Nathan Littauer Hospital Association · Gloversville, NY
2 of 5
CMS star rating
141
Beds
2,009
Inpatient discharges a year
$125.3M
Net patient revenue a year
11
In-network payers
Nathan Littauer Hospital & Nursing H is a 141-bed voluntary non-profit - private hospital in Gloversville, NY, affiliated with Nathan Littauer Hospital Association. Below you'll find publicly disclosed negotiated rates and facility details, including 11 in-network payers and 159 disclosed rate categories.
The 24 services Nathan Littauer Hospital & Nursing H 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
$12,226
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$16,768
negotiated rate
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 66984
$3,911 - $6,452
from 2 insurers · median $5,181
167 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 43239
$4,024 - $5,567
from 2 insurers · median $4,796
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$244 - $4,164
from 2 insurers · median $2,204
Common here, based on CMS Medicare volume
Urology
CPT 52000
$4,024 - $5,177
from 2 insurers · median $4,601
80 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$4,188 - $5,567
from 2 insurers · median $4,878
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$4,024 - $5,567
from 2 insurers · median $4,796
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,301 - $5,567
from 2 insurers · median $4,934
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$166 - $637
from 2 insurers · median $402
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,791 - $12,783
from 2 insurers · median $11,787
Typical for a hospital with this service line
MRI imaging
CPT 70551
$244 - $2,975
from 3 insurers · median $2,873
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,078 - $10,791
from 2 insurers · median $8,934
25 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$12,226
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$123 - $4,354
from 3 insurers · median $356
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,791 - $12,088
from 2 insurers · median $11,440
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$50,111
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 55700
$3,911 - $5,147
from 2 insurers · median $4,529
30 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$48,122
negotiated rate
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58661
$10,791 - $12,028
from 2 insurers · median $11,410
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,323 - $3,341
from 2 insurers · median $2,332
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,289 - $5,567
from 2 insurers · median $4,928
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$415 - $3,832
from 3 insurers · median $2,871
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$10,791 - $12,058
from 2 insurers · median $11,425
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 6 | 948% | 5 | 0 |
| Insurer B* | 16 | 271% | 11 | 4 |
| Insurer C* | 24 | 230% | 16 | 1 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 10 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 Nathan Littauer Hospital & Nursing H, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by DNV
Finances
$125.3M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Nathan Littauer Hospital & Nursing H 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 |
|---|---|---|
| 14-1338465Nathan Littauer Hospital Association | 26United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ameri Health, Asuris Northwest Health, Avera Health Plans, BCBS and 21 more | 1770671448 Nathan Littauer Hospital Association1336145168 Nathan Littauer Hospital Association1073541850 Nathan Littauer Hospital Associationand 2 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
99 East State Street, Gloversville, NY 12078
(518) 725-8621
How Nathan Littauer Hospital & Nursing H compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% 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 2 of 6 measures
2 better, 4 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
55%
Lower than 94% 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)
1.28
Higher than 93% 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
169 min
Higher than 64% 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 | 2 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 2 of 6 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 | 55% | 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) | 1.28 | 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 | 169 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 Nathan Littauer Hospital & Nursing H's inpatient payments for its readmissions, quality and cost results.
-0.10% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.36% 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 Nathan Littauer Hospital & Nursing H, beside the US median and the average of NY 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 | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 3.952 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 617 cases | 4.8 | 3.9 | 3.707 | Worse than 85% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.31 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 48 cases | 9.9 | 8.5 | 8.316 | Worse than 83% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 52 cases | 12.3 | 11 | 10.43 | Worse than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 111 cases | 17.9 | 15.2 | 14.6 | Worse than 85% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 33 cases | 13.4 | 11.6 | 11.03 | Worse than 76% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 668 cases | 1.56 | 0.51 | 0.9123 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 976 cases | 0.2 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 964 cases | 0.31 | 0.27 | 0.2858 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 80 cases | 2.63 | 2.29 | 2.43 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.674 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.324 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 82 cases | 3.86 | 3.4 | 3.686 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.465 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.729 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 92 cases | 1.03 | 1.02 | 1.053 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 53 cases | -30.3 | 1.25 | 26.25 | Better than 88% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 111 cases | -21.6 | 3.85 | 27.98 | Better than 83% 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 · 342 cases | 12.8 | 12.9 | 12.82 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.026 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 69 cases | 0.9 | 1 | 0.9336 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.47 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 133 cases | 19.8 | 19.8 | 20.27 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 113 cases | 21.5 | 21.3 | 21.89 | Worse than 55% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.589 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 212 cases | 16 | 17.2 | 17.78 | Better than 92% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2612 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.692 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 812 | 1,370 | 8,161 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.512 | 0.9835 | 8.553 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.683 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5488 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1924 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.826 | 1.392 | 1.442 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,092 | 1,799 | 8,098 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.06 | 1.377 | 10.38 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.583 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.4307 | 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 | 0.2752 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.411 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 17 | 61 | 149 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.425 | 1.591 | 3.939 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.941 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7341 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4218 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.517 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 38 | 90.43 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.066 | 0.328 | 0.7508 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.708 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2613 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.903 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 8,859 | 14,451 | 80,977 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.252 | 0.567 | 5.587 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.796 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6195 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.016 | 0.127 | 0.1972 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.577 | 0.747 | 0.8371 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,242 | 13,646 | 73,951 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.128 | 5.683 | 38.28 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 12.57 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.32 | 0.279 | 0.3563 | No Different than National Benchmark | Worse than 56% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 255 cases | 70 | 73 | 68.99 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 255 cases | 9 | 8 | 10.19 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 255 cases | 21 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 86 | 87 | 84.97 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 4 | 3.044 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 255 cases | 78 | 80 | 76.99 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 91 | 91 | 89.97 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 255 cases | 4 | 4 | 5.71 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 3 | 2.889 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 255 cases | 18 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 255 cases | 67 | 79 | 76.68 | Worse than 98% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 85 | 91 | 89.46 | Worse than 97% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 255 cases | 10 | 5 | 6.31 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 255 cases | 2 | 3 | 2.674 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 255 cases | 23 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 255 cases | 55 | 61 | 58.86 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 73 | 77 | 74.78 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 255 cases | 23 | 19 | 21.9 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 255 cases | 2 | 3 | 2.274 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 255 cases | 22 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 86 | 86 | 83.85 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 255 cases | 14 | 13 | 15.46 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 255 cases | 86 | 87 | 84.54 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 255 cases | 14 | 14 | 16.81 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 255 cases | 86 | 86 | 83.19 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 63 | 74 | 71.59 | Worse than 97% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 12 | 7 | 8.014 | Worse than 94% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 25 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 65 | 77 | 74.66 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 9 | 6 | 6.893 | Worse than 86% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 26 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 74 | 85 | 82.9 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 8 | 3 | 4.479 | Worse than 96% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 18 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 255 cases | 9 | 8 | 10.63 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 255 cases | 30 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 255 cases | 61 | 72 | 65.78 | Worse than 87% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 86 | 88 | 85.79 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 3 | 2.815 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 255 cases | 68 | 74 | 72.21 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 255 cases | 12 | 9 | 11.03 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 255 cases | 20 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 71 | 75 | 72.71 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 5 | 5 | 7.086 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 255 cases | 24 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 76 | 77 | 73.59 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 3 | 4 | 6.164 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 255 cases | 21 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 87 | 86 | 83.55 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 2 | 3 | 4 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 255 cases | 11 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 255 cases | 50 | 59 | 49.08 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 255 cases | 13 | 9 | 16.57 | Worse than 71% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 255 cases | 37 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 78 | 82 | 75.47 | Worse than 72% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 3 | 2.296 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 255 cases | 7 | 5 | 7.297 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 255 cases | 55 | 71 | 66.23 | Worse than 94% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 255 cases | 82 | 87 | 84.56 | Worse than 85% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 255 cases | 38 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 255 cases | 2 | 4 | 3.096 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 255 cases | 43 | 47 | 44.58 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 255 cases | 34 | 30 | 33.46 | Worse than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 255 cases | 23 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 255 cases | 3 | 3 | 2.8 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 255 cases | 13 | 12 | 14.29 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 255 cases | 87 | 88 | 85.71 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 2,425 cases | 16 | 8 | 7.9 | Worse than 95% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 475 cases | 0 | 1 | 1.158 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,304 cases | 64 | 79 | 69.3 | Worse than 72% 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 · 395 cases | 178 | 154 | 206 | Worse than 65% 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 · 367 cases | 169 | 148 | 200 | Worse than 64% 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 | 326 | |||
| 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 · 22 cases | 372 | 293 | 350 | Worse than 77% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 22,244 cases | 2 | 1 | 2.294 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 38 | 74 | 67.28 | Worse than 93% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 84 cases | 100 | 97 | 92.28 | 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 | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.05 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 485 cases | 18 | 15 | 13.94 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 107 cases | 71 | 65 | 58.55 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 50 | 73 | 70.43 | Worse than 89% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.41 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 107 cases | 85 | 82 | 77.52 | Better than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 59 cases | 100 | 94 | 86.12 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.71 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.87 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 85.23 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.43 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.9 | 5 | 5.231 | Better than 63% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8 | 6.6 | 23.75 | Worse than 66% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.85 | 0.99 | 0.9974 | Better than 95% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 30.89 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.74 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 90 | 10 | 20.53 | Better than 96% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 22.5 | 2.5 | 5.155 | Better than 95% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 40 | 34 | 27.68 | Better than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10 | 8.75 | 6.965 | Better than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 65 | 40 | 38.92 | Better than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 16.25 | 10 | 9.798 | Better than 84% of US hospitals | |
| VBP total performance scoreFY 2026 | 48.75 | 29.5 | 29.44 | Better than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42.5 | 42.5 | 23.33 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 14.17 | 10.63 | 5.833 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 30 | 80 | 90 |
| VBP efficiency and cost reduction weighted domain score | 20 | Not Available | 7.5 | 26.67 | 22.5 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 11 | 40 |
| VBP person and community engagement weighted domain score | 6.667 | Not Available | Not Available | 3.667 | 10 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 65 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 16.25 |
| VBP total performance score | 40.83 | Not Available | Not Available | 30.33 | 48.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.001 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 47 cases | 1.047 | 0.9969 | 1.014 | Worse than 84% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9694 | 0.9983 | 1.015 | Better than 70% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9473 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 107 cases | 0.9523 | 0.9955 | 1.019 | Better than 79% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.968 | 0.9562 | 0.9591 | 1.006 | 1.021 | 1.047 |
| READM-30-HF-HRRP | 0.9842 | 0.9548 | 0.9363 | 0.9543 | 0.9573 | 0.9694 |
| READM-30-HIP-KNEE-HRRP | 0.969 | 1.004 | 1.064 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.055 | 1.067 | 1.042 | 0.924 | 0.9424 | 0.9523 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.5606 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.4123 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6757 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8339 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.279 | 0.9628 | 1.099 | Worse than 93% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.793 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.5516 | -0.0453 | 0.1475 | Better than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | Yes | No | No |
| Total HAC score | 0.1363 | 0.9158 | 0 | 1.126 | -0.0754 | -0.5516 |
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 2018)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
74
Medicare-certified beds
108
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Nathan Littauer Hospital & Nursing H reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,009
Inpatient discharges
Medicare 24%, Medicaid 3%
8,653
Inpatient days
42% of available bed days used
730
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838125). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Nathan Littauer Hospital & Nursing H reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,105 | 373 | 6,175 | 8,653 |
| Discharges | 486 | 70 | 1,453 | 2,009 |
| Average length of stay | 4.3 days | 5.3 days | 4.2 days | 4.3 days |
| Average daily census | 5.8 | 1.0 | 16.9 | 23.7 |
3,224
Medicare Advantage days
486 discharges
1,322
Medicaid managed care days
435 discharges
1,941
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 49 | 6,395 | 1,609 | 36% |
| Intensive care unit | 8 | 1,678 | 496 | 57% |
| Nursery | 580 | |||
| Skilled nursing facility | 84 | 21,355 | 1,528 | 70% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Nathan Littauer Hospital & Nursing H treats Medicare patients for most often, in 2024. 216 Medicare discharges in 9 published DRGs; 0% surgical; 81% 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 | 74 | $38,781 | $15,753 | $12,837 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 24 | $29,170 | $10,318 | $9,655 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $27,326 | $9,244 | $9,045 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $38,991 | $13,189 | $12,906 | 1.70 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $32,840 | $13,406 | $10,870 | 1.65 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $27,630 | $7,607 | $9,146 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 15 | $26,978 | $9,968 | $8,930 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $23,080 | $6,381 | $7,640 | 0.82 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $33,612 | $8,749 | $11,125 | 1.17 |
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) Nathan Littauer Hospital & Nursing H billed Medicare for most in 2024: 465 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 167 | 102 | $7,181 | $1,944 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 115 | 99 | $21,915 | $2,230 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 80 | 72 | $5,137 | $564 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 30 | 28 | $8,633 | $1,721 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 25 | 20 | $10,712 | $2,944 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 22 | 22 | $4,832 | $1,305 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 15 | 15 | $17,227 | $4,371 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $9,036 | $1,470 | $1,445 |
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 Nathan Littauer Hospital & Nursing H 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 961 in 2020 to 1,075 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 12078 | 619 | 58% | 2,761 | $23.2M | 40% | 39% |
| 12095 | 204 | 19% | 869 | $7.1M | 32% | 27% |
| 12117 | 54 | 5% | 242 | $1.9M | 36% | 42% |
| 12134 | 47 | 4% | 194 | $1.7M | 24% | 31% |
| 12010 | 44 | 4% | 229 | $1.8M | 2% | 2% |
| 12025 | 31 | 3% | 133 | $1.1M | 12% | 10% |
| 13452 | 22 | 2% | 87 | $757,049 | 9% | |
| 12068 | 17 | 2% | 81 | $666,447 | 13% | 9% |
| 12032 | 14 | 1% | 52 | $450,513 | 52% | |
| 13470 | 12 | 1% | 60 | $522,917 | 100% | |
| 12070 | 11 | 1% | 44 | $382,509 | 20% |
Source: CMS Hospital Service Area file. Shares are of the 1,075 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 Nathan Littauer Hospital & Nursing H reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
5
Operating rooms
4
Endoscopy rooms
13
Off-site locations
108
Registered nurses
44
Licensed practical nurses
34
Physicians
17
Nurse practitioners
29
Physician assistants
6
Nurse anesthetists (CRNAs)
7
Pharmacists
14
Respiratory therapists
6
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
27
Radiology technicians
1
Nuclear medicine technicians
24
Laboratory technicians
24
Medical technologists
4
Social workers
576
Other personnel
Source: CMS Provider of Services file.
276 clinicians who bill Medicare list Nathan Littauer Hospital & Nursing H 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.
Muhammad Tai, M.D.
Medical Oncology Physician
NPI 1134116262
See commercial rates for Muhammad Tai, M.D.Inder Lal, MD
Hematology & Oncology Physician
NPI 1124227889
See commercial rates for Inder Lal, MDMartin Ferrillo, DO
Interventional Pain Medicine Physician
NPI 1598725673
See commercial rates for Martin Ferrillo, DOKaren Tedesco, M.D.
Hematology & Oncology Physician
NPI 1083601124
See commercial rates for Karen Tedesco, M.D.Faisal Chaudhary, M.D.
Rheumatology Physician
NPI 1194986257
See commercial rates for Faisal Chaudhary, M.D.Ian Monast, DO
Diagnostic Radiology Physician
NPI 1780033241
See commercial rates for Ian Monast, DODamon Deteso, MD
Diagnostic Radiology Physician
NPI 1124018221
See commercial rates for Damon Deteso, MDMaria Arsyl De Jesus, M.D.
Radiation Oncology Physician
NPI 1285662049
See commercial rates for Maria Arsyl De Jesus, M.D.Timothy Shepard, MD
Diagnostic Radiology Physician
NPI 1700082740
See commercial rates for Timothy Shepard, MDDavid Strauss, MD
Diagnostic Radiology Physician
NPI 1598893117
See commercial rates for David Strauss, MDAngelique Olszowka, MD
Diagnostic Radiology Physician
NPI 1861484651
See commercial rates for Angelique Olszowka, MDBarry Goldberg, MD
Diagnostic Radiology Physician
NPI 1871583989
See commercial rates for Barry Goldberg, MDStephen Zink, MD
Diagnostic Radiology Physician
NPI 1295937472
See commercial rates for Stephen Zink, MDGeorge Soryal, M.D.
Nephrology Physician
NPI 1134356512
See commercial rates for George Soryal, M.D.Ayman Morgan, MD
Nephrology Physician
NPI 1053336255
See commercial rates for Ayman Morgan, MDJohn Mastrangelo, M.D.
Diagnostic Radiology Physician
NPI 1790986230
See commercial rates for John Mastrangelo, M.D.Jared Nesbitt, MD
Diagnostic Radiology Physician
NPI 1932533700
See commercial rates for Jared Nesbitt, MDAdam Snider, D.O.
Cardiovascular Disease Physician
NPI 1316955123
See commercial rates for Adam Snider, D.O.Kevin Lau, MD
Diagnostic Radiology Physician
NPI 1336130384
See commercial rates for Kevin Lau, MDStefan Rau, M.D.
Diagnostic Radiology Physician
NPI 1275770950
See commercial rates for Stefan Rau, M.D.Patrick Parisi, M.D.
Cardiovascular Disease Physician
NPI 1649286170
See commercial rates for Patrick Parisi, M.D.Alexander Garger, M.D.
Diagnostic Radiology Physician
NPI 1376730325
See commercial rates for Alexander Garger, M.D.George Silver, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1730129123
See commercial rates for George Silver, MDManish Mehta, MD
Vascular Surgery Physician
NPI 1376534602
See commercial rates for Manish Mehta, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Nathan Littauer Hospital & Nursing H reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $428.7M | 342.2% |
| Inpatient | $82M | 65.4% |
| Outpatient | $346.7M | 276.8% |
| Contractual allowances and discounts | -$303.4M | -242.2% |
| Net patient revenue | $125.3M | 100.0% |
| Operating expenses | -$141.5M | -112.9% |
| Operating income from patient care | -$16.2M | -12.9% |
| Other income | $15.9M | 12.7% |
| Contributions and donations | $4M | 3.2% |
| Investment income | $984,008 | 0.8% |
| Government appropriations | $494,050 | 0.4% |
| Other | $10.4M | 8.3% |
| Net income | -$281,362 | -0.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $40.9M | 10.0% |
| Medicaid (including managed care) | $86.7M | 21.2% |
| Other payers and self-pay | $281.4M | 68.8% |
| Total charges | $409.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, 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 Nathan Littauer Hospital & Nursing H's latest cost report.
-12.9%
Operating margin
Operating income from patient care / net patient revenue
-0.2%
Total margin
Net income / net patient revenue plus other income
1.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
63% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.36
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-0.3%
Return on assets
Net income for a year / total assets
-0.4%
Return on equity
Net income for a year / fund balance
0.06
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.85
Current ratio
Current assets / current liabilities
1.72
Quick ratio
Cash, temporary investments and net receivables / current liabilities
65 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
35 days
Days in patient receivables
Net patient receivables / daily net patient revenue
56 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.39
Asset turnover
Total revenue for a year / total assets
37.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Nathan Littauer Hospital & Nursing H owned and owed at the end of its reporting period (Dec 2025), across all fund types: $101.5M in total assets and a $67.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $24.7M | 24.3% |
| Patient receivables, net | $12.1M | 11.9% |
| Inventory | $664,161 | 0.7% |
| Total current assets | $39.8M | 39.2% |
| Property and equipment, net of depreciation | $31.4M | 31.0% |
| Investments and other assets | $30.3M | 29.8% |
| Total assets | $101.5M | 100.0% |
| Current liabilities | $21.4M | 21.1% |
| Long-term debt | $4.3M | 4.2% |
| Total liabilities | $34.3M | 33.8% |
| Fund balance (net assets) | $67.2M | 66.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Nathan Littauer Hospital & Nursing H provided without full payment, as reported on Worksheet S-10 of its cost report.
$692,436
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.4M
Bad debt
Patient bills written off as uncollectible, at charges
$8.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10.2M
Total unreimbursed and uncompensated care
7.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$494,050
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Nathan Littauer Hospital & Nursing H'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 | $92.9M | $101.7M | $104.5M | $106.2M | $112.1M | $125.3M |
| Operating expenses | $109.3M | $118.2M | $127.1M | $131.4M | $134.3M | $141.5M |
| Operating margin | -17.7% | -16.3% | -21.6% | -23.8% | -19.8% | -12.9% |
| Net income | $6M | -$922,039 | -$26.2M | -$10.7M | -$11.3M | -$281,362 |
| Total assets | $137.4M | $142M | $116.6M | $111.8M | $104.5M | $101.5M |
| Discharges | 1,960 | 2,126 | 2,269 | 2,080 | 2,026 | 2,009 |
| Inpatient days | 7,875 | 8,862 | 9,598 | 8,796 | 8,123 | 8,653 |
| Medicare Advantage days | 2,365 | 2,875 | 3,190 | 3,218 | 4,384 | 3,224 |
| Beds | 142 | 142 | 141 | 141 | 141 | 141 |
| Employees (FTE) | 696 | 703 | 696 | 710 | 709 | 730 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Nathan Littauer Hospital & Nursing H 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 |
|---|---|---|---|---|---|
| Clinic | $30.6M | $37M | $26.5M | 1.39 | 11,078 |
| Operating room | $3.7M | $9.6M | $40.4M | 0.24 | 15,244 |
| Laboratory | $2.7M | $9.4M | $123.7M | 0.08 | 5,207 |
| Emergency | $3.1M | $8.1M | $28.5M | 0.28 | 8,827 |
| Radiology-diagnostic | $2.1M | $5.8M | $42.3M | 0.14 | 9,629 |
| Medical supplies charged to patient | $3.3M | $4.5M | 0.73 | ||
| Drugs charged to patients | $3.1M | $8M | 0.38 | ||
| Observation beds (non-distinct part | $2.9M | $7.1M | 0.41 | ||
| Ct scan | $490,054 | $2.5M | $56M | 0.04 | 752 |
| Impl. dev. charged to patients | $2.3M | $4.6M | 0.51 | ||
| Respiratory therapy | $1.4M | $2.2M | $8.1M | 0.28 | 1,329 |
| Oncology | $283,854 | $2.1M | $293,860 | 7.05 | 795 |
| Physical therapy | $763,981 | $1.4M | $7.5M | 0.18 | 2,350 |
| Mri | $1.2M | $12.9M | 0.09 | 1,650 | |
| Delivery room & labor room | $638,832 | $1.5M | 0.43 | 4,049 | |
| Blood storing processing & trans. | -$179 | $603,928 | $2.1M | 0.29 | 520 |
| Electrocardiology | $186,539 | $568,908 | $7M | 0.08 | 1,716 |
| Nuclear medicine - diagnostic | $135,187 | $388,089 | $2.2M | 0.18 | 648 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.8M | $12.3M | $12.3M | 1.00 | 21,038 |
| Skilled nursing facility | $3.3M | $11.2M | $9.1M | 1.24 | |
| Intensive care unit | $2.4M | $4.6M | $3.8M | 1.21 | 4,662 |
| Nursery | $484,532 | $681,713 | 0.71 | 1,088 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $431,971 | $19.2M | 13,936 | $49.31 | 3,374 |
| Other administrative and general | $4.6M | $5.3M | 15,389 | ||
| Data processing | $1.6M | $4.3M | 1,583 | ||
| Cap rel costs-mvble equip | $2.1M | ||||
| Pharmacy | $1.2M | $1.6M | 2,117 | ||
| Cashiering/accounts receivable | $890,266 | $1.6M | 2,913 | ||
| Nursing administration | $1.2M | $1.6M | 3,691 | ||
| Dietary - other | $758,865 | $1.5M | 5,325 | ||
| Operation of plant | $6,955 | $1.4M | 416 | $16.72 | 26,914 |
| Maintenance & repairs | $1.3M | $1.3M | 46,176 | $26.56 | 3,839 |
| Housekeeping | $907,805 | $1.2M | 44,720 | $20.99 | 773 |
| Medical records & library | $933,476 | $1M | 36,192 | $25.79 | 3,942 |
| Dietary - raw food | $1M | ||||
| Admitting | $1.1M | $976,760 | 2,047 | ||
| Cap rel costs-bldg & fixt | $897,821 | 176,743 | |||
| Purchasing receiving and stores | $574,068 | $813,843 | 5,434 | ||
| Central service & supply | $338,012 | $663,113 | 1,954 | ||
| Nonpatient telephones | $196,416 | $534,833 | 297 | ||
| Laundry & linen service | $30,964 | $508,412 | 1,664 | $18.61 | 1,361 |
| Maintenance & repairs - shared | $420,054 | ||||
| Housekeeping - shared | $284,813 | ||||
| Social service | $175,755 | $175,755 | 6,032 | $29.14 | 686 |
| Cafeteria | $111,492 | -$375,685 | 6,032 | $18.48 | 2,056 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838125, 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 Nathan Littauer Hospital & Nursing H for an inpatient stay.
1.46
Case mix index
Higher than 23% 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).
29.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
496
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.44 | 1.44 | 1.56 | 1.53 | 1.56 | 1.50 | 1.46 |
| Wage index | 0.873 | 0.859 | 0.852 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -0.10% | -0.21% | -0.32% | -0.22% | -0.01% | -0.04% | -0.10% |
| Value-based purchasing adjustment | +0.75% | +0.62% | +0.62% | -0.07% | 0.00% | +0.71% | +1.36% |
| Medicare inpatient stays | 657 | 657 | 471 | 500 | 530 | 489 | 496 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Nathan Littauer Hospital & Nursing H'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 15 of 17 are shown.
Nathan Littauer Hospital Association files the Form 990 for the tax ID insurers list for Nathan Littauer Hospital & Nursing H, so these people may lead the wider organization rather than Nathan Littauer Hospital & Nursing H alone.
| Name | Title |
|---|---|
| Sean Fadale | President And CEO |
| Mike Ostrander | Vice President Of Finance And CFO |
Board members: Paul Husson MD, G Jeremiah Ryan PhD, Gregory Truckenmiller PhD, Peter Kiernan, Susan Johnson Esq, Holly Chamberlin Esq, Polly Hoye, John Fox DDS, Tobin Cash, Amy Pedrick, Diana Marshall, Paul Naslund, Audrey Kline, Stephen Tomlinson.
Source: IRS Form 990 Part VII filed by Nathan Littauer Hospital Association (EIN 14-1338465), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2010
340B ID DSH330276, registered as a disproportionate share hospital; 26 registered outpatient sites; 18 active contract pharmacies. Authorizing official: Sean Fadale, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Nathan littauer hospital & nh
CCN 335351, certified 1991, Medicare prospective payment
Source: Worksheet S-2 Part I of Nathan Littauer Hospital & Nursing H's latest Medicare cost report (HCRIS).
About Nathan Littauer Hospital & Nursing H's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Nathan Littauer Hospital & Nursing H range from $244 to $2,975 across 3 insurers. Cigna's rate is $2,873. The median at nearby comparable hospitals is $434. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Nathan Littauer Hospital & Nursing H range from $244 to $4,164 across 2 insurers. Cigna's rate is $4,164. The median at nearby comparable hospitals is $324. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Nathan Littauer Hospital & Nursing H range from $4,188 to $5,567 across 2 insurers. Blue Cross Blue Shield's rate is $4,188. The median at nearby comparable hospitals is $2,759. 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 Nathan Littauer Hospital & Nursing H range from $12,226 to $12,226 across 1 insurers. UnitedHealthcare's rate is $12,226. What a patient pays depends on their plan's deductible, coinsurance and network status.
Nathan Littauer Hospital & Nursing H has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Nathan Littauer Hospital & Nursing H for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Nathan Littauer Hospital & Nursing H's base inpatient payments by an estimated 0.10% 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 (74 discharges), heart failure and shock with mcc (24 discharges), pulmonary edema and respiratory failure (23 discharges).
Nathan Littauer Hospital & Nursing H's Medicare case mix index is 1.46 for fiscal year 2027, higher than 23% of hospitals paid under the inpatient prospective payment system.
Nathan Littauer Hospital & Nursing H reported 2,009 inpatient discharges and 8,653 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Nathan Littauer Hospital & Nursing H reported 730 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Nathan Littauer Hospital & Nursing H reported $125.3M in net patient revenue on $428.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -12.9%, and net income of -$281,362.
Nathan Littauer Hospital & Nursing H reported $10.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $692,436 of charity care at cost.
Nathan Littauer Hospital & Nursing H's Medicare enrollment lists Sean M Fadale as President And CEO since 2020.
Insurers' price transparency files list Nathan Littauer Hospital & Nursing H under employer identification number 14-1338465 (Nathan Littauer Hospital Association). 26 health plans and networks list 14-1338465 for it.
Yes. HRSA's 340B database lists Nathan Littauer Hospital & Nursing H (340B ID DSH330276) as a participating disproportionate share hospital since 2010, with 18 active contract pharmacies.
276 clinicians who bill Medicare list Nathan Littauer Hospital & Nursing H as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (41), physician assistant (37), internal medicine physician (26).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Nathan Littauer Hospital & Nursing H, effective 2018.
CMS lists 28 services at Nathan Littauer Hospital & Nursing H, including Anesthesia, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Nathan Littauer Hospital & Nursing H came from ZIP codes 12078 (619), 12095 (204), 12117 (54).
Nathan Littauer Hospital & Nursing H has 141 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 74 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Nathan Littauer Hospital & Nursing H is located at 99 East State Street, Gloversville, NY 12078. Its main phone number is (518) 725-8621.
Nathan Littauer Hospital & Nursing H's CMS Certification Number (CCN), also called its Medicare provider number, is 330276.
The National Provider Identifier (NPI) on file for Nathan Littauer Hospital & Nursing H is 1336145168.
Nathan Littauer Hospital & Nursing H is affiliated with Nathan Littauer Hospital Association.
Nathan Littauer Hospital & Nursing H lists 11 in-network payers, including Avera Health Plans, BCBS, Centene, EmblemHealth, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
159 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