Alexander City, AL
3 of 5
CMS star rating
47
Beds
1,306
Inpatient discharges a year
$79M
Net patient revenue a year
29
In-network payers
Russell Medical Center is a 47-bed voluntary non-profit - private hospital in Alexander City, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 237 disclosed rate categories.
The 24 services Russell Medical Center 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
CPT 66984
$3,338 - $4,126
from 3 insurers · median $3,802
201 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$505 - $1,114
from 4 insurers · median $589
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$151 - $522
from 4 insurers · median $372
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,201
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58571
$9,066 - $15,376
from 2 insurers · median $12,221
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$531 - $902
from 4 insurers · median $793
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$262 - $3,175
from 4 insurers · median $1,409
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$505 - $3,172
from 4 insurers · median $1,297
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,568 - $8,745
from 3 insurers · median $6,085
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$3,130
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74176
$345 - $777
from 4 insurers · median $472
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,069 - $8,745
from 2 insurers · median $7,407
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$325 - $2,631
from 4 insurers · median $1,452
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$474 - $1,974
from 4 insurers · median $1,547
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$254 - $722
from 4 insurers · median $511
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$6,298
negotiated rate
24 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$91 - $202
from 4 insurers · median $108
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$345 - $1,026
from 4 insurers · median $697
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$68 - $126
from 4 insurers · median $105
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$345 - $1,363
from 4 insurers · median $850
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,525 - $8,563
from 2 insurers · median $6,044
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$759 - $1,873
from 4 insurers · median $1,416
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,828 - $8,745
from 3 insurers · median $6,815
Typical for a hospital with this service line
Gynecology
CPT 58662
$2,216 - $8,745
from 3 insurers · median $7,663
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* | 18 | 267% | 11 | 3 |
| Insurer B* | 14 | 167% | 4 | 9 |
| Insurer C* | 21 | 143% | 6 | 2 |
| Insurer D* | 24 | 142% | 10 | 10 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 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 Russell Medical Center, 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
$79M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Russell Medical Center 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 |
|---|---|---|
| 63-0385130(multi-state) Russell Medical Center | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more | 1811913460 Russell Hospital Corporation1417252537 Russell Hospital Corporation1215953799 Russell Hospital Corporationand 6 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.
3316 Highway 280, Alexander City, AL 35010
(256) 329-7100
How Russell Medical Center 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 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 9 measures
1 better, 8 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
68%
Lower than 61% 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)
0.99
Higher than 63% 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
138 min
Lower than 58% 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
73%
Higher than 68% 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 4 measures | |
| Readmissions | Better on 1 of 9 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 | 68% | 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) | 0.99 | 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 | 138 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 73% | 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 Russell Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.08% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.24% 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 Russell Medical Center, 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 | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 43 cases | 3.4 | 4.1 | 4.469 | Better than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 409 cases | 4.7 | 3.9 | 4.658 | Worse than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 27 cases | 11.6 | 11.8 | 12.46 | Better than 56% of US hospitals | |
| 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 | Not Available | 8.869 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 60 cases | 13.1 | 11 | 11.65 | Worse than 85% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 73 cases | 17.7 | 15.2 | 16.81 | Worse than 83% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 14.25 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 462 cases | 0.5 | 0.51 | 0.6234 | No Different Than the National Rate | Better than 51% 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 · 776 cases | 0.33 | 0.2 | 0.2114 | No Different Than the National Rate | Worse than 96% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 774 cases | 0.31 | 0.27 | 0.2777 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 112 cases | 2.3 | 2.29 | 2.258 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 35 cases | 1.67 | 1.63 | 1.702 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 36 cases | 9.15 | 8.88 | 10.91 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 123 cases | 3.85 | 3.4 | 3.831 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 35 cases | 5.2 | 5.105 | 5.911 | No Different Than the National Rate | Worse than 58% of US hospitals |
| 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 · 109 cases | 1.03 | 1.02 | 1.058 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Russell Medical Center | 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 · 71 cases | -49.4 | 1.25 | 11.68 | Better than 97% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 78 cases | -4.4 | 3.85 | 12.55 | Better than 61% 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 · 448 cases | 12.8 | 12.9 | 12.93 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 52 cases | 10.3 | 10.7 | 10.28 | No Different Than the National Rate | Better than 61% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 52 cases | 6.5 | 5.3 | 5.113 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 136 cases | 1 | 1 | 0.986 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 33 cases | 13.9 | 14.4 | 14.31 | Better than 72% of US hospitals | |
| 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 · 41 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 · 117 cases | 20.3 | 21.3 | 21.29 | Better than 81% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 48 cases | 5.4 | 5.8 | 5.979 | Better than 71% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 101 cases | 16.5 | 17.2 | 17.3 | Better than 80% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Russell Medical Center | 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 | 291 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.217 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 0.036 | 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 | 3.587 | 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 | 2,325 | 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 | 1.375 | 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 | 1 | 0 | 3.286 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.727 | 0.399 | 0.5151 | No Different than National Benchmark | Worse than 77% 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 | 18 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.458 | 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 | 4,605 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.126 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | 0.166 | 0.127 | 0.2104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.271 | 0.747 | 1.307 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 4,605 | 13,646 | 35,794 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.02 | 5.683 | 20 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 8.833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.99 | 0.279 | 0.3683 | No Different than National Benchmark | Worse than 95% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 212 cases | 77 | 73 | 70.64 | Better than 64% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 212 cases | 7 | 8 | 10.56 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 212 cases | 16 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 89 | 87 | 83.69 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 212 cases | 4 | 4 | 2.759 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 212 cases | 79 | 80 | 79.88 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 92 | 91 | 91.09 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 212 cases | 4 | 4 | 4.699 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 212 cases | 4 | 3 | 3.315 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 212 cases | 17 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 212 cases | 74 | 79 | 81.51 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 89 | 91 | 91.22 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 212 cases | 5 | 5 | 5.027 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 212 cases | 2 | 3 | 3.278 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 212 cases | 21 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 212 cases | 57 | 61 | 62.21 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 78 | 77 | 77.09 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 212 cases | 19 | 19 | 19.6 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 212 cases | 3 | 3 | 2.685 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 212 cases | 24 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 86 | 86 | 84.46 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 212 cases | 13 | 13 | 14.63 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 212 cases | 3 | 3 | 3.056 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 212 cases | 87 | 87 | 85.37 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 212 cases | 15 | 14 | 16.42 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 212 cases | 85 | 86 | 83.58 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 212 cases | 69 | 74 | 76.38 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 212 cases | 6 | 7 | 6.297 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 212 cases | 25 | 19 | 17.33 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 74 | 77 | 79.28 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 7 | 6 | 5.516 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 19 | 17 | 15.2 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 212 cases | 78 | 85 | 86.14 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 212 cases | 4 | 3 | 3.688 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 212 cases | 18 | 11 | 10.17 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 212 cases | 9 | 8 | 8.753 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 212 cases | 23 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 212 cases | 68 | 72 | 70.45 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 87 | 88 | 87.57 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 212 cases | 3 | 3 | 3.222 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 212 cases | 65 | 74 | 74.89 | Worse than 94% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 212 cases | 13 | 9 | 9.938 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 212 cases | 22 | 16 | 15.17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 212 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 · 212 cases | 4 | 5 | 6 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 212 cases | 20 | 20 | 18.95 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 74 | 77 | 76.77 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 5 | 4 | 5.703 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 212 cases | 21 | 19 | 17.53 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 212 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 · 212 cases | 3 | 3 | 3.531 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 212 cases | 11 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 212 cases | 70 | 59 | 66.56 | Better than 83% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 212 cases | 7 | 9 | 6.575 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 212 cases | 23 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 88 | 82 | 84.96 | Better than 89% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 212 cases | 5 | 3 | 4 | The top rating, shared by 11% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 212 cases | 6 | 5 | 6.466 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 212 cases | 68 | 71 | 70.55 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 212 cases | 86 | 87 | 86.26 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 212 cases | 26 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 212 cases | 3 | 4 | 3.389 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 212 cases | 50 | 47 | 48.08 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 212 cases | 25 | 30 | 30.03 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 212 cases | 25 | 22 | 21.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 212 cases | 3 | 3 | 3.241 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 212 cases | 11 | 12 | 13 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 212 cases | 89 | 88 | 87 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Russell Medical Center | 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 · 914 cases | 60 | 79 | 62.92 | Worse than 77% 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 · 511 cases | 145 | 154 | 158 | Better than 57% 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 · 466 cases | 138 | 148 | 153 | Better than 58% 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 · 21 cases | 243 | 247 | 255 | Better than 52% 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 · 25 cases | 438 | 293 | 311 | Worse than 90% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 20,291 cases | 2 | 1 | 2.342 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 75 | 74 | 67.37 | Better than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 63 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 · 381 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 · 191 cases | 73 | 65 | 62.47 | Better than 68% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 58 cases | 88 | 73 | 70.8 | Better than 82% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 34 cases | 97 | 88 | 87.48 | Better than 82% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 191 cases | 80 | 82 | 79.9 | Worse than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 109 cases | 95 | 94 | 90.95 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.75 | |||
| 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 | Not Available | 91.83 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 528 cases | 87 | 90 | 75.44 | Worse than 57% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 450 cases | 88 | 97 | 89.85 | Worse than 85% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 10.2 | 5 | 7.666 | Worse than 88% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.6 | 6.6 | 6.484 | Worse than 50% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.95 | 0.99 | 0.9828 | Better than 68% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 8 | 20 | 12.82 | Worse than 77% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2 | 5 | 3.268 | Worse than 77% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 19.17 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 7.5 | 2.5 | 5.035 | Better than 68% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 31 | 34 | 41.4 | Worse than 56% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.75 | 8.75 | 10.89 | Worse than 56% of US hospitals | |
| VBP safety domain scoreFY 2026 | 33.33 | 40 | 40.62 | Worse than 61% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 8.333 | 10 | 10.27 | Worse than 61% of US hospitals | |
| VBP total performance scoreFY 2026 | 25.58 | 29.5 | 28.52 | Worse than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42 | 13.33 | 0 | 4 | 8 |
| VBP clinical outcomes weighted domain score | 10.5 | 3.333 | 0 | 1 | 2 |
| VBP efficiency and cost reduction domain score | 0 | 70 | 50 | 70 | 30 |
| VBP efficiency and cost reduction weighted domain score | 0 | 17.5 | 12.5 | 17.5 | 7.5 |
| VBP person and community engagement domain score | 53 | Not Available | 43 | 19 | 31 |
| VBP person and community engagement weighted domain score | 13.25 | Not Available | 10.75 | 4.75 | 7.75 |
| VBP safety domain score | 100 | Not Available | 50 | 50 | 33.33 |
| VBP safety weighted domain score | 25 | Not Available | 12.5 | 12.5 | 8.333 |
| VBP total performance score | 48.75 | Not Available | 35.75 | 35.75 | 25.58 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.012 | 0.9995 | 1.029 | Worse than 58% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.021 | 0.9969 | 0.996 | Worse than 70% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 71 cases | 0.9711 | 0.9983 | 1.009 | Better than 69% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8224 | 0.9916 | 1.039 | Better than 91% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9283 | 0.9955 | 1.003 | Better than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.032 | 1.013 | 0.9901 | 1.002 | 1.012 | 1.012 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9896 | 0.9969 | 0.9794 | 0.9846 | 1.004 | 1.021 |
| READM-30-HF-HRRP | 1.038 | 1.059 | 0.9567 | 1.011 | 0.9604 | 0.9711 |
| READM-30-HIP-KNEE-HRRP | 0.968 | N/A | N/A | N/A | 0.8537 | 0.8224 |
| READM-30-PN-HRRP | 0.9935 | 0.971 | 1.024 | 0.9636 | 0.9314 | 0.9283 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Russell Medical Center | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.371 | 0.489 | 0.5999 | Better than 63% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.654 | 0.346 | 0.4007 | Worse than 85% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8784 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8744 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9922 | 0.9628 | 1.049 | Worse than 63% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5688 | |||
| Total HAC scoreFY 2026 | 0.224 | -0.0453 | 0.09962 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | No |
| Total HAC score | -0.2489 | -1.171 | 0 | 0.5178 | 0.481 | 0.224 |
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 2016)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
81
Medicare-certified beds
70
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Russell Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
1,306
Inpatient discharges
Medicare 23%, Medicaid 29%
6,693
Inpatient days
39% of available bed days used
587
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837520). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Russell Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,834 | 628 | 4,231 | 6,693 |
| Discharges | 297 | 380 | 629 | 1,306 |
| Average length of stay | 6.2 days | 1.7 days | 6.7 days | 5.1 days |
| Average daily census | 5.0 | 1.7 | 11.6 | 18.3 |
32
Medicare Advantage days
9 discharges
343
Medicaid managed care days
31 discharges
685
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 41 | 3,291 | 705 | 22% |
| Intensive care unit | 6 | 923 | 314 | 42% |
| Nursery | 387 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Russell Medical Center treats Medicare patients for most often, in 2024. 107 Medicare discharges in 4 published DRGs; 15% surgical; 73% 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 | 54 | $19,795 | $11,723 | $9,937 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 24 | $15,011 | $8,191 | $7,536 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $27,519 | $12,893 | $13,814 | 1.88 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $9,764 | $4,634 | $4,902 | 0.79 |
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) Russell Medical Center billed Medicare for most in 2024: 831 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 201 | 132 | $5,830 | $1,471 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 160 | 138 | $4,656 | $1,236 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 106 | 105 | $13,763 | $1,845 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 69 | 66 | $8,039 | $1,803 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 60 | 42 | $4,544 | $1,047 | $1,220 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 37 | 37 | $47,786 | $6,996 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 32 | 29 | $44,099 | $7,461 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 30 | $8,787 | $2,133 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 23 | $9,370 | $2,100 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 21 | 21 | $19,661 | $3,766 | $4,338 |
See all 16 Medicare outpatient services at Russell Medical Center
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 Russell Medical Center 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 804 in 2020 to 537 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 35010 | 298 | 55% | 1,043 | $6.1M | 33% | 44% |
| 36853 | 67 | 12% | 233 | $1.2M | 15% | 17% |
| 35072 | 33 | 6% | 108 | $655,787 | 16% | 22% |
| 35089 | 24 | 4% | 94 | $532,712 | 35% | 37% |
| 36024 | 23 | 4% | 59 | $368,520 | 8% | 7% |
| 36861 | 21 | 4% | 67 | $420,964 | 18% | 29% |
| 36256 | 20 | 4% | 87 | $525,230 | 30% | 50% |
| 35011 | 17 | 3% | 60 | $337,777 | 57% | 60% |
| 35136 | 12 | 2% | 56 | $318,854 | 18% | 47% |
| 36026 | 11 | 2% | 44 | $242,036 | 50% | |
| 36092 | 11 | 2% | 28 | $164,761 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 537 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 Russell Medical Center reported at its latest Medicare certification survey (2000). Counts are people, not full-time equivalents.
70
Registered nurses
18
Licensed practical nurses
3
Physicians
5
Nurse anesthetists (CRNAs)
4
Pharmacists
4
Physical therapists
1
Dietitians
2
Social workers
422
Other personnel
Source: CMS Provider of Services file.
197 clinicians who bill Medicare list Russell Medical Center 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.
Robert Mcalindon, M.D.
Orthopaedic Surgery Physician
NPI 1699719286
See commercial rates for Robert Mcalindon, M.D.Adahli Massey, MD
Rheumatology Physician
NPI 1295825461
See commercial rates for Adahli Massey, MDTodd Sheils, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1174575070
See commercial rates for Todd Sheils, M.D.William Ware Iii, D.O.
Anesthesiology Physician
NPI 1730115197
See commercial rates for William Ware Iii, D.O.James Lyle, M.D.
Orthopaedic Surgery Physician
NPI 1023052610
See commercial rates for James Lyle, M.D.Fred Mcleod, M. D.
Specialist
NPI 1356305940
See commercial rates for Fred Mcleod, M. D.Steven Baker, MD
Orthopaedic Surgery Physician
NPI 1972966570
See commercial rates for Steven Baker, MDBantwal Baliga, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1992847669
See commercial rates for Bantwal Baliga, M.D.Charles Hensleigh, M.D.
Family Medicine Physician
NPI 1528051133
See commercial rates for Charles Hensleigh, M.D.Adam Dooley, M.D.
Orthopaedic Surgery Physician
NPI 1366767261
See commercial rates for Adam Dooley, M.D.John Fischer, MD
Family Medicine Physician
NPI 1497780761
See commercial rates for John Fischer, MDTrenton Wilson, M.D.
Orthopaedic Surgery Physician
NPI 1093918088
See commercial rates for Trenton Wilson, M.D.Rachel Henderson, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1801238969
See commercial rates for Rachel Henderson, M.D.Brian Foley, MD
Cardiovascular Disease Physician
NPI 1871539593
See commercial rates for Brian Foley, MDKevin Sublett, M.D.F.A.C.C.
Cardiovascular Disease Physician
NPI 1710080734
See commercial rates for Kevin Sublett, M.D.F.A.C.C.Wael Hamo, M.D.
Neurology Physician
NPI 1740257906
See commercial rates for Wael Hamo, M.D.Sunil Sharma, MD
Family Medicine Physician
NPI 1376604272
See commercial rates for Sunil Sharma, MDJohn Mitchell, MD
Specialist
NPI 1417975186
See commercial rates for John Mitchell, MDVincent Law, M.D.
Family Medicine Physician
NPI 1700952751
See commercial rates for Vincent Law, M.D.Jeffrey Adams, M.D.
Therapeutic Radiology Physician
NPI 1558346205
See commercial rates for Jeffrey Adams, M.D.Timothy Corbin, M.D.
Family Medicine Physician
NPI 1013083062
See commercial rates for Timothy Corbin, M.D.Basel Alrefai, MD
Cardiovascular Disease Physician
NPI 1568523579
See commercial rates for Basel Alrefai, MDLaura Daniel, CRNP
Nurse Practitioner
NPI 1952634248
See commercial rates for Laura Daniel, CRNPEmily Rehberg, MD
Pulmonary Disease Physician
NPI 1932218286
See commercial rates for Emily Rehberg, 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 Russell Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $273.6M | 346.6% |
| Inpatient | $30.6M | 38.8% |
| Outpatient | $243M | 307.8% |
| Contractual allowances and discounts | -$194.7M | -246.6% |
| Net patient revenue | $79M | 100.0% |
| Operating expenses | -$94.4M | -119.6% |
| Operating income from patient care | -$15.5M | -19.6% |
| Other income | $18.1M | 22.9% |
| Contributions and donations | $1.1M | 1.4% |
| Investment income | $502,766 | 0.6% |
| Other | $16.5M | 20.9% |
| Net income | $2.6M | 3.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $51.7M | 19.8% |
| Medicaid (including managed care) | $19.3M | 7.4% |
| Other payers and self-pay | $189.9M | 72.8% |
| Total charges | $261M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, 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 Russell Medical Center's latest cost report.
-19.6%
Operating margin
Operating income from patient care / net patient revenue
2.7%
Total margin
Net income / net patient revenue plus other income
8.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$27.93
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.3%
Return on assets
Net income for a year / total assets
8.8%
Return on equity
Net income for a year / fund balance
0.87
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.51
Current ratio
Current assets / current liabilities
0.93
Quick ratio
Cash, temporary investments and net receivables / current liabilities
35 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
83 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.22
Asset turnover
Total revenue for a year / total assets
24.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Russell Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $79.2M in total assets and a $29.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $8.8M | 11.1% |
| Patient receivables, net | $10.3M | 13.0% |
| Inventory | $2.5M | 3.1% |
| Total current assets | $30.9M | 39.0% |
| Property and equipment, net of depreciation | $30.8M | 38.9% |
| Investments and other assets | $17.5M | 22.1% |
| Total assets | $79.2M | 100.0% |
| Current liabilities | $20.5M | 25.9% |
| Long-term debt | $25.9M | 32.7% |
| Total liabilities | $49.5M | 62.5% |
| Fund balance (net assets) | $29.7M | 37.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Russell Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.8M
Bad debt
Patient bills written off as uncollectible, at charges
$1.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.9M
Total unreimbursed and uncompensated care
4.2% 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 837520, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Russell Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $68.2M | $72.5M | $75.3M | $78.8M | $72.9M | $79M |
| Operating expenses | $78.3M | $84.7M | $86.4M | $85.9M | $87.1M | $94.4M |
| Operating margin | -14.8% | -16.9% | -14.8% | -9.1% | -19.3% | -19.6% |
| Net income | $4M | $5.1M | -$5.5M | $445,485 | -$6.5M | $2.6M |
| Total assets | $79M | $96.2M | $91.3M | $88.4M | $82.2M | $79.2M |
| Discharges | 1,875 | 1,716 | 1,801 | 1,614 | 1,647 | 1,306 |
| Inpatient days | 8,217 | 7,273 | 7,613 | 7,395 | 6,986 | 6,693 |
| Medicare Advantage days | 1,070 | 1,396 | 1,229 | 1,169 | 216 | 32 |
| Beds | 43 | 45 | 45 | 45 | 45 | 47 |
| Employees (FTE) | 69 | 71 | 496 | 458 | 464 | 587 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Russell Medical Center 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $16.2M | $86.4M | 0.19 | ||
| Medical supplies charged to patient | $8.1M | $14.5M | 0.56 | ||
| Operating room | $1.8M | $4.9M | $7.7M | 0.64 | 21,003 |
| Radiology-therapeutic | $2.4M | $4.2M | $7.6M | 0.55 | 15,365 |
| Emergency | $2.4M | $3.8M | $29M | 0.13 | 7,660 |
| Radiology-diagnostic | $975,726 | $3.3M | $7.1M | 0.47 | 8,150 |
| Laboratory | $844,567 | $3M | $21.6M | 0.14 | 5,335 |
| Impl. dev. charged to patients | $2.5M | $8.9M | 0.28 | ||
| Physical therapy | $1.4M | $2.4M | $5.2M | 0.46 | |
| Observation beds (non-distinct part | $1.4M | $534,806 | 2.62 | ||
| Cardiac catheterization | $508,591 | $1M | $12.2M | 0.09 | 1,676 |
| Rural health clinic ii | $412,233 | $989,201 | $796,813 | 1.24 | 6,352 |
| Endoscopy | $360,953 | $752,272 | $5.4M | 0.14 | 1,138 |
| Respiratory therapy | $406,600 | $728,948 | $4.8M | 0.15 | 1,727 |
| Whole blood & packed red blood cell | $58,118 | $683,234 | $635,592 | 1.07 | 252 |
| Recovery room | $403,485 | $666,536 | $981,612 | 0.68 | |
| Ct scan | $199,730 | $615,972 | $14.3M | 0.04 | 1,024 |
| Wound care | $358,217 | $605,268 | $2.8M | 0.22 | 2,956 |
| Rural health clinic iii | $269,511 | $555,888 | $602,081 | 0.92 | |
| Radioisotope | $79,975 | $369,654 | $471,834 | 0.78 | 1,144 |
| Mri | $87,588 | $366,323 | $6.9M | 0.05 | 3,062 |
| Delivery room & labor room | $353,176 | $431,272 | 0.82 | 3,917 | |
| Cardiac rehabilitation | $81,069 | $229,069 | $452,881 | 0.51 | |
| Sleep lab | $83,280 | $201,235 | $775,900 | 0.26 | |
| Occupational therapy | $54,006 | $188,733 | $784,826 | 0.24 | |
| Electrocardiology | $86,000 | $163,768 | $1M | 0.16 | 599 |
| Speech pathology | $78,536 | $139,188 | $436,009 | 0.32 | |
| Anesthesiology | $32,792 | $7.1M | 0.00 | ||
| Intravenous therapy | $5,868 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.7M | $8.6M | $9.5M | 0.90 | 28,572 |
| Intensive care unit | $1.2M | $2.3M | $1.8M | 1.28 | 3,000 |
| Nursery | $540,541 | $343,665 | 1.57 | 2,983 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4.2M | $14M | 170,588 | $24.61 | 11,211 |
| Cap rel costs-mvble equip | $2.5M | ||||
| Cap rel costs-bldg & fixt | $2.3M | 231,413 | |||
| Pharmacy | $701,957 | $1.8M | 20,274 | $34.62 | 2,552 |
| Housekeeping | $574,070 | $1.3M | 65,004 | $9.02 | 1,667 |
| Maintenance & repairs | $667,389 | $1.2M | 36,905 | $19.68 | 65,444 |
| Operation of plant | $1.2M | 169 | |||
| Nursing administration | $883,423 | $1.1M | 28,982 | $30.48 | 870 |
| Dietary | $597,240 | $839,650 | 33,410 | $17.88 | 10,606 |
| Employee benefits department | $312,565 | $768,830 | 9,620 | $32.49 | 690 |
| Cap rel costs-bldg & fixt- pob | $529,725 | ||||
| Operation of plant - pob | $267,215 | ||||
| Central services & supply | $277,104 | $214,990 | 8,595 | $32.24 | 3,980 |
| Medical records & library | $182,346 | $202,373 | 11,337 | $16.08 | 981 |
| Laundry & linen service | $27,891 | $114,349 | 2,709 | $10.29 | 1,875 |
| Maintenance & repairs - pob | $18,040 | $62,243 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837520, 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 Russell Medical Center for an inpatient stay.
1.49
Case mix index
Higher than 26% 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).
28.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
311
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.42 | 1.42 | 1.67 | 1.69 | 1.54 | 1.47 | 1.49 |
| Wage index | 0.815 | 0.807 | 0.767 | 0.807 | 0.810 | 0.796 | 0.774 |
| Readmissions adjustment | -1.41% | -0.44% | -0.52% | 0.00% | -0.10% | -0.05% | -0.08% |
| Value-based purchasing adjustment | +0.37% | +1.13% | +1.13% | -0.19% | +1.39% | +1.20% | -0.24% |
| Medicare inpatient stays | 732 | 732 | 482 | 459 | 435 | 315 | 311 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Russell Medical Center'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 12 of 13 are shown.
Russell Hospital Corporation files the Form 990 for the tax ID insurers list for Russell Medical Center, so these people may lead the wider organization rather than Russell Medical Center alone.
| Name | Title |
|---|---|
| Lother E Peace III | President/ce |
| Roberts Edwards | Med Staff Pr |
| James M Fisher | CFO |
| Paula Davenport | CNO |
| Ralph Frohsin | Secretary/tr |
| Randy Haynes | Vice Chairma |
| Hugh Neighbors III | Chairman |
Board members: William Moore MD, Mary Emily Sheffield MD, Thomas Radney, Chris Bodine, Jason Daniels, Will Ferniany, Steve Forehand, Dedie Hendrix, Don Lilly, Jennifer Steele MD, Mathiew Nader MD, Patricia Pritchett.
Source: IRS Form 990 Part VII filed by Russell Hospital Corporation (EIN 63-0385130), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2008
340B ID DSH010065, registered as a disproportionate share hospital; 1 registered outpatient sites; 22 active contract pharmacies. Authorizing official: Robert Allen Phillips, Chief Executive Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Russell medical center
CCN 01U065, certified 2018, Medicare prospective payment
Health partners of goodwater
CCN 013464, certified 2015, Medicare cost reimbursed
Medical park family care
CCN 013491, certified 2020, Medicare cost reimbursed
Health partners ns
CCN 013496, certified 2021, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Russell Medical Center's latest Medicare cost report (HCRIS).
About Russell Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Russell Medical Center range from $505 to $3,172 across 4 insurers. Aetna's rate is $3,172. The median at nearby comparable hospitals is $871. 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 Russell Medical Center range from $505 to $1,114 across 4 insurers. Aetna's rate is $1,114. The median at nearby comparable hospitals is $505. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Russell Medical Center range from $325 to $2,631 across 4 insurers. Blue Cross Blue Shield's rate is $1,558. The median at nearby comparable hospitals is $1,983. 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 Russell Medical Center range from $2,201 to $2,201 across 1 insurers. UnitedHealthcare's rate is $2,201. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Russell Medical Center range from $91 to $202 across 4 insurers. Blue Cross Blue Shield's rate is $97. The median at nearby comparable hospitals is $108. 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 Russell Medical Center range from $6,298 to $6,298 across 1 insurers. UnitedHealthcare's rate is $6,298. The median at nearby comparable hospitals is $17,933. What a patient pays depends on their plan's deductible, coinsurance and network status.
Russell Medical Center 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 Russell Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Russell Medical Center's base inpatient payments by an estimated 0.08% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (54 discharges), heart failure and shock with mcc (24 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (16 discharges).
Russell Medical Center's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.
Russell Medical Center reported 1,306 inpatient discharges and 6,693 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Russell Medical Center reported 587 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Russell Medical Center reported $79M in net patient revenue on $273.6M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -19.6%, and net income of $2.6M.
Russell Medical Center reported $3.9M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.6M of charity care at cost.
Insurers' price transparency files list Russell Medical Center under employer identification number 63-0385130 ((multi-state) Russell Medical Center). 54 health plans and networks list 63-0385130 for it.
Yes. HRSA's 340B database lists Russell Medical Center (340B ID DSH010065) as a participating disproportionate share hospital since 2008, with 22 active contract pharmacies.
197 clinicians who bill Medicare list Russell Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (30), family nurse practitioner (20), certified registered nurse anesthetist (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Russell Medical Center, effective 2016.
CMS lists 22 services at Russell Medical Center, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Russell Medical Center came from ZIP codes 35010 (298), 36853 (67), 35072 (33).
Russell Medical Center has 47 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 81 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Russell Medical Center is located at 3316 Highway 280, Alexander City, AL 35010. Its main phone number is (256) 329-7100.
Russell Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 010065.
The National Provider Identifier (NPI) on file for Russell Medical Center is 1811913460.
Russell Medical Center lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
237 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