Methodist Le Bonheur Healthcare · Olive Branch, MS
4 of 5
CMS star rating
73
Beds
4,168
Inpatient discharges a year
$102.1M
Net patient revenue a year
15
In-network payers
Methodist Olive Branch Hospital is a 73-bed voluntary non-profit - private hospital in Olive Branch, MS, affiliated with Methodist Le Bonheur Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 189 disclosed rate categories.
The 24 services Methodist Olive Branch Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$3,829 - $10,076
from 3 insurers · median $7,791
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
Childbirth · Inpatient
MS-DRG 788
$5,347 - $12,609
from 3 insurers · median $10,258
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
Medicine & Surgery
CPT 47562
$7,823 - $9,273
from 3 insurers · median $8,692
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$8,933 - $11,734
from 3 insurers · median $9,273
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$3,707 - $11,012
from 3 insurers · median $8,868
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,829 - $10,076
from 3 insurers · median $7,791
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
Medicine & Surgery · Inpatient
MS-DRG 460
$50,329 - $52,973
from 2 insurers · median $51,651
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$7,823 - $10,139
from 3 insurers · median $9,273
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$90 - $908
from 3 insurers · median $611
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$17,382 - $38,430
from 3 insurers · median $38,109
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$542 - $2,383
from 3 insurers · median $1,517
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$23,322 - $29,460
from 3 insurers · median $28,230
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$676 - $2,383
from 3 insurers · median $1,805
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$749 - $957
from 3 insurers · median $809
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,957 - $15,941
from 3 insurers · median $9,273
Typical for a hospital with this service line
CT imaging
CPT 70450
$157 - $179
from 3 insurers · median $169
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,999 - $2,425
from 3 insurers · median $2,036
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,919 - $11,734
from 3 insurers · median $9,273
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$96 - $130
from 3 insurers · median $128
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$80 - $160
from 3 insurers · median $104
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$302 - $373
from 3 insurers · median $330
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,600 - $2,329
from 2 insurers · median $1,965
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$7,823 - $9,273
from 3 insurers · median $8,692
Typical for a hospital with this service line
MRI imaging
CPT 70553
$485 - $681
from 3 insurers · median $611
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 | 150% | 10 | 9 |
| Insurer B* | 24 | 145% | 4 | 7 |
| Insurer C* | 23 | 144% | 15 | 4 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 11 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 Methodist Olive Branch Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by DNV
Finances
$102.1M net patient revenue
Ownership and leadership
Owned by Methodist Le Bonheur Healthcare
The employer identification numbers (EINs) health plans and networks list for Methodist Olive Branch Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 64-0889822(multi-state) Methodist Healthcare | 35Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 30 more | 1912341439 Methodist Healthcare - Olive Branch Hospital |
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.
4250 Bethel Road, Olive Branch, MS 38654
(662) 932-9000
How Methodist Olive Branch Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 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 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 5 measures
0 better, 5 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
78%
Higher than 72% 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)
0.88
Lower than 79% 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
222 min
Higher than 89% 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
71%
Higher than 63% 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 6 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | No different on 5 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 | 78% | 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) | 0.88 | 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 | 222 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 71% | 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 Methodist Olive Branch Hospital's inpatient payments for its readmissions, quality and cost results.
-0.04% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.04% 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 Methodist Olive Branch Hospital, 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 | This hospital | 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 · 858 cases | 5.4 | 3.9 | 4.719 | Worse than 94% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 61 cases | 11.4 | 11.8 | 12.85 | Better than 63% of US hospitals | |
| 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 · 57 cases | 9.7 | 8.5 | 9.672 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 183 cases | 12.4 | 11 | 12.17 | Worse than 76% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 212 cases | 16.7 | 15.2 | 17.67 | Worse than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 145 cases | 11.9 | 11.6 | 13.34 | Worse than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,483 cases | 0.3 | 0.51 | 0.6951 | No Different Than the National Rate | Better than 80% 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 · 2,126 cases | 0.19 | 0.2 | 0.212 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,227 cases | 0.25 | 0.27 | 0.2693 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 157 cases | 2.25 | 2.29 | 2.402 | No Different Than the National Rate | Better than 57% 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 · 148 cases | 3.29 | 3.4 | 3.74 | No Different Than the National Rate | Better than 61% 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 · 58 cases | 1.72 | 1.72 | 1.744 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 268 cases | 1 | 1.02 | 1.026 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 50 cases | -7.7 | 4.2 | 13.01 | Better than 71% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 210 cases | -11.3 | 1.25 | 20.12 | Better than 68% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 225 cases | -21.4 | 3.85 | 13.53 | Better than 82% 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 | Not Available | 13.09 | |||
| 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 | Not Available | 1.015 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 63 cases | 14.1 | 14.4 | 14.23 | Better than 61% of US hospitals | |
| 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 · 70 cases | 19.5 | 19.8 | 20.11 | Better than 63% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 272 cases | 21.3 | 21.3 | 21.59 | Better than 49% 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 · 268 cases | 16.3 | 17.2 | 17.35 | Better than 86% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | 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 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.313 | 1.504 | 1.57 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,110 | 1,370 | 2,785 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.295 | 0.9835 | 2.724 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.791 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.3654 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2114 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.353 | 1.392 | 2.079 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,819 | 1,799 | 3,075 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.273 | 1.377 | 3.519 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.209 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5117 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.5404 | |||
| 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 | 17 | 61 | 92.62 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.419 | 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 | 20 | 38 | 83.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.177 | 0.328 | 0.7858 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 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 | 17,523 | 14,451 | 21,259 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.621 | 0.567 | 1.458 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.507 | 0.747 | 1.978 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 16,224 | 13,646 | 19,775 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.913 | 5.683 | 9.809 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 3.84 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.5541 | 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 | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 540 cases | 66 | 73 | 72.84 | Worse than 79% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 540 cases | 14 | 8 | 9.731 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 540 cases | 20 | 18 | 17.43 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 83 | 87 | 84.47 | Worse than 77% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 540 cases | 3 | 4 | 3.053 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 540 cases | 79 | 80 | 82.75 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 92 | 91 | 91.82 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 540 cases | 4 | 4 | 3.985 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 540 cases | 4 | 3 | 3.553 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 540 cases | 17 | 16 | 13.27 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 540 cases | 81 | 79 | 84 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 91 | 91 | 91.95 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 540 cases | 6 | 5 | 4.463 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 540 cases | 3 | 3 | 3.553 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 540 cases | 13 | 16 | 11.54 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 540 cases | 62 | 61 | 66.57 | Better than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 78 | 77 | 77.74 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 540 cases | 19 | 19 | 17.31 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 540 cases | 3 | 3 | 2.842 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 540 cases | 19 | 19 | 16.12 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 540 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 · 540 cases | 16 | 13 | 13.54 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 540 cases | 3 | 3 | 3.105 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 540 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 · 540 cases | 18 | 14 | 15.04 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 540 cases | 82 | 86 | 84.96 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 540 cases | 76 | 74 | 79.39 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 540 cases | 7 | 7 | 5.882 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 540 cases | 17 | 19 | 14.73 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 81 | 77 | 82.39 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 6 | 6 | 4.824 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 13 | 17 | 12.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 86 | 85 | 88.06 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 4 | 3 | 3.353 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 10 | 11 | 8.588 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 540 cases | 8 | 8 | 7.478 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 540 cases | 18 | 20 | 19.63 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 540 cases | 74 | 72 | 72.9 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 89 | 88 | 88.13 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 540 cases | 4 | 3 | 3.5 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 540 cases | 75 | 74 | 76.75 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 540 cases | 10 | 9 | 9.333 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 540 cases | 15 | 16 | 13.92 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 540 cases | 74 | 75 | 77.57 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 540 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 · 540 cases | 21 | 20 | 16.84 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 77 | 77 | 79.47 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 5 | 4 | 4.804 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 540 cases | 18 | 19 | 15.73 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 86 | 86 | 87.35 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 2 | 3 | 2.961 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 540 cases | 12 | 11 | 9.686 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 540 cases | 66 | 59 | 69.58 | Better than 72% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 540 cases | 8 | 9 | 6.224 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 540 cases | 26 | 31 | 24.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 85 | 82 | 86.29 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 540 cases | 4 | 3 | 4.237 | 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 · 540 cases | 6 | 5 | 5.373 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 540 cases | 78 | 71 | 72.46 | Better than 72% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 540 cases | 89 | 87 | 87.16 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 540 cases | 16 | 23 | 22.16 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 540 cases | 4 | 4 | 3.684 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 540 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 · 540 cases | 28 | 30 | 28.16 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 540 cases | 24 | 22 | 20.41 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 540 cases | 3 | 3 | 3.342 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 540 cases | 14 | 12 | 13.41 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 540 cases | 86 | 88 | 86.59 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| 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 | Not Available | 1.348 | |||
| 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 · 610 cases | 87 | 79 | 65.43 | Better than 64% 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 · 437 cases | 223 | 154 | 137 | Worse than 88% 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 · 423 cases | 222 | 148 | 133 | Worse than 89% 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 | Not Available | 281 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 41,984 cases | 4 | 1 | 2.455 | Worse than 88% 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 | Not Available | 94.43 | |||
| 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 · 1,323 cases | 8 | 15 | 12.25 | Better than 91% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 113 cases | 71 | 65 | 62.64 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 70 | 73 | 68.49 | Worse than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 18 cases | 83 | 88 | 85.36 | Worse than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 113 cases | 88 | 82 | 80.33 | Better than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 59 cases | 92 | 94 | 88.42 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 150 cases | 97 | 98 | 93.39 | Worse than 51% of US hospitals | |
| 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 · 587 cases | 94 | 97 | 83.8 | Worse than 68% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.3 | 5 | 7.061 | Worse than 53% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4 | 6.6 | 7.009 | Better than 83% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.82 | 0.99 | 0.994 | Better than 97% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 17.5 | 20 | 9.966 | Worse than 54% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.375 | 5 | 2.566 | Worse than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 100 | 10 | 23.08 | The best result, shared by 2% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 25 | 2.5 | 6.538 | Better than 97% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 27 | 34 | 43.22 | Worse than 64% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.75 | 8.75 | 10.8 | Worse than 64% of US hospitals | |
| VBP safety domain scoreFY 2026 | 90 | 40 | 43.66 | Better than 98% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 22.5 | 10 | 11.58 | Better than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 58.63 | 29.5 | 29.55 | Better than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 25 | 25 | 36.67 | 25 | 30 | 17.5 |
| VBP clinical outcomes weighted domain score | 8.333 | 6.25 | 9.167 | 6.25 | 7.5 | 4.375 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 80 | 70 | 80 | 100 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | Not Available | 20 | 17.5 | 20 | 25 |
| VBP person and community engagement domain score | 61 | Not Available | Not Available | 24 | 25 | 27 |
| VBP person and community engagement weighted domain score | 20.33 | Not Available | Not Available | 6 | 6.25 | 6.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | 100 | 90 | 90 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 25 | 22.5 | 22.5 |
| VBP total performance score | 45.33 | Not Available | Not Available | 54.75 | 56.25 | 58.63 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.003 | 0.9995 | 1.013 | Worse than 52% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9995 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9848 | 0.9969 | 1.011 | Better than 61% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 223 cases | 0.9972 | 0.9983 | 1.023 | Better than 51% 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 · 247 cases | 0.9882 | 0.9955 | 1.02 | Better than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.014 | 1.015 | 1.029 | 1.017 | 0.9766 | 1.003 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9482 | 0.9713 | 0.9696 | 1.016 | 0.961 | 0.9848 |
| READM-30-HF-HRRP | 1.041 | 1.012 | 0.9364 | 0.964 | 0.9335 | 0.9972 |
| READM-30-HIP-KNEE-HRRP | N/A | 0.9856 | 0.9939 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.05 | 1.067 | 1.105 | 1.054 | 1.056 | 0.9882 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | 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 | 0.087 | 0.346 | 0.445 | Better than 87% 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 | 0.692 | 0.6405 | 0.9463 | Worse than 55% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8804 | 0.9628 | 1.052 | Better than 79% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7906 | |||
| Total HAC scoreFY 2026 | -0.9232 | -0.0453 | 0.1382 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -1.471 | -1.325 | 0 | -1.143 | -0.5318 | -0.9232 |
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.
DNV (since 2017)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
60
Medicare-certified beds
93
Registered nurses (full-time equivalent)
2013
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Methodist Olive Branch Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,168
Inpatient discharges
Medicare 21%, Medicaid 5%
14,598
Inpatient days
55% of available bed days used
504
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839297). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Methodist Olive Branch Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,291 | 1,165 | 10,142 | 14,598 |
| Discharges | 868 | 220 | 3,080 | 4,168 |
| Average length of stay | 3.8 days | 5.3 days | 3.3 days | 3.5 days |
| Average daily census | 9.0 | 3.2 | 27.8 | 40.0 |
1,950
Medicare Advantage days
491 discharges
1,680
Medicaid managed care days
336 discharges
2,753
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 61 | 11,081 | 2,737 | 50% |
| Intensive care unit | 11 | 2,025 | 554 | 50% |
| Other special care | 1 | 217 | 59% | |
| Nursery | 1,275 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Methodist Olive Branch Hospital treats Medicare patients for most often, in 2024. 523 Medicare discharges in 16 published DRGs; 4% surgical; 87% 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 | 217 | $45,643 | $11,618 | $9,311 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $37,812 | $7,744 | $7,714 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $33,987 | $7,462 | $6,933 | 1.23 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 27 | $23,468 | $5,943 | $4,787 | 1.03 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $49,603 | $9,395 | $10,119 | 1.59 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $61,269 | $12,103 | $12,499 | 2.00 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $92,823 | $26,408 | $18,936 | 5.00 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $32,910 | $8,023 | $6,714 | 1.50 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $38,256 | $5,437 | $7,804 | 1.02 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 17 | $32,819 | $10,423 | $6,695 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $36,544 | $8,013 | $7,455 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $28,427 | $7,296 | $5,799 | 1.17 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $26,015 | $4,098 | $5,307 | 0.74 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $35,703 | $10,093 | $7,283 | 1.65 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $40,825 | $10,261 | $8,328 | 1.79 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $128,720 | $41,505 | $26,259 | 6.96 |
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) Methodist Olive Branch Hospital billed Medicare for most in 2024: 338 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 219 | 213 | $21,716 | $1,798 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 33 | $7,948 | $1,012 | $1,220 |
| Level 2 Intraocular ProceduresAPC 5492 | 30 | 29 | $19,761 | $2,737 | $3,116 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 27 | 27 | $30,302 | $3,596 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 17 | 17 | $43,949 | $1,979 | $2,208 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $28,737 | $2,329 | $2,636 |
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 Methodist Olive Branch Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,255 in 2020 to 1,231 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 38654 | 485 | 39% | 1,845 | $25.5M | 22% | 27% |
| 38611 | 216 | 18% | 834 | $12.9M | 22% | 25% |
| 38635 | 166 | 13% | 684 | $9.8M | 22% | 19% |
| 38632 | 78 | 6% | 267 | $4.1M | 6% | 6% |
| 38671 | 65 | 5% | 211 | $3.3M | 3% | 3% |
| 38618 | 45 | 4% | 147 | $2.3M | 6% | 9% |
| 38651 | 38 | 3% | 134 | $1.9M | 7% | 4% |
| 38672 | 32 | 3% | 106 | $1.8M | 4% | 9% |
| 38637 | 28 | 2% | 113 | $1.8M | 3% | 3% |
| 38661 | 28 | 2% | 119 | $1.6M | 34% | 28% |
| 38642 | 19 | 2% | 71 | $1.1M | 18% | |
| 38668 | 17 | 1% | 56 | $873,976 | 2% | 5% |
| 38125 | 14 | 1% | 67 | $688,875 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,231 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 Methodist Olive Branch Hospital reported at its latest Medicare certification survey (2013). Counts are people, not full-time equivalents.
4
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
93
Registered nurses
2
Physicians
2
Nurse practitioners
7
Pharmacists
6
Respiratory therapists
2
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
2
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
11
Medical technologists
1
Dietitians
1
Social workers
93
Other personnel
Source: CMS Provider of Services file.
407 clinicians who bill Medicare list Methodist Olive Branch Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Adam Stewart, M.D.
Urology Physician
NPI 1659544385
See commercial rates for Adam Stewart, M.D.Eric Wiedower, DO
Hematology & Oncology Physician
NPI 1154633857
See commercial rates for Eric Wiedower, DOSonia Benn, MD
Hematology & Oncology Physician
NPI 1801825781
See commercial rates for Sonia Benn, MDRavi Chauhan, M.D.
Urology Physician
NPI 1588621254
See commercial rates for Ravi Chauhan, M.D.Robert Pickering, M.D.
Orthopaedic Surgery Physician
NPI 1124015821
See commercial rates for Robert Pickering, M.D.Robert Hollabaugh, M.D.
Urology Physician
NPI 1437117561
See commercial rates for Robert Hollabaugh, M.D.Arvind Ankireddypalli, M.D.
Geriatric Medicine (Family Medicine) Physician
NPI 1003162637
See commercial rates for Arvind Ankireddypalli, M.D.Tulio Bertorini, MD
Neurology Physician
NPI 1760459168
See commercial rates for Tulio Bertorini, MDMichael Granieri, M.D.
Urology Physician
NPI 1992095541
See commercial rates for Michael Granieri, M.D.Patrick Zielie, M.D.
Urology Physician
NPI 1306959861
See commercial rates for Patrick Zielie, M.D.Troy Morris, M.D.
Family Medicine Physician
NPI 1891792883
See commercial rates for Troy Morris, M.D.Sanjeev Mittal, MD
Nephrology Physician
NPI 1689603102
See commercial rates for Sanjeev Mittal, MDMichael Bagwell, D.O.
Family Medicine Physician
NPI 1558306019
See commercial rates for Michael Bagwell, D.O.Mary Margaret Hurley, MD
Internal Medicine Physician
NPI 1447339312
See commercial rates for Mary Margaret Hurley, MDE Franklin, MD
Internal Medicine Physician
NPI 1467416149
See commercial rates for E Franklin, MDCalvin Brown, M.D.
Ophthalmology Physician
NPI 1578761011
See commercial rates for Calvin Brown, M.D.Tommy Campbell, MD
Internal Medicine Physician
NPI 1669440822
See commercial rates for Tommy Campbell, MDPaul Katz, MD
Internal Medicine Physician
NPI 1497753131
See commercial rates for Paul Katz, MDShiva Natarajan
Neurology Physician
NPI 1730132788
See commercial rates for Shiva NatarajanGeorge Rushing, MD
Internal Medicine Physician
NPI 1831159185
See commercial rates for George Rushing, MDAmit Patel, M.D.
Family Medicine Physician
NPI 1316208093
See commercial rates for Amit Patel, M.D.Joseph Gleason, M.D.
Pediatric Urology Physician
NPI 1760669808
See commercial rates for Joseph Gleason, M.D.Christopher Holland, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1215469556
See commercial rates for Christopher Holland, MDCary Finn, M.D.
Internal Medicine Physician
NPI 1033192992
See commercial rates for Cary Finn, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Methodist Olive Branch Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $625.4M | 612.5% |
| Inpatient | $207.4M | 203.1% |
| Outpatient | $418M | 409.4% |
| Contractual allowances and discounts | -$523.3M | -512.5% |
| Net patient revenue | $102.1M | 100.0% |
| Operating expenses | -$104M | -101.9% |
| Operating income from patient care | -$1.9M | -1.9% |
| Other income | $2.8M | 2.7% |
| Net income | $849,635 | 0.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $92.5M | 15.5% |
| Medicaid (including managed care) | $54.1M | 9.0% |
| Other payers and self-pay | $451.4M | 75.5% |
| Total charges | $598M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, 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 Methodist Olive Branch Hospital's latest cost report.
-1.9%
Operating margin
Operating income from patient care / net patient revenue
0.8%
Total margin
Net income / net patient revenue plus other income
4.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
56% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.59
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
0.8%
Return on assets
Net income for a year / total assets
0.9%
Return on equity
Net income for a year / fund balance
3.32
Current ratio
Current assets / current liabilities
2.69
Quick ratio
Cash, temporary investments and net receivables / current liabilities
60 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
53 days
Days in patient receivables
Net patient receivables / daily net patient revenue
43 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.98
Asset turnover
Total revenue for a year / total assets
22.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Methodist Olive Branch Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $107.3M in total assets and a $95.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $16.5M | 15.4% |
| Patient receivables, net | $14.9M | 13.9% |
| Inventory | $2.4M | 2.2% |
| Total current assets | $38.8M | 36.2% |
| Property and equipment, net of depreciation | $68.5M | 63.8% |
| Total assets | $107.3M | 100.0% |
| Current liabilities | $11.7M | 10.9% |
| Total liabilities | $11.7M | 10.9% |
| Fund balance (net assets) | $95.7M | 89.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Methodist Olive Branch Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$7.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.4M
Bad debt
Patient bills written off as uncollectible, at charges
$319,785
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8.6M
Total unreimbursed and uncompensated care
8.3% 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 839297, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Methodist Olive Branch Hospital'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 | $69.3M | $81.2M | $75.4M | $83.9M | $89.1M | $102.1M |
| Operating expenses | $82.8M | $92.2M | $94.7M | $96M | $100.1M | $104M |
| Operating margin | -19.5% | -13.5% | -25.6% | -14.4% | -12.4% | -1.9% |
| Net income | -$5.1M | -$5.8M | $19M | $4.7M | $22.7M | $849,635 |
| Total assets | $90.8M | $89.1M | $87.7M | $83.9M | $118M | $107.3M |
| Discharges | 4,048 | 4,515 | 4,515 | 5,031 | 4,383 | 4,168 |
| Inpatient days | 14,483 | 17,821 | 16,569 | 17,979 | 15,044 | 14,598 |
| Medicare Advantage days | 826 | 1,318 | 2,952 | 4,320 | 2,916 | 1,950 |
| Beds | 53 | 57 | 65 | 73 | 73 | 73 |
| Employees (FTE) | 404 | 411 | 417 | 432 | 416 | 504 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Methodist Olive Branch Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $6M | $10.3M | $119.7M | 0.09 | 16,011 |
| Drugs charged to patients | $1.6M | $8.1M | $22.9M | 0.35 | 2,818 |
| Operating room | $1.9M | $7.1M | $25M | 0.29 | 22,149 |
| Laboratory | $1.8M | $7.1M | $39.3M | 0.18 | 3,208 |
| Radiology-diagnostic | $3.7M | $7M | $229.6M | 0.03 | 5,707 |
| Family practice | $4.4M | $6.4M | $5M | 1.29 | |
| Medical supplies charged to patient | $5.9M | $6.8M | 0.87 | ||
| Observation beds (non-distinct part | $3.7M | $8.1M | 0.45 | ||
| Delivery room & labor room | $2.6M | $2.7M | $10M | 0.27 | 14,890 |
| Cardiac cath lab | $1.1M | $2.4M | $31.9M | 0.08 | 2,630 |
| Respiratory therapy | $835,472 | $1.5M | $15.7M | 0.09 | 940 |
| Physical therapy | $595,394 | $1M | $3.4M | 0.31 | 1,765 |
| Electrocardiology | $471,878 | $827,592 | $27.5M | 0.03 | 180 |
| Blood storing processing & trans. | $707,494 | $6.2M | 0.11 | ||
| Impl. dev. charged to patients | $672,394 | $2.1M | 0.32 | ||
| Renal dialysis | $462,352 | $3M | 0.15 | 240 | |
| Occupational therapy | $195,644 | $330,162 | $1.3M | 0.25 | |
| Speech pathology | $120,816 | $192,276 | $2M | 0.10 | |
| Anesthesiology | $4,532 | $3.1M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $9.3M | $18.4M | $23.2M | 0.79 | 42,624 |
| Intensive care unit | $2.2M | $4.9M | $10.5M | 0.46 | 14,600 |
| Nursery | $1.5M | $2.1M | $1.4M | 1.49 | 1,329 |
| Neonatal intensive care unit | $348,629 | $153,572 | 2.27 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.3M | $13.9M | 47,663 | $48.23 | 64,267 |
| Cap rel costs-bldg & fixt | $4.1M | 208,471 | |||
| Operation of plant | $882,817 | $2.1M | 34,079 | $25.91 | 4,898 |
| Maintenance & repairs | $2.1M | ||||
| Housekeeping | $949,909 | $1.4M | 44,012 | $21.58 | 1,030 |
| Nursing administration | $882,699 | $1.4M | 20,687 | $42.67 | 148 |
| Dietary | $119,822 | $1.2M | 4,160 | $28.80 | 5,581 |
| Medical records & library | $281,837 | 435 | |||
| Central services & supply | $145,878 | $243,106 | 6,901 | $21.14 | 1,483 |
| Laundry & linen service | $174,610 | ||||
| Cap rel costs-mvble equip | $146,822 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839297, 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 Methodist Olive Branch Hospital for an inpatient stay.
1.79
Case mix index
Higher than 61% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
23.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
839
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 | 1.56 | 1.56 | 1.80 | 1.76 | 1.72 | 1.82 | 1.79 |
| Wage index | 0.856 | 0.846 | 0.833 | 0.835 | 0.818 | 0.845 | 0.811 |
| Readmissions adjustment | -0.39% | -0.74% | -0.74% | -0.06% | -0.48% | -0.44% | -0.04% |
| Value-based purchasing adjustment | +0.89% | +0.91% | +0.91% | -0.21% | +3.20% | +3.03% | +2.04% |
| Medicare inpatient stays | 1,386 | 1,386 | 1,243 | 1,120 | 1,162 | 924 | 839 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Methodist Olive Branch Hospital reports to Medicare as owners or with operational control.
Methodist Le Bonheur Healthcare
Operational/managerial control, 0%, since 2013
Sources: CMS Hospital All Owners.
The officers and board members on Methodist Olive Branch Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 5 of 6 are shown.
Methodist Healthcare-Olive Branch Hospital files the Form 990 for the tax ID insurers list for Methodist Olive Branch Hospital, so these people may lead the wider organization rather than Methodist Olive Branch Hospital alone.
| Name | Title |
|---|---|
| David Baytos | President/ceo |
| Kris Sanders | Treasurer |
| Annelise Jensen | Vp/cno |
| Merle Flowers | Chair |
| Samuel P Rikard | Secretary |
Board members: Jamie Steen, Lee Smart, Michael Bellipanni, Patt Dorr, Rev Keith Mason, Tim Donovan.
Source: IRS Form 990 Part VII filed by Methodist Healthcare-Olive Branch Hospital (EIN 64-0889822), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH250167, registered as a disproportionate share hospital. Authorizing official: Larry Michael Fogarty, Vice President.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Methodist Olive Branch Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Methodist Olive Branch Hospital range from $485 to $681 across 3 insurers. Cigna's rate is $485. The median at nearby comparable hospitals is $1,107. 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 Methodist Olive Branch Hospital range from $90 to $908 across 3 insurers. Blue Cross Blue Shield's rate is $908. The median at nearby comparable hospitals is $1,573. 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 Methodist Olive Branch Hospital range from $676 to $2,383 across 3 insurers. Blue Cross Blue Shield's rate is $676. The median at nearby comparable hospitals is $1,484. 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 Methodist Olive Branch Hospital range from $3,829 to $10,076 across 3 insurers. UnitedHealthcare's rate is $7,791. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Methodist Olive Branch Hospital range from $80 to $160 across 3 insurers. UnitedHealthcare's rate is $160. The median at nearby comparable hospitals is $185. 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 Methodist Olive Branch Hospital range from $23,322 to $29,460 across 3 insurers. Cigna's rate is $28,230. The median at nearby comparable hospitals is $24,438. What a patient pays depends on their plan's deductible, coinsurance and network status.
Methodist Olive Branch Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Methodist Olive Branch Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Methodist Olive Branch Hospital's base inpatient payments by an estimated 0.04% 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 (217 discharges), heart failure and shock with mcc (60 discharges), pulmonary edema and respiratory failure (31 discharges).
Methodist Olive Branch Hospital's Medicare case mix index is 1.79 for fiscal year 2027, higher than 61% of hospitals paid under the inpatient prospective payment system.
Methodist Olive Branch Hospital reported 4,168 inpatient discharges and 14,598 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Methodist Olive Branch Hospital reported 504 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Methodist Olive Branch Hospital reported $102.1M in net patient revenue on $625.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.9%, and net income of $849,635.
Methodist Olive Branch Hospital reported $8.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $7.3M of charity care at cost.
Methodist Olive Branch Hospital's Medicare enrollment lists Charles R Lane as Mlh Senior Vice President/cfo since 2018.
Insurers' price transparency files list Methodist Olive Branch Hospital under employer identification number 64-0889822 ((multi-state) Methodist Healthcare). 35 health plans and networks list 64-0889822 for it.
HRSA's 340B database lists Methodist Olive Branch Hospital (340B ID DSH250167) as no longer participating since 2026.
407 clinicians who bill Medicare list Methodist Olive Branch Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (81), internal medicine physician (52), family medicine physician (32).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Methodist Olive Branch Hospital, effective 2017.
In its Medicare enrollment, Methodist Olive Branch Hospital reports Methodist Le Bonheur Healthcare as Operational/managerial control (0%).
CMS lists 35 services at Methodist Olive Branch Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Methodist Olive Branch Hospital came from ZIP codes 38654 (485), 38611 (216), 38635 (166).
Methodist Olive Branch Hospital has 73 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 60 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Methodist Olive Branch Hospital is located at 4250 Bethel Road, Olive Branch, MS 38654. Its main phone number is (662) 932-9000.
Methodist Olive Branch Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 250167.
The National Provider Identifier (NPI) on file for Methodist Olive Branch Hospital is 1912341439.
Methodist Olive Branch Hospital is affiliated with Methodist Le Bonheur Healthcare.
Methodist Olive Branch Hospital lists 15 in-network payers, including Avera Health Plans, BCBS, Cigna, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
189 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