WellStar Health System · Griffin, GA
2 of 5
CMS star rating
170
Beds
8,587
Inpatient discharges a year
$200.1M
Net patient revenue a year
35
In-network payers
Spalding Regional Hospital is a 170-bed proprietary hospital in Griffin, GA, affiliated with WellStar Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 367 disclosed rate categories.
The 24 services Spalding Regional 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
$9,197 - $16,622
from 4 insurers · median $11,872
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,279 - $21,524
from 4 insurers · median $17,100
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$90,248 - $146,633
from 4 insurers · median $108,666
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$9,197 - $16,622
from 4 insurers · median $11,872
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$33,812 - $66,053
from 4 insurers · median $59,778
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$26,715 - $48,637
from 4 insurers · median $45,028
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$3,102 - $5,272
from 4 insurers · median $4,297
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$17,184 - $32,477
from 4 insurers · median $28,728
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$489 - $4,549
from 4 insurers · median $935
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,437 - $5,272
from 4 insurers · median $4,299
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,437 - $5,272
from 4 insurers · median $4,625
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$707 - $1,869
from 4 insurers · median $1,614
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$3,180 - $5,272
from 4 insurers · median $4,205
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,132 - $21,218
from 4 insurers · median $11,880
Typical for a hospital with this service line
Mammography
CPT 77067
$101 - $325
from 4 insurers · median $196
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,610 - $36,352
from 4 insurers · median $12,029
Typical for a hospital with this service line
CT imaging
CPT 70450
$187 - $358
from 3 insurers · median $236
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,008 - $4,427
from 4 insurers · median $1,625
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$545 - $2,239
from 4 insurers · median $596
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,050 - $4,483
from 4 insurers · median $2,619
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,699 - $20,675
from 4 insurers · median $11,095
Typical for a hospital with this service line
CT imaging
CPT 74176
$289 - $3,696
from 4 insurers · median $351
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,220 - $5,341
from 4 insurers · median $5,289
Typical for a hospital with this service line
Orthopedics and pain
CPT 64493
$2,572 - $4,460
from 4 insurers · median $3,545
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* | 23 | 431% | 17 | 3 |
| Insurer B* | 24 | 335% | 7 | 4 |
| Insurer C* | 24 | 266% | 7 | 7 |
| Insurer D* | 24 | 221% | 11 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 11 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 Spalding Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$200.1M net patient revenue
Ownership and leadership
Owned by WellStar Health System Inc
The employer identification numbers (EINs) health plans and networks list for Spalding Regional 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 |
|---|---|---|
| 81-0864789Wellstar Spalding Regional Hospital INC | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 54 more | 1972535318 Wellstar Spalding Regional Hospital Inc |
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.
601 South Eighth Street, Griffin, GA 30224
(770) 228-2721
How Spalding Regional Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 7 measures
1 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
56%
Lower than 92% 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 56% 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
192 min
Higher than 77% 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
76%
Higher than 76% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Mixed on 7 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 56% | 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 | 192 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 76% | 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 Spalding Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-0.39% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.07% 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 Spalding Regional Hospital, beside the US median and the average of GA 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 | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,771 cases | 3.8 | 3.9 | 4.079 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 106 cases | 11.4 | 11.8 | 12.11 | Better than 63% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 69 cases | 8 | 8.5 | 8.691 | Better than 62% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 212 cases | 11.6 | 11 | 10.84 | Worse than 62% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 221 cases | 16.4 | 15.2 | 15.21 | Worse than 68% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 198 cases | 11.9 | 11.6 | 12.45 | Worse than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,151 cases | 0.62 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,556 cases | 0.18 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,573 cases | 0.29 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 237 cases | 2.57 | 2.29 | 2.356 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 27 cases | 9.14 | 8.88 | 10.26 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 266 cases | 3.09 | 3.4 | 3.811 | No Different Than the National Rate | Better than 76% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 25 cases | 5.08 | 5.105 | 5.77 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 54 cases | 1.72 | 1.72 | 1.743 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 370 cases | 1.28 | 1.02 | 1.073 | No Different Than the National Rate | Worse than 87% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 88 cases | 22.6 | 4.2 | 5.306 | Worse than 78% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 241 cases | -21.7 | 1.25 | 12.52 | Better than 81% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 221 cases | 28.8 | 3.85 | 12.69 | Worse than 81% 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 · 159 cases | 13.9 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 45 cases | 1.1 | 1 | 0.9723 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 170 cases | 15.2 | 14.4 | 14.35 | Worse than 84% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 212 cases | 19.3 | 19.8 | 19.84 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 522 cases | 19.8 | 21.3 | 21.19 | Better than 90% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 452 cases | 19.1 | 17.2 | 17.41 | Worse than 94% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.159 | 0.172 | 0.2721 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.701 | 1.504 | 1.762 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,448 | 1,370 | 5,571 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.799 | 0.9835 | 5.825 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.568 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.625 | 0.484 | 0.619 | No Different than National Benchmark | Worse than 63% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.014 | 0.138 | 0.1792 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.344 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,696 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.67 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.272 | 0.399 | 0.3748 | No Different than National Benchmark | Better than 62% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.519 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 35 | 61 | 136 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.994 | 1.591 | 3.769 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 3.756 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9605 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.285 | 0.211 | 0.4781 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.614 | 3.068 | 3.862 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 118 | 38 | 143 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.177 | 0.328 | 1.256 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.77 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 1.699 | 0.812 | 1.373 | No Different than National Benchmark | Worse than 79% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.373 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.993 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 40,349 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.045 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.467 | 0.597 | 0.6352 | No Different than National Benchmark | Worse than 92% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.024 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.465 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 37,960 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 14.2 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.141 | 0.279 | 0.2745 | Better than the National Benchmark | Better than 70% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 413 cases | 65 | 73 | 72.27 | Worse than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 413 cases | 20 | 8 | 9.85 | Worse than 98% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 413 cases | 15 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 80 | 87 | 85.97 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 4 | 3.301 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 413 cases | 74 | 80 | 78.79 | Worse than 82% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 88 | 91 | 90.82 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 413 cases | 9 | 4 | 4.903 | Worse than 95% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 3 | 3.204 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 413 cases | 17 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 413 cases | 74 | 79 | 79.46 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 88 | 91 | 90.77 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 413 cases | 9 | 5 | 5.717 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 3 | 3.075 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 413 cases | 17 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 413 cases | 56 | 61 | 60.14 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 72 | 77 | 75.68 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 413 cases | 26 | 19 | 21.5 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 413 cases | 18 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 84 | 86 | 84.09 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 413 cases | 16 | 13 | 14.95 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 413 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 413 cases | 84 | 87 | 85.05 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 413 cases | 20 | 14 | 17.13 | Worse than 84% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 413 cases | 80 | 86 | 82.87 | Worse than 84% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 68 | 74 | 74.33 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 11 | 7 | 7.087 | Worse than 90% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 21 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 74 | 77 | 77.43 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 10 | 6 | 6.146 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 16 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 80 | 85 | 85.2 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 5 | 3 | 3.728 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 15 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 413 cases | 10 | 8 | 8.69 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 413 cases | 30 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 413 cases | 60 | 72 | 71.31 | Worse than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 84 | 88 | 87.94 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 3 | 3.269 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 413 cases | 69 | 74 | 73.43 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 413 cases | 16 | 9 | 10.45 | Worse than 94% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 413 cases | 15 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 72 | 75 | 74.03 | Worse than 67% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 10 | 5 | 6.592 | Worse than 91% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 413 cases | 18 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 71 | 77 | 75.78 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 10 | 4 | 5.34 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 413 cases | 19 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 81 | 86 | 84.54 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 7 | 3 | 3.437 | Worse than 96% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 413 cases | 12 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 413 cases | 61 | 59 | 63.8 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 413 cases | 12 | 9 | 8.469 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 413 cases | 27 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 82 | 82 | 83.87 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 413 cases | 3 | 3 | 3.774 | 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 · 413 cases | 9 | 5 | 6.124 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 413 cases | 56 | 71 | 70.88 | Worse than 92% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 413 cases | 81 | 87 | 87.15 | Worse than 89% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 413 cases | 35 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 4 | 3.602 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 413 cases | 43 | 47 | 46.49 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 413 cases | 37 | 30 | 32.79 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 413 cases | 20 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 413 cases | 2 | 3 | 3.151 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 413 cases | 13 | 12 | 13.65 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 413 cases | 87 | 88 | 86.35 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| 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 · 14,579 cases | 9 | 8 | 6.667 | Worse than 53% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,513 cases | 77 | 79 | 71.13 | Worse than 54% 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 · 364 cases | 204 | 154 | 175 | Worse than 79% 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 · 339 cases | 192 | 148 | 169 | Worse than 77% 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 · 18 cases | 396 | 247 | 348 | Worse than 87% 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 | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 43,572 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 21 cases | 71 | 74 | 71.14 | Worse than 55% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 67 cases | 93 | 97 | 90.05 | Worse than 69% 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 | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,280 cases | 19 | 15 | 16.89 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 229 cases | 76 | 65 | 58.96 | Better than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 88 cases | 80 | 73 | 70.15 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 98 | 88 | 83.53 | Better than 86% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 229 cases | 88 | 82 | 77.15 | Better than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 123 cases | 98 | 94 | 90.02 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.46 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,591 cases | 99 | 90 | 83.63 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,185 cases | 99 | 97 | 95.53 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.7 | 5 | 5.623 | Better than 78% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.9 | 6.6 | 6.411 | Worse than 54% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1 | 0.99 | 0.9648 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 20 | 20 | 20.96 | Better than 48% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 5.347 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 26.92 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 7.03 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 45 | 34 | 36.51 | Better than 68% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.25 | 8.75 | 9.439 | Better than 67% of US hospitals | |
| VBP safety domain scoreFY 2026 | 45 | 40 | 38.57 | Better than 57% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.25 | 10 | 9.691 | Better than 56% of US hospitals | |
| VBP total performance scoreFY 2026 | 30 | 29.5 | 31.07 | Better than 52% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 22 | 32 | 50 | 22.5 | 12.5 | 20 |
| VBP clinical outcomes weighted domain score | 5.5 | 8 | 12.5 | 5.625 | 3.125 | 5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 0 | 0 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 0 | 0 | 2.5 |
| VBP person and community engagement domain score | 24 | Not Available | Not Available | 3 | 9 | 45 |
| VBP person and community engagement weighted domain score | 6 | Not Available | Not Available | 0.75 | 2.25 | 11.25 |
| VBP safety domain score | 32 | Not Available | Not Available | 40 | 60 | 45 |
| VBP safety weighted domain score | 8 | Not Available | Not Available | 10 | 15 | 11.25 |
| VBP total performance score | 19.5 | Not Available | Not Available | 16.38 | 20.38 | 30 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 90 cases | 1.133 | 0.9995 | 1.003 | Worse than 97% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9626 | 0.9969 | 1.012 | Better than 81% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 230 cases | 0.9489 | 0.9983 | 1.011 | Better than 81% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 200 cases | 1.015 | 0.9955 | 1.009 | Worse than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9789 | 0.9223 | 1.05 | 1.148 | 1.227 | 1.133 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9984 | 0.9744 | 1.028 | 0.984 | 1.003 | 0.9626 |
| READM-30-HF-HRRP | 0.9281 | 0.9585 | 1.028 | 1.043 | 1.013 | 0.9489 |
| READM-30-HIP-KNEE-HRRP | 1.129 | 1.032 | 1.027 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.052 | 0.9931 | 0.926 | 0.9541 | 0.976 | 1.015 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Spalding Regional Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.479 | 0.489 | 0.6612 | Better than 51% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.18 | 0.346 | 0.3286 | Better than 75% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.409 | 0.559 | 0.6574 | Better than 65% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.763 | 0.6405 | 0.8117 | Worse than 95% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9746 | 0.9628 | 1.068 | Worse than 56% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.866 | 0.7945 | 1.054 | Worse than 55% of US hospitals | |
| Total HAC scoreFY 2026 | 0.1281 | -0.0453 | 0.04361 | Worse than 61% 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 | Yes | Yes | No |
| Total HAC score | 0.9097 | 0.4451 | 0 | 0.6711 | 0.3963 | 0.1281 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
160
Medicare-certified beds
282
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Spalding Regional Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
8,587
Inpatient discharges
Medicare 16%, Medicaid 7%
39,664
Inpatient days
64% of available bed days used
798
Employees (full-time equivalent)
27
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825978). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Spalding Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 7,354 | 2,702 | 29,608 | 39,664 |
| Discharges | 1,410 | 597 | 6,580 | 8,587 |
| Average length of stay | 5.2 days | 4.5 days | 4.5 days | 4.6 days |
| Average daily census | 20.1 | 7.4 | 81.1 | 108.7 |
14,432
Medicare Advantage days
2,547 discharges
5,534
Medicaid managed care days
4,261
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 150 | 32,755 | 6,680 | 60% |
| Intensive care unit | 16 | 4,484 | 674 | 77% |
| Other special care | 4 | 887 | 61% | |
| Nursery | 1,538 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Spalding Regional Hospital treats Medicare patients for most often, in 2024. 907 Medicare discharges in 31 published DRGs; 6% surgical; 83% 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 | 254 | $111,968 | $14,903 | $15,563 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 102 | $87,548 | $10,322 | $12,169 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $110,101 | $12,138 | $15,304 | 1.59 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 36 | $81,097 | $9,796 | $11,272 | 1.33 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 25 | $91,657 | $11,174 | $12,740 | 1.32 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $51,291 | $7,661 | $7,129 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $76,601 | $11,763 | $10,647 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $75,973 | $10,004 | $10,560 | 1.23 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $90,484 | $11,618 | $12,577 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $56,565 | $9,500 | $7,863 | 1.17 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $51,358 | $6,026 | $7,139 | 0.74 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $48,592 | $6,407 | $6,754 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $64,275 | $7,208 | $8,934 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $60,582 | $6,605 | $8,421 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 20 | $53,153 | $7,539 | $7,388 | 0.90 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $111,663 | $9,625 | $15,521 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $56,097 | $7,650 | $7,797 | 0.91 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $298,659 | $37,824 | $41,514 | 5.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $51,428 | $6,644 | $7,148 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $62,161 | $8,095 | $8,640 | 1.02 |
See all 31 Medicare inpatient DRGs at Spalding Regional Hospital
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) Spalding Regional Hospital billed Medicare for most in 2024: 271 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 65 | 64 | $28,327 | $1,993 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 44 | 41 | $16,907 | $1,144 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 36 | 36 | $29,694 | $2,111 | $2,208 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 30 | $60,128 | $3,920 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 16 | $36,300 | $4,040 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 22 | 18 | $19,374 | $1,393 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 18 | 18 | $33,588 | $2,357 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 17 | 17 | $76,115 | $9,933 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 14 | $27,838 | $2,101 | $2,141 |
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 Spalding Regional 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 2,990 in 2020 to 3,966 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30223 | 1,453 | 37% | 7,854 | $151.9M | 57% | 58% |
| 30224 | 945 | 24% | 4,704 | $90.8M | 61% | 65% |
| 30233 | 410 | 10% | 2,282 | $42.4M | 32% | 36% |
| 30204 | 173 | 4% | 840 | $16.9M | 29% | 31% |
| 30228 | 138 | 3% | 847 | $14.9M | 8% | 8% |
| 30292 | 122 | 3% | 603 | $13.6M | 55% | 64% |
| 30257 | 116 | 3% | 547 | $11M | 43% | 55% |
| 30248 | 112 | 3% | 551 | $10.2M | 12% | 9% |
| 30295 | 76 | 2% | 458 | $9.6M | 46% | 46% |
| 30286 | 50 | 1% | 236 | $5.4M | 4% | 3% |
| 30253 | 47 | 1% | 242 | $4.4M | 2% | 1% |
| 30216 | 46 | 1% | 244 | $5.1M | 72% | 49% |
| 30234 | 34 | 1% | 172 | $3.4M | 52% | 49% |
| 30206 | 32 | 1% | 169 | $3.5M | 33% | 48% |
| 30205 | 25 | 1% | 159 | $3.1M | 13% | 25% |
| 30256 | 24 | 1% | 86 | $2M | 28% | 29% |
| 31029 | 24 | 1% | 114 | $2.2M | 3% | 2% |
| 30258 | 21 | 1% | 88 | $2M | 21% | |
| 30236 | 19 | 0% | 84 | $1.6M | 1% | |
| 30252 | 19 | 0% | 69 | $1.2M | 1% | 2% |
| 30266 | 17 | 0% | 60 | $1.3M | 100% | 100% |
| 30212 | 14 | 0% | 173 | $2.9M | 100% | 100% |
| 30284 | 14 | 0% | 76 | $983,554 | 100% | 100% |
| 30276 | 12 | 0% | 58 | $816,084 | 2% | |
| 30281 | 12 | 0% | 72 | $1.3M | 0% |
Source: CMS Hospital Service Area file. Shares are of the 3,966 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 Spalding Regional Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
7
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
4
Off-site locations
1
Off-site emergency departments
282
Registered nurses
5
Licensed practical nurses
28
Resident physicians
11
Pharmacists
17
Respiratory therapists
9
Physical therapists
4
Occupational therapists
5
Speech pathologists and audiologists
33
Radiology technicians
2
Nuclear medicine technicians
5
Laboratory technicians
12
Medical technologists
3
Social workers
332
Other personnel
Source: CMS Provider of Services file.
253 clinicians who bill Medicare list Spalding Regional 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.
Benjamin Hess, MD
Family Medicine Physician
NPI 1003044199
See commercial rates for Benjamin Hess, MDPhilip Ploska, MD
Orthopaedic Surgery Physician
NPI 1356338313
See commercial rates for Philip Ploska, MDNoman Malik, M.D.
Diagnostic Radiology Physician
NPI 1003841875
See commercial rates for Noman Malik, M.D.Marat Reyzelman, M.D.
Neurology Physician
NPI 1255516019
See commercial rates for Marat Reyzelman, M.D.David Goodman, M.D.
Orthopaedic Surgery Physician
NPI 1467449165
See commercial rates for David Goodman, M.D.George Jabren, MD
Urology Physician
NPI 1841284718
See commercial rates for George Jabren, MDAli Shaikh, MD
Diagnostic Radiology Physician
NPI 1912969130
See commercial rates for Ali Shaikh, MDBradley Delay, M.D.
Family Medicine Physician
NPI 1134117609
See commercial rates for Bradley Delay, M.D.Jeevith Kanukunta, M.D.
Interventional Cardiology Physician
NPI 1851338727
See commercial rates for Jeevith Kanukunta, M.D.Muthusamy Sekar, M.D.
Interventional Cardiology Physician
NPI 1710924535
See commercial rates for Muthusamy Sekar, M.D.Chaitanya Vemulapalli, M.D
Diagnostic Radiology Physician
NPI 1700166733
See commercial rates for Chaitanya Vemulapalli, M.DCourtney Perez, M.D.
Diagnostic Radiology Physician
NPI 1447207782
See commercial rates for Courtney Perez, M.D.Pritam Polkampally, M.D.
Interventional Cardiology Physician
NPI 1487753877
See commercial rates for Pritam Polkampally, M.D.Kristin Gore, MD
Family Medicine Physician
NPI 1831327923
See commercial rates for Kristin Gore, MDTodd Schmidt, M.D.
Orthopaedic Surgery Physician
NPI 1396745618
See commercial rates for Todd Schmidt, M.D.Jonathan Busbee, M.D.
Internal Medicine Physician
NPI 1346212792
See commercial rates for Jonathan Busbee, M.D.Gregory Petro, MD
Cardiovascular Disease Physician
NPI 1124023304
See commercial rates for Gregory Petro, MDAslam Khan, MD
Clinical Cardiac Electrophysiology Physician
NPI 1053572123
See commercial rates for Aslam Khan, MDDhruv Chawla, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1043574049
See commercial rates for Dhruv Chawla, M.D.Mobin Shah, MD
Hospitalist Physician
NPI 1932319613
See commercial rates for Mobin Shah, MDBrian Wilson, M.D.
Diagnostic Radiology Physician
NPI 1326274291
See commercial rates for Brian Wilson, M.D.Steven Rayappa, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1023307626
See commercial rates for Steven Rayappa, M.D.Aneesha Ananthula, M.D.
Hematology (Internal Medicine) Physician
NPI 1336593557
See commercial rates for Aneesha Ananthula, M.D.Dozier Hood, M.D.
Otolaryngology Physician
NPI 1023015195
See commercial rates for Dozier Hood, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Spalding Regional Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.4B | 675.1% |
| Inpatient | $776.3M | 388.0% |
| Outpatient | $574.4M | 287.1% |
| Contractual allowances and discounts | -$1.2B | -575.1% |
| Net patient revenue | $200.1M | 100.0% |
| Operating expenses | -$208.3M | -104.1% |
| Operating income from patient care | -$8.2M | -4.1% |
| Other income | $3.4M | 1.7% |
| Investment income | $78,608 | 0.0% |
| COVID-19 relief funding | $696,425 | 0.3% |
| Other | $2.7M | 1.3% |
| Other expenses | -$1 | -0.0% |
| Net income | -$4.8M | -2.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $154.3M | 11.4% |
| Medicaid (including managed care) | $166.8M | 12.4% |
| Other payers and self-pay | $1B | 76.2% |
| Total charges | $1.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, 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 Spalding Regional Hospital's latest cost report.
-4.1%
Operating margin
Operating income from patient care / net patient revenue
-2.4%
Total margin
Net income / net patient revenue plus other income
3.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.75
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-1.8%
Return on assets
Net income for a year / total assets
-9.2%
Return on equity
Net income for a year / fund balance
3.79
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.09
Current ratio
Current assets / current liabilities
1.92
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
67 days
Days in patient receivables
Net patient receivables / daily net patient revenue
37 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.75
Asset turnover
Total revenue for a year / total assets
5.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Spalding Regional Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $270.5M in total assets and a $52.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.2M | 0.4% |
| Patient receivables, net | $36.8M | 13.6% |
| Inventory | $3.3M | 1.2% |
| Total current assets | $41.5M | 15.3% |
| Property and equipment, net of depreciation | $89M | 32.9% |
| Investments and other assets | $140.1M | 51.8% |
| Total assets | $270.5M | 100.0% |
| Current liabilities | $19.8M | 7.3% |
| Long-term debt | $198.3M | 73.3% |
| Total liabilities | $218.2M | 80.7% |
| Fund balance (net assets) | $52.3M | 19.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Spalding Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$17.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$19.2M
Bad debt
Patient bills written off as uncollectible, at charges
$6.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$76,397
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$20M
Total unreimbursed and uncompensated care
9.6% 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 825978, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Spalding Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $133.6M | $150.9M | $149.9M | $162.4M | $191.6M | $200.1M |
| Operating expenses | $146.5M | $152.2M | $165.9M | $177.1M | $196.1M | $208.3M |
| Operating margin | -9.6% | -0.9% | -10.7% | -9.0% | -2.3% | -4.1% |
| Net income | $3.6M | $7.4M | -$13.1M | -$12.5M | -$1.7M | -$4.8M |
| Total assets | $250.5M | $249.2M | $260.8M | $265.8M | $266.5M | $270.5M |
| Discharges | 7,232 | 6,479 | 6,168 | 6,955 | 7,988 | 8,587 |
| Inpatient days | 35,742 | 35,071 | 35,350 | 36,850 | 38,529 | 39,664 |
| Medicare Advantage days | 9,174 | 9,821 | 11,874 | 11,935 | 13,249 | 14,432 |
| Beds | 160 | 160 | 160 | 170 | 170 | 170 |
| Employees (FTE) | 717 | 687 | 649 | 726 | 730 | 798 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Spalding Regional 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 | $9.8M | $22.7M | $152.3M | 0.15 | 19,598 |
| Drugs charged to patients | $15.8M | $98.9M | 0.16 | ||
| Operating room | $5.2M | $13.2M | $181.9M | 0.07 | 14,660 |
| Laboratory | $2.6M | $10.4M | $179.8M | 0.06 | 3,812 |
| Medical supplies charged to patient | $7.2M | $26.6M | 0.27 | ||
| Delivery room & labor room | $2.8M | $6.9M | $9.3M | 0.74 | 5,714 |
| Ambulance services | $3M | $6.6M | $34.9M | 0.19 | |
| Radiology-diagnostic | $2.2M | $5.7M | $43.5M | 0.13 | 4,815 |
| Physical therapy | $2.5M | $5.5M | $18.9M | 0.29 | 5,432 |
| Observation beds (non-distinct part | $4.8M | $15.9M | 0.30 | ||
| Respiratory therapy | $2.2M | $4.6M | $60.9M | 0.08 | 2,294 |
| Impl. dev. charged to patients | $3.6M | $11.3M | 0.32 | ||
| Cardiac catheterization | $1.5M | $3.4M | $39.6M | 0.09 | 3,647 |
| Wound care | $731,907 | $2.3M | $30.6M | 0.08 | 4,868 |
| Ct scan | $908,266 | $2.2M | $125.4M | 0.02 | 1,208 |
| Renal dialysis | $1.9M | $27M | 0.07 | 1,587 | |
| Electroencephalography | $286,129 | $1.4M | $6.3M | 0.22 | 3,095 |
| Blood storing processing & trans. | $217,817 | $1.3M | $17.5M | 0.07 | 338 |
| Intravenous therapy | $454,806 | $1M | $3.6M | 0.29 | 145 |
| Radioisotope | $231,417 | $966,317 | $6.5M | 0.15 | 495 |
| Mri | $232,487 | $837,687 | $17.7M | 0.05 | 1,653 |
| Electrocardiology | $152,065 | $329,695 | $12.5M | 0.03 | 226 |
| Lithotripsy | $403 | $693,997 | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.1M | $41.8M | $182.8M | 0.23 | 38,373 |
| Intensive care unit | $6M | $15.3M | $30.8M | 0.50 | 9,461 |
| Nicu | $1.2M | $2.4M | $8.3M | 0.29 | 492 |
| Nursery | $1.6M | $7.1M | 0.22 | 751 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $7.9M | $37.6M | 173,462 | $44.63 | 14,038 |
| Employee benefits department | $216,610 | $21.8M | 3,509 | $61.73 | 1,086 |
| Cap rel costs-mvble equip | $8.2M | ||||
| Operation of plant | $724,731 | $5.4M | 20,773 | $34.89 | 19,856 |
| Cap rel costs-bldg & fixt | $3.8M | 177,441 | |||
| Pharmacy | $2.6M | $3.5M | 51,885 | $50.48 | 2,474 |
| Housekeeping | $107,485 | $2.2M | 5,099 | $21.08 | 2,439 |
| Nursing administration | $1.8M | $2.1M | 25,175 | $70.94 | 3,672 |
| I&r services-salary & fringes apprv | $2M | $2M | |||
| I&r services-other prgm costs apprv | $2M | 712 | |||
| Dietary | $1.4M | 5,359 | |||
| Laundry & linen service | $1M | ||||
| Central services & supply | $702,117 | $901,240 | 27,003 | $26.00 | |
| Medical records & library | $430,878 | 1,340 | |||
| Cafeteria | $308,016 | 1,349 | |||
| Social service | $209,845 | 4,495 | $40.80 | 158 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825978, 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 Spalding Regional Hospital for an inpatient stay.
1.61
Case mix index
Higher than 41% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.16 residents per bed
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).
1,505
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 | 1.44 | 1.44 | 1.86 | 1.66 | 1.68 | 1.67 | 1.61 |
| Wage index | 0.931 | 0.939 | 0.936 | 0.983 | 0.992 | 0.970 | 0.997 |
| Readmissions adjustment | -0.55% | -0.55% | -0.08% | -0.36% | -0.47% | -0.51% | -0.39% |
| Value-based purchasing adjustment | -1.24% | -0.75% | -0.75% | -0.10% | -0.45% | -0.18% | +0.07% |
| Medicare inpatient stays | 2,077 | 2,077 | 1,416 | 1,375 | 1,279 | 1,359 | 1,505 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Spalding Regional Hospital reports to Medicare as owners or with operational control.
WellStar Health System Inc
5% or greater indirect ownership interest, 100%, since 2016
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Spalding Regional 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 19 of 21 are shown.
Wellstar Spalding Regional Hospital Inc files the Form 990 for the tax ID insurers list for Spalding Regional Hospital, so these people may lead the wider organization rather than Spalding Regional Hospital alone.
| Name | Title |
|---|---|
| Candice Saunders | President & CEO |
| Anthony Budzinski | EVP & CFO |
| Leo Reichert | EVP & General Counsel |
| David Jones | EVP Chief Human Resources Offr |
| Kem Mullins | EVP Ambulatory Ops & Bus Dev |
| Mary Chatman | EVP Acute Care Operations |
| Richard Capps | EVP Chief Info & Digital Offcr |
| Susan Grant | EVP Chief Experience Off & Cne |
| Julie Teer | SVP & Wellstar Foundation Pres |
| Beth Kost | SVP Chief Compliance Officer |
Board members: Arif Aziz MD, Paul Douglass MD, James L Hornsby, and 57 more on the return.
Source: IRS Form 990 Part VII filed by Wellstar Spalding Regional Hospital Inc (EIN 81-0864789), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2017
340B ID DSH110031, registered as a disproportionate share hospital; 1 registered outpatient sites; 8 active contract pharmacies. Authorizing official: Hans Meth, Avp Finance And Operations.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Spalding Regional Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Spalding Regional Hospital range from $489 to $4,549 across 4 insurers. Cigna's rate is $676. The median at nearby comparable hospitals is $916. 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 Spalding Regional Hospital range from $3,437 to $5,272 across 4 insurers. Blue Cross Blue Shield's rate is $4,092. The median at nearby comparable hospitals is $3,673. 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 Spalding Regional Hospital range from $9,197 to $16,622 across 4 insurers. UnitedHealthcare's rate is $14,406. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Spalding Regional Hospital range from $101 to $325 across 4 insurers. UnitedHealthcare's rate is $101. The median at nearby comparable hospitals is $241. 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 Spalding Regional Hospital range from $26,715 to $48,637 across 4 insurers. Aetna's rate is $47,170. The median at nearby comparable hospitals is $31,236. What a patient pays depends on their plan's deductible, coinsurance and network status.
Spalding Regional Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
Yes. CMS counts 0.16 Medicare-funded residents per bed at Spalding Regional Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Spalding Regional Hospital's base inpatient payments by an estimated 0.39% 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 (254 discharges), heart failure and shock with mcc (102 discharges), acute myocardial infarction, discharged alive with mcc (43 discharges).
Spalding Regional Hospital's Medicare case mix index is 1.61 for fiscal year 2027, higher than 41% of hospitals paid under the inpatient prospective payment system.
Spalding Regional Hospital reported 8,587 inpatient discharges and 39,664 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Spalding Regional Hospital reported 798 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Spalding Regional Hospital reported $200.1M in net patient revenue on $1.4B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -4.1%, and net income of -$4.8M.
Spalding Regional Hospital reported $20M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $17.2M of charity care at cost.
Insurers' price transparency files list Spalding Regional Hospital under employer identification number 81-0864789 (Wellstar Spalding Regional Hospital INC). 59 health plans and networks list 81-0864789 for it.
Yes. HRSA's 340B database lists Spalding Regional Hospital (340B ID DSH110031) as a participating disproportionate share hospital since 2017, with 8 active contract pharmacies.
253 clinicians who bill Medicare list Spalding Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (33), internal medicine physician (31), certified registered nurse anesthetist (16).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Spalding Regional Hospital, effective 2025.
In its Medicare enrollment, Spalding Regional Hospital reports WellStar Health System Inc as 5% or greater indirect ownership interest (100%).
CMS lists 35 services at Spalding Regional Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Spalding Regional Hospital came from ZIP codes 30223 (1,453), 30224 (945), 30233 (410).
Spalding Regional Hospital has 170 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 160 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Spalding Regional Hospital is located at 601 South Eighth Street, Griffin, GA 30224. Its main phone number is (770) 228-2721.
Spalding Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110031.
The National Provider Identifier (NPI) on file for Spalding Regional Hospital is 1972535318.
Spalding Regional Hospital is affiliated with WellStar Health System.
Spalding Regional Hospital lists 35 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
367 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