||||
| Dietary | $436,352 | 610 | |||
| Medical records & library | $33,027 | $279,121 | 1,434 | $23.03 | 2,016 |
| Central services & supply | $94,551 | $243,621 | 3,584 | $26.38 | 2,460 |
| Nursing administration | $147,735 | $183,180 | 2,651 | $55.73 | 1,292 |
| Pharmacy | $168,931 | $162,999 | 3,111 | $54.30 | 1,890 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837812, 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 Hugh Chatham Memorial Hospital for an inpatient stay.
1.45
Case mix index
Higher than 22% 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).
23.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
383
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 | 1.33 | 1.33 | 1.46 | 1.55 | 1.47 | 1.41 | 1.45 |
| Wage index | 0.818 | 0.822 | 0.825 | 0.879 | 0.893 | 0.893 | 0.977 |
| Readmissions adjustment | -0.41% | -1.02% | -1.81% | -0.18% | -0.96% | -1.06% | -0.92% |
| Value-based purchasing adjustment | +0.78% | 0.00% | 0.00% | -0.60% | +0.41% | +1.22% | 0.00% |
| Medicare inpatient stays | 1,143 | 1,143 | 902 | 693 | 628 | 528 | 383 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Hugh Chatham Memorial Hospital reports to Medicare as owners or with operational control.
Wake Forest University Baptist Medical Center
5% or greater direct ownership interest, 100%, since 2025
Advocate Health Inc
Operational/managerial control, since 2025
Atrium Health Inc
Operational/managerial control, since 2025
Wake Forest University Baptist Medical Center
Operational/managerial control, since 2025
Sources: CMS Hospital All Owners.
The officers and board members on Hugh Chatham 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 7 are shown.
| Name | Title |
|---|---|
| Jonathan Snyder | CMO |
| Dr Murug Subbiah | Board Member/chief Of Staff |
| Paul Hammes | CEO |
| Kevin May | CFO |
| Mary Blackburn | CNO |
| Lauren Ledford | Chief Ambulatory Officer |
| Ann Ashman | Vice Chair |
| Bob Ball | Treasurer |
| Cynthia Gonzalez | Chair |
| Elana Thomasson | Asst. Sec/treasurer |
| Phil Harris | Secretary |
Board members: Bill Johnson, Chris Groner, Crystal Morphis, David Ackerman, David Cline, Kevin Austin, Mark Stephens, Myra Cox, Terry Darnell.
Source: IRS Form 990 Part VII filed by Hugh Chatham Memorial Hospital Inc (EIN 56-0642846), via the IRS e-file data. A health system's return can cover several hospitals.
Accountable care organization (Medicare Shared Savings Program)
Advocate Health Enterprise ACO
ACO A1033, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Hugh Chatham Memorial Hospital's legal name.
Regional rehab center
CCN 34T097, certified 2002, Medicare prospective payment
Hugh chatham swing beds
CCN 34U097, certified 1990, Medicare prospective payment
Yadkin county hha
CCN 347080, certified 1996, Medicare prospective payment
Source: Worksheet S-2 Part I of Hugh Chatham Memorial Hospital's latest Medicare cost report (HCRIS).
About Hugh Chatham Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hugh Chatham Memorial Hospital range from $356 to $2,398 across 4 insurers. Blue Cross Blue Shield's rate is $1,898. The median at nearby comparable hospitals is $1,763. 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 Hugh Chatham Memorial Hospital range from $276 to $2,775 across 4 insurers. Aetna's rate is $276. The median at nearby comparable hospitals is $2,322. 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 Hugh Chatham Memorial Hospital range from $346 to $522 across 4 insurers. Aetna's rate is $522. The median at nearby comparable hospitals is $3,191. 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 Hugh Chatham Memorial Hospital range from $7,279 to $7,279 across 1 insurers. UnitedHealthcare's rate is $7,279. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hugh Chatham Memorial Hospital range from $96 to $204 across 4 insurers. Aetna's rate is $96. The median at nearby comparable hospitals is $202. 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 Hugh Chatham Memorial Hospital range from $25,072 to $25,072 across 1 insurers. UnitedHealthcare's rate is $25,072. The median at nearby comparable hospitals is $21,607. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hugh Chatham Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Hugh Chatham Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hugh Chatham Memorial Hospital's base inpatient payments by an estimated 0.92% 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 (46 discharges), simple pneumonia and pleurisy with mcc (36 discharges), heart failure and shock with mcc (34 discharges).
Hugh Chatham Memorial Hospital's Medicare case mix index is 1.45 for fiscal year 2027, higher than 22% of hospitals paid under the inpatient prospective payment system.
Hugh Chatham Memorial Hospital reported 618 inpatient discharges and 1,937 inpatient days from Oct 1, 2025 to Dec 31, 2025.
Hugh Chatham Memorial Hospital reported 137 full-time-equivalent employees on payroll from Oct 1, 2025 to Dec 31, 2025.
Hugh Chatham Memorial Hospital reported $27.1M in net patient revenue on $90.6M of gross charges for Oct 1, 2025 to Dec 31, 2025, an operating margin of -17.4%, and net income of -$1.7M.
Hugh Chatham Memorial Hospital reported $1.1M of unreimbursed and uncompensated care for Oct 1, 2025 to Dec 31, 2025, including $769,356 of charity care at cost.
Insurers' price transparency files list Hugh Chatham Memorial Hospital under employer identification number 56-0642846 ((multi-state) Hugh Chatham Memorial Hospital). 49 health plans and networks list 56-0642846 for it.
181 clinicians who bill Medicare list Hugh Chatham Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (21), family medicine physician (20), internal medicine physician (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Hugh Chatham Memorial Hospital, effective 2001.
In its Medicare enrollment, Hugh Chatham Memorial Hospital reports Wake Forest University Baptist Medical Center as 5% or greater direct ownership interest (100%).
CMS lists 29 services at Hugh Chatham Memorial Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hugh Chatham Memorial Hospital came from ZIP codes 28621 (232), 28642 (118), 27017 (101).
Hugh Chatham Memorial Hospital has 81 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Hugh Chatham Memorial Hospital is located at 180 Parkwood Drive, Elkin, NC 28621. Its main phone number is (336) 527-7000.
Hugh Chatham Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 340097.
The National Provider Identifier (NPI) on file for Hugh Chatham Memorial Hospital is 1942361308.
Hugh Chatham Memorial Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
364 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