Community Health Systems · Enterprise, AL
4 of 5
CMS star rating
84
Beds
2,556
Inpatient discharges a year
$66.4M
Net patient revenue a year
29
In-network payers
Medical Center Enterprise is an 84-bed proprietary hospital in Enterprise, AL, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 314 disclosed rate categories.
The 24 services Medical Center Enterprise 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
$2,277 - $5,152
from 3 insurers · median $3,816
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
$2,277 - $7,684
from 3 insurers · median $7,326
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$13,000 - $22,962
from 3 insurers · median $14,739
55 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$4,846 - $45,268
from 4 insurers · median $19,309
13 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$11,345 - $42,498
from 2 insurers · median $26,922
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$2,277 - $5,152
from 3 insurers · median $3,816
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
Gynecology
CPT 58571
$6,816 - $97,407
from 4 insurers · median $31,619
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$2,889 - $17,274
from 4 insurers · median $9,346
19 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74177
$412 - $1,850
from 3 insurers · median $764
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$11,345 - $29,721
from 3 insurers · median $18,654
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$1,199 - $4,817
from 4 insurers · median $3,383
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$471 - $8,459
from 4 insurers · median $1,760
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,282 - $9,195
from 4 insurers · median $4,154
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,193 - $50,000
from 3 insurers · median $6,816
13 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,122 - $8,189
from 4 insurers · median $4,154
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$224 - $554
from 3 insurers · median $417
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$76 - $971
from 4 insurers · median $310
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,216 - $10,835
from 4 insurers · median $4,697
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,739 - $73,652
from 4 insurers · median $19,309
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$2,889 - $64,349
from 4 insurers · median $10,761
19 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$77 - $253
from 3 insurers · median $200
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,948 - $65,632
from 4 insurers · median $10,283
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$740 - $8,277
from 4 insurers · median $2,840
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$6,063 - $69,655
from 4 insurers · median $19,309
Typical for a hospital with this service line
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* | 14 | 920% | 9 | 0 |
| Insurer B* | 23 | 517% | 7 | 0 |
| Insurer C* | 24 | 127% | 18 | 2 |
| Insurer D* | 24 | 99% | 1 | 14 |
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 Medical Center Enterprise, 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
$66.4M net patient revenue
Ownership and leadership
Owned by CHS Community Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Medical Center Enterprise 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 |
|---|---|---|
| 63-1159023Qhg Of Enterprise INC | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1720039712 Qhg Of Enterprise Inc1295759678 Qhg Of Enterprise Inc1083157275 Qhg Of Enterprise Inc |
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.
400 North Edwards Street, Enterprise, AL 36330
(334) 347-0584
How Medical Center Enterprise 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
Better on 1 of 3 measures
1 better, 2 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
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
59%
Lower than 88% 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)
0.87
Lower than 81% 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
142 min
Lower than 54% 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
62%
Lower than 57% 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 | Better on 1 of 3 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 59% | 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) | 0.87 | 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 | 142 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 62% | 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 Medical Center Enterprise's inpatient payments for its readmissions, quality and cost results.
-0.09% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.74% 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 Medical Center Enterprise, beside the US median and the average of AL 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 | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 164 cases | 4 | 4.1 | 4.469 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 684 cases | 4.6 | 3.9 | 4.658 | Worse than 80% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.46 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 41 cases | 9.5 | 8.5 | 8.869 | Worse than 75% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 85 cases | 12.5 | 11 | 11.65 | Worse than 77% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 153 cases | 20.8 | 15.2 | 16.81 | Worse than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 52 cases | 14.5 | 11.6 | 14.25 | Worse than 85% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 903 cases | 0.43 | 0.51 | 0.6234 | No Different Than the National Rate | Better than 62% 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 · 1,378 cases | 0.2 | 0.2 | 0.2114 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,290 cases | 0.26 | 0.27 | 0.2777 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 312 cases | 2.26 | 2.29 | 2.258 | 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 · 202 cases | 1.64 | 1.63 | 1.702 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 208 cases | 7.82 | 8.88 | 10.91 | No Different Than the National Rate | Better than 73% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 317 cases | 3.15 | 3.4 | 3.831 | No Different Than the National Rate | Better than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 175 cases | 5 | 5.105 | 5.911 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 43 cases | 1.74 | 1.72 | 1.803 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 87 cases | 1.04 | 1.02 | 1.058 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.616 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 100 cases | -35.9 | 1.25 | 11.68 | Better than 91% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 156 cases | 14.6 | 3.85 | 12.55 | Worse than 65% 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 · 414 cases | 12.1 | 12.9 | 12.93 | No Different Than the National Rate | Better than 89% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 66 cases | 1.2 | 1 | 0.986 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.31 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 90 cases | 19.7 | 19.8 | 19.89 | Better than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 138 cases | 20.5 | 21.3 | 21.29 | Better than 75% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 155 cases | 5.3 | 5.8 | 5.979 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 193 cases | 16.8 | 17.2 | 17.3 | Better than 68% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3169 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.803 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 314 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.228 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.932 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6373 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1812 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.656 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,278 | 1,799 | 5,240 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.747 | 1.377 | 6.563 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.286 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5151 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2584 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.032 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 21 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.572 | 1.591 | 3.302 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.222 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6198 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 42 | 38 | 169 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.344 | 0.328 | 1.547 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.1 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3413 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.26 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 12,457 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.533 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.295 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8121 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2104 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.718 | 0.747 | 1.307 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 12,457 | 13,646 | 35,794 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.172 | 5.683 | 20 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3683 | 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 | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 340 cases | 64 | 73 | 70.64 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 340 cases | 16 | 8 | 10.56 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 340 cases | 20 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 81 | 87 | 83.69 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 340 cases | 2 | 4 | 2.759 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 340 cases | 81 | 80 | 79.88 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 92 | 91 | 91.09 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 340 cases | 4 | 4 | 4.699 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 340 cases | 4 | 3 | 3.315 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 340 cases | 15 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 340 cases | 80 | 79 | 81.51 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 91 | 91 | 91.22 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 340 cases | 5 | 5 | 5.027 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 3.278 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 340 cases | 15 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 340 cases | 61 | 61 | 62.21 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 77 | 77 | 77.09 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 340 cases | 20 | 19 | 19.6 | Worse than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 2.685 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 340 cases | 19 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 84 | 86 | 84.46 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 340 cases | 16 | 13 | 14.63 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 3.056 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 340 cases | 84 | 87 | 85.37 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 340 cases | 17 | 14 | 16.42 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 340 cases | 83 | 86 | 83.58 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 77 | 74 | 76.38 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 6 | 7 | 6.297 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 17 | 19 | 17.33 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 78 | 77 | 79.28 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 6 | 6 | 5.516 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 16 | 17 | 15.2 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 86 | 85 | 86.14 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 4 | 3 | 3.688 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 10 | 11 | 10.17 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 340 cases | 10 | 8 | 8.753 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 340 cases | 24 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 340 cases | 66 | 72 | 70.45 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 86 | 88 | 87.57 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 3.222 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 340 cases | 77 | 74 | 74.89 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 340 cases | 10 | 9 | 9.938 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 340 cases | 13 | 16 | 15.17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 77 | 75 | 75.05 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 5 | 5 | 6 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 340 cases | 18 | 20 | 18.95 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 79 | 77 | 76.77 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 5 | 4 | 5.703 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 340 cases | 16 | 19 | 17.53 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 88 | 86 | 84.83 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 3.531 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 340 cases | 9 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 340 cases | 67 | 59 | 66.56 | Better than 75% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 340 cases | 9 | 9 | 6.575 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 340 cases | 24 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 85 | 82 | 84.96 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 340 cases | 4 | 3 | 4 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 340 cases | 8 | 5 | 6.466 | Worse than 76% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 340 cases | 59 | 71 | 70.55 | Worse than 88% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 340 cases | 82 | 87 | 86.26 | Worse than 85% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 340 cases | 33 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 340 cases | 2 | 4 | 3.389 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 340 cases | 44 | 47 | 48.08 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 340 cases | 30 | 30 | 30.03 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 340 cases | 26 | 22 | 21.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 340 cases | 3 | 3 | 3.241 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 340 cases | 16 | 12 | 13 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 340 cases | 84 | 88 | 87 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 10 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.7 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.5 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 652 cases | 48 | 79 | 62.92 | Worse than 88% 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 · 422 cases | 147 | 154 | 158 | Better than 56% 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 · 402 cases | 142 | 148 | 153 | Better than 54% 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 · 11 cases | 237 | 247 | 255 | Better than 54% 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 · 11 cases | 312 | 293 | 311 | Worse than 58% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 32,588 cases | 1 | 1 | 2.342 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 79 | 74 | 67.37 | Better than 60% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 65 cases | 86 | 97 | 90.8 | Worse than 84% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,251 cases | 11 | 15 | 14.5 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 118 cases | 62 | 65 | 62.47 | Worse than 57% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 48 cases | 42 | 73 | 70.8 | Worse than 94% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 87 | 88 | 87.48 | Worse than 54% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases | 87 | 82 | 79.9 | Better than 69% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 76 cases | 100 | 94 | 90.95 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 41 cases | 100 | 98 | 95.75 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 26 cases | 100 | 94 | 91.83 | The best result, shared by 6% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 75.44 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 329 cases | 100 | 97 | 89.85 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.9 | 5 | 7.666 | Worse than 77% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.6 | 6.6 | 6.484 | Better than 76% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.9828 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 12.82 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 3.268 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 19.17 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 5.035 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 54 | 34 | 41.4 | Better than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 13.5 | 8.75 | 10.89 | Better than 79% of US hospitals | |
| VBP safety domain scoreFY 2026 | 65 | 40 | 40.62 | Better than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 16.25 | 10 | 10.27 | Better than 84% of US hospitals | |
| VBP total performance scoreFY 2026 | 39.75 | 29.5 | 28.52 | Better than 79% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 40 | 37.5 | 30 | 22.5 | 7.5 | 0 |
| VBP clinical outcomes weighted domain score | 10 | 9.375 | 7.5 | 5.625 | 1.875 | 0 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 30 | 40 | 30 | 40 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 7.5 | 10 | 7.5 | 10 |
| VBP person and community engagement domain score | 25 | Not Available | Not Available | 25 | 25 | 54 |
| VBP person and community engagement weighted domain score | 6.25 | Not Available | Not Available | 6.25 | 6.25 | 13.5 |
| VBP safety domain score | 50 | Not Available | Not Available | 50 | 85 | 65 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | 12.5 | 21.25 | 16.25 |
| VBP total performance score | 36.25 | Not Available | Not Available | 34.38 | 36.88 | 39.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 58 cases | 1.02 | 0.9969 | 0.996 | Worse than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 105 cases | 0.9516 | 0.9983 | 1.009 | Better than 80% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8186 | 0.9916 | 1.039 | Better than 91% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 146 cases | 0.9999 | 0.9955 | 1.003 | Worse than 53% 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 | 0.9372 | 0.9575 | 0.9695 | 1.08 | 1.044 | 1.02 |
| READM-30-HF-HRRP | 1.064 | 1.035 | 1.05 | 1.023 | 1.029 | 0.9516 |
| READM-30-HIP-KNEE-HRRP | 0.863 | 1.003 | 1.041 | 1.037 | 0.89 | 0.8186 |
| READM-30-PN-HRRP | 1.011 | 1.061 | 1.057 | 1.059 | 1.047 | 0.9999 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Medical Center Enterprise | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.5999 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.102 | 0.346 | 0.4007 | Better than 85% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8784 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.8744 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8702 | 0.9628 | 1.049 | Better than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.5688 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -1.225 | -0.0453 | 0.09962 | Better than 98% 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 | -0.1828 | -0.1217 | 0 | 0.2196 | 0.0928 | -1.225 |
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 2010)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
99
Medicare-certified beds
126
Registered nurses (full-time equivalent)
1970
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Medical Center Enterprise reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,556
Inpatient discharges
Medicare 17%, Medicaid 15%
11,940
Inpatient days
39% of available bed days used
326
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837519). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Medical Center Enterprise reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,335 | 1,672 | 7,933 | 11,940 |
| Discharges | 440 | 389 | 1,727 | 2,556 |
| Average length of stay | 5.3 days | 4.3 days | 4.6 days | 4.7 days |
| Average daily census | 6.4 | 4.6 | 21.7 | 32.7 |
1,715
Medicare Advantage days
564 discharges
133
Medicaid managed care days
936
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 77 | 5,659 | 1,157 | 20% |
| Intensive care unit | 7 | 712 | 179 | 28% |
| Nursery | 1,158 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Medical Center Enterprise treats Medicare patients for most often, in 2024. 255 Medicare discharges in 12 published DRGs; 20% surgical; 68% 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 | 41 | $109,041 | $11,535 | $10,577 | 1.98 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 35 | $178,381 | $8,735 | $17,303 | 1.88 |
| Heart failure and shock with MCCMS-DRG 291, medical | 30 | $65,131 | $7,317 | $6,318 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $63,698 | $7,277 | $6,179 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $66,000 | $8,976 | $6,402 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $44,427 | $4,088 | $4,309 | 0.78 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $161,511 | $11,750 | $15,667 | 2.07 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $64,772 | $6,175 | $6,283 | 1.10 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $55,120 | $3,572 | $5,347 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $60,782 | $6,825 | $5,896 | 1.17 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $68,953 | $5,599 | $6,688 | 0.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $56,144 | $4,836 | $5,446 | 1.03 |
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) Medical Center Enterprise billed Medicare for most in 2024: 231 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 111 | 104 | $41,237 | $1,767 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $123,455 | $4,543 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 15 | $40,275 | $1,180 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 19 | $84,448 | $1,779 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $48,719 | $1,049 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 13 | 13 | $66,302 | $977 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 13 | 13 | $100,926 | $3,765 | $4,358 |
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 Medical Center Enterprise 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 1,073 in 2020 to 1,048 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 36330 | 528 | 50% | 1,436 | $43.5M | 36% | 41% |
| 36323 | 108 | 10% | 346 | $10.1M | 26% | 37% |
| 36322 | 84 | 8% | 251 | $8.2M | 17% | 19% |
| 36351 | 70 | 7% | 191 | $5.6M | 34% | 46% |
| 36467 | 44 | 4% | 83 | $4M | 6% | 3% |
| 36331 | 38 | 4% | 121 | $3.7M | 42% | 53% |
| 36316 | 25 | 2% | 70 | $2.4M | 23% | 44% |
| 36477 | 25 | 2% | 60 | $2.3M | 11% | 10% |
| 36346 | 24 | 2% | 79 | $2.2M | 38% | 37% |
| 36340 | 23 | 2% | 53 | $2.5M | 8% | 5% |
| 36453 | 22 | 2% | 48 | $2.3M | 21% | |
| 36421 | 21 | 2% | 52 | $2.5M | 4% | 2% |
| 36420 | 13 | 1% | 22 | $1.4M | 2% | 1% |
| 36010 | 12 | 1% | 30 | $1.3M | 4% | 5% |
| 36318 | 11 | 1% | 45 | $1M | 19% | 46% |
Source: CMS Hospital Service Area file. Shares are of the 1,048 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 Medical Center Enterprise reported at its latest Medicare certification survey (2010). Counts are people, not full-time equivalents.
126
Registered nurses
20
Licensed practical nurses
1
Physicians
6
Nurse anesthetists (CRNAs)
4
Pharmacists
11
Respiratory therapists
3
Physical therapists
20
Radiology technicians
2
Nuclear medicine technicians
4
Laboratory technicians
8
Medical technologists
1
Dietitians
1
Social workers
173
Other personnel
Source: CMS Provider of Services file.
195 clinicians who bill Medicare list Medical Center Enterprise 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.
Jawaunna Blackmon, M.D.
Hematology & Oncology Physician
NPI 1619136413
See commercial rates for Jawaunna Blackmon, M.D.Thuy-Hong Le-Kumar, MD
Hematology & Oncology Physician
NPI 1598260101
See commercial rates for Thuy-Hong Le-Kumar, MDJames Fernandez, M.D.
Diagnostic Radiology Physician
NPI 1083959142
See commercial rates for James Fernandez, M.D.Paul Lamb, MD
Gastroenterology Physician
NPI 1386769404
See commercial rates for Paul Lamb, MDSai Avula, M.D.
Internal Medicine Physician
NPI 1467441741
See commercial rates for Sai Avula, M.D.Nelson Gwinn, M.D.
Cardiovascular Disease Physician
NPI 1922087071
See commercial rates for Nelson Gwinn, M.D.Donavon Wewers, MD
Internal Medicine Physician
NPI 1972558773
See commercial rates for Donavon Wewers, MDSasikumar Vishwanath, M.D.
Internal Medicine Physician
NPI 1013016732
See commercial rates for Sasikumar Vishwanath, M.D.Scott Sarrels, M.D.
Gastroenterology Physician
NPI 1588981872
See commercial rates for Scott Sarrels, M.D.Carlos Clark, MD
Family Medicine Physician
NPI 1063851277
See commercial rates for Carlos Clark, MDGeorge Nelson, M.D.
Gastroenterology Physician
NPI 1790075950
See commercial rates for George Nelson, M.D.Robert Albares, MD
Gastroenterology Physician
NPI 1225081177
See commercial rates for Robert Albares, MDSamuel Tarwater, MD
Gastroenterology Physician
NPI 1225080906
See commercial rates for Samuel Tarwater, MDHejal Patel, M.D.
Radiation Oncology Physician
NPI 1174746168
See commercial rates for Hejal Patel, M.D.Travis Rutland, MD
Gastroenterology Physician
NPI 1518922087
See commercial rates for Travis Rutland, MDTyler Black, M.D.
Gastroenterology Physician
NPI 1669762761
See commercial rates for Tyler Black, M.D.William Gammill, DO
Internal Medicine Physician
NPI 1437199908
See commercial rates for William Gammill, DOJarrod Adkison, M.D.
Radiation Oncology Physician
NPI 1790719318
See commercial rates for Jarrod Adkison, M.D.Leeann Kettunen, MD
Family Medicine Physician
NPI 1528227220
See commercial rates for Leeann Kettunen, MDJohn Marsella, MD
Interventional Pain Medicine Physician
NPI 1326027236
See commercial rates for John Marsella, MDJ. Duke, DO
Surgery Physician
NPI 1134395072
See commercial rates for J. Duke, DOBeverly Jordan, M.D.
Family Medicine Physician
NPI 1205891702
See commercial rates for Beverly Jordan, M.D.Marien Tavarez, M.D
Internal Medicine Physician
NPI 1437335999
See commercial rates for Marien Tavarez, M.DFaye Rao, MD
Cardiovascular Disease Physician
NPI 1508883133
See commercial rates for Faye Rao, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Medical Center Enterprise reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.1B | 1658.9% |
| Inpatient | $295.2M | 444.3% |
| Outpatient | $807.1M | 1214.6% |
| Contractual allowances and discounts | -$1B | -1558.9% |
| Net patient revenue | $66.4M | 100.0% |
| Operating expenses | -$60.9M | -91.7% |
| Operating income from patient care | $5.5M | 8.3% |
| Other income | $1.3M | 2.0% |
| Net income | $6.8M | 10.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $149.8M | 13.6% |
| Medicaid (including managed care) | $117.7M | 10.7% |
| Other payers and self-pay | $833.4M | 75.7% |
| Total charges | $1.1B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, 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 Medical Center Enterprise's latest cost report.
8.3%
Operating margin
Operating income from patient care / net patient revenue
10.1%
Total margin
Net income / net patient revenue plus other income
13.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
41% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$31.29
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
20.2%
Return on assets
Net income for a year / total assets
13.8%
Return on equity
Net income for a year / fund balance
0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
-0.70
Current ratio
Current assets / current liabilities
-0.58
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
51 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-100 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.01
Asset turnover
Total revenue for a year / total assets
11.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Medical Center Enterprise owned and owed at the end of its reporting period (Dec 2025), across all fund types: $33.7M in total assets and a $49.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $5,396 | 0.0% |
| Patient receivables, net | $9.3M | 27.7% |
| Inventory | $1.5M | 4.5% |
| Total current assets | $11.2M | 33.1% |
| Property and equipment, net of depreciation | $21.9M | 64.8% |
| Investments and other assets | $695,974 | 2.1% |
| Total assets | $33.7M | 100.0% |
| Current liabilities | -$16M | -47.3% |
| Long-term debt | $138,580 | 0.4% |
| Total liabilities | -$15.8M | -46.9% |
| Fund balance (net assets) | $49.6M | 146.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Medical Center Enterprise provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.4M
Bad debt
Patient bills written off as uncollectible, at charges
$2.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$155,063
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$2.9M
Total unreimbursed and uncompensated care
4.8% 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 837519, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Medical Center Enterprise'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 | $58.1M | $63.7M | $59.1M | $61.8M | $66.6M | $66.4M |
| Operating expenses | $51.6M | $57M | $58.2M | $57.9M | $60.7M | $60.9M |
| Operating margin | 11.2% | 10.6% | 1.6% | 6.4% | 8.9% | 8.3% |
| Net income | $7.6M | $10M | $4.5M | $5.4M | $6.7M | $6.8M |
| Total assets | $27.5M | $38.2M | $37.4M | $35.7M | $34.1M | $33.7M |
| Discharges | 3,570 | 3,547 | 3,549 | 3,323 | 3,299 | 2,556 |
| Inpatient days | 12,577 | 14,584 | 13,767 | 14,536 | 13,330 | 11,940 |
| Medicare Advantage days | 1,845 | 2,541 | 2,707 | 2,572 | 2,338 | 1,715 |
| Beds | 99 | 99 | 99 | 89 | 84 | 84 |
| Employees (FTE) | 322 | 330 | 327 | 347 | 343 | 326 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Medical Center Enterprise 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 |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $6.6M | $43.3M | 0.15 | ||
| Operating room | $1.4M | $5.9M | $149.3M | 0.04 | 13,579 |
| Emergency | $2.1M | $5.6M | $91M | 0.06 | 8,588 |
| Laboratory | $1.1M | $3.5M | $131.1M | 0.03 | 3,043 |
| Drugs charged to patients | $3.5M | $69.9M | 0.05 | ||
| Delivery room & labor room | $993,083 | $2.6M | $7.6M | 0.34 | 4,943 |
| Recovery room | $854,181 | $2.2M | $70.9M | 0.03 | 2,899 |
| Radiology-diagnostic | $743,978 | $1.8M | $82.8M | 0.02 | 4,142 |
| Medical supplies charged to patient | $1.6M | $14.5M | 0.11 | ||
| Observation beds (non-distinct part | $1.5M | $3.3M | 0.46 | ||
| Physical therapy | $730,409 | $1.5M | $12.8M | 0.12 | 3,005 |
| Ct scan | $386,660 | $1.2M | $202.2M | 0.01 | 1,212 |
| Respiratory therapy | $419,386 | $912,707 | $3.9M | 0.23 | 766 |
| Anesthesiology | $28,522 | $685,208 | $52.2M | 0.01 | 4,748 |
| Mri | $216,850 | $682,063 | $58M | 0.01 | 2,898 |
| Sleep lab | $205,741 | $594,101 | $9.3M | 0.06 | 2,108 |
| Ultra sound | $289,497 | $565,643 | $12M | 0.05 | 470 |
| Radioisotope | $134,510 | $505,955 | $19.2M | 0.03 | 696 |
| Occupational therapy | $185,725 | $357,432 | $2.7M | 0.13 | 628 |
| Whole blood & packed red blood cell | $323,652 | $1.9M | 0.17 | 260 | |
| Speech pathology | $135,841 | $287,955 | $2.9M | 0.10 | 684 |
| Electrocardiology | $75,231 | $200,617 | $30.8M | 0.01 | 333 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.9M | $10.6M | $22.1M | 0.48 | 41,621 |
| Intensive care unit | $541,435 | $1.7M | $4.7M | 0.36 | 3,099 |
| Nursery | $588,905 | $1.4M | $2.4M | 0.60 | 758 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.6M | $14.2M | 75,864 | $31.74 | 7,282 |
| Operation of plant | $601,707 | $3.4M | 28,007 | $21.48 | 14,101 |
| Employee benefits department | $102,962 | $2.3M | 2,472 | $41.65 | 316 |
| Nursing administration | $1.3M | $1.7M | 37,978 | $39.23 | 3,443 |
| Cap rel costs-mvble equip | $1.5M | ||||
| Central services & supply | $358,217 | $1.5M | 16,599 | $21.58 | 4,612 |
| Cap rel costs-bldg & fixt | $1.4M | 140,399 | |||
| Housekeeping | $622,079 | $882,846 | 41,061 | $15.15 | 1,450 |
| Pharmacy | $693,212 | $793,002 | 13,739 | $50.46 | 903 |
| Medical records & library | $272,533 | $715,640 | 9,650 | $28.24 | 2,397 |
| Dietary | $457,148 | $624,226 | 14,884 | $17.71 | 2,219 |
| Laundry & linen service | $317,966 | 1,106 | |||
| Social service | $247,604 | $268,490 | 5,703 | $43.42 | 462 |
| Cafeteria | $125,681 | 10,922 | $17.72 | 1,628 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837519, 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 Medical Center Enterprise for an inpatient stay.
1.44
Case mix index
Higher than 21% 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).
34.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
421
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 | 1.40 | 1.40 | 1.65 | 1.54 | 1.54 | 1.45 | 1.44 |
| Wage index | 0.757 | 0.746 | 0.749 | 0.789 | 0.758 | 0.739 | 0.751 |
| Readmissions adjustment | -0.64% | -0.32% | -0.59% | -0.52% | -0.83% | -0.43% | -0.09% |
| Value-based purchasing adjustment | +0.89% | +0.33% | +0.33% | -0.65% | +1.26% | +1.30% | +0.74% |
| Medicare inpatient stays | 1,060 | 1,060 | 887 | 831 | 655 | 597 | 421 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Medical Center Enterprise reports to Medicare as owners or with operational control.
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2007
Hma-tri Holdings LLC
5% or greater indirect ownership interest, 100%, since 2015
Nc-dsh LLC
5% or greater indirect ownership interest, 100%, since 2014
Qhg Georgia Holdings, Inc.
5% or greater indirect ownership interest, 100%, since 2014
Tennyson Holdings LLC
5% or greater indirect ownership interest, 100%, since 2007
Triad Healthcare LLC
5% or greater indirect ownership interest, 100%, since 2015
Triad Holdings V LLC
5% or greater indirect ownership interest, 100%, since 2007
Triad Nevada Holdings LLC
5% or greater direct ownership interest, 100%, since 2014
Sources: CMS Hospital All Owners.
The officers and board members on Medical Center Enterprise'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 10 of 12 are shown.
Accountable care organization (Medicare Shared Savings Program)
CHSPSC ACO 12, LLC
ACO A3722, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Medical Center Enterprise's legal name.
Medical center enterprise
CCN 01U049, certified 2017, Medicare prospective payment
Source: Worksheet S-2 Part I of Medical Center Enterprise's latest Medicare cost report (HCRIS).
About Medical Center Enterprise's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medical Center Enterprise range from $412 to $1,850 across 3 insurers. Blue Cross Blue Shield's rate is $412. The median at nearby comparable hospitals is $457. 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 Medical Center Enterprise range from $1,282 to $9,195 across 4 insurers. Cigna's rate is $6,310. The median at nearby comparable hospitals is $1,386. 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 Medical Center Enterprise range from $2,277 to $5,152 across 3 insurers. UnitedHealthcare's rate is $3,816. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medical Center Enterprise range from $77 to $253 across 3 insurers. Blue Cross Blue Shield's rate is $77. The median at nearby comparable hospitals is $94. 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 Medical Center Enterprise range from $13,000 to $22,962 across 3 insurers. Blue Cross Blue Shield's rate is $13,000. The median at nearby comparable hospitals is $12,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medical Center Enterprise 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 Medical Center Enterprise for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Medical Center Enterprise's base inpatient payments by an estimated 0.09% 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 (41 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (35 discharges), heart failure and shock with mcc (30 discharges).
Medical Center Enterprise's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% of hospitals paid under the inpatient prospective payment system.
Medical Center Enterprise reported 2,556 inpatient discharges and 11,940 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Medical Center Enterprise reported 326 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Medical Center Enterprise reported $66.4M in net patient revenue on $1.1B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 8.3%, and net income of $6.8M.
Medical Center Enterprise reported $2.9M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2.5M of charity care at cost.
Medical Center Enterprise's Medicare enrollment lists Kevin J Hammons as President /board Member since 2012.
Insurers' price transparency files list Medical Center Enterprise under employer identification number 63-1159023 (Qhg Of Enterprise INC). 53 health plans and networks list 63-1159023 for it.
195 clinicians who bill Medicare list Medical Center Enterprise as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (34), internal medicine physician (25), family medicine physician (20).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Medical Center Enterprise, effective 2010.
In its Medicare enrollment, Medical Center Enterprise reports CHS Community Health Systems Inc as 5% or greater indirect ownership interest (100%).
CMS lists 28 services at Medical Center Enterprise, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Medical Center Enterprise came from ZIP codes 36330 (528), 36323 (108), 36322 (84).
Medical Center Enterprise has 84 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 99 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Medical Center Enterprise is located at 400 North Edwards Street, Enterprise, AL 36330. Its main phone number is (334) 347-0584.
Medical Center Enterprise's CMS Certification Number (CCN), also called its Medicare provider number, is 010049.
The National Provider Identifier (NPI) on file for Medical Center Enterprise is 1720039712.
Medical Center Enterprise is affiliated with Community Health Systems.
Medical Center Enterprise lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
314 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