HCA Healthcare · Orem, UT
4 of 5
CMS star rating
117
Beds
4,452
Inpatient discharges a year
$192.5M
Net patient revenue a year
30
In-network payers
Timpanogos Regional Hospital is a 117-bed proprietary hospital in Orem, UT, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 327 disclosed rate categories.
The 24 services Timpanogos 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
$8,437 - $16,686
from 4 insurers · median $8,908
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
$11,037 - $22,415
from 4 insurers · median $12,215
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
Gynecology
CPT 58571
$4,803 - $21,678
from 4 insurers · median $10,971
38 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$78,456 - $240,022
from 4 insurers · median $121,028
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,437 - $16,686
from 4 insurers · median $8,908
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 460
$36,741 - $88,408
from 4 insurers · median $58,921
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$519 - $2,198
from 4 insurers · median $804
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$5,158 - $24,613
from 4 insurers · median $13,291
38 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$3,292 - $15,824
from 4 insurers · median $9,167
18 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$36,024 - $59,420
from 4 insurers · median $39,595
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$2,631 - $4,640
from 4 insurers · median $3,722
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$264 - $2,139
from 4 insurers · median $1,391
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,913 - $4,640
from 4 insurers · median $2,847
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,384 - $15,824
from 4 insurers · median $9,138
18 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,356 - $4,640
from 4 insurers · median $3,063
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$215 - $1,205
from 4 insurers · median $394
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$104 - $354
from 4 insurers · median $173
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$848 - $3,249
from 4 insurers · median $2,547
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$600 - $1,713
from 4 insurers · median $738
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$321 - $1,222
from 4 insurers · median $463
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$32 - $238
from 4 insurers · median $169
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$473 - $1,111
from 4 insurers · median $508
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$510 - $1,713
from 4 insurers · median $585
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$786 - $5,935
from 4 insurers · median $2,622
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 | 280% | 12 | 6 |
| Insurer B* | 24 | 242% | 8 | 5 |
| Insurer C* | 24 | 200% | 10 | 9 |
| Insurer D* | 24 | 157% | 14 | 2 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Timpanogos 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
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$192.5M net patient revenue
Ownership and leadership
Owned by HCA Healthcare Inc
The employer identification numbers (EINs) health plans and networks list for Timpanogos 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 |
|---|---|---|
| 62-1831495Timpanogos Regional Medical Services INC | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 52 more | 1497702195 Timpanogos Regional Medical Services 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.
750 West 800 North, Orem, UT 84057
(801) 714-6800
How Timpanogos Regional Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 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
Better on 1 of 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
73%
Higher than 54% 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)
0.93
Lower than 63% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
103 min
Lower than 88% 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
80%
Higher than 84% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | Better on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 73% | 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) | 0.93 | 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 | 103 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 80% | 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 Timpanogos Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-0.09% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.01% 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 Timpanogos Regional Hospital, beside the US median and the average of UT 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 | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.368 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 456 cases | 3.9 | 3.9 | 3.893 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 31 cases | 11.7 | 11.8 | 10.8 | Better than 51% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.171 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.722 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 32 cases | 14.6 | 11 | 11.45 | Worse than 95% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 64 cases | 16.6 | 15.2 | 14.31 | Worse than 71% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 47 cases | 15.6 | 11.6 | 12.74 | Worse than 91% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 528 cases | 0.47 | 0.51 | 0.4975 | No Different Than the National Rate | Better than 57% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 170 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 772 cases | 0.2 | 0.2 | 0.2072 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 745 cases | 0.31 | 0.27 | 0.2734 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 297 cases | 2.19 | 2.29 | 2.377 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 147 cases | 2.04 | 1.63 | 1.68 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 147 cases | 9.62 | 8.88 | 8.344 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 306 cases | 3.11 | 3.4 | 3.179 | No Different Than the National Rate | Better than 75% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 131 cases | 4.87 | 5.105 | 5.052 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 66 cases | 1.75 | 1.72 | 1.748 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 157 cases | 1.02 | 1.02 | 1.039 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | -8.23 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 30 cases | -52.6 | 1.25 | -40.47 | Better than 97% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 57 cases | -31.8 | 3.85 | -32.08 | Better than 91% 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 · 220 cases | 13.9 | 12.9 | 13.09 | 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 · 26 cases | 10.2 | 10.7 | 9.769 | No Different Than the National Rate | Better than 64% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 26 cases | 5.2 | 5.3 | 5.546 | No Different Than the National Rate | Better than 55% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 216 cases | 0.9 | 1 | 1.024 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 56 cases | 14.3 | 14.4 | 13.77 | Better than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 36 cases | 10.2 | 10.9 | 10.1 | Better than 71% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.52 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 46 cases | 20.8 | 21.3 | 20.41 | Better than 67% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.645 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 99 cases | 16.6 | 17.2 | 16.57 | Better than 77% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1904 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.509 | 1.504 | 1.802 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,216 | 1,370 | 2,848 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.194 | 0.9835 | 3.107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.436 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.4316 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1853 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.835 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,019 | 1,799 | 2,623 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.729 | 1.377 | 3.251 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.341 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.462 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2843 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 28 | 61 | 87.77 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.832 | 1.591 | 2.645 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 1.667 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7303 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.111 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.35 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 50 | 38 | 63.94 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.455 | 0.328 | 0.5736 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.1875 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.2934 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2058 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.041 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 18,733 | 14,451 | 26,685 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.698 | 0.567 | 1.633 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.7 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.4628 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.01 | 0.127 | 0.1297 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.971 | 0.747 | 1.215 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 11,799 | 13,646 | 22,549 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.079 | 5.683 | 14.07 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.95 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.197 | 0.279 | 0.2259 | Better than the National Benchmark | Better than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 523 cases | 73 | 73 | 78.52 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 523 cases | 6 | 8 | 6 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 523 cases | 21 | 18 | 15.48 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 89 | 87 | 89.74 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 523 cases | 4 | 4 | 4.029 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 523 cases | 78 | 80 | 80.75 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 92 | 91 | 92.15 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 523 cases | 3 | 4 | 3.159 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 523 cases | 4 | 3 | 3.824 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 523 cases | 19 | 16 | 16.09 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 523 cases | 78 | 79 | 82.32 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 91 | 91 | 92.35 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 523 cases | 6 | 5 | 4.136 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 523 cases | 3 | 3 | 3.765 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 523 cases | 16 | 16 | 13.55 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 523 cases | 57 | 61 | 62.91 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 76 | 77 | 78.21 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 523 cases | 21 | 19 | 16.82 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 523 cases | 2 | 3 | 2.912 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 523 cases | 22 | 19 | 20.27 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 83 | 86 | 88.15 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 523 cases | 17 | 13 | 11.3 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 523 cases | 3 | 3 | 3.882 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 523 cases | 83 | 87 | 88.7 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 523 cases | 21 | 14 | 12.34 | Worse than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 523 cases | 79 | 86 | 87.66 | Worse than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 74 | 74 | 77.59 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 8 | 7 | 5.537 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 18 | 19 | 16.88 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 78 | 77 | 80.66 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 6 | 6 | 4.61 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 16 | 17 | 14.73 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 83 | 85 | 87.83 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 3 | 3 | 2.78 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 14 | 11 | 9.39 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 523 cases | 7 | 8 | 6.341 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 523 cases | 19 | 20 | 16.09 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 523 cases | 74 | 72 | 77.57 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 89 | 88 | 89.94 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 523 cases | 4 | 3 | 3.824 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 523 cases | 72 | 74 | 75.76 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 523 cases | 8 | 9 | 8.146 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 523 cases | 20 | 16 | 16.1 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 71 | 75 | 75.51 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 5 | 5 | 4.39 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 523 cases | 24 | 20 | 20.1 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 75 | 77 | 78.83 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 2 | 4 | 3.024 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 523 cases | 23 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 88 | 86 | 87.8 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 1 | 3 | 2.171 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 523 cases | 11 | 11 | 10.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 523 cases | 55 | 59 | 62.3 | Worse than 64% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 523 cases | 11 | 9 | 7.977 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 523 cases | 34 | 31 | 29.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 80 | 82 | 83.41 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 523 cases | 3 | 3 | 3.735 | 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 · 523 cases | 5 | 5 | 3.909 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 523 cases | 73 | 71 | 76.52 | Better than 54% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 523 cases | 89 | 87 | 89.74 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 523 cases | 22 | 23 | 19.57 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 523 cases | 4 | 4 | 4.265 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 523 cases | 41 | 47 | 48.73 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 523 cases | 34 | 30 | 27.17 | Worse than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 523 cases | 25 | 22 | 24.1 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 523 cases | 3 | 3 | 3.794 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 523 cases | 12 | 12 | 9.976 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 523 cases | 88 | 88 | 90.02 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.571 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8571 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,573 cases | 61 | 79 | 87.42 | Worse than 76% 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 · 441 cases | 108 | 154 | 140 | Better than 88% 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 · 415 cases | 103 | 148 | 135 | Better than 88% 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 | 296 | 247 | 233 | Worse than 66% 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 | 231 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 22,404 cases | 0 | 1 | 0.7179 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 82 | 74 | 69.3 | Better than 67% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 100 cases | 96 | 97 | 95.56 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 43.67 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,297 cases | 12 | 15 | 13.68 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 133 cases | 80 | 65 | 67.25 | Better than 84% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases | 77 | 73 | 73.54 | Better than 58% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 83 | 88 | 83.55 | Worse than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 133 cases | 92 | 82 | 83.47 | Better than 88% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 84 cases | 100 | 94 | 91.88 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.4 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 773 cases | 99 | 90 | 84.69 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 370 cases | 100 | 97 | 96.55 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3 | 5 | 5.754 | Better than 74% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.5 | 6.6 | 6.782 | Worse than 84% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.08 | 0.99 | 0.9613 | Worse than 87% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 7.5 | 20 | 22.61 | Worse than 78% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.875 | 5 | 5.682 | Worse than 78% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 26.21 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 6.983 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 19 | 34 | 49.55 | Worse than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.75 | 8.75 | 13.06 | Worse than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 90 | 40 | 54.56 | Better than 98% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 22.5 | 10 | 13.82 | Better than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 29.13 | 29.5 | 37.92 | Worse than 51% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42.5 | 30 | 25 | 6.667 | 2.5 | 7.5 |
| VBP clinical outcomes weighted domain score | 10.63 | 7.5 | 6.25 | 1.667 | 0.625 | 1.875 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 20 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 33 | Not Available | Not Available | 12 | 9 | 19 |
| VBP person and community engagement weighted domain score | 8.25 | Not Available | Not Available | 3 | 2.25 | 4.75 |
| VBP safety domain score | 55 | Not Available | Not Available | 50 | 50 | 90 |
| VBP safety weighted domain score | 13.75 | Not Available | Not Available | 12.5 | 12.5 | 22.5 |
| VBP total performance score | 35.13 | Not Available | Not Available | 17.17 | 15.38 | 29.13 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9678 | 0.9995 | 0.9397 | Better than 71% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9512 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9764 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9524 | 0.9983 | 0.9374 | Better than 79% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.04 | 0.9916 | 1.005 | Worse than 64% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9726 | 0.9955 | 0.9471 | Better than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9967 | 1.021 | N/A | N/A | 1.011 | 0.9678 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | 1.005 | 1.011 | 0.9763 | 0.9638 | 0.9427 | 0.9524 |
| READM-30-HIP-KNEE-HRRP | 1.026 | 1.051 | 1.119 | 1.023 | 1.005 | 1.04 |
| READM-30-PN-HRRP | 1.001 | 1.032 | 1.061 | 1.027 | 0.9906 | 0.9726 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Timpanogos Regional Hospital | US median | UT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.717 | 0.489 | 0.3544 | Worse than 72% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3659 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.846 | 0.559 | 0.3921 | Worse than 74% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.5785 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.932 | 0.9628 | 0.914 | Better than 63% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.302 | 0.7945 | 0.6329 | Better than 81% of US hospitals | |
| Total HAC scoreFY 2026 | -0.5478 | -0.0453 | -0.4019 | Better 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 | No | No | No |
| Total HAC score | -0.4563 | -0.3068 | 0 | -0.5109 | -0.2222 | -0.5478 |
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 2019)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
122
Medicare-certified beds
177
Registered nurses (full-time equivalent)
1998
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Timpanogos Regional Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,452
Inpatient discharges
Medicare 8%, Medicaid 4%
17,510
Inpatient days
41% of available bed days used
439
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838318). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Timpanogos Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,091 | 2,652 | 13,767 | 17,510 |
| Discharges | 362 | 186 | 3,904 | 4,452 |
| Average length of stay | 3.0 days | 14.3 days | 3.5 days | 3.9 days |
| Average daily census | 3.0 | 7.3 | 37.7 | 48.0 |
1,556
Medicare Advantage days
473 discharges
1,985
Medicaid managed care days
592 discharges
1,206
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 68 | 8,848 | 847 | 36% |
| Intensive care unit | 20 | 1,816 | 244 | 25% |
| Other special care | 29 | 4,056 | 38% | |
| Nursery | 2,790 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Timpanogos Regional Hospital treats Medicare patients for most often, in 2024. 62 Medicare discharges in 3 published DRGs; 0% surgical; 79% 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 | 34 | $91,940 | $10,903 | $17,836 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 15 | $58,772 | $7,132 | $11,402 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $49,177 | $6,472 | $9,540 | 1.03 |
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) Timpanogos Regional Hospital billed Medicare for most in 2024: 613 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Electrophysiologic ProceduresAPC 5213 | 110 | 109 | $290,561 | $19,410 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 90 | 57 | $59,910 | $3,650 | $3,918 |
| Comprehensive Observation ServicesAPC 8011 | 88 | 78 | $25,125 | $1,841 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 76 | 70 | $99,185 | $10,138 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 38 | 38 | $54,077 | $7,582 | $8,164 |
| Level 2 Upper GI ProceduresAPC 5302 | 36 | 36 | $16,930 | $1,285 | $1,445 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 31 | 31 | $102,595 | $7,927 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 26 | 24 | $147,951 | $15,027 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $53,837 | $4,654 | $4,982 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 18 | 18 | $37,092 | $4,118 | $4,358 |
See all 16 Medicare outpatient services at Timpanogos Regional Hospital
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 Timpanogos 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 868 in 2020 to 714 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 84057 | 191 | 27% | 637 | $16.5M | 22% | 32% |
| 84062 | 79 | 11% | 287 | $8.2M | 9% | 10% |
| 84097 | 60 | 8% | 170 | $6M | 12% | 17% |
| 84058 | 50 | 7% | 156 | $4.2M | 11% | 17% |
| 84003 | 45 | 6% | 138 | $5.4M | 4% | 7% |
| 84042 | 41 | 6% | 124 | $3.1M | 18% | 21% |
| 84043 | 40 | 6% | 95 | $4.2M | 4% | 7% |
| 84604 | 37 | 5% | 144 | $3.8M | 5% | 6% |
| 84651 | 30 | 4% | 96 | $3M | 4% | 5% |
| 84059 | 27 | 4% | 80 | $2.1M | 27% | 28% |
| 84663 | 25 | 4% | 48 | $1.4M | 3% | 6% |
| 84045 | 22 | 3% | 50 | $2.6M | 5% | 5% |
| 84005 | 19 | 3% | 60 | $1.1M | 5% | |
| 84601 | 19 | 3% | 45 | $1.6M | 4% | 7% |
| 84660 | 16 | 2% | 54 | $1.9M | 2% | 7% |
| 84501 | 13 | 2% | 50 | $1.8M | 2% |
Source: CMS Hospital Service Area file. Shares are of the 714 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 Timpanogos Regional Hospital reported at its latest Medicare certification survey (2008). Counts are people, not full-time equivalents.
1
Off-site locations
177
Registered nurses
1
Licensed practical nurses
1
Nurse practitioners
3
Pharmacists
7
Respiratory therapists
60
Radiology technicians
10
Nuclear medicine technicians
1
Laboratory technicians
10
Medical technologists
20
Dietitians
10
Social workers
110
Other personnel
Source: CMS Provider of Services file.
185 clinicians who bill Medicare list Timpanogos 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.
Michael Adam, MD
Vascular & Interventional Radiology Physician
NPI 1740608272
See commercial rates for Michael Adam, MDGregory Chipman, M.D.
Medical Oncology Physician
NPI 1457493967
See commercial rates for Gregory Chipman, M.D.Adam Green, M.D.
Diagnostic Radiology Physician
NPI 1801946975
See commercial rates for Adam Green, M.D.Tanner Harmon, M.D.
Diagnostic Radiology Physician
NPI 1821483389
See commercial rates for Tanner Harmon, M.D.Lance Edmonds, M.D.
Diagnostic Radiology Physician
NPI 1124214374
See commercial rates for Lance Edmonds, M.D.Fred Dawson, M.D.
Diagnostic Radiology Physician
NPI 1316106131
See commercial rates for Fred Dawson, M.D.Jason Eves, M.D.
Diagnostic Radiology Physician
NPI 1700877131
See commercial rates for Jason Eves, M.D.Gregory Smith, MD
Diagnostic Radiology Physician
NPI 1255377222
See commercial rates for Gregory Smith, MDKent Gledhill, MD
Diagnostic Radiology Physician
NPI 1871539833
See commercial rates for Kent Gledhill, MDDerek Bergeson, MD
Diagnostic Radiology Physician
NPI 1164641387
See commercial rates for Derek Bergeson, MDBenjamin Jacobs, MD
Diagnostic Radiology Physician
NPI 1982846119
See commercial rates for Benjamin Jacobs, MDPhillip Fairbourn, M.D.
Diagnostic Radiology Physician
NPI 1801182357
See commercial rates for Phillip Fairbourn, M.D.Charles Dahl, MD
Cardiovascular Disease Physician
NPI 1912965344
See commercial rates for Charles Dahl, MDRalph Reed, M.D.
Diagnostic Radiology Physician
NPI 1144428459
See commercial rates for Ralph Reed, M.D.Scott Valadez, M.D.
Diagnostic Radiology Physician
NPI 1114900206
See commercial rates for Scott Valadez, M.D.Jeffrey Ogden, M.D
Internal Medicine Physician
NPI 1801953518
See commercial rates for Jeffrey Ogden, M.DKimball Christianson, M.D.
Diagnostic Radiology Physician
NPI 1316113228
See commercial rates for Kimball Christianson, M.D.Richard Jackson, MD
Diagnostic Radiology Physician
NPI 1922248202
See commercial rates for Richard Jackson, MDJayson Duffin, PA
Physician Assistant
NPI 1730871633
See commercial rates for Jayson Duffin, PAJoseph Garcia, M.D.
Internal Medicine Physician
NPI 1841496338
See commercial rates for Joseph Garcia, M.D.David Wang
Clinical Cardiac Electrophysiology Physician
NPI 1649491440
See commercial rates for David WangLoran Cook, M.D.
Specialist
NPI 1801893375
See commercial rates for Loran Cook, M.D.Sean Curzon, DO
Internal Medicine Physician
NPI 1780600247
See commercial rates for Sean Curzon, DOJason Allen, DO
Diagnostic Radiology Physician
NPI 1184845539
See commercial rates for Jason Allen, DOSource: 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 Timpanogos Regional Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $866.1M | 449.9% |
| Inpatient | $331.6M | 172.3% |
| Outpatient | $534.5M | 277.6% |
| Contractual allowances and discounts | -$673.6M | -349.9% |
| Net patient revenue | $192.5M | 100.0% |
| Operating expenses | -$110M | -57.1% |
| Operating income from patient care | $82.6M | 42.9% |
| Other income | $363,603 | 0.2% |
| Other expenses | $8 | 0.0% |
| Net income | $82.9M | 43.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $121.8M | 14.1% |
| Medicaid (including managed care) | $79.5M | 9.2% |
| Other payers and self-pay | $662.4M | 76.7% |
| Total charges | $863.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, 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 Timpanogos Regional Hospital's latest cost report.
42.9%
Operating margin
Operating income from patient care / net patient revenue
43.0%
Total margin
Net income / net patient revenue plus other income
47.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.99
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
60.5%
Return on assets
Net income for a year / total assets
16.7%
Return on equity
Net income for a year / fund balance
-0.75
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.68
Current ratio
Current assets / current liabilities
2.74
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
60 days
Days in patient receivables
Net patient receivables / daily net patient revenue
41 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.41
Asset turnover
Total revenue for a year / total assets
13.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Timpanogos Regional Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $137.1M in total assets and a $497M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $490,513 | 0.4% |
| Patient receivables, net | $31.4M | 22.9% |
| Inventory | $5.2M | 3.8% |
| Total current assets | $42.8M | 31.2% |
| Property and equipment, net of depreciation | $91.5M | 66.8% |
| Investments and other assets | $2.7M | 2.0% |
| Total assets | $137.1M | 100.0% |
| Current liabilities | $11.6M | 8.5% |
| Long-term debt | -$374M | -272.8% |
| Total liabilities | -$359.9M | -262.6% |
| Fund balance (net assets) | $497M | 362.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Timpanogos Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.3M
Bad debt
Patient bills written off as uncollectible, at charges
-$5.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$104,565
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$5.2M
Total unreimbursed and uncompensated care
4.7% 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 838318, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Timpanogos Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $143.7M | $162.7M | $156.1M | $170.2M | $183.6M | $192.5M |
| Operating expenses | $89.7M | $95.1M | $96.3M | $96.2M | $101.1M | $110M |
| Operating margin | 37.6% | 41.5% | 38.3% | 43.5% | 45.0% | 42.9% |
| Net income | $55.2M | $68.6M | $60.1M | $74.2M | $82.9M | $82.9M |
| Total assets | $92.7M | $101.3M | $109.2M | $124.1M | $129.7M | $137.1M |
| Discharges | 4,188 | 4,550 | 4,384 | 4,309 | 4,467 | 4,452 |
| Inpatient days | 18,795 | 20,127 | 18,379 | 16,899 | 17,151 | 17,510 |
| Medicare Advantage days | 1,859 | 1,906 | 1,678 | 1,537 | 1,604 | 1,556 |
| Beds | 117 | 117 | 117 | 117 | 117 | 117 |
| Employees (FTE) | 459 | 460 | 539 | 447 | 444 | 439 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Timpanogos 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 |
|---|---|---|---|---|---|
| Operating room | $3.6M | $13.1M | $68.7M | 0.19 | 18,298 |
| Emergency | $3.3M | $11.2M | $78.2M | 0.14 | 20,212 |
| Medical supplies charged to patient | $11M | $147.6M | 0.07 | ||
| Impl. dev. charged to patients | $9.8M | $78M | 0.13 | ||
| Drugs charged to patients | $1.1M | $6.2M | $50.2M | 0.12 | 1,637 |
| Delivery room & labor room | $2.8M | $6M | $31.9M | 0.19 | 8,281 |
| Laboratory | $1.2M | $5.5M | $44.3M | 0.12 | 3,428 |
| Cardiac catheterization | $1.9M | $5.3M | $66.7M | 0.08 | 8,244 |
| Radiology-diagnostic | $1.8M | $5.2M | $54.6M | 0.10 | 5,912 |
| Respiratory therapy | $1.1M | $2.4M | $9.9M | 0.25 | 1,937 |
| Observation beds (non-distinct part | $2.1M | $8.6M | 0.25 | ||
| Ct scan | $666,379 | $1.6M | $38M | 0.04 | 1,051 |
| Physical therapy | $83,183 | $1.2M | $2.6M | 0.45 | 707 |
| Recovery room | $476,954 | $1.1M | $7.7M | 0.14 | 2,488 |
| Endoscopy | $288,230 | $990,689 | $10.7M | 0.09 | 1,637 |
| Whole blood & packed red blood cell | $298,121 | $951,880 | $3.8M | 0.25 | 222 |
| Electrocardiology | $402,883 | $868,350 | $6.8M | 0.13 | 235 |
| Pain management | $188,429 | $780,948 | $2.7M | 0.29 | 3,727 |
| Ultra sound | $317,908 | $673,764 | $5.8M | 0.12 | 848 |
| Occupational therapy | $5,878 | $661,055 | $1.4M | 0.46 | |
| Mri | $216,759 | $615,749 | $7.8M | 0.08 | 875 |
| Radioisotope | $146,173 | $603,788 | $3.7M | 0.16 | 541 |
| Anesthesiology | $48,247 | $361,820 | $14.5M | 0.02 | 211 |
| Renal dialysis | $212 | $220,614 | $727,390 | 0.30 | |
| Cardiac rehabilitation | $75,766 | $207,021 | $584,534 | 0.35 | 684 |
| Electroencephalography | $13,211 | $94,095 | $306,965 | 0.31 | 167 |
| Diabetes clinic | $17,483 | 180 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6M | $17.6M | $30.6M | 0.58 | 45,624 |
| Intensive care unit | $2.3M | $6.3M | $12.3M | 0.51 | 14,310 |
| Neonatal intensive care unit | $2.7M | $6.3M | $59.6M | 0.11 | 3,568 |
| Nursery | $619,804 | $15.3M | 0.04 | 3,309 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.1M | $23.7M | 50,667 | $57.51 | 13,076 |
| Employee benefits department | $130,465 | $8.3M | 3,245 | $40.05 | 704 |
| Cap rel costs-mvble equip | $5.7M | ||||
| Cap rel costs-bldg & fixt | $3.8M | 224,842 | |||
| Operation of plant | $500,470 | $2.4M | 13,538 | $36.83 | 44,152 |
| Nursing administration | $1.8M | $2.2M | 47,068 | $42.59 | 634 |
| Housekeeping | $708,405 | $898,555 | 33,032 | $21.36 | 1,747 |
| Cafeteria | $784,920 | 24,983 | $22.19 | 2,452 | |
| Inservice education | $419,749 | $450,277 | 10,207 | $40.97 | 2,607 |
| Laundry & linen service | $49,100 | $432,812 | 2,265 | $21.60 | 731 |
| Dietary | $719,196 | $213,544 | 6,577 | $24.64 | 3,557 |
| Medical records & library | $21,147 | 3,811 | |||
| Social service | $6,305 | $7,842 | 148 | $42.44 | 118 |
| Maintenance & repairs | $4,107 | 1,368 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838318, 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 Timpanogos Regional Hospital for an inpatient stay.
2.10
Case mix index
Higher than 84% 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).
25.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
322
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 | 2.05 | 2.05 | 2.21 | 2.30 | 2.08 | 2.14 | 2.10 |
| Wage index | 0.959 | 0.964 | 0.972 | 0.926 | 0.931 | 0.985 | 0.961 |
| Readmissions adjustment | 0.00% | -0.42% | -0.76% | -1.05% | -0.27% | -0.09% | -0.09% |
| Value-based purchasing adjustment | +0.43% | +0.25% | +0.25% | -0.29% | -0.37% | -0.62% | +0.01% |
| Medicare inpatient stays | 618 | 618 | 498 | 434 | 373 | 398 | 322 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Timpanogos Regional Hospital reports to Medicare as owners or with operational control.
HCA Healthcare Inc
5% or greater indirect ownership interest, 100%, since 2017
HCA Inc
5% or greater indirect ownership interest, 100%, since 2007
Healthtrust Inc - The Hospital Company
5% or greater indirect ownership interest, 100%, since 2007
Mountain View Hospital, Inc.
5% or greater direct ownership interest, 100%, since 2007
Utah Medco LLC
5% or greater indirect ownership interest, 100%, since 2007
Hercules Holding II
5% or greater indirect ownership interest, 18%, since 2016
Frisco Holding II
5% or greater indirect ownership interest, 16.3%, since 2026
Sources: CMS Hospital All Owners.
The officers and board members on Timpanogos 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 32 of 35 are shown.
Helipad
Timpanogos Rgnl Hospital
FAA location ID UT78, a medical-use heliport 0.3 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Timpanogos Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Timpanogos Regional Hospital range from $600 to $1,713 across 4 insurers. Blue Cross Blue Shield's rate is $647. The median at nearby comparable hospitals is $1,121. 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 Timpanogos Regional Hospital range from $519 to $2,198 across 4 insurers. Blue Cross Blue Shield's rate is $780. The median at nearby comparable hospitals is $1,328. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Timpanogos Regional Hospital range from $2,631 to $4,640 across 4 insurers. Cigna's rate is $3,654. The median at nearby comparable hospitals is $1,383. 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 Timpanogos Regional Hospital range from $8,437 to $16,686 across 4 insurers. UnitedHealthcare's rate is $8,766. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Timpanogos Regional Hospital range from $104 to $354 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $303. What a patient pays depends on their plan's deductible, coinsurance and network status.
Timpanogos Regional Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Timpanogos Regional Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Timpanogos Regional Hospital's base inpatient payments by an estimated 0.09% 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 (34 discharges), heart failure and shock with mcc (15 discharges), septicemia or severe sepsis without mv >96 hours without mcc (13 discharges).
Timpanogos Regional Hospital's Medicare case mix index is 2.10 for fiscal year 2027, higher than 84% of hospitals paid under the inpatient prospective payment system.
Timpanogos Regional Hospital reported 4,452 inpatient discharges and 17,510 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Timpanogos Regional Hospital reported 439 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Timpanogos Regional Hospital reported $192.5M in net patient revenue on $866.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 42.9%, and net income of $82.9M.
Timpanogos Regional Hospital reported $5.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.5M of charity care at cost.
Timpanogos Regional Hospital's Medicare enrollment lists Edwin W Robinson as Vice President since 2025.
Insurers' price transparency files list Timpanogos Regional Hospital under employer identification number 62-1831495 (Timpanogos Regional Medical Services INC). 57 health plans and networks list 62-1831495 for it.
185 clinicians who bill Medicare list Timpanogos Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (21), certified registered nurse anesthetist (19), diagnostic radiology physician (16).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Timpanogos Regional Hospital, effective 2019.
In its Medicare enrollment, Timpanogos Regional Hospital reports HCA Healthcare Inc as 5% or greater indirect ownership interest (100%).
CMS lists 36 services at Timpanogos Regional Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Timpanogos Regional Hospital came from ZIP codes 84057 (191), 84062 (79), 84097 (60).
Timpanogos Regional Hospital has 117 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 122 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Timpanogos Regional Hospital is located at 750 West 800 North, Orem, UT 84057. Its main phone number is (801) 714-6800.
Timpanogos Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 460052.
The National Provider Identifier (NPI) on file for Timpanogos Regional Hospital is 1497702195.
Timpanogos Regional Hospital is affiliated with HCA Healthcare.
Timpanogos Regional Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
327 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