Asheboro, NC
4 of 5
CMS star rating
145
Beds
5,300
Inpatient discharges a year
$103.7M
Net patient revenue a year
5
In-network payers
Randolph Hospital is a 145-bed voluntary non-profit - private hospital in Asheboro, NC. Below you'll find publicly disclosed negotiated rates and facility details, including 5 in-network payers.
The 24 services Randolph Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$5,151 - $7,727
from 3 insurers · median $6,315
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,170 - $10,989
from 2 insurers · median $9,079
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$938 - $3,216
from 4 insurers · median $1,515
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,151 - $7,727
from 3 insurers · median $6,315
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$30,282 - $37,283
from 2 insurers · median $33,783
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$20,321 - $27,980
from 3 insurers · median $22,462
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$17,376 - $22,107
from 3 insurers · median $22,067
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$592 - $2,908
from 4 insurers · median $1,370
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$938
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,935 - $14,220
from 3 insurers · median $11,963
Hospital reports inpatient surgical services to CMS
Medicine & Surgery
CPT 66984
$606 - $4,201
from 4 insurers · median $1,596
88 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Mammography
CPT 77067
$120 - $281
from 4 insurers · median $152
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$225 - $1,361
from 4 insurers · median $641
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$195 - $2,179
from 4 insurers · median $1,226
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$42 - $259
from 4 insurers · median $122
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$432 - $1,045
from 2 insurers · median $738
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$195 - $1,448
from 2 insurers · median $822
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$938
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$195 - $2,198
from 4 insurers · median $1,194
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,313
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$94 - $562
from 4 insurers · median $265
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$362 - $494
from 2 insurers · median $428
Common here, based on CMS Medicare volume
Urology
CPT 50590
$919 - $6,652
from 4 insurers · median $2,945
15 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$173 - $596
from 4 insurers · median $281
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 11 | 527% | 9 | 1 |
| Insurer B* | 18 | 225% | 0 | 15 |
| Insurer C* | 24 | 187% | 5 | 14 |
| Insurer D* | 19 | 106% | 6 | 7 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 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 Randolph Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$103.7M net patient revenue
Ownership and leadership
Owned by American Healthcare Systems Corp Inc
The employer identification numbers (EINs) health plans and networks list for Randolph 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 |
|---|---|---|
| 56-0530234Randolph Hospital INC | 20Aspirus Health Plan, BCBS, Dean Health Plan, EmblemHealth, First Health and 15 more | 1558521088 Randolph Hospital Inc1255328449 Randolph Hospital Inc.1003891953 Randolph Hospital Inc. |
| 85-4354835American Healthcare Systems LLC | 16Aspirus Health Plan, Dean Health Plan, EmblemHealth, First Health, Harbor Health and 11 more | 1942895081 American Healthcare Systems LLC1790370831 American Healthcare Systems LLC1275118135 American Healthcare Systems LLCand 35 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.
364 White Oak Street, Asheboro, NC 27203
(336) 625-5151
How Randolph Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 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 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
60%
Lower than 86% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 54% 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
216 min
Higher than 87% 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 | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 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 | 60% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 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 | 216 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 Randolph Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.91% 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 Randolph Hospital, beside the US median and the average of NC 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 | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.042 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,211 cases | 5.1 | 3.9 | 3.99 | Worse than 91% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.93 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 32 cases | 8.2 | 8.5 | 8.754 | Better than 56% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 103 cases | 14 | 11 | 11.28 | Worse than 92% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 152 cases | 13.9 | 15.2 | 15.37 | Better than 69% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 108 cases | 13.8 | 11.6 | 12.32 | Worse than 80% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 901 cases | 0.45 | 0.51 | 0.6392 | 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 | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,296 cases | 0.2 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,245 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 148 cases | 2.63 | 2.29 | 2.327 | 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 | 1.616 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.086 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 158 cases | 4.63 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 4.934 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 47 cases | 1.73 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 117 cases | 1.02 | 1.02 | 1.018 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 127 cases | -7.8 | 1.25 | 4.059 | Better than 62% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 165 cases | 4.1 | 3.85 | 4.357 | Worse than 50% 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 · 254 cases | 12.6 | 12.9 | 12.92 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 76 cases | 0.9 | 1 | 0.979 | 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 | 14.22 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 141 cases | 19 | 19.8 | 19.82 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 352 cases | 20.4 | 21.3 | 21.37 | Better than 78% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.698 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 510 cases | 16.4 | 17.2 | 17.06 | Better than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3158 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.089 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,281 | 1,370 | 6,107 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.783 | 0.9835 | 6.392 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.212 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6593 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.037 | 0.138 | 0.2172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.648 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,268 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.352 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.74 | 0.399 | 0.5489 | No Different than National Benchmark | Worse than 78% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4264 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.632 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 16 | 61 | 148 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.407 | 1.591 | 3.971 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.869 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9259 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 99 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.876 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2893 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.314 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 20,413 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.779 | 0.567 | 4.657 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.863 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.742 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.825 | 0.127 | 0.1478 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.373 | 0.747 | 1.095 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 19,285 | 13,646 | 56,214 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 9.665 | 5.683 | 32.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 14 | 2 | 9.258 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.449 | 0.279 | 0.3119 | No Different than National Benchmark | Worse than 98% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 371 cases | 66 | 73 | 71.37 | Worse than 79% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 371 cases | 13 | 8 | 9.762 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 371 cases | 21 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 83 | 87 | 85.7 | Worse than 77% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 4 | 3.269 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 371 cases | 81 | 80 | 80.26 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 93 | 91 | 91.65 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 371 cases | 3 | 4 | 4.218 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 371 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 371 cases | 16 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 371 cases | 82 | 79 | 80.9 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 92 | 91 | 91.66 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 371 cases | 4 | 5 | 5.01 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 371 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 371 cases | 14 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 371 cases | 59 | 61 | 62.62 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 76 | 77 | 77.77 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 371 cases | 20 | 19 | 18.97 | Worse than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 371 cases | 2 | 3 | 2.839 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 371 cases | 21 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 86 | 86 | 86.12 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 371 cases | 14 | 13 | 13.33 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 3 | 3.441 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 371 cases | 86 | 87 | 86.67 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 371 cases | 17 | 14 | 14.2 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 371 cases | 83 | 86 | 85.8 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 77 | 74 | 76.04 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 5 | 7 | 6.586 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 18 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 82 | 77 | 79.47 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 4 | 6 | 5.475 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 14 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 88 | 85 | 86.33 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 3 | 3 | 3.465 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 9 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 371 cases | 9 | 8 | 8.446 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 371 cases | 25 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 371 cases | 66 | 72 | 71.41 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 86 | 88 | 88.02 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 3 | 3.323 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 371 cases | 75 | 74 | 75.25 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 371 cases | 8 | 9 | 9.232 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 371 cases | 17 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 76 | 75 | 75.79 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 3 | 5 | 5.697 | Better than 81% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 371 cases | 21 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 79 | 77 | 77.57 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 3 | 4 | 4.424 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 371 cases | 18 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 89 | 86 | 86.24 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 2 | 3 | 2.859 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 371 cases | 9 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 371 cases | 58 | 59 | 60.2 | Worse than 53% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 371 cases | 9 | 9 | 9.109 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 371 cases | 33 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 82 | 82 | 82.46 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 3 | 3.419 | 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 · 371 cases | 7 | 5 | 5.683 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 371 cases | 60 | 71 | 70.04 | Worse than 86% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 371 cases | 83 | 87 | 86.94 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 371 cases | 33 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 4 | 3.656 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 371 cases | 44 | 47 | 49.27 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 371 cases | 31 | 30 | 29.43 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 371 cases | 25 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 371 cases | 3 | 3 | 3.387 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 371 cases | 11 | 12 | 12.81 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 371 cases | 89 | 88 | 87.19 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Randolph Hospital | US median | NC 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 · 5,782 cases | 13 | 8 | 8.179 | Worse than 84% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,339 cases | 2 | 1 | 1.182 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 2,245 cases | 0 | 0 | 0.1154 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,474 cases | 94 | 79 | 85.95 | 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 · 402 cases | 216 | 154 | 190 | Worse than 85% 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 · 384 cases | 216 | 148 | 183 | Worse than 87% 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 · 16 cases | 196 | 247 | 389 | Better than 70% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 427 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 33,626 cases | 6 | 1 | 2.253 | Worse than 97% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 78 | 74 | 72.17 | Better than 58% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 96 cases | 99 | 97 | 93.75 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,240 cases | 14 | 15 | 16.55 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 110 cases | 60 | 65 | 63.49 | Worse than 62% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 33 cases | 76 | 73 | 72.19 | Better than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 12 cases | 83 | 88 | 81.33 | Worse than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 111 cases | 74 | 82 | 80.49 | Worse than 76% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 57 cases | 91 | 94 | 94.21 | Worse than 68% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.77 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 93.39 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 88.42 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.7 | 5 | 4.658 | Worse than 68% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.9 | 6.6 | 6.699 | Better than 93% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.9 | 0.99 | 0.9478 | Better than 87% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 30 | 20 | 20.53 | Better than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.5 | 5 | 5.133 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 27.67 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 7.066 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 49 | 34 | 42.34 | Better than 74% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 12.25 | 8.75 | 10.67 | Better than 73% of US hospitals | |
| VBP safety domain scoreFY 2026 | 40 | 40 | 39.99 | Worse than 49% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10 | 10 | 10.21 | Worse than 49% of US hospitals | |
| VBP total performance scoreFY 2026 | 42.25 | 29.5 | 32.71 | Better than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 14 | 26 | 23.33 | 0 | 10 | 30 |
| VBP clinical outcomes weighted domain score | 3.5 | 6.5 | 5.833 | 0 | 2.5 | 7.5 |
| VBP efficiency and cost reduction domain score | 40 | Not Available | 40 | 50 | 60 | 50 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 10 | 12.5 | 15 | 12.5 |
| VBP person and community engagement domain score | 21 | Not Available | Not Available | 16 | 17 | 49 |
| VBP person and community engagement weighted domain score | 5.25 | Not Available | Not Available | 4 | 4.25 | 12.25 |
| VBP safety domain score | 13.33 | Not Available | Not Available | 60 | 50 | 40 |
| VBP safety weighted domain score | 3.333 | Not Available | Not Available | 15 | 12.5 | 10 |
| VBP total performance score | 22.08 | Not Available | Not Available | 31.5 | 34.25 | 42.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.987 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9809 | 0.9969 | 0.9983 | Better than 65% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 121 cases | 0.9861 | 0.9983 | 0.9982 | Better than 59% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 154 cases | 0.9878 | 0.9955 | 0.989 | Better than 55% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9859 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.025 | 1.063 | 1.01 | 1.02 | 0.9971 | 0.9809 |
| READM-30-HF-HRRP | 1.012 | 1.017 | 1.064 | 1.062 | 1.037 | 0.9861 |
| READM-30-HIP-KNEE-HRRP | 0.984 | 1.191 | 1.236 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9823 | 0.9823 | 0.9844 | 0.9376 | 1.007 | 0.9878 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Randolph Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6937 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.928 | 0.346 | 0.3392 | Worse than 95% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.6866 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.9073 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.97 | 0.9628 | 0.9914 | Worse than 54% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.605 | 0.7945 | 0.9227 | Better than 63% of US hospitals | |
| Total HAC scoreFY 2026 | -0.4334 | -0.0453 | 0.09972 | Better than 76% 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 | No | No |
| Total HAC score | 0.5489 | 0.4444 | 0 | 0.3017 | -0.3214 | -0.4334 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
145
Medicare-certified beds
227
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Randolph Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,300
Inpatient discharges
Medicare 10%, Medicaid 2%
16,463
Inpatient days
31% of available bed days used
665
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837067). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Randolph Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,311 | 251 | 13,901 | 16,463 |
| Discharges | 553 | 85 | 4,662 | 5,300 |
| Average length of stay | 4.2 days | 3.0 days | 3.0 days | 3.1 days |
| Average daily census | 6.3 | 0.7 | 38.1 | 45.1 |
7,970
Medicare Advantage days
1,762 discharges
4,241
Medicaid managed care days
1,210 discharges
138
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 133 | 13,268 | 2,071 | 27% |
| Intensive care unit | 12 | 2,119 | 240 | 48% |
| Nursery | 1,076 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Randolph Hospital treats Medicare patients for most often, in 2024. 310 Medicare discharges in 11 published DRGs; 0% surgical; 95% 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 | 99 | $69,698 | $13,754 | $14,288 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 61 | $65,365 | $9,928 | $13,400 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 43 | $61,138 | $9,738 | $12,533 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $63,492 | $11,923 | $13,016 | 1.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $79,496 | $11,128 | $16,297 | 1.59 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $42,215 | $6,454 | $8,654 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $72,870 | $12,843 | $14,938 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $36,899 | $8,304 | $7,564 | 1.17 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $55,574 | $6,773 | $11,393 | 0.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $66,823 | $9,155 | $13,699 | 1.20 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $54,063 | $10,099 | $11,083 | 1.32 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Randolph Hospital billed Medicare for most in 2024: 367 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 163 | 155 | $24,615 | $1,920 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 88 | 55 | $14,831 | $1,607 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 22 | 21 | $12,670 | $1,106 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 18 | 16 | $54,345 | $10,159 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 18 | 18 | $32,695 | $3,909 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 15 | $38,246 | $4,585 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 15 | 15 | $23,093 | $2,161 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 12 | $22,062 | $2,152 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $24,030 | $2,458 | $2,636 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Randolph 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 1,698 in 2020 to 2,148 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 27205 | 686 | 32% | 3,007 | $40.5M | 47% | 42% |
| 27203 | 506 | 24% | 2,193 | $31.9M | 53% | 49% |
| 27317 | 260 | 12% | 1,132 | $17.6M | 31% | 31% |
| 27316 | 136 | 6% | 552 | $7.9M | 42% | 35% |
| 27341 | 118 | 5% | 498 | $6.8M | 40% | 31% |
| 27248 | 93 | 4% | 379 | $5.8M | 40% | 32% |
| 27204 | 82 | 4% | 464 | $6.8M | 54% | 42% |
| 27350 | 67 | 3% | 307 | $4.7M | 19% | 20% |
| 27239 | 61 | 3% | 232 | $3.8M | 12% | 7% |
| 27298 | 60 | 3% | 251 | $3.5M | 13% | 6% |
| 27233 | 28 | 1% | 102 | $1.4M | 17% | 10% |
| 27355 | 23 | 1% | 119 | $1.5M | 20% | 10% |
| 27370 | 17 | 1% | 91 | $1.1M | 2% | 2% |
| 27371 | 11 | 1% | 52 | $703,388 | 3% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 2,148 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 Randolph Hospital reported at its latest Medicare certification survey (2008). Counts are people, not full-time equivalents.
2
Off-site locations
2
Off-site emergency departments
227
Registered nurses
4
Licensed practical nurses
1
Physicians
8
Pharmacists
16
Respiratory therapists
11
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
25
Radiology technicians
2
Nuclear medicine technicians
6
Laboratory technicians
14
Medical technologists
1
Dietitians
2
Social workers
7
Other personnel
Source: CMS Provider of Services file.
151 clinicians who bill Medicare list Randolph 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.
Said Iskandar, MD
Cardiovascular Disease Physician
NPI 1679608053
See commercial rates for Said Iskandar, MDEric Kozlow, MD
Allergy & Immunology Physician
NPI 1710943790
See commercial rates for Eric Kozlow, MDMichael Edwards, MD
Diagnostic Radiology Physician
NPI 1932160058
See commercial rates for Michael Edwards, MDTanvir Chodri, M.D.
Specialist
NPI 1952399784
See commercial rates for Tanvir Chodri, M.D.Christopher Street, MD
Family Medicine Physician
NPI 1215375324
See commercial rates for Christopher Street, MDKirsten Cox, MD
Family Medicine Physician
NPI 1750310694
See commercial rates for Kirsten Cox, MDWill Camnitz, MD
Clinical Cardiac Electrophysiology Physician
NPI 1871751545
See commercial rates for Will Camnitz, MDClifton Baker, MD
General Practice Physician
NPI 1053370098
See commercial rates for Clifton Baker, MDRoberto Chao, M.D.
Urology Physician
NPI 1811942212
See commercial rates for Roberto Chao, M.D.Mark Lukens, M.D.
Diagnostic Radiology Physician
NPI 1326026337
See commercial rates for Mark Lukens, M.D.Lynley Holt, MD
Family Medicine Physician
NPI 1043471329
See commercial rates for Lynley Holt, MDJennifer Burgart, MD
Family Medicine Physician
NPI 1003010463
See commercial rates for Jennifer Burgart, MDKeung Lee, MD
Internal Medicine Physician
NPI 1932186301
See commercial rates for Keung Lee, MDAmy Moon, N.P.
Nurse Practitioner
NPI 1043305121
See commercial rates for Amy Moon, N.P.Douglas Schultz, MD
Internal Medicine Physician
NPI 1487631859
See commercial rates for Douglas Schultz, MDJason Van Eyk, MD
Internal Medicine Physician
NPI 1992719751
See commercial rates for Jason Van Eyk, MDFrancisco Hodges, MD
Family Medicine Physician
NPI 1962513663
See commercial rates for Francisco Hodges, MDJames Williams, M.D.
Dermatology Physician
NPI 1376545301
See commercial rates for James Williams, M.D.Brian Conrad, PA-C
Physician Assistant
NPI 1013505163
See commercial rates for Brian Conrad, PA-CGregory Means, MD
Cardiovascular Disease Physician
NPI 1790045268
See commercial rates for Gregory Means, MDChristy Hearne, NP
Adult Health Nurse Practitioner
NPI 1760885271
See commercial rates for Christy Hearne, NPAnna Fakadej, MD
Ophthalmology Physician
NPI 1932190261
See commercial rates for Anna Fakadej, MDJack Xu, MD
Cardiovascular Disease Physician
NPI 1790239101
See commercial rates for Jack Xu, MDMark Legolvan, D.O.
Hematology (Pathology) Physician
NPI 1619194560
See commercial rates for Mark Legolvan, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Randolph Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $642.8M | 619.6% |
| Inpatient | $248M | 239.1% |
| Outpatient | $394.8M | 380.6% |
| Contractual allowances and discounts | -$539.1M | -519.6% |
| Net patient revenue | $103.7M | 100.0% |
| Operating expenses | -$129.2M | -124.5% |
| Operating income from patient care | -$25.4M | -24.5% |
| Other income | $46.5M | 44.8% |
| Government appropriations | $44.8M | 43.2% |
| Other | $1.7M | 1.6% |
| Net income | $21.1M | 20.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $53.4M | 8.3% |
| Medicaid (including managed care) | $125.6M | 19.5% |
| Other payers and self-pay | $463.9M | 72.2% |
| Total charges | $642.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, 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 Randolph Hospital's latest cost report.
-24.5%
Operating margin
Operating income from patient care / net patient revenue
14.1%
Total margin
Net income / net patient revenue plus other income
15.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
50% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.68
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
17.3%
Return on assets
Net income for a year / total assets
21.9%
Return on equity
Net income for a year / fund balance
0.21
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
-6.66
Current ratio
Current assets / current liabilities
-7.16
Quick ratio
Cash, temporary investments and net receivables / current liabilities
6 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
47 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-6 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.23
Asset turnover
Total revenue for a year / total assets
2.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Randolph Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $122.2M in total assets and a $96.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.1M | 1.7% |
| Patient receivables, net | $13.5M | 11.0% |
| Inventory | $1.7M | 1.4% |
| Total current assets | $14.5M | 11.9% |
| Property and equipment, net of depreciation | $20M | 16.3% |
| Investments and other assets | $87.8M | 71.8% |
| Total assets | $122.2M | 100.0% |
| Current liabilities | -$2.2M | -1.8% |
| Long-term debt | $19.8M | 16.2% |
| Total liabilities | $26M | 21.3% |
| Fund balance (net assets) | $96.2M | 78.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Randolph Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11.5M
Bad debt
Patient bills written off as uncollectible, at charges
-$12.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.6M
Total unreimbursed and uncompensated care
5.1% 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 837067, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Randolph Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $86.3M | $81.3M | $119.6M | $108.5M | $107.6M | $103.7M |
| Operating expenses | $106.1M | $114M | $108M | $111M | $121.1M | $129.2M |
| Operating margin | -22.9% | -40.2% | 9.7% | -2.3% | -12.6% | -24.5% |
| Net income | $2.2M | -$31.8M | $15.7M | $20.7M | $27.8M | $21.1M |
| Total assets | $119.2M | $123.2M | $58.2M | $86.2M | $95.5M | $122.2M |
| Discharges | 4,626 | 4,960 | 5,733 | 5,725 | 5,282 | 5,300 |
| Inpatient days | 11,992 | 14,840 | 18,681 | 17,168 | 16,399 | 16,463 |
| Medicare Advantage days | 4,255 | 5,580 | 8,020 | 8,058 | 7,935 | 7,970 |
| Beds | 145 | 145 | 145 | 145 | 145 | 145 |
| Employees (FTE) | 611 | 605 | 792 | 828 | 825 | 665 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Randolph Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $6.1M | $14.7M | $97.2M | 0.15 | 14,865 |
| Operating room | $4.1M | $11.4M | $85.7M | 0.13 | 36,323 |
| Laboratory | $2M | $7.9M | $79.1M | 0.10 | 10,902 |
| Drugs charged to patients | $7.9M | $19.4M | 0.41 | ||
| Radiology-diagnostic | $2.6M | $7.8M | $55M | 0.14 | 7,519 |
| Medical supplies charged to patient | $4.5M | $7.2M | 0.63 | ||
| Impl. dev. charged to patients | $3.7M | $6.7M | 0.56 | ||
| Delivery room & labor room | $2.4M | $3.7M | $13.5M | 0.28 | 14,382 |
| Home health agency | $1.7M | $3.4M | $3M | 1.12 | 2,530 |
| Respiratory therapy | $1.1M | $2.6M | $61.3M | 0.04 | 3,601 |
| Ct scan | $954,383 | $1.8M | $120.3M | 0.02 | 900 |
| Mri | $409,131 | $1.8M | $10.8M | 0.17 | 19,266 |
| Physical therapy | $768,268 | $1.7M | $6.6M | 0.26 | 8,621 |
| Cardiac rehab | $237,814 | $847,958 | $3.6M | 0.24 | |
| Speech pathology | $360,062 | $664,498 | $3M | 0.22 | |
| Renal dialysis | $254,688 | $497,328 | $1.6M | 0.31 | |
| Vascular lab | $121,330 | $364,461 | $219,450 | 1.66 | 3,000 |
| Anesthesiology | $31,608 | $329,491 | $10.2M | 0.03 | |
| Observation beds (non-distinct part | $242,892 | $2.6M | 0.10 | ||
| Diabetic education | $102,135 | $241,396 | $261,186 | 0.92 | 1,715 |
| Radiation oncology | $1,070 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $10M | $23.6M | $47.8M | 0.49 | 50,531 |
| Intensive care unit | $2.3M | $4.8M | $5.7M | 0.84 | 5,725 |
| Nursery | $854,740 | $1.8M | 0.46 | 754 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $7.6M | $24M | 253,921 | $29.64 | 100,982 |
| Employee benefits department | $64,481 | $14.1M | 2,082 | $30.98 | |
| Operation of plant | $518,606 | $2.3M | 17,151 | $30.24 | 31,728 |
| Central services & supply | $651,521 | $2.2M | 25,571 | $25.48 | 3,229 |
| Pharmacy | $1.8M | $2M | 40,516 | $43.89 | 1,926 |
| Medical records & library | $1.4M | $1.9M | 46,532 | $29.52 | 6,223 |
| Housekeeping | $1.1M | $1.9M | 65,902 | $17.21 | 2,850 |
| Cap rel costs-mvble equip | $1.5M | ||||
| Nursing administration | $1.1M | $1.1M | 22,639 | $48.52 | 696 |
| Cafeteria | $946,055 | 35,048 | $16.84 | 2,592 | |
| Dietary | $903,245 | $721,424 | 18,601 | $16.84 | 7,212 |
| Cap rel costs-bldg & fixt | $439,036 | 443,161 | |||
| Laundry & linen service | $257,501 | ||||
| Social service | $96,745 | 2,323 | $41.65 | 1,605 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837067, 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 Randolph Hospital for an inpatient stay.
1.40
Case mix index
Higher than 17% 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).
40.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
551
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 | 1.49 | 1.49 | 1.44 | 1.58 | 1.48 | 1.50 | 1.40 |
| Wage index | 0.940 | 0.927 | 0.941 | 0.894 | 0.893 | 0.893 | 0.977 |
| Readmissions adjustment | -0.04% | -0.16% | -0.99% | -1.05% | -0.31% | -0.27% | 0.00% |
| Value-based purchasing adjustment | +0.74% | -0.58% | -0.58% | -0.60% | +0.99% | +1.07% | +0.91% |
| Medicare inpatient stays | 977 | 977 | 680 | 654 | 668 | 644 | 551 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Randolph Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
American Healthcare Systems Corp Inc
5% or greater direct ownership interest, 100%, since 2020
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Randolph Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 6 of 7 are shown.
340B drug pricing program
Not participating
340B ID DSH340123, registered as a disproportionate share hospital. Authorizing official: Loretta M Long, Interim CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Home health of randolph
CCN 347007, certified 1995, Medicare prospective payment
Source: Worksheet S-2 Part I of Randolph Hospital's latest Medicare cost report (HCRIS).
About Randolph Hospital's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Randolph Hospital range from $195 to $2,179 across 4 insurers. Blue Cross Blue Shield's rate is $195. The median at nearby comparable hospitals is $1,015. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Randolph Hospital range from $938 to $3,216 across 4 insurers. Aetna's rate is $938. The median at nearby comparable hospitals is $1,746. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Randolph Hospital range from $432 to $1,045 across 2 insurers. Blue Cross Blue Shield's rate is $1,045. The median at nearby comparable hospitals is $2,366. 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 Randolph Hospital range from $5,151 to $7,727 across 3 insurers. UnitedHealthcare's rate is $5,151. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Randolph Hospital range from $120 to $281 across 4 insurers. Cigna's rate is $281. The median at nearby comparable hospitals is $259. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Randolph Hospital range from $17,376 to $22,107 across 3 insurers. Aetna's rate is $22,107. The median at nearby comparable hospitals is $34,531. What a patient pays depends on their plan's deductible, coinsurance and network status.
Randolph Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Randolph Hospital for fiscal year 2027.
No. Randolph Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (99 discharges), heart failure and shock with mcc (61 discharges), simple pneumonia and pleurisy with mcc (43 discharges).
Randolph Hospital's Medicare case mix index is 1.40 for fiscal year 2027, higher than 17% of hospitals paid under the inpatient prospective payment system.
Randolph Hospital reported 5,300 inpatient discharges and 16,463 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Randolph Hospital reported 665 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Randolph Hospital reported $103.7M in net patient revenue on $642.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -24.5%, and net income of $21.1M.
Randolph Hospital reported $6.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.7M of charity care at cost.
Insurers' price transparency files list Randolph Hospital under employer identification number 56-0530234 (Randolph Hospital INC), and 1 other tax ID. 20 health plans and networks list 56-0530234 for it.
HRSA's 340B database lists Randolph Hospital (340B ID DSH340123) as no longer participating since 2021.
151 clinicians who bill Medicare list Randolph Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (19), internal medicine physician (18), physician assistant (17).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Randolph Hospital, effective 2023.
In its Medicare enrollment, Randolph Hospital reports American Healthcare Systems Corp Inc as 5% or greater direct ownership interest (100%).
CMS lists 28 services at Randolph Hospital, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Randolph Hospital came from ZIP codes 27205 (686), 27203 (506), 27317 (260).
Randolph Hospital has 145 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Randolph Hospital is located at 364 White Oak Street, Asheboro, NC 27203. Its main phone number is (336) 625-5151.
Randolph Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 340123.
The National Provider Identifier (NPI) on file for Randolph Hospital is 1255328449.
Randolph Hospital lists 5 in-network payers, including Ameri Health, Kaiser Permanente, MagnaCare, Medica, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
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