Prime Healthcare Services · Bloomington, IN
4 of 5
CMS star rating
32
Beds
1,109
Inpatient discharges a year
$30.9M
Net patient revenue a year
27
In-network payers
Monroe Hospital is a 32-bed proprietary hospital in Bloomington, IN, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 129 disclosed rate categories.
The 24 services Monroe 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.
Medicine & Surgery · Inpatient
MS-DRG 473
$34,074 - $34,163
from 2 insurers · median $34,119
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$26,335 - $27,133
from 2 insurers · median $26,734
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$882 - $2,027
from 3 insurers · median $1,464
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,235 - $4,426
from 3 insurers · median $3,311
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$650 - $1,351
from 3 insurers · median $661
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,363 - $3,973
from 3 insurers · median $3,081
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$557 - $898
from 3 insurers · median $650
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$47,899
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 29881
$4,646
negotiated rate
21 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$13,813 - $16,557
from 2 insurers · median $15,185
Hospital reports inpatient surgical services to CMS
Mammography
CPT 77067
$152 - $645
from 3 insurers · median $231
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$921 - $5,167
from 3 insurers · median $3,311
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$937 - $4,426
from 3 insurers · median $2,073
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$650 - $1,433
from 3 insurers · median $889
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$401 - $1,182
from 3 insurers · median $650
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$700 - $2,410
from 3 insurers · median $1,490
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$152 - $223
from 3 insurers · median $165
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$4,251
negotiated rate
21 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45378
$1,243 - $3,960
from 3 insurers · median $2,094
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$254 - $677
from 3 insurers · median $415
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$700 - $1,763
from 3 insurers · median $1,091
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$700 - $1,591
from 3 insurers · median $984
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$177 - $417
from 3 insurers · median $294
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$700 - $1,384
from 3 insurers · median $854
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* | 18 | 362% | 11 | 2 |
| Insurer B* | 23 | 267% | 2 | 21 |
| Insurer C* | 22 | 251% | 18 | 4 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 4 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 Monroe Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$30.9M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Holdings Inc
The employer identification numbers (EINs) health plans and networks list for Monroe 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 |
|---|---|---|
| 47-2105584Prime Healthcare Services Monroe LLC | 40Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 35 more | 1740686443 Prime Healthcare Services - Monroe LLC1831123942 Monroe Hospital LLC |
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.
4011 South Monroe Medical Park Boulevard, Bloomington, IN 47424
(812) 825-1111
How Monroe Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
84%
Higher than 89% 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)
0.95
Lower than 57% 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
108 min
Lower than 84% 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
68%
Higher than 55% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 1 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 | 84% | 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) | 0.95 | 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 | 108 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 68% | 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 Monroe Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.68% 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 Monroe Hospital, beside the US median and the average of IN 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 | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.223 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 515 cases | 4.1 | 3.9 | 4.041 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.13 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.479 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 35 cases | 7.9 | 8.5 | 8.628 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 75 cases | 9.4 | 11 | 11.45 | Better than 80% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 174 cases | 15.7 | 15.2 | 15.69 | Worse than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.44 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 654 cases | 0.51 | 0.51 | 0.487 | 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 | 180 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 970 cases | 0.2 | 0.2 | 0.2199 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 970 cases | 0.26 | 0.27 | 0.2682 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 96 cases | 2.26 | 2.29 | 2.221 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 47 cases | 1.67 | 1.63 | 1.718 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 46 cases | 9.01 | 8.88 | 9.677 | No Different Than the National Rate | Worse than 53% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 100 cases | 3.42 | 3.4 | 3.374 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 42 cases | 5.22 | 5.105 | 5.188 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.757 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 54 cases | 1.05 | 1.02 | 1.054 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 3.221 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 87 cases | 26.4 | 1.25 | -4.257 | Worse than 80% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 176 cases | 1.2 | 3.85 | -1.706 | Better than 54% 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 · 88 cases | 12.9 | 12.9 | 12.92 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.527 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 35 cases | 1.1 | 1 | 1.012 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.24 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.8 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 66 cases | 20.2 | 19.8 | 19.64 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 107 cases | 21.4 | 21.3 | 20.96 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.687 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 271 cases | 17.6 | 17.2 | 16.99 | Worse than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.999 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 39 | 1,370 | 3,654 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.025 | 0.9835 | 3.695 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.945 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2611 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.872 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 427 | 1,799 | 3,278 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.221 | 1.377 | 3.981 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.89 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5887 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2335 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.51 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 8 | 61 | 85.67 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.22 | 1.591 | 2.324 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 1.517 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6725 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3586 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 65.5 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.5781 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.5769 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.127 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1776 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.236 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 3,996 | 14,451 | 30,946 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.079 | 0.567 | 1.802 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.157 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5507 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1983 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.886 | 0.747 | 1.34 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 3,996 | 13,646 | 28,686 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.038 | 5.683 | 14.93 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 5.452 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3807 | 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 | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 295 cases | 82 | 73 | 73.32 | Better than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 295 cases | 6 | 8 | 8.475 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 295 cases | 12 | 18 | 18.21 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 92 | 87 | 86.92 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 295 cases | 5 | 4 | 3.539 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 295 cases | 82 | 80 | 79.54 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 94 | 91 | 91.55 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 295 cases | 3 | 4 | 3.673 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 295 cases | 5 | 3 | 3.539 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 295 cases | 15 | 16 | 16.78 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 295 cases | 83 | 79 | 78.89 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 93 | 91 | 90.7 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 295 cases | 3 | 5 | 4.871 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 295 cases | 4 | 3 | 3.079 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 295 cases | 14 | 16 | 16.24 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 295 cases | 61 | 61 | 60.05 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 78 | 77 | 76.1 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 295 cases | 21 | 19 | 20.45 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 295 cases | 3 | 3 | 2.494 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 295 cases | 18 | 19 | 19.5 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 86 | 86 | 86.69 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 295 cases | 15 | 13 | 12.7 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 295 cases | 3 | 3 | 3.573 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 295 cases | 85 | 87 | 87.3 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 295 cases | 20 | 14 | 13.57 | Worse than 84% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 295 cases | 80 | 86 | 86.43 | Worse than 84% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 79 | 74 | 73.26 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 4 | 7 | 6.316 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 17 | 19 | 20.43 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 80 | 77 | 77.15 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 3 | 6 | 5.469 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 17 | 17 | 17.38 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 89 | 85 | 85.09 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 2 | 3 | 3.418 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 9 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 295 cases | 4 | 8 | 7.436 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 295 cases | 17 | 20 | 19.5 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 295 cases | 79 | 72 | 73.07 | Better than 77% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 93 | 88 | 88.67 | Better than 92% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 295 cases | 5 | 3 | 3.539 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 295 cases | 73 | 74 | 73.46 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 295 cases | 13 | 9 | 9.908 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 295 cases | 14 | 16 | 16.63 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 78 | 75 | 74.65 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 3 | 5 | 5.184 | Better than 81% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 295 cases | 19 | 20 | 20.16 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 81 | 77 | 76.87 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 4 | 4 | 4.01 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 295 cases | 15 | 19 | 19.12 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 87 | 86 | 86.3 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 2 | 3 | 2.327 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 295 cases | 11 | 11 | 11.38 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 295 cases | 71 | 59 | 59.53 | Better than 85% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 295 cases | 4 | 9 | 8.455 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 295 cases | 25 | 31 | 32.01 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 90 | 82 | 82.71 | Better than 95% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 295 cases | 5 | 3 | 3.517 | 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 · 295 cases | 3 | 5 | 4.822 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 295 cases | 84 | 71 | 71.47 | Better than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 295 cases | 93 | 87 | 87.91 | Better than 90% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 295 cases | 13 | 23 | 23.71 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 295 cases | 5 | 4 | 3.82 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 295 cases | 49 | 47 | 45.48 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 295 cases | 29 | 30 | 31.64 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 295 cases | 22 | 22 | 22.88 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 295 cases | 4 | 3 | 3.382 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 295 cases | 9 | 12 | 11.77 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 295 cases | 91 | 88 | 88.23 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Monroe Hospital | US median | IN 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 | 6.4 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8718 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.125 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 369 cases | 91 | 79 | 81.09 | Better than 74% 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 · 435 cases | 110 | 154 | 155 | Better than 86% 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 · 404 cases | 108 | 148 | 150 | Better than 84% 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 · 20 cases | 102 | 247 | 240 | Better than 98% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 13 cases | 276 | 293 | 307 | Better than 58% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 17,333 cases | 1 | 1 | 1.5 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.52 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 24 cases | 100 | 97 | 91.79 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 55 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 51.85 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 254 cases | 8 | 15 | 15.17 | Better than 91% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 72 cases | 68 | 65 | 64.84 | Better than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 69.13 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.4 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 72 cases | 78 | 82 | 82.45 | Worse than 64% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 92 | 94 | 92.86 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 26 cases | 100 | 98 | 96.86 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 72.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.11 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,126 cases | 63 | 90 | 89.36 | Worse than 84% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.47 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.4 | 5 | 5.816 | Better than 81% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.7 | 6.6 | 6.045 | Worse than 84% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 1.009 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 13.33 | 20 | 18.11 | Worse than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.333 | 5 | 4.553 | Worse than 64% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 11.25 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 2.839 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 62 | 34 | 37.66 | Better than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.5 | 8.75 | 9.491 | Better than 86% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 43.71 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 10.93 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 38.83 | 29.5 | 27.64 | Better than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 48 | 50 | 40 | 25 | 25 | 13.33 |
| VBP clinical outcomes weighted domain score | 16 | 12.5 | 10 | 8.333 | 8.333 | 3.333 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 50 | 70 | 40 | 50 |
| VBP efficiency and cost reduction weighted domain score | 20 | Not Available | 12.5 | 23.33 | 13.33 | 12.5 |
| VBP person and community engagement domain score | 57 | Not Available | Not Available | 23 | 28 | 62 |
| VBP person and community engagement weighted domain score | 19 | Not Available | Not Available | 7.667 | 9.333 | 15.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 30 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 7.5 |
| VBP total performance score | 55 | Not Available | Not Available | 39.33 | 31 | 38.83 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9945 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.004 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9734 | 0.9969 | 1.004 | Better than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 79 cases | 0.9778 | 0.9983 | 1.001 | Better than 64% 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 · 127 cases | 0.9826 | 0.9955 | 0.993 | Better than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9846 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9794 | N/A | N/A | N/A | N/A | 0.9734 |
| READM-30-HF-HRRP | 1.057 | 1.048 | 1.055 | 1.01 | 1.018 | 0.9778 |
| READM-30-HIP-KNEE-HRRP | 0.9711 | 0.9718 | 1.049 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.027 | 0.9936 | 0.998 | 0.947 | 0.9559 | 0.9826 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Monroe Hospital | US median | IN average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5461 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.386 | 0.346 | 0.4008 | Worse than 56% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5853 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5928 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9473 | 0.9628 | 0.9572 | Better than 57% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9162 | |||
| Total HAC scoreFY 2026 | -0.1275 | -0.0453 | -0.151 | Better than 56% 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 | -1.091 | -0.7904 | 0 | -0.946 | -1.007 | -0.1275 |
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 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
32
Medicare-certified beds
45
Registered nurses (full-time equivalent)
2015
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Monroe Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
1,109
Inpatient discharges
Medicare 34%, Medicaid 3%
3,523
Inpatient days
30% of available bed days used
190
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837722). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Monroe Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,180 | 90 | 2,253 | 3,523 |
| Discharges | 379 | 34 | 696 | 1,109 |
| Average length of stay | 3.1 days | 2.6 days | 3.2 days | 3.2 days |
| Average daily census | 3.2 | 0.2 | 6.2 | 9.7 |
877
Medicare Advantage days
249 discharges
326
Medicaid managed care days
104 discharges
499
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 24 | 3,036 | 1,064 | 35% |
| Intensive care unit | 8 | 487 | 116 | 17% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Monroe Hospital treats Medicare patients for most often, in 2024. 201 Medicare discharges in 7 published DRGs; 0% surgical; 93% 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 | 61 | $36,339 | $11,687 | $14,390 | 1.98 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 44 | $26,487 | $10,269 | $10,489 | 1.70 |
| Heart failure and shock with MCCMS-DRG 291, medical | 33 | $24,090 | $8,539 | $9,540 | 1.28 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $20,509 | $7,346 | $8,121 | 1.17 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $28,976 | $7,513 | $11,474 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $26,578 | $7,743 | $10,525 | 1.23 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $18,153 | $8,652 | $7,188 | 1.32 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Monroe Hospital billed Medicare for most in 2024: 71 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 19 | $15,006 | $2,298 | $2,373 |
| Comprehensive Observation ServicesAPC 8011 | 21 | 21 | $20,250 | $1,944 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 18 | 17 | $9,901 | $1,151 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $18,160 | $2,264 | $2,405 |
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 Monroe 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 471 in 2020 to 542 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 47403 | 166 | 31% | 578 | $4.5M | 15% | 13% |
| 47401 | 100 | 18% | 317 | $2.6M | 8% | 9% |
| 47404 | 64 | 12% | 223 | $1.8M | 10% | 9% |
| 47460 | 46 | 8% | 156 | $1.2M | 9% | 8% |
| 47408 | 37 | 7% | 111 | $1M | 7% | 9% |
| 47429 | 34 | 6% | 102 | $999,033 | 10% | 10% |
| 47421 | 32 | 6% | 86 | $968,882 | 2% | 3% |
| 47424 | 28 | 5% | 90 | $1M | 8% | 9% |
| 47459 | 20 | 4% | 63 | $768,803 | 14% | 12% |
| 47462 | 15 | 3% | 45 | $375,353 | 9% | 13% |
Source: CMS Hospital Service Area file. Shares are of the 542 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 Monroe Hospital reported at its latest Medicare certification survey (2015). Counts are people, not full-time equivalents.
5
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
45
Registered nurses
1
Physicians
1
Nurse anesthetists (CRNAs)
3
Pharmacists
4
Respiratory therapists
2
Physical therapists
6
Radiology technicians
1
Nuclear medicine technicians
6
Laboratory technicians
5
Medical technologists
1
Dietitians
143
Other personnel
Source: CMS Provider of Services file.
81 clinicians who bill Medicare list Monroe 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.
Winston Irving, MD
Diagnostic Radiology Physician
NPI 1770739260
See commercial rates for Winston Irving, MDWarren Chang, M.D.
Ophthalmology Physician
NPI 1902888662
See commercial rates for Warren Chang, M.D.Andrew Huck, MD, MS
Ophthalmology Physician
NPI 1346770005
See commercial rates for Andrew Huck, MD, MSVenkat Pasnoori, MD
Interventional Cardiology Physician
NPI 1740236710
See commercial rates for Venkat Pasnoori, MDJennifer Petersen-Goldspiel, M.D.
Cardiovascular Disease Physician
NPI 1104821974
See commercial rates for Jennifer Petersen-Goldspiel, M.D.Theresa Woodard, NP
Family Nurse Practitioner
NPI 1528342730
See commercial rates for Theresa Woodard, NPMichael Porvaznik, MD
Family Medicine Physician
NPI 1689679482
See commercial rates for Michael Porvaznik, MDAlex Meyers, M.D.
Surgery of the Hand (Surgery) Physician
NPI 1710190319
See commercial rates for Alex Meyers, M.D.Liang Miller
Family Nurse Practitioner
NPI 1396316550
See commercial rates for Liang MillerAndrew Ferguson, M.D.
Interventional Cardiology Physician
NPI 1780796417
See commercial rates for Andrew Ferguson, M.D.Brian Moore, M.D.
Specialist
NPI 1871554527
See commercial rates for Brian Moore, M.D.Charles Rose, MD
Internal Medicine Physician
NPI 1477544153
See commercial rates for Charles Rose, MDMarta Heshelman
Family Nurse Practitioner
NPI 1730540592
See commercial rates for Marta HeshelmanMelissa Hullinger, M.D
Family Medicine Physician
NPI 1982609897
See commercial rates for Melissa Hullinger, M.DBradford Bomba, MD
Internal Medicine Physician
NPI 1265437057
See commercial rates for Bradford Bomba, MDGene Devane, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1518198639
See commercial rates for Gene Devane, D.P.M.Shanna Klun, RN, BSN, NP-C
Nurse Practitioner
NPI 1063068567
See commercial rates for Shanna Klun, RN, BSN, NP-CJerry Headdy, MD
Family Medicine Physician
NPI 1689679664
See commercial rates for Jerry Headdy, MDWilliam Rusche, M.D.
Rheumatology Physician
NPI 1134202880
See commercial rates for William Rusche, M.D.Emily Palomaki, MD
Internal Medicine Physician
NPI 1033615745
See commercial rates for Emily Palomaki, MDRebecca Cohen, M.D.
Internal Medicine Physician
NPI 1689695025
See commercial rates for Rebecca Cohen, M.D.Barbara Diane Wells, MD
Geriatric Medicine (Internal Medicine) Physician
NPI 1073571600
See commercial rates for Barbara Diane Wells, MDRicardo Vasquez, MD
Vascular Surgery Physician
NPI 1689622573
See commercial rates for Ricardo Vasquez, MDRaluca Vucescu, M.D.
Internal Medicine Physician
NPI 1487836409
See commercial rates for Raluca Vucescu, 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 Monroe 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) | $140.3M | 454.0% |
| Inpatient | $30.9M | 100.0% |
| Outpatient | $109.4M | 354.0% |
| Contractual allowances and discounts | -$109.4M | -354.0% |
| Net patient revenue | $30.9M | 100.0% |
| Operating expenses | -$42.7M | -138.3% |
| Operating income from patient care | -$11.8M | -38.3% |
| Other income | $640,716 | 2.1% |
| Contributions and donations | $238,207 | 0.8% |
| Other | $402,509 | 1.3% |
| Net income | -$11.2M | -36.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $24.9M | 17.8% |
| Other payers and self-pay | $115.3M | 82.2% |
| Total charges | $140.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, 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 Monroe Hospital's latest cost report.
-38.3%
Operating margin
Operating income from patient care / net patient revenue
-35.5%
Total margin
Net income / net patient revenue plus other income
-15.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.71
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-75.5%
Return on assets
Net income for a year / total assets
0.09
Current ratio
Current assets / current liabilities
0.07
Quick ratio
Cash, temporary investments and net receivables / current liabilities
6 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
58 days
Days in patient receivables
Net patient receivables / daily net patient revenue
736 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.13
Asset turnover
Total revenue for a year / total assets
6.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Monroe Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $14.8M in total assets and a -$91.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $626,534 | 4.2% |
| Patient receivables, net | $4.9M | 33.2% |
| Inventory | $1M | 7.0% |
| Total current assets | $6.9M | 46.5% |
| Property and equipment, net of depreciation | $7.8M | 52.7% |
| Investments and other assets | $128,000 | 0.9% |
| Total assets | $14.8M | 100.0% |
| Current liabilities | $74.7M | 505.1% |
| Total liabilities | $106.2M | 717.7% |
| Fund balance (net assets) | -$91.4M | -617.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Monroe Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$144,303
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2M
Bad debt
Patient bills written off as uncollectible, at charges
$734,161
Total unreimbursed and uncompensated care
1.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Monroe 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 | $22M | $27.4M | $30.8M | $31.4M | $33.5M | $30.9M |
| Operating expenses | $32.6M | $34.4M | $52.2M | $42.2M | $41.4M | $42.7M |
| Operating margin | -47.9% | -25.5% | -69.7% | -34.2% | -23.7% | -38.3% |
| Net income | -$6M | -$5M | -$21.3M | -$10.6M | -$7.8M | -$11.2M |
| Total assets | $15M | $21.3M | $38.1M | $26.3M | $23.5M | $14.8M |
| Discharges | 900 | 952 | 1,070 | 1,382 | 1,334 | 1,109 |
| Inpatient days | 3,565 | 3,777 | 3,673 | 4,546 | 4,381 | 3,523 |
| Medicare Advantage days | 557 | 660 | 882 | 1,316 | 1,445 | 877 |
| Beds | 32 | 32 | 32 | 32 | 32 | 32 |
| Employees (FTE) | 158 | 145 | 149 | 168 | 193 | 190 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Monroe 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 | $1.8M | $6.7M | $37.2M | 0.18 | 7,237 |
| Operating room | $1.7M | $6.6M | $11.2M | 0.59 | 10,034 |
| Radiology-diagnostic | $1.2M | $5.2M | $36.2M | 0.14 | 8,095 |
| Laboratory | $987,172 | $2.8M | $19.9M | 0.14 | 2,431 |
| Drugs charged to patients | $2.6M | $3.8M | 0.68 | ||
| Medical supplies charged to patient | $2.5M | $6M | 0.42 | ||
| Op wound care | $315,210 | $2M | $3M | 0.65 | 4,600 |
| Respiratory therapy | $582,496 | $1.4M | $4.7M | 0.29 | 607 |
| Observation beds (non-distinct part | $945,216 | $2.2M | 0.42 | ||
| Impl. dev. charged to patients | $686,768 | $2.7M | 0.26 | ||
| Physical therapy | $170,338 | $370,398 | $714,602 | 0.52 | |
| Electrocardiology | $143,463 | $318,343 | $3.4M | 0.09 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.4M | $6.7M | $6.8M | 0.99 | 7,527 |
| Intensive care unit | $708,959 | $3.2M | $2.5M | 1.28 | 4,903 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.7M | $11.8M | 65,546 | $41.49 | 18,972 |
| Cap rel costs-bldg & fixt | $6.1M | 77,616 | |||
| Operation of plant | $387,691 | $1.6M | 14,761 | $26.26 | 3,049 |
| Nursing administration | $809,701 | $1.2M | 15,895 | $50.94 | 1,200 |
| Housekeeping | $483,357 | $903,609 | 27,247 | $17.74 | |
| Pharmacy | $547,595 | $877,623 | 12,580 | $43.53 | 741 |
| Employee benefits department | $216,796 | $852,111 | 5,880 | $36.87 | 75 |
| Cap rel costs-mvble equip | $824,428 | ||||
| Maintenance & repairs | $662,728 | ||||
| Medical records & library | $134,820 | $585,589 | 6,092 | $22.13 | 225 |
| Cafeteria | $362,230 | 10,280 | $21.07 | ||
| Dietary | $369,134 | $306,259 | 7,239 | $21.07 | 4,632 |
| Central services & supply | $99,050 | $134,164 | 3,632 | $27.27 | 2,732 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837722, 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 Monroe Hospital for an inpatient stay.
1.39
Case mix index
Higher than 16% 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).
17.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
408
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 | 1.72 | 1.72 | 1.74 | 1.58 | 1.40 | 1.41 | 1.39 |
| Wage index | 0.928 | 0.941 | 0.938 | 0.918 | 1.079 | 1.059 | 1.038 |
| Readmissions adjustment | -0.12% | -0.61% | -0.30% | -0.52% | -0.07% | -0.09% | 0.00% |
| Value-based purchasing adjustment | +1.50% | +1.53% | +1.53% | +0.33% | +1.73% | +0.77% | +0.68% |
| Medicare inpatient stays | 599 | 599 | 427 | 404 | 531 | 428 | 408 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Monroe Hospital reports to Medicare as owners or with operational control.
Prime Healthcare Holdings Inc
5% or greater indirect ownership interest, 100%, since 2015
Prime Healthcare Services, Inc
5% or greater indirect ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Monroe 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 3 of 6 are shown.
About Monroe Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monroe Hospital range from $700 to $2,410 across 3 insurers. Aetna's rate is $700. The median at nearby comparable hospitals is $680. 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 Monroe Hospital range from $650 to $1,351 across 3 insurers. UnitedHealthcare's rate is $1,351. The median at nearby comparable hospitals is $823. 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 Monroe Hospital range from $1,235 to $4,426 across 3 insurers. Aetna's rate is $4,426. The median at nearby comparable hospitals is $2,978. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monroe Hospital range from $152 to $645 across 3 insurers. Aetna's rate is $645. The median at nearby comparable hospitals is $193. 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 Monroe Hospital range from $26,335 to $27,133 across 2 insurers. Blue Cross Blue Shield's rate is $27,133. The median at nearby comparable hospitals is $28,049. What a patient pays depends on their plan's deductible, coinsurance and network status.
Monroe 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 Monroe Hospital for fiscal year 2027.
No. Monroe Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (61 discharges), respiratory infections and inflammations with mcc (44 discharges), heart failure and shock with mcc (33 discharges).
Monroe Hospital's Medicare case mix index is 1.39 for fiscal year 2027, higher than 16% of hospitals paid under the inpatient prospective payment system.
Monroe Hospital reported 1,109 inpatient discharges and 3,523 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Monroe Hospital reported 190 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Monroe Hospital reported $30.9M in net patient revenue on $140.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -38.3%, and net income of -$11.2M.
Monroe Hospital reported $734,161 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $144,303 of charity care at cost.
Monroe Hospital's Medicare enrollment lists Luis Leon as Chief Executive Officer since 2023.
Insurers' price transparency files list Monroe Hospital under employer identification number 47-2105584 (Prime Healthcare Services Monroe LLC). 40 health plans and networks list 47-2105584 for it.
81 clinicians who bill Medicare list Monroe Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (12), internal medicine physician (12), family medicine physician (10).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Monroe Hospital, effective 2025.
In its Medicare enrollment, Monroe Hospital reports Prime Healthcare Holdings Inc as 5% or greater indirect ownership interest (100%).
CMS lists 21 services at Monroe Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Monroe Hospital came from ZIP codes 47403 (166), 47401 (100), 47404 (64).
Monroe Hospital has 32 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Monroe Hospital is located at 4011 South Monroe Medical Park Boulevard, Bloomington, IN 47424. Its main phone number is (812) 825-1111.
Monroe Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 150183.
The National Provider Identifier (NPI) on file for Monroe Hospital is 1740686443.
Monroe Hospital is affiliated with Prime Healthcare Services.
Monroe Hospital lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
129 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