Prime Healthcare Services · Port Huron, MI
4 of 5
CMS star rating
139
Beds
3,643
Inpatient discharges a year
$74M
Net patient revenue a year
19
In-network payers
Lake Huron Medical Center is a 139-bed voluntary non-profit - church hospital in Port Huron, MI, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 335 disclosed rate categories.
The 24 services Lake Huron Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$17,633 - $29,993
from 4 insurers · median $18,199
22 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$34,150 - $36,650
from 2 insurers · median $35,400
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$15,833 - $26,726
from 4 insurers · median $23,606
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$6,102 - $12,911
from 3 insurers · median $6,859
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$6,742 - $12,911
from 2 insurers · median $9,827
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$11,092 - $21,758
from 4 insurers · median $13,927
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 47563
$6,409 - $12,911
from 3 insurers · median $8,682
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$3,564 - $8,400
from 3 insurers · median $7,939
15 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 74177
$423 - $913
from 3 insurers · median $434
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,723 - $22,510
from 2 insurers · median $15,617
Typical for a hospital with this service line
Mammography
CPT 77067
$94 - $287
from 3 insurers · median $146
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,032 - $2,045
from 2 insurers · median $1,539
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,848 - $12,911
from 2 insurers · median $9,380
Typical for a hospital with this service line
CT imaging
CPT 71275
$422 - $478
from 3 insurers · median $447
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,048 - $7,004
from 3 insurers · median $5,189
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$264 - $1,246
from 3 insurers · median $375
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$5,962 - $12,911
from 2 insurers · median $9,436
Typical for a hospital with this service line
CT imaging
CPT 70450
$110 - $265
from 3 insurers · median $148
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$44 - $215
from 3 insurers · median $81
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$221 - $447
from 3 insurers · median $387
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$526 - $2,682
from 3 insurers · median $975
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$10,202 - $16,385
from 2 insurers · median $13,293
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,822 - $3,439
from 2 insurers · median $3,130
Typical for a hospital with this service line
MRI imaging
CPT 70553
$430 - $913
from 3 insurers · median $492
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 220% | 22 | 0 |
| Insurer B* | 17 | 139% | 8 | 2 |
| Insurer C* | 23 | 107% | 7 | 11 |
| Insurer D* | 3 | - | 0 | 0 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 9 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 Lake Huron Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$74M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Holdings Inc
The employer identification numbers (EINs) health plans and networks list for Lake Huron Medical Center 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 |
|---|---|---|
| 47-2361878Prime Healthcare Services Port Huron | 39Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 34 more | 1306227764 Prime Healthcare Services-port Huron LLC1356723027 Prime Healthcare Services-port Huron LLC1912525361 Prime Healthcare Services-port Huron LLCand 3 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.
2601 Electric Avenue, Port Huron, MI 48060
(810) 985-1500
How Lake Huron Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% 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)
0.86
Lower than 83% 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
63%
Lower than 55% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 2 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) | 0.86 | 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 | 63% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Lake Huron Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.22% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.35% 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 Lake Huron Medical Center, beside the US median and the average of MI 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 | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 30 cases | 4 | 4.1 | 4.186 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 972 cases | 3.5 | 3.9 | 3.903 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.376 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 61 cases | 7.4 | 8.5 | 8.576 | Better than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 95 cases | 8.2 | 11 | 11.26 | Better than 93% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 164 cases | 14.9 | 15.2 | 15.18 | Better than 53% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 65 cases | 10.2 | 11.6 | 11.95 | Better than 76% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,170 cases | 0.32 | 0.51 | 0.6149 | No Different Than the National Rate | Better than 78% 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 · 1,592 cases | 0.2 | 0.2 | 0.2198 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,627 cases | 0.3 | 0.27 | 0.2762 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 165 cases | 2.26 | 2.29 | 2.378 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 61 cases | 1.63 | 1.63 | 1.689 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 64 cases | 8.51 | 8.88 | 9.51 | No Different Than the National Rate | Better than 60% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 178 cases | 3.13 | 3.4 | 3.553 | No Different Than the National Rate | Better than 73% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 51 cases | 5.11 | 5.105 | 5.252 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 44 cases | 1.7 | 1.72 | 1.76 | No Different Than the National Rate | Better than 58% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 134 cases | 1.01 | 1.02 | 1.117 | No Different Than the National Rate | Better than 53% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.875 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 110 cases | -22.7 | 1.25 | 2.533 | Better than 82% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 168 cases | -23.4 | 3.85 | 5.307 | Better than 84% 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 · 430 cases | 13.2 | 12.9 | 12.94 | 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 | 10.6 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.333 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 72 cases | 1.1 | 1 | 0.9865 | 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 | 14.28 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.41 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 108 cases | 19.6 | 19.8 | 19.73 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 201 cases | 21.1 | 21.3 | 21.19 | Better than 56% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 27 cases | 5.9 | 5.8 | 5.984 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 350 cases | 17.8 | 17.2 | 17.08 | Worse than 70% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2592 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.909 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 655 | 1,370 | 4,065 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.406 | 0.9835 | 4.274 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.649 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6721 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.389 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,100 | 1,799 | 4,188 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.574 | 1.377 | 5.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.168 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3966 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4382 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.741 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 19 | 61 | 118 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.484 | 1.591 | 3.112 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.074 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.6144 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 4.322 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 30 | 38 | 75.28 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.319 | 0.328 | 0.6545 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9634 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.462 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2675 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.176 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 14,497 | 14,451 | 42,903 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.871 | 0.567 | 2.796 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.826 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7532 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1572 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.502 | 0.747 | 1.134 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 14,497 | 13,646 | 40,305 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.966 | 5.683 | 21.05 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.934 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3227 | Better than the 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 | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 409 cases | 72 | 73 | 69.3 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 409 cases | 11 | 8 | 10.85 | Worse than 70% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 409 cases | 17 | 18 | 19.85 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 86 | 87 | 84.11 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 409 cases | 3 | 4 | 2.86 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 409 cases | 73 | 80 | 79.59 | Worse than 87% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 89 | 91 | 91.42 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 409 cases | 7 | 4 | 4.111 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 409 cases | 2 | 3 | 3.5 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 409 cases | 20 | 16 | 16.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 409 cases | 65 | 79 | 78.2 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 83 | 91 | 90.27 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 409 cases | 14 | 5 | 5.521 | Worse than 99% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 409 cases | 1 | 3 | 3.07 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 409 cases | 21 | 16 | 16.28 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 409 cases | 49 | 61 | 61.03 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 70 | 77 | 76.51 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 409 cases | 29 | 19 | 19.58 | Worse than 95% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 409 cases | 1 | 3 | 2.63 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 409 cases | 22 | 19 | 19.38 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 81 | 86 | 85.82 | Worse than 87% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 409 cases | 19 | 13 | 13.17 | Worse than 89% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 409 cases | 2 | 3 | 3.35 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 409 cases | 81 | 87 | 86.83 | Worse than 89% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 409 cases | 23 | 14 | 14.7 | Worse than 93% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 409 cases | 77 | 86 | 85.3 | Worse than 93% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 60 | 74 | 72.65 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 18 | 7 | 7.064 | Worse than 99% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 22 | 19 | 20.28 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 62 | 77 | 75.91 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 14 | 6 | 6.191 | Worse than 99% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 24 | 17 | 17.9 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 74 | 85 | 84.26 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 9 | 3 | 3.827 | Worse than 98% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 17 | 11 | 11.91 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 409 cases | 12 | 8 | 9.248 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 409 cases | 24 | 20 | 21.47 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 409 cases | 64 | 72 | 69.28 | Worse than 79% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 86 | 88 | 87.04 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 409 cases | 3 | 3 | 3.12 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 409 cases | 65 | 74 | 74.28 | Worse than 94% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 409 cases | 16 | 9 | 9.173 | Worse than 94% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 409 cases | 19 | 16 | 16.55 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 70 | 75 | 74.9 | Worse than 80% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 9 | 5 | 5.573 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 409 cases | 21 | 20 | 19.53 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 67 | 77 | 76.58 | Worse than 94% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 8 | 4 | 4.364 | Worse than 88% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 409 cases | 25 | 19 | 19.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 80 | 86 | 85.7 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 3 | 3 | 2.773 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 409 cases | 17 | 11 | 11.53 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 409 cases | 54 | 59 | 56.73 | Worse than 67% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 409 cases | 14 | 9 | 11.16 | Worse than 76% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 409 cases | 32 | 31 | 32.11 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 80 | 82 | 80.12 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 409 cases | 3 | 3 | 3.12 | 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 · 409 cases | 10 | 5 | 6.291 | Worse than 87% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 409 cases | 68 | 71 | 68.51 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 409 cases | 85 | 87 | 85.75 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 409 cases | 22 | 23 | 25.2 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 409 cases | 3 | 4 | 3.39 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 409 cases | 34 | 47 | 46.3 | Worse than 98% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 409 cases | 41 | 30 | 30.8 | Worse than 94% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 409 cases | 25 | 22 | 22.9 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 409 cases | 2 | 3 | 3.21 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 409 cases | 14 | 12 | 12.2 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 409 cases | 86 | 88 | 87.8 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Lake Huron Medical Center | US median | MI 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 · 5,588 cases | 14 | 8 | 8.08 | Worse than 89% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,284 cases | 0 | 1 | 0.9722 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4118 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 857 cases | 57 | 79 | 74.71 | Worse than 80% 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 · 430 cases | 168 | 154 | 167 | Worse than 59% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 420 cases | 168 | 148 | 161 | 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 | Not Available | 300 | |||
| 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 | Not Available | 338 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 19,644 cases | 4 | 1 | 1.933 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 73.42 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 155 cases | 96 | 97 | 93.2 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 0 cases | Not Available | 39.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,029 cases | 20 | 15 | 15.67 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 84 cases | 63 | 65 | 59.69 | Worse than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 40 | 73 | 69.54 | Worse than 96% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.94 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 84 cases | 82 | 82 | 77.12 | Better than 48% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases | 93 | 94 | 90.36 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 94.44 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.44 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 61 cases | 93 | 94 | 91.64 | Worse than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 82.06 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.3 | 5 | 6.103 | Worse than 64% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.2 | 6.6 | 7.033 | Better than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.88 | 0.99 | 0.9406 | Better than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 17.5 | 20 | 19.22 | Worse than 54% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.375 | 5 | 4.872 | Worse than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 60 | 10 | 42.06 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 15 | 2.5 | 11.12 | Better than 88% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 13 | 34 | 38.03 | Worse than 92% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 3.25 | 8.75 | 9.925 | Worse than 92% of US hospitals | |
| VBP safety domain scoreFY 2026 | 5 | 40 | 33.39 | Worse than 97% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 1.25 | 10 | 8.389 | Worse than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 23.88 | 29.5 | 33.57 | Worse than 70% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 76 | 74 | 52.5 | 24 | 26 | 17.5 |
| VBP clinical outcomes weighted domain score | 25.33 | 18.5 | 13.13 | 8 | 6.5 | 4.375 |
| VBP efficiency and cost reduction domain score | 70 | Not Available | 60 | 50 | 90 | 60 |
| VBP efficiency and cost reduction weighted domain score | 23.33 | Not Available | 15 | 16.67 | 22.5 | 15 |
| VBP person and community engagement domain score | 32 | Not Available | Not Available | 4 | 8 | 13 |
| VBP person and community engagement weighted domain score | 10.67 | Not Available | Not Available | 1.333 | 2 | 3.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 85 | 5 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 21.25 | 1.25 |
| VBP total performance score | 59.33 | Not Available | Not Available | 26 | 52.25 | 23.88 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.995 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9907 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9702 | 0.9969 | 0.9989 | Better than 76% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 119 cases | 1.052 | 0.9983 | 1.002 | Worse than 80% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.014 | 0.9916 | 1.061 | Worse than 56% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 165 cases | 0.961 | 0.9955 | 0.9984 | Better than 74% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9775 | 1.002 | 1.049 | 1.014 | 1.038 | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.013 | 1.038 | 1.011 | 1.029 | 0.9908 | 0.9702 |
| READM-30-HF-HRRP | 1.026 | 1.037 | 0.9534 | 1.019 | 1.017 | 1.052 |
| READM-30-HIP-KNEE-HRRP | 1.035 | 1.128 | 1.157 | 1.049 | 1.016 | 1.014 |
| READM-30-PN-HRRP | 1.087 | 1.056 | 0.9898 | 0.9413 | 0.9769 | 0.961 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Lake Huron Medical Center | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.5894 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.316 | 0.346 | 0.3948 | Better than 55% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7747 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.8034 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8614 | 0.9628 | 1.007 | Better than 83% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.458 | 0.7945 | 1.234 | Better than 72% of US hospitals | |
| Total HAC scoreFY 2026 | -0.9147 | -0.0453 | 0.1353 | Better than 95% 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 | -0.5844 | -1.089 | 0 | -0.7167 | -1.207 | -0.9147 |
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 2022)
Accreditation
None
Medical school affiliation
Church
Ownership type
119
Medicare-certified beds
108
Registered nurses (full-time equivalent)
1976
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Lake Huron Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,643
Inpatient discharges
Medicare 21%, Medicaid 2%
14,106
Inpatient days
30% of available bed days used
401
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837966). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Lake Huron Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,293 | 423 | 10,390 | 14,106 |
| Discharges | 783 | 89 | 2,771 | 3,643 |
| Average length of stay | 4.2 days | 4.8 days | 3.7 days | 3.9 days |
| Average daily census | 9.0 | 1.2 | 28.5 | 38.6 |
6,017
Medicare Advantage days
1,380 discharges
1,999
Medicaid managed care days
538 discharges
432
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 121 | 12,790 | 2,962 | 29% |
| Intensive care unit | 8 | 1,316 | 331 | 45% |
| Subprovider - irf | 10 | 1,785 | 897 | 49% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Lake Huron Medical Center treats Medicare patients for most often, in 2024. 417 Medicare discharges in 11 published DRGs; 5% surgical; 85% 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 | 196 | $44,494 | $12,021 | $10,323 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 39 | $28,129 | $7,913 | $6,526 | 1.28 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 29 | $22,855 | $7,716 | $5,302 | 1.32 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $33,406 | $7,613 | $7,750 | 1.23 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 26 | $34,015 | $8,304 | $7,891 | 1.51 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $28,622 | $9,082 | $6,640 | 1.50 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $23,961 | $6,163 | $5,559 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $99,863 | $30,979 | $23,168 | 5.00 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $19,010 | $4,196 | $4,410 | 0.79 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 11 | $41,877 | $9,884 | $9,716 | 1.70 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $34,286 | $9,652 | $7,954 | 1.45 |
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) Lake Huron Medical Center billed Medicare for most in 2024: 139 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Vascular ProceduresAPC 5183 | 25 | 24 | $21,332 | $2,229 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 21 | 21 | $120,010 | $9,945 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 20 | 15 | $9,007 | $1,138 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 17 | $20,782 | $1,429 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 13 | $22,605 | $2,446 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 15 | 14 | $33,476 | $3,631 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $46,288 | $3,751 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $18,824 | $2,271 | $2,373 |
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 Lake Huron Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,910 in 2020 to 1,998 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 48060 | 833 | 42% | 3,329 | $30.8M | 28% | 24% |
| 48040 | 246 | 12% | 1,063 | $10.1M | 39% | 32% |
| 48074 | 183 | 9% | 768 | $8.5M | 31% | 27% |
| 48059 | 159 | 8% | 725 | $7.7M | 15% | 18% |
| 48079 | 139 | 7% | 688 | $7.6M | 22% | 15% |
| 48422 | 60 | 3% | 277 | $2.7M | 22% | 21% |
| 48097 | 45 | 2% | 209 | $1.8M | 21% | 22% |
| 48049 | 44 | 2% | 186 | $1.9M | 19% | 23% |
| 48450 | 43 | 2% | 179 | $1.8M | 14% | 15% |
| 48027 | 40 | 2% | 143 | $1.3M | 25% | 32% |
| 48054 | 37 | 2% | 189 | $1.8M | 9% | 8% |
| 48039 | 30 | 2% | 135 | $1.6M | 7% | 5% |
| 48006 | 27 | 1% | 144 | $1.3M | 22% | 17% |
| 48022 | 24 | 1% | 111 | $914,968 | 27% | 37% |
| 48416 | 18 | 1% | 64 | $1.1M | 10% | |
| 48001 | 17 | 1% | 75 | $695,610 | 2% | 5% |
| 48041 | 15 | 1% | 93 | $809,244 | 8% | 11% |
| 48063 | 14 | 1% | 30 | $574,871 | 8% | 7% |
| 48014 | 12 | 1% | 50 | $560,273 | 6% | 13% |
| 48032 | 12 | 1% | 44 | $339,395 | 20% | 25% |
Source: CMS Hospital Service Area file. Shares are of the 1,998 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 Lake Huron Medical Center reported at its latest Medicare certification survey (2013). Counts are people, not full-time equivalents.
6
Operating rooms
3
Endoscopy rooms
2
Cardiac catheterization rooms
10
Rehabilitation unit beds
108
Registered nurses
16
Licensed practical nurses
7
Nurse anesthetists (CRNAs)
8
Pharmacists
8
Respiratory therapists
2
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
2
Dietitians
1
Social workers
232
Other personnel
Source: CMS Provider of Services file.
234 clinicians who bill Medicare list Lake Huron Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Rafia Khalil, MD
Rheumatology Physician
NPI 1114907912
See commercial rates for Rafia Khalil, MDFares Alsawah, MD
Internal Medicine Physician
NPI 1497174551
See commercial rates for Fares Alsawah, MDPodduturu Reddy, M.D., M.P.H.
Pulmonary Disease Physician
NPI 1003816331
See commercial rates for Podduturu Reddy, M.D., M.P.H.Marwan Shuayto, M.D.
Neurology Physician
NPI 1841383924
See commercial rates for Marwan Shuayto, M.D.Shawn Achtman, D.O.
Physical Medicine & Rehabilitation Physician
NPI 1194166652
See commercial rates for Shawn Achtman, D.O.Ali Saad, D.O.
Allergy & Immunology Physician
NPI 1952697112
See commercial rates for Ali Saad, D.O.William Braaksma, M.D.
Orthopaedic Surgery Physician
NPI 1649409020
See commercial rates for William Braaksma, M.D.Scott Heithoff, D.O.
Orthopaedic Surgery Physician
NPI 1972505816
See commercial rates for Scott Heithoff, D.O.Anup Lal, MD
Hematology & Oncology Physician
NPI 1184735300
See commercial rates for Anup Lal, MDFasahat Hamzavi, MD
MOHS-Micrographic Surgery Physician
NPI 1295780989
See commercial rates for Fasahat Hamzavi, MDJohn Jarad, M.D.
Geriatric Medicine (Internal Medicine) Physician
NPI 1245235654
See commercial rates for John Jarad, M.D.Elias Skaf, M.D.
Interventional Cardiology Physician
NPI 1235332917
See commercial rates for Elias Skaf, M.D.Gerald Jerry, MD
Orthopaedic Surgery Physician
NPI 1821068594
See commercial rates for Gerald Jerry, MDBashar Samman, MD
Interventional Cardiology Physician
NPI 1558322743
See commercial rates for Bashar Samman, MDSuresh Tumma, MD
Cardiovascular Disease Physician
NPI 1588625743
See commercial rates for Suresh Tumma, MDMuhammad Munir, MD
Cardiovascular Disease Physician
NPI 1124079553
See commercial rates for Muhammad Munir, MDRichard Kovar, DO
Neurology Physician
NPI 1235147844
See commercial rates for Richard Kovar, DOStacie Hill, PA-C
Physician Assistant
NPI 1427084714
See commercial rates for Stacie Hill, PA-CAaron Clark, M.D.
Family Medicine Physician
NPI 1235113382
See commercial rates for Aaron Clark, M.D.Derek Hill, DO
Orthopaedic Surgery Physician
NPI 1912107269
See commercial rates for Derek Hill, DOAjay Krishen, MD
Clinical Cardiac Electrophysiology Physician
NPI 1285695452
See commercial rates for Ajay Krishen, MDVictor Hunyadi, DO
Cardiovascular Disease Physician
NPI 1275915092
See commercial rates for Victor Hunyadi, DOIra Sabbagh, D.O.
Family Medicine Physician
NPI 1619978780
See commercial rates for Ira Sabbagh, D.O.Riad Hajjar, M.D.
Internal Medicine Physician
NPI 1538153176
See commercial rates for Riad Hajjar, 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 Lake Huron Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $361.9M | 488.9% |
| Inpatient | $154.1M | 208.2% |
| Outpatient | $207.8M | 280.7% |
| Contractual allowances and discounts | -$287.9M | -388.9% |
| Net patient revenue | $74M | 100.0% |
| Operating expenses | -$78M | -105.4% |
| Operating income from patient care | -$4M | -5.4% |
| Other income | $1.2M | 1.6% |
| Contributions and donations | $703,125 | 0.9% |
| Government appropriations | $100,207 | 0.1% |
| Other | $347,594 | 0.5% |
| Net income | -$2.9M | -3.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $52.3M | 14.4% |
| Medicaid (including managed care) | $65.3M | 18.0% |
| Other payers and self-pay | $244.3M | 67.5% |
| Total charges | $361.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, 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 Lake Huron Medical Center's latest cost report.
-5.4%
Operating margin
Operating income from patient care / net patient revenue
-3.8%
Total margin
Net income / net patient revenue plus other income
0.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.45
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-8.4%
Return on assets
Net income for a year / total assets
0.80
Current ratio
Current assets / current liabilities
0.55
Quick ratio
Cash, temporary investments and net receivables / current liabilities
23 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
31 days
Days in patient receivables
Net patient receivables / daily net patient revenue
96 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.21
Asset turnover
Total revenue for a year / total assets
10.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Lake Huron Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $34.1M in total assets and a -$11M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $4.7M | 13.7% |
| Patient receivables, net | $6.2M | 18.2% |
| Inventory | $1.3M | 3.9% |
| Total current assets | $15.7M | 46.1% |
| Property and equipment, net of depreciation | $16.7M | 49.1% |
| Investments and other assets | $1.6M | 4.8% |
| Total assets | $34.1M | 100.0% |
| Current liabilities | $19.6M | 57.5% |
| Total liabilities | $45M | 132.2% |
| Fund balance (net assets) | -$11M | -32.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Lake Huron Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$271,157
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.8M
Bad debt
Patient bills written off as uncollectible, at charges
$1.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.5M
Total unreimbursed and uncompensated care
2.0% 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 837966, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Lake Huron Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $61.8M | $62.3M | $58.6M | $67.3M | $71.1M | $74M |
| Operating expenses | $66.4M | $66.8M | $68.4M | $69.1M | $71.1M | $78M |
| Operating margin | -7.6% | -7.1% | -16.8% | -2.7% | 0.0% | -5.4% |
| Net income | $5.1M | $3.2M | -$2.1M | -$675,298 | $1.4M | -$2.9M |
| Total assets | $43.9M | $40.9M | $39.6M | $36.5M | $35.7M | $34.1M |
| Discharges | 2,963 | 2,967 | 2,889 | 3,136 | 3,462 | 3,643 |
| Inpatient days | 11,442 | 13,228 | 13,055 | 13,222 | 14,158 | 14,106 |
| Medicare Advantage days | 3,186 | 3,856 | 4,773 | 5,236 | 5,566 | 6,017 |
| Beds | 164 | 164 | 144 | 139 | 139 | 139 |
| Employees (FTE) | 331 | 340 | 350 | 346 | 393 | 401 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Lake Huron Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $2.5M | $6.6M | $48.1M | 0.14 | 15,600 |
| Drugs charged to patients | $6.1M | $31.3M | 0.19 | ||
| Operating room | $2.8M | $4.8M | $29.7M | 0.16 | 7,474 |
| Radiology-diagnostic | $613,721 | $4.8M | $10.4M | 0.46 | 25,024 |
| Laboratory | $1.5M | $4.3M | $77.3M | 0.06 | 9,727 |
| Medical supplies charged to patient | $4M | $12.2M | 0.32 | ||
| Impl. dev. charged to patients | $2.3M | $24.5M | 0.09 | ||
| Physical therapy | $923,943 | $2M | $6M | 0.33 | 4,859 |
| Respiratory therapy | $641,404 | $1.2M | $11.9M | 0.10 | 656 |
| Cardiac catheterization | $320,341 | $882,824 | $6.4M | 0.14 | 3,455 |
| Ct scan | $424,847 | $868,248 | $35.4M | 0.02 | |
| Hyperbaric oxygen therapy | $332,179 | $714,804 | $4.4M | 0.16 | |
| Radiology-therapeutic | $278,899 | $612,210 | $1.4M | 0.44 | |
| Mri | $520,562 | $3.2M | 0.16 | ||
| Observation beds (non-distinct part | $513,363 | $1.2M | 0.45 | ||
| Blood storing processing & trans. | $146,944 | $495,766 | $2.4M | 0.21 | 232 |
| Recovery room | $227,848 | $442,002 | $5.8M | 0.08 | |
| Electrocardiology | $226,162 | $438,639 | $7.6M | 0.06 | |
| Occupational therapy | $241,875 | $430,906 | $2.8M | 0.15 | 473 |
| Ultrasound | $226,659 | $378,595 | $4.5M | 0.08 | |
| Cardiac rehabilitation | $116,569 | $362,632 | $881,797 | 0.41 | 1,906 |
| Speech pathology | $189,365 | $361,226 | $1.5M | 0.24 | 192 |
| Clinic | $127,594 | $341,761 | $136,876 | 2.50 | 1,500 |
| Renal dialysis | $163,973 | $325,132 | $945,134 | 0.34 | |
| Blood laboratory | $167,894 | $268,921 | $3.7M | 0.07 | 2,402 |
| Radioisotope | $80,129 | $153,759 | $1.6M | 0.10 | |
| Positron emission tomography | $82,936 | $2M | 0.04 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $4.9M | $15.7M | $17.5M | 0.90 | 57,524 |
| Intensive care unit | $1.1M | $2.7M | $4.6M | 0.58 | 4,079 |
| Subprovider - irf | $335,667 | $1.2M | $2.7M | 0.46 | 3,805 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.8M | $11.4M | 89,108 | $31.29 | 53,179 |
| Cap rel costs-mvble equip | $4.8M | ||||
| Cap rel costs-bldg & fixt | $4.2M | 298,161 | |||
| Maintenance & repairs | $383,725 | $2.8M | 12,358 | $31.05 | |
| Operation of plant | $592,785 | $2.5M | 27,155 | $21.83 | 2,543 |
| Pharmacy | $1.5M | $1.9M | 29,929 | $50.40 | 3,784 |
| Nursing administration | $1.3M | $1.7M | 27,532 | $46.51 | 889 |
| Housekeeping | $800,605 | $1.3M | 42,295 | $18.93 | 20,979 |
| Employee benefits department | $430,283 | $1.2M | 10,540 | $40.82 | 653 |
| Medical records & library | $136,885 | $888,122 | 6,355 | $21.54 | 3,643 |
| Dietary | $703,702 | $730,249 | 16,339 | $19.22 | 4,595 |
| Cafeteria | $580,165 | 20,274 | $19.22 | 3,375 | |
| Social service | $383,668 | $514,896 | 10,900 | $35.20 | |
| Central services & supply | $197,299 | $401,017 | 7,513 | $26.26 | |
| Laundry & linen service | $314,589 | 1,028 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837966, 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 Lake Huron Medical Center for an inpatient stay.
1.60
Case mix index
Higher than 40% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
25.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
834
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.64 | 1.64 | 1.71 | 1.62 | 1.66 | 1.74 | 1.60 |
| Wage index | 0.959 | 0.923 | 0.911 | 0.899 | 0.966 | 0.959 | 0.955 |
| Readmissions adjustment | -2.56% | -1.04% | -1.44% | -0.94% | -0.33% | -0.16% | -0.22% |
| Value-based purchasing adjustment | +1.11% | +1.81% | +1.81% | -0.29% | +0.47% | +2.68% | -0.35% |
| Medicare inpatient stays | 1,576 | 1,576 | 1,158 | 978 | 844 | 774 | 834 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Lake Huron Medical Center reports to Medicare as owners or with operational control.
Prime Healthcare Holdings Inc
5% or greater indirect ownership interest, 100%, since 2015
Prime Healthcare Services, Inc
5% or greater direct ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Lake Huron Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 5 are shown.
Helipad
Lake Huron Medical Center
FAA location ID MI06, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Lake huron rehab unit
CCN 23T031, certified 1987, Medicare prospective payment
Source: Worksheet S-2 Part I of Lake Huron Medical Center's latest Medicare cost report (HCRIS).
About Lake Huron Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lake Huron Medical Center range from $430 to $913 across 3 insurers. Aetna's rate is $430. The median at nearby comparable hospitals is $432. 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 Lake Huron Medical Center range from $423 to $913 across 3 insurers. Aetna's rate is $423. The median at nearby comparable hospitals is $367. 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 Lake Huron Medical Center range from $526 to $2,682 across 3 insurers. Blue Cross Blue Shield's rate is $975. The median at nearby comparable hospitals is $949. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lake Huron Medical Center range from $94 to $287 across 3 insurers. Aetna's rate is $287. The median at nearby comparable hospitals is $146. 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 Lake Huron Medical Center range from $17,633 to $29,993 across 4 insurers. UnitedHealthcare's rate is $18,729. The median at nearby comparable hospitals is $17,461. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lake Huron Medical Center 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 Lake Huron Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lake Huron Medical Center's base inpatient payments by an estimated 0.22% 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 (196 discharges), heart failure and shock with mcc (39 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (29 discharges).
Lake Huron Medical Center's Medicare case mix index is 1.60 for fiscal year 2027, higher than 40% of hospitals paid under the inpatient prospective payment system.
Lake Huron Medical Center reported 3,643 inpatient discharges and 14,106 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Lake Huron Medical Center reported 401 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Lake Huron Medical Center reported $74M in net patient revenue on $361.9M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -5.4%, and net income of -$2.9M.
Lake Huron Medical Center reported $1.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $271,157 of charity care at cost.
Insurers' price transparency files list Lake Huron Medical Center under employer identification number 47-2361878 (Prime Healthcare Services Port Huron). 39 health plans and networks list 47-2361878 for it.
234 clinicians who bill Medicare list Lake Huron Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (29), family nurse practitioner (28), internal medicine physician (22).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Lake Huron Medical Center, effective 2022.
In its Medicare enrollment, Lake Huron Medical Center reports Prime Healthcare Holdings Inc as 5% or greater indirect ownership interest (100%).
CMS lists 32 services at Lake Huron Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Lake Huron Medical Center came from ZIP codes 48060 (833), 48040 (246), 48074 (183).
Lake Huron Medical Center has 139 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 119 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Lake Huron Medical Center is located at 2601 Electric Avenue, Port Huron, MI 48060. Its main phone number is (810) 985-1500.
Lake Huron Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 230031.
The National Provider Identifier (NPI) on file for Lake Huron Medical Center is 1306227764.
Lake Huron Medical Center is affiliated with Prime Healthcare Services.
Lake Huron Medical Center lists 19 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
335 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