Toccoa, GA
2 of 5
CMS star rating
40
Beds
835
Inpatient discharges a year
$51.5M
Net patient revenue a year
28
In-network payers
Stephens County Hospital is a 40-bed government - hospital district or authority hospital in Toccoa, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 238 disclosed rate categories.
The 24 services Stephens County 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.
CT imaging
CPT 74177
$275 - $3,412
from 4 insurers · median $3,185
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$275 - $940
from 4 insurers · median $878
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$275 - $1,513
from 4 insurers · median $1,412
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$611 - $4,549
from 4 insurers · median $4,247
48 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$16,686 - $18,765
from 3 insurers · median $18,348
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$408 - $3,688
from 4 insurers · median $3,443
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$189 - $1,018
from 4 insurers · median $950
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$275 - $1,283
from 4 insurers · median $1,197
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$17,607 - $19,800
from 4 insurers · median $19,030
Typical for a hospital with this service line
MRI imaging
CPT 70553
$228 - $1,275
from 4 insurers · median $1,190
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$114 - $863
from 4 insurers · median $806
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$21,208 - $23,850
from 4 insurers · median $22,923
Typical for a hospital with this service line
Ultrasound
CPT 76705
$78 - $492
from 4 insurers · median $459
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $159
from 4 insurers · median $148
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$101 - $113
from 4 insurers · median $112
Common here, based on CMS Medicare volume
Ultrasound
CPT 76770
$63 - $852
from 4 insurers · median $795
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$383 - $987
from 4 insurers · median $922
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$10,404 - $11,700
from 3 insurers · median $11,440
Typical for a hospital with this service line
MRI imaging
CPT 72148
$425 - $1,109
from 4 insurers · median $1,035
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$425 - $1,924
from 4 insurers · median $1,796
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$182 - $1,015
from 4 insurers · median $947
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$65 - $569
from 4 insurers · median $532
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$527 - $5,130
from 4 insurers · median $4,789
13 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93880
$185 - $842
from 4 insurers · median $786
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* | 24 | 381% | 17 | 7 |
| Insurer B* | 24 | 373% | 16 | 6 |
| Insurer C* | 24 | 339% | 15 | 9 |
| Insurer D* | 22 | 77% | 0 | 19 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 4 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 Stephens County 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
$51.5M net patient revenue
Ownership and leadership
Hospital district or authority
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Stephens County 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 |
|---|---|---|
| 58-6001667Stephens County Hospital | 45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 40 more | 1033191267 Stephens County Hospital Authority1023655321 Stephens County Hospital Authority1811579121 Stephens County Hospital Authorityand 3 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.
163 Hospital Drive, Toccoa, GA 30577
(706) 282-4250
How Stephens County 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 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
76%
Higher than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.96
Higher than 51% 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
130 min
Lower than 65% 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
53%
Lower 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 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Mixed on 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 76% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.96 | 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 | 130 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 53% | 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 Stephens County Hospital's inpatient payments for its readmissions, quality and cost results.
-0.22% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.13% 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 Stephens County 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 | Stephens County 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 · 318 cases | 5.1 | 3.9 | 4.079 | Worse than 91% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| 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 · 34 cases | 7.9 | 8.5 | 8.691 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 34 cases | 9.9 | 11 | 10.84 | Better than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 73 cases | 19 | 15.2 | 15.21 | Worse than 92% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.45 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 511 cases | 0.52 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 51% 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 · 680 cases | 0.21 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 656 cases | 0.31 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 89 cases | 2.3 | 2.29 | 2.356 | 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 | Not Available | 1.796 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.26 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 90 cases | 3.37 | 3.4 | 3.811 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.77 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.743 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 37 cases | 1.05 | 1.02 | 1.073 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 41 cases | 27.2 | 1.25 | 12.52 | Worse than 81% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 71 cases | 86.5 | 3.85 | 12.69 | Worse than 99% 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 · 120 cases | 12.9 | 12.9 | 12.97 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 32 cases | 1 | 1 | 0.9723 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.35 | |||
| 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 · 59 cases | 18.9 | 19.8 | 19.84 | Better than 87% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 39 cases | 21.9 | 21.3 | 21.19 | Worse than 68% 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 · 80 cases | 17.5 | 17.2 | 17.41 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Stephens County 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 | Not Available | 0.2721 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.762 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 138 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.111 | 0.9835 | 5.825 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.568 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.619 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.515 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 715 | 1,799 | 4,621 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.595 | 1.377 | 6.01 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.317 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3748 | |||
| 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 | Not Available | 136 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.769 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 143 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.256 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.77 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2796 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.919 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,575 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.155 | 0.567 | 3.385 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.336 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6352 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.022 | 0.127 | 0.1286 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.176 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,575 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.267 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.441 | 0.279 | 0.2745 | No Different than National Benchmark | Worse than 71% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 250 cases | 74 | 73 | 72.27 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 250 cases | 8 | 8 | 9.85 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 250 cases | 18 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 88 | 87 | 85.97 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 250 cases | 84 | 80 | 78.79 | Better than 74% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 94 | 91 | 90.82 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 250 cases | 3 | 4 | 4.903 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 250 cases | 5 | 3 | 3.204 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 250 cases | 13 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 250 cases | 85 | 79 | 79.46 | Better than 80% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 93 | 91 | 90.77 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 250 cases | 3 | 5 | 5.717 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.075 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 250 cases | 12 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 250 cases | 65 | 61 | 60.14 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 82 | 77 | 75.68 | Better than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 250 cases | 12 | 19 | 21.5 | Better than 86% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 2.462 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 250 cases | 23 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 88 | 86 | 84.09 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 250 cases | 12 | 13 | 14.95 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 2.935 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 250 cases | 88 | 87 | 85.05 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 250 cases | 13 | 14 | 17.13 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 250 cases | 87 | 86 | 82.87 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 80 | 74 | 74.33 | Better than 82% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 4 | 7 | 7.087 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 16 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 84 | 77 | 77.43 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 3 | 6 | 6.146 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 13 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 90 | 85 | 85.2 | Better than 83% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 2 | 3 | 3.728 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 8 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 250 cases | 7 | 8 | 8.69 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 250 cases | 19 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 250 cases | 74 | 72 | 71.31 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 90 | 88 | 87.94 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.269 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 78 | 74 | 73.43 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 2 | 9 | 10.45 | Better than 97% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 250 cases | 20 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 81 | 75 | 74.03 | Better than 84% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 4 | 5 | 6.592 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 250 cases | 15 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 82 | 77 | 75.78 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 3 | 4 | 5.34 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 250 cases | 15 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 90 | 86 | 84.54 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 2 | 3 | 3.437 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 250 cases | 8 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 68 | 59 | 63.8 | Better than 78% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 5 | 9 | 8.469 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 250 cases | 27 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 87 | 82 | 83.87 | Better than 85% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.774 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 250 cases | 3 | 5 | 6.124 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 250 cases | 76 | 71 | 70.88 | Better than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 250 cases | 91 | 87 | 87.15 | Better than 76% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 250 cases | 21 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 250 cases | 5 | 4 | 3.602 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 52 | 47 | 46.49 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 23 | 30 | 32.79 | Better than 81% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 250 cases | 25 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 250 cases | 4 | 3 | 3.151 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 250 cases | 10 | 12 | 13.65 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 250 cases | 90 | 88 | 86.35 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | 6.667 | |||
| 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 · 486 cases | 87 | 79 | 71.13 | Better than 64% 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 · 491 cases | 138 | 154 | 175 | Better than 63% 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 · 450 cases | 130 | 148 | 169 | Better than 65% 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 · 13 cases | 521 | 247 | 348 | Worse than 95% 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 · 36 cases | 438 | 293 | 334 | Worse than 90% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 14,827 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.14 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 166 cases | 84 | 97 | 90.05 | Worse than 87% 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 · 227 cases | 17 | 15 | 16.89 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 51 cases | 53 | 65 | 58.96 | Worse than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 70.15 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.53 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 51 cases | 90 | 82 | 77.15 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 64 | 94 | 90.02 | Worse than 98% 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 · 0 cases | 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 · 705 cases | 61 | 90 | 83.63 | Worse than 85% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 95.53 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.2 | 5 | 5.623 | Better than 83% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.3 | 6.6 | 6.411 | Better than 80% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Stephens County 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 | 0.89 | 0.99 | 0.9648 | Better than 90% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 23.33 | 20 | 20.96 | Better than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5.833 | 5 | 5.347 | Better than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 26.92 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 7.03 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 43 | 34 | 36.51 | Better than 65% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10.75 | 8.75 | 9.439 | Better than 65% 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 | 45.33 | 29.5 | 31.07 | Better than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 55 | 10 | 16.67 | 13.33 | 23.33 |
| VBP clinical outcomes weighted domain score | 18.33 | 2.5 | 5.556 | 4.444 | 5.833 |
| VBP efficiency and cost reduction domain score | 50 | 90 | 100 | 50 | 70 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | 22.5 | 33.33 | 16.67 | 17.5 |
| VBP person and community engagement domain score | 24 | Not Available | 14 | 26 | 43 |
| VBP person and community engagement weighted domain score | 8 | Not Available | 4.667 | 8.667 | 10.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 45 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 11.25 |
| VBP total performance score | 43 | Not Available | 43.56 | 29.78 | 45.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.01 | 0.9969 | 1.012 | Worse than 61% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9314 | 0.9983 | 1.011 | Better than 88% 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 · 76 cases | 1.02 | 0.9955 | 1.009 | Worse than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9464 | 0.9744 | 0.9936 | 1.046 | 1.046 | 1.01 |
| READM-30-HF-HRRP | 0.9909 | 1.033 | 1.052 | 0.9914 | 0.9813 | 0.9314 |
| READM-30-HIP-KNEE-HRRP | 0.9424 | 0.9498 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9786 | 1.022 | 1.027 | 1.014 | 1.017 | 1.02 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Stephens County Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.756 | 0.489 | 0.6612 | Worse than 75% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.718 | 0.346 | 0.3286 | Worse than 88% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6574 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8117 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.964 | 0.9628 | 1.068 | Worse than 51% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.054 | |||
| Total HAC scoreFY 2026 | 0.5504 | -0.0453 | 0.04361 | Worse than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | Yes |
| Total HAC score | -0.5753 | -0.7593 | 0 | 1.046 | 0.6188 | 0.5504 |
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
Hospital district or authority
Ownership type
99
Medicare-certified beds
76
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Stephens County Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
835
Inpatient discharges
Medicare 34%, Medicaid 12%
9,060
Inpatient days
62% of available bed days used
336
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830400). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Stephens County Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,347 | 316 | 7,397 | 9,060 |
| Discharges | 284 | 102 | 449 | 835 |
| Average length of stay | 4.7 days | 3.1 days | 16.5 days | 10.9 days |
| Average daily census | 3.7 | 0.9 | 20.3 | 24.8 |
746
Medicare Advantage days
221 discharges
17
Medicaid managed care days
6 discharges
1,591
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 34 | 2,365 | 804 | 19% |
| Intensive care unit | 6 | 402 | 96 | 18% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Stephens County Hospital treats Medicare patients for most often, in 2024. 102 Medicare discharges in 4 published DRGs; 0% surgical; 16% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 63 | $20,134 | $8,796 | $13,671 | 1.23 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 16 | $24,291 | $15,862 | $16,494 | 1.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $18,623 | $5,353 | $12,645 | 0.78 |
| Cellulitis without MCCMS-DRG 603, medical | 11 | $9,568 | $6,162 | $6,496 | 0.88 |
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) Stephens County Hospital billed Medicare for most in 2024: 260 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 124 | 110 | $10,826 | $1,812 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 62 | 27 | $6,346 | $1,089 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 48 | 30 | $13,723 | $1,569 | $1,752 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $17,077 | $1,075 | $1,196 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 13 | 13 | $89,140 | $9,480 | $10,772 |
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 Stephens County 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 710 in 2020 to 336 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30577 | 275 | 82% | 868 | $6M | 24% | 45% |
| 30538 | 26 | 8% | 66 | $445,874 | 21% | 43% |
| 30557 | 19 | 6% | 61 | $399,783 | 9% | 17% |
| 30523 | 16 | 5% | 58 | $479,970 | 2% | 4% |
Source: CMS Hospital Service Area file. Shares are of the 336 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 Stephens County Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
12
Rehabilitation unit beds
76
Registered nurses
15
Licensed practical nurses
1
Nurse anesthetists (CRNAs)
3
Pharmacists
6
Respiratory therapists
3
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
1
Laboratory technicians
1
Medical technologists
1
Dietitians
1
Social workers
178
Other personnel
Source: CMS Provider of Services file.
106 clinicians who bill Medicare list Stephens County 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.
Jeffrey Thomas, M.D.
Hematology & Oncology Physician
NPI 1811935778
See commercial rates for Jeffrey Thomas, M.D.Cynthia Shepherd, MD
Hematology & Oncology Physician
NPI 1730236688
See commercial rates for Cynthia Shepherd, MDVenumadhav Kotla, M.D.
Medical Oncology Physician
NPI 1194983122
See commercial rates for Venumadhav Kotla, M.D.Timothy Beck, M.D.
Internal Medicine Physician
NPI 1548223779
See commercial rates for Timothy Beck, M.D.Marc Coan, MD
Internal Medicine Physician
NPI 1174516330
See commercial rates for Marc Coan, MDMargaret Davis, MD
Internal Medicine Physician
NPI 1811989411
See commercial rates for Margaret Davis, MDThomas Yates, MD
Internal Medicine Physician
NPI 1225012446
See commercial rates for Thomas Yates, MDLenka Novotna, MD
Family Medicine Physician
NPI 1437142809
See commercial rates for Lenka Novotna, MDLeah Watts, PA-C
Physician Assistant
NPI 1659835973
See commercial rates for Leah Watts, PA-CRachel Smith, NP-C
Family Nurse Practitioner
NPI 1407208283
See commercial rates for Rachel Smith, NP-CDavid Woo, M.D.
Urology Physician
NPI 1356361000
See commercial rates for David Woo, M.D.Christopher Vaughn, M.D.
Orthopaedic Surgery Physician
NPI 1861404295
See commercial rates for Christopher Vaughn, M.D.Mark Matthews, M.D.
Cardiovascular Disease Physician
NPI 1245348390
See commercial rates for Mark Matthews, M.D.Russell Norwood, MD
Diagnostic Radiology Physician
NPI 1518935022
See commercial rates for Russell Norwood, MDWilliam Mills, MD
Family Medicine Physician
NPI 1588658330
See commercial rates for William Mills, MDZachary Balest, M.D.
Ophthalmology Physician
NPI 1275944639
See commercial rates for Zachary Balest, M.D.Christopher Kiker, MD
Family Medicine Physician
NPI 1679908057
See commercial rates for Christopher Kiker, MDGeorge Benashvili, MD
Diagnostic Radiology Physician
NPI 1063498400
See commercial rates for George Benashvili, MDSamuel Belknap
Urology Physician
NPI 1073957783
See commercial rates for Samuel BelknapCarolina Thomas, FNP
Family Nurse Practitioner
NPI 1316430044
See commercial rates for Carolina Thomas, FNPVirendra Kumar, M.D.
Diagnostic Radiology Physician
NPI 1760514574
See commercial rates for Virendra Kumar, M.D.Robin Sweat, N.P.
Family Nurse Practitioner
NPI 1619380201
See commercial rates for Robin Sweat, N.P.Jim Wade, MD
Internal Medicine Physician
NPI 1700860913
See commercial rates for Jim Wade, MDAndrea Cole, M.D.
Diagnostic Radiology Physician
NPI 1326210287
See commercial rates for Andrea Cole, 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 Stephens County Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $139M | 269.9% |
| Inpatient | $17.5M | 34.1% |
| Outpatient | $121.4M | 235.8% |
| Contractual allowances and discounts | -$87.5M | -169.9% |
| Net patient revenue | $51.5M | 100.0% |
| Operating expenses | -$52.4M | -101.8% |
| Operating income from patient care | -$942,258 | -1.8% |
| Other income | $8.8M | 17.0% |
| Contributions and donations | $964,530 | 1.9% |
| Investment income | $5,920 | 0.0% |
| Government appropriations | $3M | 5.9% |
| Other | $4.8M | 9.3% |
| Other expenses | -$7.6M | -14.7% |
| Net income | $249,310 | 0.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $20.2M | 15.9% |
| Medicaid (including managed care) | $9.5M | 7.5% |
| Other payers and self-pay | $97.5M | 76.7% |
| Total charges | $127.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, 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 Stephens County Hospital's latest cost report.
-1.8%
Operating margin
Operating income from patient care / net patient revenue
0.4%
Total margin
Net income / net patient revenue plus other income
3.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
57% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$32.90
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
1.1%
Return on assets
Net income for a year / total assets
0.45
Current ratio
Current assets / current liabilities
0.32
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
35 days
Days in patient receivables
Net patient receivables / daily net patient revenue
112 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.68
Asset turnover
Total revenue for a year / total assets
58.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Stephens County Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $22.5M in total assets and a -$4.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $55,257 | 0.2% |
| Patient receivables, net | $4.9M | 21.8% |
| Inventory | $1.4M | 6.1% |
| Total current assets | $7.1M | 31.7% |
| Property and equipment, net of depreciation | $13.4M | 59.3% |
| Investments and other assets | $2M | 9.0% |
| Total assets | $22.5M | 100.0% |
| Current liabilities | $15.8M | 70.1% |
| Long-term debt | $8.5M | 37.8% |
| Total liabilities | $26.7M | 118.5% |
| Fund balance (net assets) | -$4.2M | -18.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Stephens County Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4M
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
$791,018
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$13,602
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$6.8M
Total unreimbursed and uncompensated care
13.0% 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 830400, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Stephens County Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $43.5M | $50.1M | $49.4M | $41.9M | $52.3M | $51.5M |
| Operating expenses | $47M | $48M | $46.4M | $49.5M | $52.4M | $52.4M |
| Operating margin | -8.1% | 4.2% | 6.0% | -18.1% | -0.1% | -1.8% |
| Net income | -$5.5M | $3.8M | -$6.9M | -$5.2M | $1.2M | $249,310 |
| Total assets | $39M | $33.2M | $26.8M | $24.2M | $23.2M | $22.5M |
| Discharges | 1,581 | 1,986 | 1,101 | 1,005 | 845 | 835 |
| Inpatient days | 8,041 | 9,419 | 5,541 | 5,079 | 4,078 | 9,060 |
| Medicare Advantage days | 1,249 | 1,669 | 1,621 | 673 | 798 | 746 |
| Beds | 40 | 40 | 50 | 50 | 40 | 40 |
| Employees (FTE) | 333 | 281 | 215 | 214 | 336 | 336 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Stephens County 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 | $2.3M | $6M | $20.3M | 0.30 | 11,843 |
| Operating room | $1.4M | $4.2M | $22.4M | 0.19 | 8,229 |
| Ambulance services | $2.5M | $3.8M | $8.5M | 0.45 | 380 |
| Drugs charged to patients | $3.6M | $10.5M | 0.34 | 1,888 | |
| Laboratory | $1.1M | $3.2M | $7.2M | 0.45 | 3,572 |
| Radiology-diagnostic | $1.1M | $2.5M | $6.5M | 0.38 | 3,875 |
| Observation beds (non-distinct part | $2.4M | $3.1M | 0.77 | ||
| Wound care center | $56,056 | $2M | $323,018 | 6.08 | 4,272 |
| Medical supplies charged to patient | $261,201 | $1.9M | $12.4M | 0.15 | 5,732 |
| Impl. dev. charged to patients | $1M | $3.3M | 0.31 | ||
| Physical therapy | $1M | $1.5M | 0.67 | 3,084 | |
| Respiratory therapy | $587,048 | $751,340 | $2.5M | 0.30 | 2,160 |
| Anesthesiology | $655,165 | $3.1M | 0.21 | 144 | |
| Cardiac rehab | $145,892 | $377,208 | $179,891 | 2.10 | 2,760 |
| Recovery room | $74,396 | $356,396 | $4M | 0.09 | 3,694 |
| Mri | $156,710 | $350,196 | $1.7M | 0.21 | 450 |
| Electrocardiology | $342,446 | $1.2M | 0.28 | 128 | |
| Ct scan | $130,716 | $311,815 | $13.4M | 0.02 | 400 |
| Radioisotope | $72,822 | $252,108 | $1.7M | 0.15 | 339 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.4M | $6M | $2.3M | 2.63 | 25,852 |
| Intensive care unit | $990,130 | $2M | $915,711 | 2.19 | 5,200 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.4M | $6M | 86,399 | $27.44 | 24,800 |
| Employee benefits department | $374,945 | $4.4M | 8,916 | $42.05 | 558 |
| Operation of plant | $590,123 | $2.6M | 23,199 | $25.44 | 7,470 |
| Cap rel costs-bldg & fixt | $1.3M | 187,403 | |||
| Nursing administration | $968,417 | $1M | 18,467 | $52.44 | 884 |
| Dietary | $446,583 | $819,621 | 25,701 | $17.38 | 3,260 |
| Housekeeping | $626,712 | 484 | |||
| Cap rel costs-mvble equip | $563,738 | ||||
| Laundry & linen service | $171,915 | 1,632 | |||
| Medical records & library | $136,787 | $146,959 | 6,237 | $21.93 | 1,520 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830400, 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 Stephens County Hospital for an inpatient stay.
1.22
Case mix index
Higher than 7% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
18.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
282
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 | 1.36 | 1.36 | 1.53 | 1.46 | 1.34 | 1.23 | 1.22 |
| Wage index | 0.781 | 0.799 | 0.796 | 0.836 | 0.795 | 0.763 | 0.819 |
| Readmissions adjustment | 0.00% | 0.00% | -0.40% | -0.20% | -0.24% | -0.27% | -0.22% |
| Value-based purchasing adjustment | +0.44% | +0.76% | +0.76% | +0.64% | +2.13% | +0.67% | +1.13% |
| Medicare inpatient stays | 664 | 664 | 470 | 342 | 383 | 299 | 282 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Stephens County 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.
Stephens County Hospital Authority files the Form 990 for the tax ID insurers list for Stephens County Hospital, so these people may lead the wider organization rather than Stephens County Hospital alone.
| Name | Title |
|---|---|
| Van Loskoski | CEO |
| Tyler Williams | CFO |
| Deborah Block | CNO |
| Phyllis Ayers | Treasurer/se |
| Clay Fisher | Vice Chair |
| Stan Roberts | Chairman |
Board members: Paul Defoor, Bo Dotson, Mac Mcallister, Rick Phillips.
Source: IRS Form 990 Part VII filed by Stephens County Hospital Authority (EIN 58-6001667), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH110032, registered as a disproportionate share hospital. Authorizing official: Thomas Vandiver Loskoski, Vice President Of Physician Practices.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Stephens county hospital
CCN 11S032, certified 2021, Medicare prospective payment
Stephens county hospital
CCN 11U032, certified 2019, Medicare prospective payment
Stephens county hospital physicians
CCN 118573, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Stephens County Hospital's latest Medicare cost report (HCRIS).
About Stephens County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Stephens County Hospital range from $228 to $1,275 across 4 insurers. Cigna's rate is $1,275. The median at nearby comparable hospitals is $1,069. 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 Stephens County Hospital range from $275 to $3,412 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $948. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Stephens County Hospital range from $101 to $113 across 4 insurers. Blue Cross Blue Shield's rate is $101. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.
Stephens County 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.
CMS reports no Medicare-funded interns or residents at Stephens County Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Stephens County Hospital's base inpatient payments by an estimated 0.22% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were pulmonary edema and respiratory failure (63 discharges), septicemia or severe sepsis without mv >96 hours with mcc (16 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc (12 discharges).
Stephens County Hospital's Medicare case mix index is 1.22 for fiscal year 2027, higher than 7% of hospitals paid under the inpatient prospective payment system.
Stephens County Hospital reported 835 inpatient discharges and 9,060 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Stephens County Hospital reported 336 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Stephens County Hospital reported $51.5M in net patient revenue on $139M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -1.8%, and net income of $249,310.
Stephens County Hospital reported $6.8M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $4M of charity care at cost.
Insurers' price transparency files list Stephens County Hospital under employer identification number 58-6001667 (Stephens County Hospital). 45 health plans and networks list 58-6001667 for it.
HRSA's 340B database lists Stephens County Hospital (340B ID DSH110032) as no longer participating since 2022.
106 clinicians who bill Medicare list Stephens County Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (17), diagnostic radiology physician (14), internal medicine physician (11).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Stephens County Hospital, effective 2025.
CMS lists 23 services at Stephens County Hospital, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Stephens County Hospital came from ZIP codes 30577 (275), 30538 (26), 30557 (19).
Stephens County Hospital has 40 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 99 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Stephens County Hospital is located at 163 Hospital Drive, Toccoa, GA 30577. Its main phone number is (706) 282-4250.
Stephens County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110032.
The National Provider Identifier (NPI) on file for Stephens County Hospital is 1033191267.
Stephens County Hospital lists 28 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
238 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