Baptist Health (AL) · Prattville, AL
3 of 5
CMS star rating
71
Beds
2,815
Inpatient discharges a year
$60.5M
Net patient revenue a year
33
In-network payers
Prattville Baptist Hospital is a 71-bed government - hospital district or authority hospital in Prattville, AL, affiliated with Baptist Health (AL). Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 236 disclosed rate categories.
The 24 services Prattville Baptist 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 743
$28,743
negotiated rate
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$554 - $672
from 2 insurers · median $613
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$520 - $672
from 2 insurers · median $596
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,476 - $3,099
from 4 insurers · median $1,971
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$789 - $1,111
from 2 insurers · median $950
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$501 - $672
from 2 insurers · median $586
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,476 - $3,099
from 4 insurers · median $1,983
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,476 - $3,099
from 4 insurers · median $1,983
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,476 - $3,099
from 4 insurers · median $2,034
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,020 - $10,469
from 2 insurers · median $8,245
Typical for a hospital with this service line
CT imaging
CPT 71275
$545 - $672
from 2 insurers · median $609
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$735 - $1,008
from 2 insurers · median $871
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$1,860 - $11,205
from 4 insurers · median $5,941
Typical for a hospital with this service line
Mammography
CPT 77067
$89 - $140
from 2 insurers · median $114
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,860 - $3,563
from 3 insurers · median $2,838
Typical for a hospital with this service line
MRI imaging
CPT 72148
$395 - $1,008
from 2 insurers · median $702
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,381 - $1,506
from 2 insurers · median $1,444
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,246 - $1,702
from 3 insurers · median $1,587
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$408 - $1,008
from 2 insurers · median $708
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$89 - $93
from 2 insurers · median $91
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$432 - $1,008
from 2 insurers · median $720
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,860 - $6,955
from 3 insurers · median $6,020
Typical for a hospital with this service line
Medicine & Surgery
CPT 62322 · CPT 62323
$1,328 - $2,280
from 3 insurers · median $1,408
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,564 - $3,740
from 3 insurers · median $3,563
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* | 10 | 202% | 9 | 1 |
| Insurer B* | 7 | 194% | 5 | 0 |
| Insurer C* | 22 | 169% | 15 | 2 |
| Insurer D* | 23 | 146% | 12 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 6 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 Prattville Baptist Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$60.5M net patient revenue
Ownership and leadership
Owned by Health Care Authority For Baptist Health, An Affiliate Of Uabhs
The employer identification numbers (EINs) health plans and networks list for Prattville Baptist 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 |
|---|---|---|
| 20-3204949(multi-state) Prattville Baptist Hospital | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1104917780 Health Care Authority For Baptist Health An Affiliate Of Uabhs1942391230 The Health Care Authority For Baptist Health An Affiliate Of Uabhs1700977105 Health Care Authority For Baptist Health An Affiliate Of Uabhsand 29 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.
124 South Memorial Drive, Prattville, AL 36067
(334) 361-4267
How Prattville Baptist Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 5 measures
1 better, 4 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
71%
Lower than 49% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.94
Lower than 59% 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
204 min
Higher than 83% 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
60%
Lower than 62% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 of 5 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 | 71% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.94 | 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 | 204 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 60% | 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 Prattville Baptist Hospital's inpatient payments for its readmissions, quality and cost results.
-0.34% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.09% 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 Prattville Baptist Hospital, beside the US median and the average of AL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.469 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 715 cases | 4.2 | 3.9 | 4.658 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.46 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 89 cases | 8.3 | 8.5 | 8.869 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 144 cases | 11.8 | 11 | 11.65 | Worse than 65% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 184 cases | 15.7 | 15.2 | 16.81 | Worse than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 72 cases | 12.8 | 11.6 | 14.25 | Worse than 68% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,056 cases | 0.45 | 0.51 | 0.6234 | No Different Than the National Rate | Better than 59% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,349 cases | 0.2 | 0.2 | 0.2114 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,410 cases | 0.26 | 0.27 | 0.2777 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 34 cases | 2.32 | 2.29 | 2.258 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.702 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.91 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 27 cases | 3.48 | 3.4 | 3.831 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.911 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.803 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 64 cases | 1.05 | 1.02 | 1.058 | 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 | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.616 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 151 cases | -16.4 | 1.25 | 11.68 | Better than 74% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 189 cases | 13.1 | 3.85 | 12.55 | Worse than 63% 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 · 374 cases | 13.1 | 12.9 | 12.93 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.986 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.31 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 173 cases | 19.6 | 19.8 | 19.89 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 206 cases | 21.4 | 21.3 | 21.29 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.979 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 307 cases | 17.2 | 17.2 | 17.3 | Better than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3169 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.803 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 777 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.483 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.932 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6373 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.247 | 0.138 | 0.1812 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.873 | 1.392 | 1.656 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,642 | 1,799 | 5,240 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.356 | 1.377 | 6.563 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 3.286 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.475 | 0.399 | 0.5151 | No Different than National Benchmark | Worse than 95% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2584 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.032 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.217 | 1.591 | 3.302 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.222 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6198 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 169 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.547 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.1 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3413 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.26 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 15,468 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.471 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.295 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8121 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.243 | 0.127 | 0.2104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.843 | 0.747 | 1.307 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 15,468 | 13,646 | 35,794 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.234 | 5.683 | 20 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 8.833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.764 | 0.279 | 0.3683 | No Different than National Benchmark | Worse than 89% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 459 cases | 70 | 73 | 70.64 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 459 cases | 10 | 8 | 10.56 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 459 cases | 20 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 85 | 87 | 83.69 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 459 cases | 3 | 4 | 2.759 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 459 cases | 81 | 80 | 79.88 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 93 | 91 | 91.09 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 459 cases | 3 | 4 | 4.699 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 3.315 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 459 cases | 16 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 459 cases | 81 | 79 | 81.51 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 92 | 91 | 91.22 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 459 cases | 5 | 5 | 5.027 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 3.278 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 459 cases | 14 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 459 cases | 65 | 61 | 62.21 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 81 | 77 | 77.09 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 459 cases | 16 | 19 | 19.6 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 2.685 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 459 cases | 19 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 85 | 86 | 84.46 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 459 cases | 14 | 13 | 14.63 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 459 cases | 3 | 3 | 3.056 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 459 cases | 86 | 87 | 85.37 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 459 cases | 16 | 14 | 16.42 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 459 cases | 84 | 86 | 83.58 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 77 | 74 | 76.38 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 8 | 7 | 6.297 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 15 | 19 | 17.33 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 79 | 77 | 79.28 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 5 | 6 | 5.516 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 16 | 17 | 15.2 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 86 | 85 | 86.14 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 3 | 3 | 3.688 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 11 | 11 | 10.17 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 459 cases | 7 | 8 | 8.753 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 459 cases | 20 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 459 cases | 73 | 72 | 70.45 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 90 | 88 | 87.57 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 3.222 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 459 cases | 77 | 74 | 74.89 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 459 cases | 8 | 9 | 9.938 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 459 cases | 15 | 16 | 15.17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 76 | 75 | 75.05 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 6 | 5 | 6 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 459 cases | 18 | 20 | 18.95 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 81 | 77 | 76.77 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 3 | 4 | 5.703 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 459 cases | 16 | 19 | 17.53 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 86 | 86 | 84.83 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 2 | 3 | 3.531 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 459 cases | 12 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 459 cases | 61 | 59 | 66.56 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 459 cases | 8 | 9 | 6.575 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 459 cases | 31 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 84 | 82 | 84.96 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 4 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 459 cases | 5 | 5 | 6.466 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 459 cases | 71 | 71 | 70.55 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 459 cases | 88 | 87 | 86.26 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 459 cases | 24 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 4 | 3.389 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 459 cases | 53 | 47 | 48.08 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 459 cases | 24 | 30 | 30.03 | Better than 77% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 459 cases | 23 | 22 | 21.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 459 cases | 4 | 3 | 3.241 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 459 cases | 12 | 12 | 13 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 459 cases | 88 | 88 | 87 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 10 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.7 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.5 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,102 cases | 94 | 79 | 62.92 | Better than 83% 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 · 410 cases | 209 | 154 | 158 | Worse than 82% 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 · 391 cases | 204 | 148 | 153 | Worse than 83% 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 | 255 | |||
| 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 · 14 cases | 378 | 293 | 311 | Worse than 79% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 29,793 cases | 6 | 1 | 2.342 | Worse than 97% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.37 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 107 cases | 100 | 97 | 90.8 | 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 | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 456 cases | 15 | 15 | 14.5 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 106 cases | 60 | 65 | 62.47 | Worse than 62% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 62 | 73 | 70.8 | Worse than 72% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 79 | 88 | 87.48 | Worse than 75% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 106 cases | 79 | 82 | 79.9 | Worse than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 60 cases | 100 | 94 | 90.95 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 58 cases | 95 | 98 | 95.75 | Worse than 77% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 58 cases | 95 | 94 | 91.83 | Better than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,386 cases | 92 | 90 | 75.44 | Better than 56% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 343 cases | 100 | 97 | 89.85 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.9 | 5 | 7.666 | Worse than 60% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5 | 6.6 | 6.484 | Better than 71% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.93 | 0.99 | 0.9828 | Better than 78% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 54.63 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 30.65 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 5,455 cases | 0 | 0.05 | 0.06205 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 5,455 cases | 0.03 | 0.03 | 0.8569 | Better than 49% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 170 cases | 92 | 87 | 83.44 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 83.08 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 103 cases | 20 | 19.1 | 19.31 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 259 cases | 98 | 92 | 85.49 | Better than 75% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 51 cases | 98 | 74 | 71.35 | Better than 88% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 51 cases | 86 | 81 | 84.76 | Better than 58% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 81 cases | 99 | 77 | 65.14 | Better than 87% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 81 cases | 96 | 56 | 59.52 | Better than 86% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 109 cases | 89 | 64 | 62.52 | Better than 77% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 109 cases | 78 | 4 | 37.24 | Better than 91% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 427 cases | 89 | 77 | 70.82 | Better than 63% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 12.82 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 3.268 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 19.17 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 5.035 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 48 | 34 | 41.4 | Better than 72% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 12 | 8.75 | 10.89 | Better than 72% of US hospitals | |
| VBP safety domain scoreFY 2026 | 13.33 | 40 | 40.62 | Worse than 93% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.333 | 10 | 10.27 | Worse than 93% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.33 | 29.5 | 28.52 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 82.5 | 15 | 0 | 0 | 10 |
| VBP clinical outcomes weighted domain score | 20.63 | 3.75 | 0 | 0 | 2.5 |
| VBP efficiency and cost reduction domain score | 30 | 10 | 0 | 30 | 50 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | 2.5 | 0 | 7.5 | 12.5 |
| VBP person and community engagement domain score | 62 | Not Available | 32 | 37 | 48 |
| VBP person and community engagement weighted domain score | 15.5 | Not Available | 8 | 9.25 | 12 |
| VBP safety domain score | 15 | Not Available | 50 | 45 | 13.33 |
| VBP safety weighted domain score | 3.75 | Not Available | 12.5 | 11.25 | 3.333 |
| VBP total performance score | 47.38 | Not Available | 20.5 | 28 | 30.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 99 cases | 0.9761 | 0.9969 | 0.996 | Better than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 140 cases | 1.045 | 0.9983 | 1.009 | Worse than 76% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.039 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 165 cases | 0.9958 | 0.9955 | 1.003 | Worse than 50% 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 | 0.9747 | 0.9465 | 0.9075 | 0.9302 | 0.9658 | 0.9761 |
| READM-30-HF-HRRP | 0.9721 | 0.9517 | 0.9736 | 1.021 | 1.038 | 1.045 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.011 | 1.027 | 0.9818 | 0.9373 | 0.925 | 0.9958 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Prattville Baptist Hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.775 | 0.489 | 0.5999 | Worse than 97% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.297 | 0.346 | 0.4007 | Better than 58% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.871 | 0.559 | 0.8784 | Worse than 99% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.867 | 0.6405 | 0.8744 | Worse than 96% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9423 | 0.9628 | 1.049 | Better than 59% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5688 | |||
| Total HAC scoreFY 2026 | 1.244 | -0.0453 | 0.09962 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | Yes | Yes |
| Total HAC score | 0.6095 | 0.7855 | 0 | -0.1747 | 0.5382 | 1.244 |
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 2000)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
85
Medicare-certified beds
65
Registered nurses (full-time equivalent)
1977
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Prattville Baptist Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,815
Inpatient discharges
Medicare 23%, Medicaid 10%
13,689
Inpatient days
77% of available bed days used
333
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 840511). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Prattville Baptist Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,356 | 1,055 | 9,278 | 13,689 |
| Discharges | 654 | 288 | 1,873 | 2,815 |
| Average length of stay | 5.1 days | 3.7 days | 5.0 days | 4.9 days |
| Average daily census | 9.2 | 2.9 | 25.4 | 37.5 |
5,021
Medicare Advantage days
903 discharges
332
Medicaid managed care days
2,240
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 12,005 | 3,066 | 76% |
| Intensive care unit | 6 | 1,684 | 290 | 77% |
| Subprovider - ipf | 22 | 6,025 | 1,214 | 75% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Prattville Baptist Hospital treats Medicare patients for most often, in 2024. 401 Medicare discharges in 18 published DRGs; 0% surgical; 85% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 56 | $41,723 | $7,638 | $12,809 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 53 | $28,052 | $7,387 | $8,612 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 41 | $46,362 | $10,330 | $14,233 | 1.98 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $34,401 | $9,323 | $10,561 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $29,344 | $6,595 | $9,009 | 1.10 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $26,826 | $7,297 | $8,236 | 1.32 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $23,215 | $4,244 | $7,127 | 0.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $20,627 | $4,455 | $6,332 | 0.78 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $33,070 | $6,137 | $10,153 | 1.17 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $26,160 | $4,654 | $8,031 | 0.85 |
| Renal failure with CCMS-DRG 683, medical | 15 | $21,604 | $4,712 | $6,632 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $23,028 | $3,981 | $7,070 | 0.81 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $24,782 | $4,682 | $7,608 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $20,638 | $4,253 | $6,336 | 0.79 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $17,581 | $5,053 | $5,397 | 0.99 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $26,503 | $6,664 | $8,136 | 1.20 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $27,686 | $8,990 | $8,500 | 1.50 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $27,447 | $8,928 | $8,426 | 1.59 |
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) Prattville Baptist Hospital billed Medicare for most in 2024: 64 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 64 | 63 | $10,860 | $1,629 | $2,090 |
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 Prattville Baptist Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,257 in 2020 to 1,637 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 36067 | 537 | 33% | 2,592 | $16M | 41% | 36% |
| 36066 | 372 | 23% | 1,810 | $12M | 40% | 37% |
| 36054 | 238 | 15% | 1,326 | $8.2M | 36% | 26% |
| 36022 | 171 | 10% | 816 | $5.2M | 32% | 28% |
| 36092 | 62 | 4% | 356 | $2.2M | 6% | 4% |
| 36025 | 47 | 3% | 226 | $1.6M | 37% | 29% |
| 36003 | 36 | 2% | 156 | $935,216 | 51% | 37% |
| 36108 | 32 | 2% | 146 | $1M | 3% | 1% |
| 36068 | 30 | 2% | 181 | $1M | 55% | 49% |
| 36051 | 24 | 1% | 138 | $744,958 | 20% | 26% |
| 36020 | 20 | 1% | 163 | $793,426 | 63% | 28% |
| 36109 | 17 | 1% | 154 | $727,801 | 1% | |
| 36091 | 14 | 1% | 63 | $384,225 | 6% | 9% |
| 36043 | 13 | 1% | 57 | $347,155 | 6% | |
| 36116 | 12 | 1% | 61 | $421,245 | 1% | |
| 36701 | 12 | 1% | 43 | $291,067 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,637 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 Prattville Baptist Hospital reported at its latest Medicare certification survey (2015). Counts are people, not full-time equivalents.
3
Operating rooms
1
Endoscopy rooms
22
Psychiatric unit beds
2
Off-site locations
65
Registered nurses
4
Pharmacists
6
Respiratory therapists
1
Physical therapists
2
Speech pathologists and audiologists
13
Radiology technicians
1
Nuclear medicine technicians
2
Laboratory technicians
6
Medical technologists
99
Other personnel
Source: CMS Provider of Services file.
410 clinicians who bill Medicare list Prattville Baptist 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.
Aaron Shinkle, M.D.
Interventional Pain Medicine Physician
NPI 1497989180
See commercial rates for Aaron Shinkle, M.D.Bradley Katz, M. D.
Interventional Pain Medicine Physician
NPI 1891841581
See commercial rates for Bradley Katz, M. D.David Herrick, M. D.
Interventional Pain Medicine Physician
NPI 1205982998
See commercial rates for David Herrick, M. D.Jacob Vella, MD
Interventional Pain Medicine Physician
NPI 1467603670
See commercial rates for Jacob Vella, MDAdahli Massey, MD
Rheumatology Physician
NPI 1295825461
See commercial rates for Adahli Massey, MDLaura Parks, M.D.
Rheumatology Physician
NPI 1457507592
See commercial rates for Laura Parks, M.D.Larry Epperson, MD
Neurology Physician
NPI 1669469888
See commercial rates for Larry Epperson, MDJonathan Marshall, DO
Diagnostic Radiology Physician
NPI 1952549644
See commercial rates for Jonathan Marshall, DOAshish Vyas, M.D.
Clinical Neurophysiology Physician
NPI 1528215811
See commercial rates for Ashish Vyas, M.D.Robert Howell, MD
Orthopaedic Surgery Physician
NPI 1205070901
See commercial rates for Robert Howell, MDWynne Crawford, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1245260314
See commercial rates for Wynne Crawford, M.D.Wilford French, MD
Diagnostic Radiology Physician
NPI 1558311910
See commercial rates for Wilford French, MDAlton Hendon, MD
Family Medicine Physician
NPI 1902887649
See commercial rates for Alton Hendon, MDMartin Lyons, MD
Family Medicine Physician
NPI 1356640379
See commercial rates for Martin Lyons, MDRaghu Mukkamala, MD
Internal Medicine Physician
NPI 1720079395
See commercial rates for Raghu Mukkamala, MDBryan Johnston, MD
Vascular & Interventional Radiology Physician
NPI 1154428159
See commercial rates for Bryan Johnston, MDScott Sims, MD
Cardiovascular Disease Physician
NPI 1356346852
See commercial rates for Scott Sims, MDBradley Thomas, MD
Diagnostic Radiology Physician
NPI 1740337542
See commercial rates for Bradley Thomas, MDKasey Morden, M.D.
Diagnostic Radiology Physician
NPI 1770727125
See commercial rates for Kasey Morden, M.D.Lauren Thorington, DO
Vascular & Interventional Radiology Physician
NPI 1215198130
See commercial rates for Lauren Thorington, DODavid Knapp, M. D.
Internal Medicine Physician
NPI 1386623775
See commercial rates for David Knapp, M. D.Stephen Samelson, M.D.
Orthopaedic Surgery Physician
NPI 1265492441
See commercial rates for Stephen Samelson, M.D.Erald Lula
Internal Medicine Physician
NPI 1790246098
See commercial rates for Erald LulaJason Randall, MD
Orthopaedic Surgery Physician
NPI 1700974904
See commercial rates for Jason Randall, 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 Prattville Baptist Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $266.2M | 440.3% |
| Inpatient | $102.4M | 169.3% |
| Outpatient | $163.9M | 271.0% |
| Contractual allowances and discounts | -$205.8M | -340.3% |
| Net patient revenue | $60.5M | 100.0% |
| Operating expenses | -$67.4M | -111.5% |
| Operating income from patient care | -$7M | -11.5% |
| Other income | $4.2M | 6.9% |
| Investment income | $141 | 0.0% |
| Other | $4.2M | 6.9% |
| Net income | -$2.8M | -4.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $32.6M | 12.3% |
| Medicaid (including managed care) | $24.2M | 9.1% |
| Other payers and self-pay | $208M | 78.6% |
| Total charges | $264.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. 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 Prattville Baptist Hospital's latest cost report.
-11.5%
Operating margin
Operating income from patient care / net patient revenue
-4.3%
Total margin
Net income / net patient revenue plus other income
1.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.14
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-10.3%
Return on assets
Net income for a year / total assets
8.36
Current ratio
Current assets / current liabilities
7.92
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
48 days
Days in patient receivables
Net patient receivables / daily net patient revenue
6 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.36
Asset turnover
Total revenue for a year / total assets
6.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Prattville Baptist Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $27.4M in total assets and a -$52.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $700 | 0.0% |
| Patient receivables, net | $7.9M | 29.0% |
| Inventory | $311,531 | 1.1% |
| Total current assets | $8.4M | 30.6% |
| Property and equipment, net of depreciation | $19M | 69.4% |
| Total assets | $27.4M | 100.0% |
| Current liabilities | $1M | 3.7% |
| Total liabilities | $79.7M | 291.3% |
| Fund balance (net assets) | -$52.4M | -191.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Prattville Baptist Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$906,169
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$13.1M
Bad debt
Patient bills written off as uncollectible, at charges
$1.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$25,504
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$4.1M
Total unreimbursed and uncompensated care
6.1% 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 840511, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Prattville Baptist Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $37.9M | $52.8M | $58.7M | $53.5M | $56.5M | $60.5M |
| Operating expenses | $44.5M | $58.1M | $67.3M | $62.1M | $66.1M | $67.4M |
| Operating margin | -17.3% | -10.1% | -14.5% | -16.2% | -17.0% | -11.5% |
| Net income | -$474,292 | $6.2M | -$2.9M | -$3.3M | -$5.8M | -$2.8M |
| Total assets | $18.5M | $26.2M | $29.1M | $27.1M | $26.7M | $27.4M |
| Discharges | 2,678 | 3,035 | 3,049 | 2,811 | 2,656 | 2,815 |
| Inpatient days | 11,769 | 15,530 | 15,984 | 14,123 | 13,819 | 13,689 |
| Medicare Advantage days | 2,887 | 3,873 | 5,191 | 4,571 | 5,362 | 5,021 |
| Beds | 55 | 55 | 77 | 77 | 69 | 71 |
| Employees (FTE) | 292 | 317 | 329 | 322 | 322 | 333 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Prattville Baptist 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 |
|---|---|---|---|---|---|
| Radiology-diagnostic | $3M | $10.7M | $105.8M | 0.10 | 10,074 |
| Emergency | $4.3M | $8.4M | $18M | 0.46 | 7,219 |
| Laboratory | $1.6M | $5.7M | $39.7M | 0.14 | 2,337 |
| Drugs charged to patients | $4.1M | $42M | 0.10 | 1,757 | |
| Operating room | $1.3M | $3.4M | $7.5M | 0.45 | 6,122 |
| Medical supplies charged to patient | $3.1M | $2.1M | 1.45 | ||
| Respiratory therapy | $1.1M | $2.4M | $7.5M | 0.31 | 1,234 |
| Observation beds (non-distinct part | $2.2M | $2.9M | 0.74 | ||
| Sleep lab | $466,863 | $1M | $5.3M | 0.20 | 2,150 |
| Physical therapy | $200,873 | $364,772 | $975,790 | 0.37 | 336 |
| Renal dialysis | $180,818 | $307,330 | $212,828 | 1.44 | |
| Nuclear medicine-diagnostic | $23,170 | $133,455 | $12,740 | 10.48 | 317 |
| Impl. dev. charged to patients | $88,071 | $241,638 | 0.36 | ||
| Anesthesiology | $43,850 | $2.3M | 0.02 | 203 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.9M | $13.8M | $16.7M | 0.83 | 22,311 |
| Subprovider - ipf | $3.2M | $8.7M | $9.6M | 0.91 | 9,768 |
| Intensive care unit | $1.3M | $2.8M | $3.9M | 0.71 | 2,284 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.6M | $13M | 59,458 | $27.15 | 5,019 |
| Employee benefits department | $19,104 | $3.3M | |||
| Maintenance & repairs | $1M | $2.9M | 34,497 | $30.12 | 5,763 |
| Cap rel costs-mvble equip | $2.6M | ||||
| Cap rel costs-bldg & fixt | $1.6M | 87,205 | |||
| Pharmacy | $1.1M | $1.6M | 20,339 | $55.75 | |
| Nursing administration | $1.3M | $1.5M | 19,908 | $67.55 | 443 |
| Housekeeping | $808,692 | 1,101 | |||
| Dietary | $596,193 | 4,944 | |||
| Laundry & linen service | $248,625 | 533 | |||
| Medical records & library | $143,892 | $148,863 | 8,039 | $17.90 | 1,923 |
| Central services & supply | $89,032 | $99,880 | 4,047 | $22.00 | 1,367 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840511, settled without audit. 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 Prattville Baptist Hospital for an inpatient stay.
1.21
Case mix index
Higher than 7% 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).
18.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
673
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 | 1.13 | 1.13 | 1.44 | 1.33 | 1.33 | 1.30 | 1.21 |
| Wage index | 0.803 | 0.786 | 0.801 | 0.826 | 0.832 | 0.790 | 0.772 |
| Readmissions adjustment | -0.02% | -0.18% | -0.34% | 0.00% | -0.14% | -0.25% | -0.34% |
| Value-based purchasing adjustment | +0.91% | +1.04% | +1.04% | -0.69% | -0.05% | +0.51% | +0.09% |
| Medicare inpatient stays | 874 | 874 | 744 | 791 | 679 | 660 | 673 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Prattville Baptist Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Health Care Authority For Baptist Health, An Affiliate Of Uabhs
5% or greater direct ownership interest, 100%, since 2005
Sources: CMS Hospital All Owners.
The officers and board members on Prattville Baptist 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.
Pbh geriatric behavioral health
CCN 01S108, certified 2021, Medicare prospective payment
Source: Worksheet S-2 Part I of Prattville Baptist Hospital's latest Medicare cost report (HCRIS).
About Prattville Baptist Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Prattville Baptist Hospital range from $735 to $1,008 across 2 insurers. Aetna's rate is $1,008. The median at nearby comparable hospitals is $485. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Prattville Baptist Hospital range from $554 to $672 across 2 insurers. Blue Cross Blue Shield's rate is $554. The median at nearby comparable hospitals is $320. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Prattville Baptist Hospital range from $1,476 to $3,099 across 4 insurers. Cigna's rate is $2,367. The median at nearby comparable hospitals is $995. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prattville Baptist Hospital range from $89 to $140 across 2 insurers. Aetna's rate is $140. The median at nearby comparable hospitals is $114. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prattville Baptist Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Prattville Baptist Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Prattville Baptist Hospital's base inpatient payments by an estimated 0.34% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were simple pneumonia and pleurisy with mcc (56 discharges), heart failure and shock with mcc (53 discharges), septicemia or severe sepsis without mv >96 hours with mcc (41 discharges).
Prattville Baptist Hospital's Medicare case mix index is 1.21 for fiscal year 2027, higher than 7% of hospitals paid under the inpatient prospective payment system.
Prattville Baptist Hospital reported 2,815 inpatient discharges and 13,689 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Prattville Baptist Hospital reported 333 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Prattville Baptist Hospital reported $60.5M in net patient revenue on $266.2M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -11.5%, and net income of -$2.8M.
Prattville Baptist Hospital reported $4.1M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $906,169 of charity care at cost.
Prattville Baptist Hospital's Medicare enrollment lists Walter Tyner as CEO since 2004.
Insurers' price transparency files list Prattville Baptist Hospital under employer identification number 20-3204949 ((multi-state) Prattville Baptist Hospital). 59 health plans and networks list 20-3204949 for it.
410 clinicians who bill Medicare list Prattville Baptist Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (70), family medicine physician (41), internal medicine physician (36).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Prattville Baptist Hospital, effective 2000.
In its Medicare enrollment, Prattville Baptist Hospital reports Health Care Authority For Baptist Health, An Affiliate Of Uabhs as 5% or greater direct ownership interest (100%).
CMS lists 23 services at Prattville Baptist Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Clinical Laboratory, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Prattville Baptist Hospital came from ZIP codes 36067 (537), 36066 (372), 36054 (238).
Prattville Baptist Hospital has 71 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 85 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Prattville Baptist Hospital is located at 124 South Memorial Drive, Prattville, AL 36067. Its main phone number is (334) 361-4267.
Prattville Baptist Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 010108.
The National Provider Identifier (NPI) on file for Prattville Baptist Hospital is 1942391230.
Prattville Baptist Hospital is affiliated with Baptist Health (AL).
Prattville Baptist Hospital lists 33 in-network payers, including Aetna, Ambetter, 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.
236 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