Community Health Systems · Canton, MS
3 of 5
CMS star rating
31
Beds
152
Inpatient discharges a year
$4.8M
Net patient revenue a year
28
In-network payers
Merit Health Madison is a 31-bed proprietary hospital in Canton, MS, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 304 disclosed rate categories.
The 24 services Merit Health Madison 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 788
$7,014 - $9,708
from 2 insurers · median $8,361
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,292
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$7,555 - $7,673
from 2 insurers · median $7,614
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$30,279 - $48,667
from 2 insurers · median $39,473
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$7,555 - $7,673
from 2 insurers · median $7,614
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$446 - $764
from 3 insurers · median $522
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$21,202 - $24,869
from 2 insurers · median $23,035
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$7,555 - $7,673
from 2 insurers · median $7,614
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$516 - $2,163
from 2 insurers · median $1,339
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$660 - $2,163
from 2 insurers · median $1,411
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,292
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
CPT 77067
$134 - $200
from 2 insurers · median $167
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$32,749
negotiated rate
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78452
$434 - $2,846
from 3 insurers · median $2,544
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,673
negotiated rate
23 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 70450
$85 - $224
from 2 insurers · median $155
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,317 - $4,138
from 2 insurers · median $2,727
Typical for a hospital with this service line
Vein treatment
CPT 36475
$5,764 - $9,807
from 2 insurers · median $7,785
35 Medicare claims in Level 3 Vascular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,124
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$632 - $1,066
from 3 insurers · median $764
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,555 - $7,673
from 2 insurers · median $7,614
Typical for a hospital with this service line
CT imaging
CPT 74176
$203 - $466
from 3 insurers · median $288
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$33 - $160
from 3 insurers · median $91
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$355 - $412
from 3 insurers · median $364
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* | 23 | 191% | 13 | 7 |
| Insurer B* | 16 | 122% | 1 | 12 |
| Insurer C* | 8 | 104% | 0 | 7 |
| Insurer D* | 2 | - | 0 | 0 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Merit Health Madison, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$4.8M net patient revenue
Ownership and leadership
Owned by State Of Mississippi-university Of Mississippi Medical Center
The employer identification numbers (EINs) health plans and networks list for Merit Health Madison 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 |
|---|---|---|
| 03-0400182Merit Health Madison | 42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, Aspirus Health Plan and 37 more | 1194770404 State Of Mississippi - University Of Mississippi Medical Center1326075193 State Of Mississippi - University Of Mississippi Medical Center1730709536 Madison Hma LLC |
| 64-6008520(multi-state) University of Mississippi Medical Center | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 35 more | 1154317527 State Of Mississippi - University Of Mississippi Medical Center1386630705 State Of Mississippi - University Of Mississippi Medical Center1558798603 State Of Mississippi-university Of Mississippi Medical Centerand 80 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.
161 River Oaks Drive, Canton, MS 39046
(601) 855-4000
How Merit Health Madison compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 6 measures
0 better, 4 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
75%
Higher than 62% 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)
0.96
Lower than 52% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
136 min
Lower than 59% 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
26%
Lower than 98% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 2 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 75% | 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) | 0.96 | 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 | 136 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 26% | 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 Merit Health Madison's inpatient payments for its readmissions, quality and cost results.
-0.66% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.55% 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 Merit Health Madison, beside the US median and the average of MS 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 | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.081 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 282 cases | 4.6 | 3.9 | 4.719 | Worse than 80% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.85 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.757 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 26 cases | 9.5 | 8.5 | 9.672 | Worse than 75% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 33 cases | 11.2 | 11 | 12.17 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 64 cases | 17.5 | 15.2 | 17.67 | Worse than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 13.34 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 435 cases | 0.51 | 0.51 | 0.6951 | No Different Than the National Rate | Better than 49% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 179 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 640 cases | 0.2 | 0.2 | 0.212 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 657 cases | 0.27 | 0.27 | 0.2693 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 42 cases | 2.98 | 2.29 | 2.402 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.723 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.07 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 42 cases | 3.45 | 3.4 | 3.74 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.462 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 31 cases | 1.74 | 1.72 | 1.744 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 97 cases | 1.03 | 1.02 | 1.026 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.01 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 40 cases | 61.6 | 1.25 | 20.12 | Worse than 95% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 66 cases | 59.9 | 3.85 | 13.53 | Worse than 95% 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 · 41 cases | 12.8 | 12.9 | 13.09 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.9 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.712 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 94 cases | 1 | 1 | 1.015 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.23 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.16 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 33 cases | 20.2 | 19.8 | 20.11 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 50 cases | 22.2 | 21.3 | 21.59 | Worse than 76% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.025 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 82 cases | 17.7 | 17.2 | 17.35 | Worse than 67% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2247 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.57 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 290 | 1,370 | 2,785 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.236 | 0.9835 | 2.724 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.791 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3654 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2114 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.079 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 580 | 1,799 | 3,075 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.444 | 1.377 | 3.519 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.209 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5117 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.5404 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.709 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 61 | 92.62 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.153 | 1.591 | 2.587 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.946 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.084 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4174 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.269 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 83.52 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.7858 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.8788 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.8725 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2453 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.816 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 4,548 | 14,451 | 21,259 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.133 | 0.567 | 1.458 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.075 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8635 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2167 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.848 | 0.747 | 1.978 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 4,548 | 13,646 | 19,775 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.621 | 5.683 | 9.809 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 3.84 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.5541 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 149 cases | 82 | 73 | 72.84 | Better than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 149 cases | 6 | 8 | 9.731 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 149 cases | 12 | 18 | 17.43 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 92 | 87 | 84.47 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 149 cases | 5 | 4 | 3.053 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 149 cases | 84 | 80 | 82.75 | Better than 74% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 93 | 91 | 91.82 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 3.985 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.553 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 149 cases | 12 | 16 | 13.27 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 149 cases | 83 | 79 | 84 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 93 | 91 | 91.95 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 149 cases | 4 | 5 | 4.463 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.553 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 149 cases | 13 | 16 | 11.54 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 149 cases | 66 | 61 | 66.57 | Better than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 80 | 77 | 77.74 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 149 cases | 15 | 19 | 17.31 | Better than 74% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 149 cases | 3 | 3 | 2.842 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 149 cases | 19 | 19 | 16.12 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 84 | 86 | 84.71 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 149 cases | 16 | 13 | 13.54 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 149 cases | 3 | 3 | 3.105 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 149 cases | 84 | 87 | 86.46 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 149 cases | 16 | 14 | 15.04 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 149 cases | 84 | 86 | 84.96 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 78 | 74 | 79.39 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 5 | 7 | 5.882 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 17 | 19 | 14.73 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 83 | 77 | 82.39 | Better than 81% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 4 | 6 | 4.824 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 13 | 17 | 12.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 88 | 85 | 88.06 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 3 | 3 | 3.353 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 9 | 11 | 8.588 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 149 cases | 9 | 8 | 7.478 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 149 cases | 15 | 20 | 19.63 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 149 cases | 76 | 72 | 72.9 | Better than 66% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 89 | 88 | 88.13 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.5 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 83 | 74 | 76.75 | Better than 90% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 6 | 9 | 9.333 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 149 cases | 11 | 16 | 13.92 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 82 | 75 | 77.57 | Better than 87% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 5 | 5 | 5.588 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 149 cases | 13 | 20 | 16.84 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 81 | 77 | 79.47 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 4.804 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 149 cases | 15 | 19 | 15.73 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 87 | 86 | 87.35 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 2.961 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 149 cases | 9 | 11 | 9.686 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 82 | 59 | 69.58 | Better than 97% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 3 | 9 | 6.224 | Better than 89% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 149 cases | 15 | 31 | 24.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 93 | 82 | 86.29 | Better than 99% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 149 cases | 5 | 3 | 4.237 | The top rating, shared by 11% 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 · 149 cases | 7 | 5 | 5.373 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 149 cases | 75 | 71 | 72.46 | Better than 62% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 149 cases | 89 | 87 | 87.16 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 149 cases | 18 | 23 | 22.16 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 4 | 3.684 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 48 | 47 | 51.43 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 25 | 30 | 28.16 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 149 cases | 27 | 22 | 20.41 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 149 cases | 4 | 3 | 3.342 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 149 cases | 16 | 12 | 13.41 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 149 cases | 84 | 88 | 86.59 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Merit Health Madison | US median | MS 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 | Not Available | 7.556 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 368 cases | 4 | 1 | 1.348 | Worse than 97% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2222 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 281 cases | 43 | 79 | 65.43 | Worse than 91% 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 · 399 cases | 144 | 154 | 137 | Better than 58% 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 · 370 cases | 136 | 148 | 133 | Better than 59% 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 | 232 | |||
| 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 · 21 cases | 331 | 293 | 281 | Worse than 65% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 19,832 cases | 2 | 1 | 2.455 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.18 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 53 cases | 89 | 97 | 94.43 | Worse than 80% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 61 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 268 cases | 17 | 15 | 12.25 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 66 cases | 26 | 65 | 62.64 | Worse than 98% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 68.49 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85.36 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 66 cases | 59 | 82 | 80.33 | Worse than 96% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 52 | 94 | 88.42 | Worse than 99% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.39 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 66 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.28 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 68.46 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 232 cases | 99 | 97 | 83.8 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.6 | 5 | 7.061 | Worse than 57% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.9 | 6.6 | 7.009 | Better than 72% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.95 | 0.99 | 0.994 | Better than 68% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 9.966 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 2.566 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 23.08 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 6.538 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 78 | 34 | 43.22 | Better than 96% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 19.5 | 8.75 | 10.8 | Better than 94% of US hospitals | |
| VBP safety domain scoreFY 2026 | 50 | 40 | 43.66 | Better than 64% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.5 | 10 | 11.58 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 37 | 29.5 | 29.55 | Better than 73% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 26.67 | Not Available | Not Available | 10 | 0 |
| VBP clinical outcomes weighted domain score | 8.889 | Not Available | Not Available | 2.5 | 0 |
| VBP efficiency and cost reduction domain score | 60 | 50 | 10 | 0 | 20 |
| VBP efficiency and cost reduction weighted domain score | 20 | 12.5 | 3.333 | 0 | 5 |
| VBP person and community engagement domain score | 91 | Not Available | 19 | 54 | 78 |
| VBP person and community engagement weighted domain score | 30.33 | Not Available | 6.333 | 13.5 | 19.5 |
| VBP safety domain score | Not Available | Not Available | 15 | 55 | 50 |
| VBP safety weighted domain score | Not Available | Not Available | 5 | 13.75 | 12.5 |
| VBP total performance score | 59.22 | Not Available | 14.67 | 29.75 | 37 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9995 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.014 | 0.9969 | 1.011 | Worse than 64% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 43 cases | 1.069 | 0.9983 | 1.023 | Worse than 86% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9883 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 64 cases | 1.046 | 0.9955 | 1.02 | Worse than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.006 | 1.007 | 1.008 | N/A | 0.9947 | 1.014 |
| READM-30-HF-HRRP | 1.02 | 0.9992 | 1.035 | N/A | 1.04 | 1.069 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.027 | 1.016 | 1.024 | 1.033 | 1.041 | 1.046 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Merit Health Madison | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.507 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.253 | 0.346 | 0.445 | Better than 64% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.7811 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9463 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9576 | 0.9628 | 1.052 | Better than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7906 | |||
| Total HAC scoreFY 2026 | -0.8557 | -0.0453 | 0.1382 | Better than 93% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | -0.2242 | -0.5158 | 0 | 0.6075 | 0.4238 | -0.8557 |
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 2023)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
67
Medicare-certified beds
66
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Merit Health Madison reported to Medicare in its latest cost report, covering May 1, 2025 to Jun 30, 2025.
152
Inpatient discharges
Medicare 1%, Medicaid 11%
474
Inpatient days
25% of available bed days used
5
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 827402). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Merit Health Madison reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 12 | 39 | 423 | 474 |
| Discharges | 2 | 16 | 134 | 152 |
| Average length of stay | 6.0 days | 2.4 days | 3.2 days | 3.1 days |
| Average daily census | 0.2 | 0.6 | 6.9 | 7.8 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 24 | 388 | 12 | 27% |
| Intensive care unit | 7 | 86 | 20% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Merit Health Madison treats Medicare patients for most often, in 2024. 71 Medicare discharges in 4 published DRGs; 0% 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 | 28 | $93,403 | $13,928 | $61,086 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $98,806 | $10,391 | $64,619 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 16 | $70,979 | $8,927 | $46,420 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $94,391 | $8,178 | $61,732 | 1.23 |
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) Merit Health Madison billed Medicare for most in 2024: 236 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 44 | 44 | $37,470 | $1,817 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 32 | $57,533 | $1,936 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 23 | 20 | $51,762 | $2,224 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 22 | 21 | $103,873 | $3,648 | $3,946 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 19 | $39,726 | $1,279 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 19 | $73,302 | $3,451 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 16 | $136,352 | $9,374 | $10,772 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 13 | $45,660 | $1,868 | $2,176 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 15 | $81,362 | $3,672 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 14 | 14 | $44,077 | $1,081 | $1,220 |
See all 11 Medicare outpatient services at Merit Health Madison
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 Merit Health Madison 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 366 in 2020 to 376 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 39046 | 210 | 56% | 857 | $13.8M | 15% | 20% |
| 39110 | 102 | 27% | 382 | $5.2M | 6% | 4% |
| 39157 | 27 | 7% | 81 | $1.2M | 3% | |
| 39071 | 20 | 5% | 94 | $973,446 | 6% | 7% |
| 39095 | 17 | 5% | 86 | $819,605 | 6% | 5% |
Source: CMS Hospital Service Area file. Shares are of the 376 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 Merit Health Madison reported at its latest Medicare certification survey (2017). Counts are people, not full-time equivalents.
4
Operating rooms
1
Endoscopy rooms
12
Psychiatric unit beds
2
Off-site locations
1
Off-site emergency departments
66
Registered nurses
9
Licensed practical nurses
4
Pharmacists
5
Respiratory therapists
5
Radiology technicians
1
Nuclear medicine technicians
3
Laboratory technicians
4
Medical technologists
1
Social workers
90
Other personnel
Source: CMS Provider of Services file.
181 clinicians who bill Medicare list Merit Health Madison 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.
Hollis Purviance, CFNP
Family Nurse Practitioner
NPI 1023028925
See commercial rates for Hollis Purviance, CFNPJames Bridges, M.D.
Internal Medicine Physician
NPI 1205065554
See commercial rates for James Bridges, M.D.James Bensler, MD
Cardiovascular Disease Physician
NPI 1457591570
See commercial rates for James Bensler, MDJames Hamilton, MD
Clinical Cardiac Electrophysiology Physician
NPI 1982801858
See commercial rates for James Hamilton, MDAdele Thiel, M.D.
Neurology Physician
NPI 1992810691
See commercial rates for Adele Thiel, M.D.Bailey Sprowles, FNP
Family Nurse Practitioner
NPI 1255914438
See commercial rates for Bailey Sprowles, FNPJames Woodall, M.D.
Orthopaedic Surgery Physician
NPI 1083876833
See commercial rates for James Woodall, M.D.William Geissler, M.D.
Orthopaedic Hand Surgery Physician
NPI 1194725374
See commercial rates for William Geissler, M.D.Kyle Lewis, M. D.
Ophthalmic Plastic and Reconstructive Surgery Physician
NPI 1902017924
See commercial rates for Kyle Lewis, M. D.William Whitton, MD
Family Medicine Physician
NPI 1790754307
See commercial rates for William Whitton, MDWilliam Berlin, M.D.
Diagnostic Radiology Physician
NPI 1871972646
See commercial rates for William Berlin, M.D.Louis Saddler, MD
Internal Medicine Physician
NPI 1497765705
See commercial rates for Louis Saddler, MDDaniel Gilmer, M.D.
Internal Medicine Physician
NPI 1538570361
See commercial rates for Daniel Gilmer, M.D.Brandon Weatherly, M.D.
Diagnostic Radiology Physician
NPI 1518308469
See commercial rates for Brandon Weatherly, M.D.Christophor Reed, DO
Diagnostic Radiology Physician
NPI 1013107762
See commercial rates for Christophor Reed, DODouglas Wolfe, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1861411621
See commercial rates for Douglas Wolfe, M.D.Stella Powell, MD
Diagnostic Radiology Physician
NPI 1922052711
See commercial rates for Stella Powell, MDKayla Smith, NP-C
Family Nurse Practitioner
NPI 1215422480
See commercial rates for Kayla Smith, NP-CAeryn Rogers, DO
Diagnostic Radiology Physician
NPI 1336636067
See commercial rates for Aeryn Rogers, DOBryan Barksdale, MD
Cardiovascular Disease Physician
NPI 1083663876
See commercial rates for Bryan Barksdale, MDCandace Howard-Claudio, M.D., PH.D.
Diagnostic Radiology Physician
NPI 1497799118
See commercial rates for Candace Howard-Claudio, M.D., PH.D.Joseph Chaudry, MD
Diagnostic Radiology Physician
NPI 1467681924
See commercial rates for Joseph Chaudry, MDDaniel Kennedy, M.D.
Diagnostic Radiology Physician
NPI 1437560281
See commercial rates for Daniel Kennedy, M.D.Michael Doherty, MD
Diagnostic Radiology Physician
NPI 1720011695
See commercial rates for Michael Doherty, 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 Merit Health Madison reported to Medicare for May 1, 2025 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $25M | 523.2% |
| Inpatient | $5.5M | 115.2% |
| Outpatient | $19.5M | 408.1% |
| Contractual allowances and discounts | -$20.2M | -423.2% |
| Net patient revenue | $4.8M | 100.0% |
| Operating expenses | -$6.6M | -139.0% |
| Operating income from patient care | -$1.9M | -39.0% |
| Other income | $25 | 0.0% |
| Net income | -$1.9M | -39.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $46,143 | 0.2% |
| Medicaid (including managed care) | $3.6M | 14.6% |
| Other payers and self-pay | $21.3M | 85.2% |
| Total charges | $25M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, 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 Merit Health Madison's latest cost report, which covers 61 days; income and expense figures are scaled to a year.
-39.0%
Operating margin
Operating income from patient care / net patient revenue
-39.0%
Total margin
Net income / net patient revenue plus other income
-36.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
32% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$104.68
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-88.7%
Return on assets
Net income for a year / total assets
-124.9%
Return on equity
Net income for a year / fund balance
0.04
Current ratio
Current assets / current liabilities
-0.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-56 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
76 days
Days in patient receivables
Net patient receivables / daily net patient revenue
34 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.28
Asset turnover
Total revenue for a year / total assets
0.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Merit Health Madison owned and owed at the end of its reporting period (Jun 2025), across all fund types: $12.5M in total assets and a $8.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$6M | -48.1% |
| Patient receivables, net | $6M | 47.7% |
| Inventory | $135,650 | 1.1% |
| Total current assets | $140,795 | 1.1% |
| Property and equipment, net of depreciation | $12.4M | 98.9% |
| Total assets | $12.5M | 100.0% |
| Current liabilities | $3.6M | 29.0% |
| Total liabilities | $3.6M | 29.0% |
| Fund balance (net assets) | $8.9M | 71.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Merit Health Madison provided without full payment, as reported on Worksheet S-10 of its cost report.
$577,611
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.5M
Bad debt
Patient bills written off as uncollectible, at charges
$213,705
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$27,696
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$1.4M
Total unreimbursed and uncompensated care
20.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Merit Health Madison's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 |
|---|---|---|---|---|---|---|
| Net patient revenue | $32M | $32.6M | $35.8M | $32.9M | $38.6M | $37.8M |
| Operating expenses | $34.9M | $32.9M | $35.8M | $33.3M | $38.1M | $39M |
| Operating margin | -9.2% | -1.0% | -0.1% | -1.2% | 1.4% | -3.1% |
| Net income | -$2.7M | $2.7M | $3.5M | -$2.1M | $941,902 | $320,866 |
| Total assets | $21.8M | $17.4M | $21M | $17.7M | $25.8M | $20.4M |
| Discharges | 1,187 | 1,029 | 839 | 902 | 1,106 | 1,078 |
| Inpatient days | 4,074 | 4,495 | 4,696 | 4,681 | 4,780 | 4,128 |
| Medicare Advantage days | 270 | 685 | 786 | 1,015 | 995 | 965 |
| Beds | 67 | 67 | 67 | 67 | 67 | 31 |
| Employees (FTE) | 189 | 171 | 169 | 159 | 165 | 161 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Merit Health Madison 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 |
|---|---|---|---|---|---|
| Operating room | $1.6M | $4.3M | 0.37 | 9,039 | |
| Emergency | $867,973 | $11.5M | 0.08 | 6,222 | |
| Medical supplies charged to patient | $778,512 | $198,135 | 3.93 | 5,204 | |
| Anesthesiology | $600,489 | $415,364 | 1.45 | 105 | |
| Laboratory | $547,904 | $2M | 0.27 | 1,051 | |
| Drugs charged to patients | $2,077 | $495,583 | $927,768 | 0.53 | 1,390 |
| Radiology-diagnostic | $2,997 | $367,665 | $951,753 | 0.39 | 6,457 |
| Respiratory therapy | $270,005 | $585,891 | 0.46 | 1,119 | |
| Observation beds (non-distinct part | $265,752 | $977,856 | 0.27 | ||
| Impl. dev. charged to patients | $242,745 | $178,499 | 1.36 | ||
| Mri | $229,803 | $268,884 | 0.85 | ||
| Ct scan | $135,616 | $1.5M | 0.09 | 547 | |
| Recovery room | $119,480 | $161,652 | 0.74 | 1,696 | |
| Physical therapy | $35,746 | $55,407 | 0.65 | ||
| Whole blood & packed red blood cell | $28,526 | $18,810 | 1.52 | 1,646 | |
| Occupational therapy | $18,474 | $27,482 | 0.67 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $159,960 | $1.1M | $465,600 | 2.43 | 14,580 |
| Intensive care unit | $446,877 | $387,000 | 1.15 | 3,844 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2,900 | $1.8M | 145 | $20.00 | 7,969 |
| Cap rel costs-mvble equip | $352,336 | ||||
| Operation of plant | $236,692 | 27,903 | |||
| Medical records & library | $199,789 | 743 | |||
| Housekeeping | $125,227 | 1,019 | |||
| Dietary | $119,193 | 2,928 | |||
| Cap rel costs-bldg & fixt | $94,818 | 99,596 | |||
| Nursing administration | $83,536 | 453 | |||
| Laundry & linen service | $40,109 | 1,898 | |||
| Social service | $12,538 | 448 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827402, 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 Merit Health Madison for an inpatient stay.
1.32
Case mix index
Higher than 12% 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).
19.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
306
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 | 1.36 | 1.36 | 1.78 | 1.71 | 1.54 | 1.45 | 1.32 |
| Wage index | 0.830 | 0.829 | 0.831 | 0.822 | 0.792 | 0.806 | 0.766 |
| Readmissions adjustment | -0.21% | -0.09% | -0.01% | -0.11% | -0.21% | -0.35% | -0.66% |
| Value-based purchasing adjustment | +0.19% | +1.80% | +1.80% | +0.10% | -0.61% | +0.66% | +0.55% |
| Medicare inpatient stays | 354 | 354 | 321 | 289 | 338 | 312 | 306 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Merit Health Madison reports to Medicare as owners or with operational control.
State Of Mississippi-university Of Mississippi Medical Center
5% or greater direct ownership interest, 100%, since 2025
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Merit Health Madison'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.
Swing bed snf
CCN 25U038, certified 1993, Medicare prospective payment
Source: Worksheet S-2 Part I of Merit Health Madison's latest Medicare cost report (HCRIS).
About Merit Health Madison's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Merit Health Madison range from $632 to $1,066 across 3 insurers. Aetna's rate is $632. The median at nearby comparable hospitals is $768. 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 Merit Health Madison range from $446 to $764 across 3 insurers. Aetna's rate is $446. The median at nearby comparable hospitals is $596. 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 Merit Health Madison range from $660 to $2,163 across 2 insurers. Blue Cross Blue Shield's rate is $660. The median at nearby comparable hospitals is $1,039. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Merit Health Madison range from $7,014 to $9,708 across 2 insurers. UnitedHealthcare's rate is $9,708. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Merit Health Madison range from $134 to $200 across 2 insurers. Aetna's rate is $134. The median at nearby comparable hospitals is $114. 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 Merit Health Madison range from $21,202 to $24,869 across 2 insurers. UnitedHealthcare's rate is $24,869. The median at nearby comparable hospitals is $19,010. What a patient pays depends on their plan's deductible, coinsurance and network status.
Merit Health Madison has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Merit Health Madison for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Merit Health Madison's base inpatient payments by an estimated 0.66% 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 (28 discharges), simple pneumonia and pleurisy with mcc (16 discharges), heart failure and shock with mcc (16 discharges).
Merit Health Madison's Medicare case mix index is 1.32 for fiscal year 2027, higher than 12% of hospitals paid under the inpatient prospective payment system.
Merit Health Madison reported 152 inpatient discharges and 474 inpatient days from May 1, 2025 to Jun 30, 2025.
Merit Health Madison reported 5 full-time-equivalent employees on payroll from May 1, 2025 to Jun 30, 2025.
Merit Health Madison reported $4.8M in net patient revenue on $25M of gross charges for May 1, 2025 to Jun 30, 2025, an operating margin of -39.0%, and net income of -$1.9M.
Merit Health Madison reported $1.4M of unreimbursed and uncompensated care for May 1, 2025 to Jun 30, 2025, including $577,611 of charity care at cost.
Insurers' price transparency files list Merit Health Madison under employer identification number 03-0400182 (Merit Health Madison), and 1 other tax ID. 42 health plans and networks list 03-0400182 for it.
181 clinicians who bill Medicare list Merit Health Madison as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (20), internal medicine physician (18), family medicine physician (13).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Merit Health Madison, effective 2023.
In its Medicare enrollment, Merit Health Madison reports State Of Mississippi-university Of Mississippi Medical Center as 5% or greater direct ownership interest (100%).
CMS lists 25 services at Merit Health Madison, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Merit Health Madison came from ZIP codes 39046 (210), 39110 (102), 39157 (27).
Merit Health Madison has 31 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 67 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Merit Health Madison is located at 161 River Oaks Drive, Canton, MS 39046. Its main phone number is (601) 855-4000.
Merit Health Madison's CMS Certification Number (CCN), also called its Medicare provider number, is 250038.
The National Provider Identifier (NPI) on file for Merit Health Madison is 1194770404.
Merit Health Madison is affiliated with Community Health Systems.
Merit Health Madison lists 28 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.
304 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