University of Rochester Medical Center · Wellsville, NY
4 of 5
CMS star rating
49
Beds
1,655
Inpatient discharges a year
$93.5M
Net patient revenue a year
30
In-network payers
Jones Memorial Hospital is a 49-bed voluntary non-profit - private hospital in Wellsville, NY, affiliated with University of Rochester Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 182 disclosed rate categories.
The 24 services Jones 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.
Childbirth · Inpatient
MS-DRG 807
$3,343 - $11,259
from 2 insurers · median $7,301
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
$4,607 - $16,012
from 2 insurers · median $10,310
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$479 - $1,019
from 4 insurers · median $564
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$806 - $3,488
from 4 insurers · median $1,397
271 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,343 - $11,259
from 2 insurers · median $7,301
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
Digestive procedures
CPT 43239
$583 - $1,505
from 3 insurers · median $1,198
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$25,071
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 70450
$103 - $304
from 4 insurers · median $214
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$162 - $201
from 4 insurers · median $180
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$315 - $1,505
from 4 insurers · median $934
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$18,679 - $26,930
from 2 insurers · median $22,804
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$130 - $689
from 4 insurers · median $362
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$187 - $772
from 4 insurers · median $305
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$12,333 - $29,581
from 2 insurers · median $20,957
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 71275
$273 - $608
from 4 insurers · median $465
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$311 - $1,668
from 4 insurers · median $860
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$397 - $2,915
from 4 insurers · median $948
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$505 - $1,036
from 4 insurers · median $764
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$9,663 - $23,042
from 2 insurers · median $16,353
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$6,067 - $20,720
from 2 insurers · median $13,393
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$29 - $216
from 4 insurers · median $51
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$309 - $689
from 4 insurers · median $512
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$537 - $1,019
from 4 insurers · median $765
Common here, based on CMS Medicare volume
Urology
CPT 52000
$895 - $1,507
from 3 insurers · median $915
39 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
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 | 212% | 10 | 3 |
| Insurer B* | 23 | 141% | 8 | 12 |
| Insurer C* | 23 | 112% | 10 | 8 |
| Insurer D* | 14 | 93% | 0 | 0 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Jones 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 The Joint Commission
Finances
$93.5M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Jones 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 |
|---|---|---|
| 22-2807681Jones Memorial Hospital | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 43 more | 1720030703 The Memorial Hospital Of William F. And Gertrude F. Jones Inc.1467075622 The Memorial Hospital Of William F. And Gertrude F. Jones Inc.1356417505 The Memorial Hospital Of William F And Gertrude F Jonesand 11 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.
191 North Main Street, Wellsville, NY 14895
(585) 593-1100
How Jones 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 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
71%
Lower than 49% 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)
1.11
Higher than 82% 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
144 min
Lower than 53% 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
75%
Higher than 73% 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 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 71% | 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) | 1.11 | 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 | 144 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 75% | 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 Jones Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.97% 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 Jones Memorial Hospital, beside the US median and the average of NY 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 | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 3.952 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 448 cases | 3.3 | 3.9 | 3.707 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.31 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 28 cases | 8.7 | 8.5 | 8.316 | Worse than 55% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 75 cases | 8.2 | 11 | 10.43 | Better than 93% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 111 cases | 12.7 | 15.2 | 14.6 | Better than 85% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.03 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 613 cases | 1.06 | 0.51 | 0.9123 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 803 cases | 0.2 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 845 cases | 0.26 | 0.27 | 0.2858 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 60 cases | 2.32 | 2.29 | 2.43 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.674 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.324 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 68 cases | 3.38 | 3.4 | 3.686 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.465 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.729 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 37 cases | 1.05 | 1.02 | 1.053 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 85 cases | 5.2 | 1.25 | 26.25 | Worse than 55% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 125 cases | -42 | 3.85 | 27.98 | Better than 96% 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 · 239 cases | 12.4 | 12.9 | 12.82 | No Different Than the National Rate | Better than 79% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 48 cases | 11 | 10.7 | 11.22 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 48 cases | 5.2 | 5.3 | 5.026 | No Different Than the National Rate | Better than 55% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 65 cases | 1 | 1 | 0.9336 | 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 | 14.47 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 43 cases | 18.7 | 19.8 | 20.27 | Better than 91% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 127 cases | 20.2 | 21.3 | 21.89 | Better than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.589 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 167 cases | 15.9 | 17.2 | 17.78 | Better than 94% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2612 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.692 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 493 | 1,370 | 8,161 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.295 | 0.9835 | 8.553 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 4.683 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5488 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1924 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.442 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,060 | 1,799 | 8,098 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.535 | 1.377 | 10.38 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 4.583 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4307 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2752 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.411 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 8 | 61 | 149 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.229 | 1.591 | 3.939 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.941 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7341 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4218 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.517 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 20 | 38 | 90.43 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.2 | 0.328 | 0.7508 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.708 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2613 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.903 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 7,568 | 14,451 | 80,977 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.175 | 0.567 | 5.587 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.796 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6195 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1972 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.445 | 0.747 | 0.8371 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 6,886 | 13,646 | 73,951 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.073 | 5.683 | 38.28 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 12.57 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3563 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 302 cases | 80 | 73 | 68.99 | Better than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 302 cases | 4 | 8 | 10.19 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 302 cases | 16 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 92 | 87 | 84.97 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 302 cases | 5 | 4 | 3.044 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 302 cases | 82 | 80 | 76.99 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 93 | 91 | 89.97 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 302 cases | 3 | 4 | 5.71 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 3 | 2.889 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 302 cases | 15 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 302 cases | 81 | 79 | 76.68 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 93 | 91 | 89.46 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 302 cases | 4 | 5 | 6.31 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 3 | 2.674 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 302 cases | 15 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 302 cases | 61 | 61 | 58.86 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 79 | 77 | 74.78 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 302 cases | 17 | 19 | 21.9 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 302 cases | 3 | 3 | 2.274 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 302 cases | 22 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 88 | 86 | 83.85 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 302 cases | 11 | 13 | 15.46 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 3 | 2.896 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 302 cases | 89 | 87 | 84.54 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 302 cases | 13 | 14 | 16.81 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 302 cases | 87 | 86 | 83.19 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 76 | 74 | 71.59 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 5 | 7 | 8.014 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 19 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 80 | 77 | 74.66 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 3 | 6 | 6.893 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 17 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 88 | 85 | 82.9 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 2 | 3 | 4.479 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 10 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 302 cases | 6 | 8 | 10.63 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 302 cases | 20 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 302 cases | 74 | 72 | 65.78 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 90 | 88 | 85.79 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 3 | 2.815 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 302 cases | 75 | 74 | 72.21 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 302 cases | 7 | 9 | 11.03 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 302 cases | 18 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 79 | 75 | 72.71 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 4 | 5 | 7.086 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 302 cases | 17 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 78 | 77 | 73.59 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 3 | 4 | 6.164 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 302 cases | 19 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 89 | 86 | 83.55 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 1 | 3 | 4 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 302 cases | 10 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 302 cases | 55 | 59 | 49.08 | Worse than 64% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 302 cases | 9 | 9 | 16.57 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 302 cases | 36 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 82 | 82 | 75.47 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 302 cases | 3 | 3 | 2.296 | 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 · 302 cases | 4 | 5 | 7.297 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 302 cases | 71 | 71 | 66.23 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 302 cases | 88 | 87 | 84.56 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 302 cases | 25 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 4 | 3.096 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 302 cases | 46 | 47 | 44.58 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 302 cases | 27 | 30 | 33.46 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 302 cases | 27 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 302 cases | 4 | 3 | 2.8 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 302 cases | 9 | 12 | 14.29 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 302 cases | 91 | 88 | 85.71 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 1,004 cases | 11 | 8 | 7.9 | Worse than 70% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.158 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 684 cases | 0 | 0 | 0.2381 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 735 cases | 81 | 79 | 69.3 | Better than 52% 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 · 407 cases | 153 | 154 | 206 | Better than 51% 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 · 373 cases | 144 | 148 | 200 | Better than 53% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases | 278 | 247 | 326 | Worse than 61% 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 · 23 cases | 284 | 293 | 350 | Better than 54% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 14,367 cases | 2 | 1 | 2.294 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.28 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 123 cases | 99 | 97 | 92.28 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.05 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 314 cases | 15 | 15 | 13.94 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 292 cases | 75 | 65 | 58.55 | Better than 73% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 73 cases | 92 | 73 | 70.43 | Better than 89% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 25 cases | 88 | 88 | 83.41 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 293 cases | 84 | 82 | 77.52 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 106 cases | 84 | 94 | 86.12 | Worse than 88% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.71 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.87 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 645 cases | 93 | 90 | 85.23 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.43 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 10.6 | 5 | 5.231 | Worse than 89% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.4 | 6.6 | 23.75 | Better than 65% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.93 | 0.99 | 0.9974 | Better than 78% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 43.33 | 20 | 30.89 | Better than 85% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10.83 | 5 | 7.74 | Better than 85% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 60 | 10 | 20.53 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 15 | 2.5 | 5.155 | Better than 88% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 39 | 34 | 27.68 | Better than 59% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 9.75 | 8.75 | 6.965 | Better than 58% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 38.92 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 9.798 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 43.08 | 29.5 | 29.44 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 27.5 | 50 | 26.67 | 43.33 | 43.33 |
| VBP clinical outcomes weighted domain score | 9.167 | 12.5 | 8.889 | 14.44 | 10.83 |
| VBP efficiency and cost reduction domain score | 50 | 20 | 40 | 50 | 60 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | 5 | 13.33 | 16.67 | 15 |
| VBP person and community engagement domain score | 26 | Not Available | 19 | 17 | 39 |
| VBP person and community engagement weighted domain score | 8.667 | Not Available | 6.333 | 5.667 | 9.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 30 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 7.5 |
| VBP total performance score | 34.5 | Not Available | 28.56 | 36.78 | 43.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.001 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.984 | 0.9969 | 1.014 | Better than 62% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 83 cases | 0.9957 | 0.9983 | 1.015 | Better than 52% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9473 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.8816 | 0.9955 | 1.019 | Better than 97% 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 | 1.039 | 1.072 | 1.065 | 1.043 | 1.038 | 0.984 |
| READM-30-HF-HRRP | 0.9671 | 0.9549 | 0.9995 | 1.042 | 1.05 | 0.9957 |
| READM-30-HIP-KNEE-HRRP | 0.9705 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.003 | 1.011 | 1.034 | 0.989 | 0.9679 | 0.8816 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Jones Memorial Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.977 | 0.489 | 0.5606 | Worse than 85% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.296 | 0.346 | 0.4123 | Better than 58% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6757 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8339 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.11 | 0.9628 | 1.099 | Worse than 82% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.793 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0288 | -0.0453 | 0.1475 | Worse than 55% 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 | -0.0255 | -0.4956 | 0 | -0.0403 | -0.3991 | 0.0288 |
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 2017)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
49
Medicare-certified beds
7
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Jones Memorial Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,655
Inpatient discharges
Medicare 29%, Medicaid 2%
5,181
Inpatient days
29% of available bed days used
357
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 843234). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Jones Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,410 | 153 | 3,618 | 5,181 |
| Discharges | 472 | 34 | 1,149 | 1,655 |
| Average length of stay | 3.0 days | 4.5 days | 3.1 days | 3.1 days |
| Average daily census | 3.9 | 0.4 | 9.9 | 14.2 |
1,375
Medicare Advantage days
436 discharges
1,145
Medicaid managed care days
468 discharges
1,281
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 4,038 | 1,357 | 26% |
| Intensive care unit | 6 | 502 | 53 | 23% |
| Nursery | 641 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Jones Memorial Hospital treats Medicare patients for most often, in 2024. 221 Medicare discharges in 7 published DRGs; 0% surgical; 92% 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 | 110 | $18,864 | $15,819 | $7,583 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 37 | $14,457 | $10,825 | $5,812 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $16,755 | $11,069 | $6,736 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $14,701 | $8,526 | $5,910 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $20,595 | $14,380 | $8,279 | 1.79 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $14,307 | $13,777 | $5,751 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $13,697 | $10,567 | $5,506 | 1.32 |
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) Jones Memorial Hospital billed Medicare for most in 2024: 575 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 271 | 152 | $2,685 | $2,102 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 202 | 171 | $8,939 | $2,475 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 39 | 25 | $1,446 | $612 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $4,230 | $1,454 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $7,485 | $2,928 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | 14 | $3,236 | $1,843 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 14 | $27,425 | $13,285 | $10,772 |
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 Jones 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 706 in 2020 to 906 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 14895 | 367 | 41% | 1,162 | $7.8M | 67% | 67% |
| 14813 | 82 | 9% | 243 | $1.4M | 69% | 63% |
| 14715 | 68 | 8% | 250 | $1.6M | 48% | 57% |
| 14880 | 53 | 6% | 159 | $1M | 66% | 72% |
| 14739 | 52 | 6% | 197 | $1.2M | 36% | 31% |
| 14806 | 52 | 6% | 201 | $1.2M | 60% | 57% |
| 14711 | 32 | 4% | 114 | $769,162 | 43% | 40% |
| 14727 | 31 | 3% | 154 | $783,609 | 12% | |
| 14897 | 31 | 3% | 86 | $520,019 | 100% | 100% |
| 14735 | 20 | 2% | 62 | $409,060 | 39% | 25% |
| 14754 | 19 | 2% | 54 | $339,344 | 61% | |
| 14760 | 19 | 2% | 57 | $382,284 | 2% | |
| 16923 | 18 | 2% | 45 | $361,136 | 100% | 47% |
| 14709 | 17 | 2% | 51 | $336,108 | 46% | 60% |
| 14843 | 16 | 2% | 62 | $444,890 | 3% | 5% |
| 14744 | 15 | 2% | 73 | $437,518 | 38% | |
| 14803 | 14 | 2% | 46 | $265,710 | 30% |
Source: CMS Hospital Service Area file. Shares are of the 906 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 Jones Memorial Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
4
Operating rooms
13
Off-site locations
7
Registered nurses
17
Physicians
8
Nurse practitioners
6
Physician assistants
5
Pharmacists
6
Physical therapists
4
Occupational therapists
1
Speech pathologists and audiologists
1
Medical technologists
24
Other personnel
Source: CMS Provider of Services file.
352 clinicians who bill Medicare list Jones 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.
Daniel Powell, MD
Vascular & Interventional Radiology Physician
NPI 1235452723
See commercial rates for Daniel Powell, MDAnthony Mirabella, D.O.
Diagnostic Radiology Physician
NPI 1073925673
See commercial rates for Anthony Mirabella, D.O.Eric Flagg, M.D.
Diagnostic Radiology Physician
NPI 1588001838
See commercial rates for Eric Flagg, M.D.Vincent Frazzini, MD
Neuroradiology Physician
NPI 1598748972
See commercial rates for Vincent Frazzini, MDGeorge Demosthenes, DO
Diagnostic Radiology Physician
NPI 1790282457
See commercial rates for George Demosthenes, DOJean Hayward, FNP
Family Nurse Practitioner
NPI 1578012571
See commercial rates for Jean Hayward, FNPRajan Gulati, M.D
Internal Medicine Physician
NPI 1275534000
See commercial rates for Rajan Gulati, M.DKurt Benham, MD
Ophthalmology Physician
NPI 1306952981
See commercial rates for Kurt Benham, MDMark Welch, MD
Diagnostic Radiology Physician
NPI 1336175215
See commercial rates for Mark Welch, MDDavid Chung, M.D.
Diagnostic Radiology Physician
NPI 1588870042
See commercial rates for David Chung, M.D.Amira Hussien, MBBCH
Diagnostic Radiology Physician
NPI 1033366877
See commercial rates for Amira Hussien, MBBCHRobert Ambrosini, M.D.
Diagnostic Radiology Physician
NPI 1346549573
See commercial rates for Robert Ambrosini, M.D.Imran Chaudhary, MD
Interventional Cardiology Physician
NPI 1154361509
See commercial rates for Imran Chaudhary, MDDavid Lee, M.D.
Vascular & Interventional Radiology Physician
NPI 1457305195
See commercial rates for David Lee, M.D.David Rayne, M.D.
Diagnostic Radiology Physician
NPI 1417924408
See commercial rates for David Rayne, M.D.Daniel Chun, MD
Internal Medicine Physician
NPI 1730536301
See commercial rates for Daniel Chun, MDKathleen Mannava, M.D.
Dermatology Physician
NPI 1427284488
See commercial rates for Kathleen Mannava, M.D.Mark Adams, M.D.
Diagnostic Radiology Physician
NPI 1194752105
See commercial rates for Mark Adams, M.D.Alicia Shaikh, O.D., D.O.
Diagnostic Radiology Physician
NPI 1609020791
See commercial rates for Alicia Shaikh, O.D., D.O.Johhny Monu, M.D.
Diagnostic Radiology Physician
NPI 1740219831
See commercial rates for Johhny Monu, M.D.Nicholas Venci, M.D.
Cardiovascular Disease Physician
NPI 1427347509
See commercial rates for Nicholas Venci, M.D.Andrew Mathias, M.D.
Cardiovascular Disease Physician
NPI 1225304249
See commercial rates for Andrew Mathias, M.D.Aishwarya Bhardwaj, M.D.
Cardiovascular Disease Physician
NPI 1033596564
See commercial rates for Aishwarya Bhardwaj, M.D.Gregory Dieudonne, M.D.
Diagnostic Radiology Physician
NPI 1316045685
See commercial rates for Gregory Dieudonne, 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 Jones Memorial Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $258.4M | 276.2% |
| Inpatient | $39.3M | 42.0% |
| Outpatient | $219.1M | 234.2% |
| Contractual allowances and discounts | -$164.8M | -176.2% |
| Net patient revenue | $93.5M | 100.0% |
| Operating expenses | -$96.6M | -103.3% |
| Operating income from patient care | -$3.1M | -3.3% |
| Other income | $13.2M | 14.1% |
| Contributions and donations | $350,519 | 0.4% |
| Investment income | $109,495 | 0.1% |
| Government appropriations | $118,800 | 0.1% |
| Other | $12.6M | 13.5% |
| Net income | $10.1M | 10.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $37.1M | 16.2% |
| Medicaid (including managed care) | $46.3M | 20.2% |
| Other payers and self-pay | $146M | 63.7% |
| Total charges | $229.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, 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 Jones Memorial Hospital's latest cost report.
-3.3%
Operating margin
Operating income from patient care / net patient revenue
9.4%
Total margin
Net income / net patient revenue plus other income
13.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.24
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
9.5%
Return on assets
Net income for a year / total assets
16.6%
Return on equity
Net income for a year / fund balance
2.45
Current ratio
Current assets / current liabilities
1.41
Quick ratio
Cash, temporary investments and net receivables / current liabilities
59 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
38 days
Days in patient receivables
Net patient receivables / daily net patient revenue
69 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.01
Asset turnover
Total revenue for a year / total assets
7.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Jones Memorial Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $105.8M in total assets and a $60.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $15M | 14.1% |
| Patient receivables, net | $9.7M | 9.1% |
| Inventory | $1.3M | 1.2% |
| Total current assets | $43M | 40.6% |
| Property and equipment, net of depreciation | $42.2M | 39.8% |
| Investments and other assets | $20.7M | 19.6% |
| Total assets | $105.8M | 100.0% |
| Current liabilities | $17.5M | 16.6% |
| Total liabilities | $45.3M | 42.8% |
| Fund balance (net assets) | $60.6M | 57.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Jones Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$655,020
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.3M
Bad debt
Patient bills written off as uncollectible, at charges
$5.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.5M
Total unreimbursed and uncompensated care
6.7% 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 843234, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Jones Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $35.6M | $46.9M | $51.3M | $60.7M | $68.7M | $93.5M |
| Operating expenses | $45.5M | $53.7M | $60.9M | $74.3M | $75.8M | $96.6M |
| Operating margin | -28.0% | -14.6% | -18.8% | -22.3% | -10.3% | -3.3% |
| Net income | $4.8M | $10.7M | $1.2M | $2.5M | $6.2M | $10.1M |
| Total assets | $49.3M | $55.3M | $59.8M | $76.2M | $96.8M | $105.8M |
| Discharges | 1,731 | 1,699 | 1,653 | 1,587 | 1,521 | 1,655 |
| Inpatient days | 7,607 | 7,790 | 7,196 | 5,373 | 4,394 | 5,181 |
| Medicare Advantage days | 1,380 | 1,259 | 1,647 | 1,443 | 1,010 | 1,375 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 348 | 367 | 330 | 313 | 304 | 357 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Jones 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 | $6.2M | $19.9M | $36.4M | 0.55 | 20,725 |
| Drugs charged to patients | $17.2M | $47.6M | 0.36 | ||
| Operating room | $1.4M | $5.8M | $17.7M | 0.33 | 10,137 |
| Laboratory | $1.3M | $5.2M | $22M | 0.24 | 4,751 |
| Clinic | $4.4M | $4M | $8.6M | 0.46 | 12,414 |
| Emergency | $1.6M | $3.9M | $26.9M | 0.15 | 4,585 |
| Cancer treatment services | $1.7M | $3M | $6M | 0.50 | 7,735 |
| Radiology-diagnostic | $906,860 | $2M | $5.9M | 0.34 | 7,350 |
| Observation beds (non-distinct part | $2M | $3.2M | 0.62 | ||
| Physical therapy | $732,817 | $1.3M | $2.8M | 0.49 | 801 |
| Impl. dev. charged to patients | $1.1M | $1.3M | 0.87 | ||
| Respiratory therapy | $106,096 | $985,132 | $2.4M | 0.42 | 1,451 |
| Ultrasound diagnostic | $445,527 | $972,288 | $8.4M | 0.12 | 217 |
| Medical supplies charged to patient | $905,705 | $1.5M | 0.62 | ||
| Anesthesiology | $237,417 | $718,971 | $459,565 | 1.56 | 130 |
| Occupational therapy | $367,951 | $582,816 | $693,609 | 0.84 | 156 |
| Ct scan | $96,409 | $447,420 | $9M | 0.05 | 392 |
| Mri | $131,401 | $424,710 | $4.4M | 0.10 | 3,000 |
| Stress test | $116,837 | $220,545 | $620,934 | 0.36 | 237 |
| Blood storing processing & trans. | $203,040 | $2.4M | 0.09 | 108 | |
| Mammography | $83,876 | $193,895 | $396,787 | 0.49 | 296 |
| Sleep lab | $73,654 | $192,311 | $979,838 | 0.20 | 810 |
| Electrocardiology | $55,575 | $121,830 | $497,935 | 0.24 | 259 |
| Cardiac rehabilitation | $63,413 | $104,948 | $577,590 | 0.18 | |
| Recovery room | $15,391 | $102,934 | $3.6M | 0.03 | 811 |
| Speech pathology | $43,387 | $68,325 | $59,978 | 1.14 | 123 |
| Audiology | $19,236 | $175,132 | 0.11 | ||
| Electroencephalography | $17,600 | $59,194 | 0.30 | 101 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.1M | $8.2M | $10.9M | 0.76 | 28,954 |
| Intensive care unit | $349,220 | $1.9M | $2.6M | 0.74 | 3,504 |
| Nursery | $1.3M | $1.3M | 0.93 | 315 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.2M | $8.3M | 17,468 | ||
| Employee benefits department | $362,316 | $6.2M | 13,101 | $28.24 | 406 |
| Cap rel costs-mvble equip | $2.7M | ||||
| Cap rel costs-bldg & fixt | $2M | 181,383 | |||
| Operation of plant | $662,919 | $2M | 26,209 | $25.33 | 38,871 |
| Dietary - other | $661,069 | $1.2M | 3,414 | ||
| Pharmacy | $847,909 | $1.2M | 1,050 | ||
| Housekeeping | $820,284 | $1M | 42,650 | $19.23 | 2,125 |
| Nursing administration | $920,724 | $972,241 | 2,552 | ||
| Central service & supply | $112,875 | $538,010 | 1,725 | ||
| Social service | $321,888 | $481,013 | 15,050 | $21.49 | 668 |
| Medical records & library | $398,030 | 7,385 | |||
| Laundry & linen service | $309,983 | ||||
| Inservice education | $84,609 | $144,537 | 434 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843234, 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 Jones 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).
31.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
516
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 | 1.28 | 1.29 | 1.38 | 1.64 | 1.59 | 1.51 | 1.45 |
| Wage index | 0.873 | 0.859 | 0.852 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | 0.00% | -0.22% | -0.52% | -0.23% | -0.24% | -0.28% | 0.00% |
| Value-based purchasing adjustment | +0.05% | +0.21% | +0.21% | +0.01% | +0.71% | +1.29% | +0.97% |
| Medicare inpatient stays | 534 | 534 | 546 | 433 | 437 | 446 | 516 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Jones 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.
Memorial Hospital Of William F And files the Form 990 for the tax ID insurers list for Jones Memorial Hospital, so these people may lead the wider organization rather than Jones Memorial Hospital alone.
| Name | Title |
|---|---|
| James Helms | CEO |
| Boyd Chappell | CFO |
| Karol Marciano | Chairperson |
| Daniel Johnson | Vice Chairman |
| Jenny Bilotta | Treasurer |
| Mary Kate Cole | Secretary Until 10/23 |
| James Knapp | Secretary |
Board members: Mark Taubman, Steven Goldstein, Michael Apostolakos, Andres Rubert MD, Samantha Gilkey, Richard Ewell, Ian Jones, Rhiannon Sisson, Steven Mauro, Judith Hopkins, Amy Bennett, Jennifer Joyce.
Source: IRS Form 990 Part VII filed by Memorial Hospital Of William F And (EIN 22-2807681), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2017
340B ID DSH330096, registered as a disproportionate share hospital; 19 registered outpatient sites; 46 active contract pharmacies. Authorizing official: Erin Pforter, Finance Director/interim CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Jones memorial hospital
CCN 33U096, certified 2004, Medicare prospective payment
Rhc
CCN 333409, certified 2021, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Jones Memorial Hospital's latest Medicare cost report (HCRIS).
About Jones Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jones Memorial Hospital range from $505 to $1,036 across 4 insurers. Cigna's rate is $508. The median at nearby comparable hospitals is $606. 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 Jones Memorial Hospital range from $479 to $1,019 across 4 insurers. Blue Cross Blue Shield's rate is $592. The median at nearby comparable hospitals is $609. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Jones Memorial Hospital range from $315 to $1,505 across 4 insurers. UnitedHealthcare's rate is $1,198. The median at nearby comparable hospitals is $1,683. 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 Jones Memorial Hospital range from $3,343 to $11,259 across 2 insurers. Aetna's rate is $11,259. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jones Memorial Hospital range from $162 to $201 across 4 insurers. Cigna's rate is $201. The median at nearby comparable hospitals is $130. 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 Jones Memorial Hospital range from $9,663 to $23,042 across 2 insurers. Aetna's rate is $23,042. The median at nearby comparable hospitals is $17,857. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jones 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 Jones Memorial Hospital for fiscal year 2027.
No. Jones Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (110 discharges), heart failure and shock with mcc (37 discharges), simple pneumonia and pleurisy with mcc (17 discharges).
Jones 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.
Jones Memorial Hospital reported 1,655 inpatient discharges and 5,181 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Jones Memorial Hospital reported 357 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Jones Memorial Hospital reported $93.5M in net patient revenue on $258.4M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -3.3%, and net income of $10.1M.
Jones Memorial Hospital reported $6.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $655,020 of charity care at cost.
Jones Memorial Hospital's Medicare enrollment lists James H Helms as President/ceo since 2021.
Insurers' price transparency files list Jones Memorial Hospital under employer identification number 22-2807681 (Jones Memorial Hospital). 48 health plans and networks list 22-2807681 for it.
Yes. HRSA's 340B database lists Jones Memorial Hospital (340B ID DSH330096) as a participating disproportionate share hospital since 2017, with 46 active contract pharmacies.
352 clinicians who bill Medicare list Jones Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (66), family nurse practitioner (30), internal medicine physician (25).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Jones Memorial Hospital, effective 2017.
CMS lists 28 services at Jones Memorial Hospital, including Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Jones Memorial Hospital came from ZIP codes 14895 (367), 14813 (82), 14715 (68).
Jones Memorial Hospital has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Jones Memorial Hospital is located at 191 North Main Street, Wellsville, NY 14895. Its main phone number is (585) 593-1100.
Jones Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330096.
The National Provider Identifier (NPI) on file for Jones Memorial Hospital is 1720030703.
Jones Memorial Hospital is affiliated with University of Rochester Medical Center.
Jones 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.
182 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