Southcoast Health System · Wareham, MA
4 of 5
CMS star rating
686
Beds
31,620
Inpatient discharges a year
$1.1B
Net patient revenue a year
37
In-network payers
Tobey Hospital is a 686-bed voluntary non-profit - private hospital in Wareham, MA, affiliated with Southcoast Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 265 disclosed rate categories.
The 24 services Tobey 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$17,678 - $47,256
from 4 insurers · median $41,718
183 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$7,469 - $11,041
from 3 insurers · median $10,045
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
$12,927 - $16,735
from 3 insurers · median $14,208
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 58558
$1,737 - $3,872
from 2 insurers · median $2,805
96 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$495 - $1,528
from 4 insurers · median $749
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,514 - $7,320
from 2 insurers · median $5,417
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$3,514 - $4,151
from 2 insurers · median $3,832
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,312 - $7,181
from 2 insurers · median $6,247
274 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$344 - $7,472
from 3 insurers · median $3,514
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$175 - $829
from 4 insurers · median $411
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,312 - $8,383
from 2 insurers · median $6,848
274 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$154 - $372
from 4 insurers · median $212
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$601 - $1,047
from 4 insurers · median $852
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,044 - $3,495
from 4 insurers · median $3,428
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$658 - $2,153
from 4 insurers · median $936
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$36 - $185
from 4 insurers · median $111
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$4,588 - $10,767
from 2 insurers · median $7,677
73 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,469 - $11,041
from 3 insurers · median $10,045
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
CT imaging
CPT 71260
$342 - $649
from 4 insurers · median $532
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$373 - $1,077
from 4 insurers · median $566
Common here, based on CMS Medicare volume
Urology
CPT 50590
$5,312 - $9,322
from 3 insurers · median $8,424
220 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$94 - $772
from 4 insurers · median $504
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$24,180 - $72,654
from 3 insurers · median $33,416
11 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 74183
$658 - $2,166
from 4 insurers · median $910
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 362% | 16 | 4 |
| Insurer B* | 17 | 239% | 2 | 10 |
| Insurer C* | 14 | 221% | 6 | 6 |
| Insurer D* | 24 | 155% | 8 | 11 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 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 Tobey 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
$1.1B net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Tobey 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 |
|---|---|---|
| 22-2592333(multi-state) Tobey Hospital | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1922024835 Southcoast Hospitals Group Inc1306871223 Southcoast Hospitals Group Inc1447275037 Southcoast Hospitals Group Incand 27 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.
363 Highland Avenue, Wareham, MA 02571
None
How Tobey 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
Better on 2 of 8 measures
2 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 7 measures
3 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 11 measures
1 better, 7 no different, 3 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
72%
Higher than 51% 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)
1.1
Higher than 81% 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
190 min
Higher than 75% 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
67%
Higher than 53% 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 | Better on 2 of 8 measures | |
| Safety | Better on 3 of 7 measures | |
| Readmissions | Worse on 3 of 11 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 | 72% | 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) | 1.1 | 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 | 190 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 67% | 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 Tobey Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.70% 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 Tobey Hospital, beside the US median and the average of MA 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 | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 541 cases | 3.2 | 4.1 | 4.091 | Better than 88% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 8,126 cases | 3 | 3.9 | 3.416 | Better than 92% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 598 cases | 11.6 | 11.8 | 11.44 | Better than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 177 cases | 2.2 | 2.3 | 2.108 | Better than 52% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 621 cases | 8.8 | 8.5 | 7.486 | Worse than 58% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 1,626 cases | 10.1 | 11 | 9.785 | Better than 67% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 1,880 cases | 15.1 | 15.2 | 13.44 | Better than 50% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 616 cases | 9.9 | 11.6 | 11.76 | Better than 82% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 17,161 cases | 1.09 | 0.51 | 0.6721 | Worse Than the National Rate | Worse than 89% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 187 cases | 157 | 173 | 175 | No Different Than the National Rate | Better than 79% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 19,918 cases | 0.13 | 0.2 | 0.2083 | No Different Than the National Rate | Better than 98% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 20,327 cases | 0.42 | 0.27 | 0.296 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 3,887 cases | 1.5 | 2.29 | 2.482 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 1,725 cases | 1.17 | 1.63 | 1.613 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 1,708 cases | 9.41 | 8.88 | 9.192 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 4,237 cases | 3.08 | 3.4 | 3.743 | No Different Than the National Rate | Better than 77% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 1,713 cases | 5.43 | 5.105 | 5.331 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 790 cases | 1.39 | 1.72 | 1.756 | No Different Than the National Rate | Better than 99% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 3,132 cases | 0.95 | 1.02 | 1.044 | No Different Than the National Rate | Better than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 596 cases | -4.8 | 4.2 | 18.16 | Better than 66% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 1,845 cases | 4.8 | 1.25 | 17.34 | Worse than 55% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 1,949 cases | 21.9 | 3.85 | 17.01 | Worse than 74% 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 · 3,210 cases | 12.8 | 12.9 | 12.66 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 484 cases | 9.7 | 10.7 | 10.92 | No Different Than the National Rate | Better than 80% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 484 cases | 5.9 | 5.3 | 5.182 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 1,466 cases | 0.9 | 1 | 0.9596 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 677 cases | 14 | 14.4 | 14.76 | Better than 66% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 178 cases | 10 | 10.9 | 10.82 | Better than 76% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 867 cases | 18.8 | 19.8 | 20.36 | Better than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 2,088 cases | 23.1 | 21.3 | 22.03 | Worse than 91% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 542 cases | 5.5 | 5.8 | 5.709 | Better than 65% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 2,374 cases | 17.9 | 17.2 | 17.81 | Worse than 74% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.246 | 0.172 | 0.2107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.004 | 1.504 | 1.812 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 19,478 | 1,370 | 8,303 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 15.13 | 0.9835 | 8.287 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 8 | 0 | 4.273 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.529 | 0.484 | 0.4759 | No Different than National Benchmark | Worse than 54% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.137 | 0.138 | 0.2845 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.829 | 1.392 | 1.932 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 16,341 | 1,799 | 7,314 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 13.37 | 1.377 | 8.986 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 5.818 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.374 | 0.399 | 0.6647 | Better than the National Benchmark | Better than 52% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.398 | 0.2345 | 0.3618 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.8 | 2.135 | 2.379 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 290 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 7.693 | 1.591 | 3.928 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 7 | 1 | 3.531 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.91 | 0.7155 | 0.7845 | No Different than National Benchmark | Worse than 64% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4656 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.886 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 94 | 38 | 72.32 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.762 | 0.328 | 0.6066 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.7955 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.451 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.232 | 0.193 | 0.2428 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.404 | 1.855 | 2.383 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 178,209 | 14,451 | 69,453 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 7.893 | 0.567 | 4.799 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 3.018 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.633 | 0.597 | 0.6915 | No Different than National Benchmark | Worse than 54% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.451 | 0.127 | 0.2286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.746 | 0.747 | 0.9902 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 169,071 | 13,646 | 64,881 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 104 | 5.683 | 33.9 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 61 | 2 | 16.5 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.585 | 0.279 | 0.4375 | Better than the National Benchmark | Worse than 81% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,284 cases | 74 | 73 | 69.54 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,284 cases | 6 | 8 | 10.27 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,284 cases | 20 | 18 | 20.2 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 88 | 87 | 85.15 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 4 | 3.13 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 78 | 80 | 79.3 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 92 | 91 | 91.43 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 4 | 4.75 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 3 | 3.463 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 18 | 16 | 15.95 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 79 | 79 | 78.45 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 91 | 91 | 90.5 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 5 | 5.893 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 3 | 3 | 3.019 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,284 cases | 17 | 16 | 15.66 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,284 cases | 60 | 61 | 60.82 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 78 | 77 | 76.96 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,284 cases | 19 | 19 | 19.86 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 3 | 3 | 2.704 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,284 cases | 21 | 19 | 19.32 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 88 | 86 | 86.83 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,284 cases | 12 | 13 | 12.75 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 3 | 3.648 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,284 cases | 88 | 87 | 87.25 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,284 cases | 11 | 14 | 13.96 | Better than 77% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,284 cases | 89 | 86 | 86.04 | Better than 77% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 74 | 74 | 73.88 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 5 | 7 | 7.232 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 21 | 19 | 18.89 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 77 | 77 | 76.98 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 5 | 6 | 6.357 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 18 | 17 | 16.66 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 86 | 85 | 84.46 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 3 | 3 | 4.036 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 11 | 11 | 11.5 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,284 cases | 8 | 8 | 9.911 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,284 cases | 24 | 20 | 22.54 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,284 cases | 68 | 72 | 67.55 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 88 | 88 | 86.72 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 3 | 3 | 2.981 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,284 cases | 75 | 74 | 74.29 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,284 cases | 10 | 9 | 9.679 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,284 cases | 15 | 16 | 16.04 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 74 | 75 | 75.66 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 5 | 5 | 6.125 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,284 cases | 21 | 20 | 18.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 75 | 77 | 77 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 6 | 4 | 4.946 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,284 cases | 19 | 19 | 18.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 85 | 86 | 85.23 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 2 | 3 | 3.125 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,284 cases | 13 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,284 cases | 47 | 59 | 47.63 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,284 cases | 17 | 9 | 17.7 | Worse than 85% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,284 cases | 36 | 31 | 34.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 76 | 82 | 74.48 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 2 | 3 | 2.111 | Worse than 76% 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 · 1,284 cases | 4 | 5 | 6.143 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,284 cases | 72 | 71 | 69.48 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,284 cases | 88 | 87 | 86.65 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,284 cases | 24 | 23 | 24.38 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,284 cases | 4 | 4 | 3.556 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,284 cases | 46 | 47 | 47.23 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,284 cases | 27 | 30 | 30.13 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,284 cases | 27 | 22 | 22.64 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,284 cases | 3 | 3 | 3.056 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,284 cases | 13 | 12 | 11.66 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,284 cases | 87 | 88 | 88.34 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.188 | |||
| 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 · 6,860 cases | 62 | 79 | 84.05 | Worse than 75% 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 · 483 cases | 194 | 154 | 227 | Worse than 74% 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 · 435 cases | 190 | 148 | 219 | Worse than 75% 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 · 35 cases | 265 | 247 | 381 | Worse than 56% 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 · 15 cases | 265 | 293 | 358 | Better than 62% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 176,743 cases | 4 | 1 | 3.981 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 51 cases | 80 | 74 | 69.39 | Better than 62% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 98 cases | 98 | 97 | 97.12 | Better 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 · 27 cases | 56 | 53 | 30.67 | Better than 55% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 9,217 cases | 21 | 15 | 17.23 | Worse than 88% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 316 cases | 67 | 65 | 53.88 | Better than 53% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 113 cases | 81 | 73 | 63.72 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 81 cases | 88 | 88 | 81.64 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 316 cases | 81 | 82 | 74.82 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 192 cases | 96 | 94 | 90.31 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97.42 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 109 cases | 88 | 75 | 81 | Better than 86% of US hospitals | |
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 406 cases | 97 | 94 | 93 | Better than 73% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 18,333 cases | 97 | 90 | 91.36 | Better than 79% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.17 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.6 | 5 | 4.356 | Better than 67% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.1 | 6.6 | 6.335 | Worse than 67% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 0.9783 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 13.33 | 20 | 37.36 | Worse than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.333 | 5 | 9.341 | Worse than 64% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 15.42 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.854 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 24 | 34 | 33.06 | Worse than 70% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6 | 8.75 | 8.266 | Worse than 71% of US hospitals | |
| VBP safety domain scoreFY 2026 | 38.33 | 40 | 34.38 | Worse than 52% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.583 | 10 | 8.595 | Worse than 53% of US hospitals | |
| VBP total performance scoreFY 2026 | 18.92 | 29.5 | 30.06 | Worse than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 58 | 58.33 | 44 | 26.67 | 21.67 | 13.33 |
| VBP clinical outcomes weighted domain score | 14.5 | 14.58 | 11 | 6.667 | 5.417 | 3.333 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 16 | Not Available | Not Available | 17 | 17 | 24 |
| VBP person and community engagement weighted domain score | 4 | Not Available | Not Available | 4.25 | 4.25 | 6 |
| VBP safety domain score | 22 | Not Available | Not Available | 14 | 30 | 38.33 |
| VBP safety weighted domain score | 5.5 | Not Available | Not Available | 3.5 | 7.5 | 9.583 |
| VBP total performance score | 24 | Not Available | Not Available | 14.42 | 17.17 | 18.92 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 604 cases | 0.8646 | 0.9995 | 1.051 | Better than 98% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 200 cases | 0.9546 | 1 | 1.024 | Better than 68% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 716 cases | 0.9579 | 0.9969 | 1.036 | Better than 84% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 1,830 cases | 0.9945 | 0.9983 | 1.036 | Better than 53% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 416 cases | 0.9599 | 0.9916 | 1.008 | Better than 60% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 1,631 cases | 0.972 | 0.9955 | 1.046 | 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 | 1.097 | 1.081 | 1.065 | 0.9362 | 0.8618 | 0.8646 |
| READM-30-CABG-HRRP | 1.048 | 0.9137 | 0.8876 | 0.8629 | 0.9154 | 0.9546 |
| READM-30-COPD-HRRP | 1.116 | 1.065 | 1.083 | 1.113 | 1.077 | 0.9579 |
| READM-30-HF-HRRP | 1.201 | 1.162 | 1.122 | 1.008 | 0.9778 | 0.9945 |
| READM-30-HIP-KNEE-HRRP | 1.278 | 1.284 | 1.171 | 1.041 | 1.034 | 0.9599 |
| READM-30-PN-HRRP | 1.149 | 1.112 | 1.067 | 0.9971 | 0.9902 | 0.972 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Tobey Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.71 | 0.489 | 0.7646 | Worse than 71% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.453 | 0.346 | 0.4801 | Worse than 66% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.388 | 0.559 | 0.683 | Better than 67% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.401 | 0.6405 | 0.6605 | Better than 72% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.099 | 0.9628 | 1.026 | Worse than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.342 | 0.7945 | 0.9399 | Worse than 80% of US hospitals | |
| Total HAC scoreFY 2026 | 0.1958 | -0.0453 | 0.2232 | Worse than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | Yes | Yes | No |
| Total HAC score | 0.5361 | 0.8754 | 0 | 0.6168 | 0.6235 | 0.1958 |
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 2010)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
695
Medicare-certified beds
853
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Tobey Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
31,620
Inpatient discharges
Medicare 36%, Medicaid 9%
161,229
Inpatient days
67% of available bed days used
4,627
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831068). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Tobey Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 58,549 | 17,192 | 85,488 | 161,229 |
| Discharges | 11,230 | 2,846 | 17,544 | 31,620 |
| Average length of stay | 5.2 days | 6.0 days | 4.9 days | 5.1 days |
| Average daily census | 160.4 | 47.1 | 234.2 | 441.7 |
38,133
Medicare Advantage days
6,738 discharges
15,509
Medicaid managed care days
4,265 discharges
18,377
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 582 | 136,761 | 53,678 | 64% |
| Intensive care unit | 58 | 15,307 | 4,871 | 72% |
| Other special care | 16 | 2,603 | 45% | |
| Nursery | 6,558 | |||
| Subprovider - irf | 30 | 8,955 | 5,355 | 82% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Tobey Hospital treats Medicare patients for most often, in 2024. 9,806 Medicare discharges in 193 published DRGs; 21% surgical; 71% 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 | 731 | $41,770 | $14,710 | $14,452 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 716 | $26,277 | $9,644 | $9,092 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 392 | $34,952 | $12,515 | $12,094 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 304 | $30,795 | $9,991 | $10,655 | 1.33 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 203 | $56,416 | $14,087 | $19,520 | 1.88 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 177 | $27,213 | $7,937 | $9,416 | 1.10 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 153 | $24,813 | $8,375 | $8,585 | 1.17 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 151 | $19,006 | $5,331 | $6,576 | 0.79 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 151 | $17,957 | $5,579 | $6,213 | 0.81 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 147 | $19,761 | $5,585 | $6,837 | 0.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 147 | $16,046 | $5,000 | $5,552 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 138 | $24,322 | $8,832 | $8,416 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 137 | $139,984 | $38,382 | $48,434 | 4.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 133 | $26,977 | $9,794 | $9,334 | 1.32 |
| Renal failure with CCMS-DRG 683, medical | 129 | $19,776 | $6,367 | $6,843 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 128 | $23,812 | $7,293 | $8,239 | 1.03 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 127 | $23,173 | $6,965 | $8,018 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 122 | $28,317 | $9,142 | $9,798 | 1.23 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 121 | $31,062 | $7,283 | $10,747 | 0.98 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 116 | $57,797 | $15,648 | $19,998 | 2.07 |
See all 193 Medicare inpatient DRGs at Tobey Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Tobey Hospital billed Medicare for most in 2024: 7,665 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 2,598 | 2,185 | $12,395 | $2,320 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 432 | 384 | $8,197 | $1,362 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 339 | 339 | $22,925 | $2,501 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 274 | 273 | $24,844 | $4,884 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 271 | 257 | $29,317 | $6,039 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 263 | 258 | $139,226 | $23,488 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 239 | 188 | $7,163 | $1,712 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 237 | 225 | $5,458 | $1,348 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 220 | 195 | $10,440 | $1,625 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 220 | 175 | $13,028 | $2,983 | $2,629 |
See all 44 Medicare outpatient services at Tobey 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 Tobey 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 12,571 in 2020 to 18,084 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 02740 | 2,538 | 14% | 13,616 | $110.8M | 84% | 71% |
| 02745 | 1,197 | 7% | 6,102 | $50.1M | 86% | 76% |
| 02720 | 1,135 | 6% | 6,211 | $51.8M | 57% | 48% |
| 02747 | 994 | 5% | 5,172 | $44.2M | 78% | 71% |
| 02719 | 975 | 5% | 5,308 | $44.7M | 89% | 82% |
| 02746 | 780 | 4% | 4,202 | $33.3M | 87% | 74% |
| 02748 | 698 | 4% | 3,472 | $30.6M | 84% | 73% |
| 02721 | 687 | 4% | 4,114 | $36.6M | 39% | 29% |
| 02777 | 683 | 4% | 3,556 | $34.3M | 49% | 43% |
| 02790 | 678 | 4% | 3,597 | $37.5M | 61% | 57% |
| 02726 | 653 | 4% | 3,607 | $32M | 66% | 59% |
| 02571 | 646 | 4% | 3,291 | $30.7M | 81% | 81% |
| 02744 | 541 | 3% | 2,640 | $21.3M | 87% | 79% |
| 02743 | 534 | 3% | 2,667 | $24.4M | 83% | 83% |
| 02723 | 447 | 2% | 2,532 | $21M | 45% | 43% |
| 02878 | 438 | 2% | 2,434 | $23.7M | 41% | 38% |
| 02739 | 388 | 2% | 1,769 | $16M | 88% | 77% |
| 02724 | 369 | 2% | 2,169 | $19.5M | 32% | 26% |
| 02532 | 277 | 2% | 1,300 | $12M | 29% | 29% |
| 02871 | 256 | 1% | 1,387 | $15.5M | 28% | 21% |
| 02738 | 252 | 1% | 1,145 | $10.9M | 95% | 80% |
| 02576 | 239 | 1% | 1,124 | $11.1M | 80% | 84% |
| 02538 | 220 | 1% | 1,110 | $9.9M | 83% | 65% |
| 02770 | 220 | 1% | 984 | $9.3M | 95% | 75% |
| 02717 | 213 | 1% | 1,478 | $10.6M | 79% | 86% |
Source: CMS Hospital Service Area file. Shares are of the 18,084 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 Tobey Hospital reported at its latest Medicare certification survey (1998). Counts are people, not full-time equivalents.
30
Psychiatric unit beds
32
Rehabilitation unit beds
6
Off-site locations
6
Off-site emergency departments
853
Registered nurses
106
Licensed practical nurses
19
Physicians
11
Nurse anesthetists (CRNAs)
31
Pharmacists
49
Respiratory therapists
38
Physical therapists
23
Occupational therapists
12
Speech pathologists and audiologists
5
Dietitians
16
Social workers
2,453
Other personnel
Source: CMS Provider of Services file.
1,585 clinicians who bill Medicare list Tobey 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.
Ari Schwartz, MD
Rheumatology Physician
NPI 1336115666
See commercial rates for Ari Schwartz, MDDavid Brown, MD
Rheumatology Physician
NPI 1225071962
See commercial rates for David Brown, MDRachel Gross, M.D.
Rheumatology Physician
NPI 1811157522
See commercial rates for Rachel Gross, M.D.James Bleiler, MD
Urology Physician
NPI 1679539506
See commercial rates for James Bleiler, MDChad Beattie, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1790946176
See commercial rates for Chad Beattie, M.D.Mark Fisher, MD, MPH
Rheumatology Physician
NPI 1932308244
See commercial rates for Mark Fisher, MD, MPHNancy Furtado, PA-C
Physician Assistant
NPI 1699874024
See commercial rates for Nancy Furtado, PA-CBernard Durante, MD
Otolaryngic Allergy Physician
NPI 1164400040
See commercial rates for Bernard Durante, MDDavid Shih, MD
Nephrology Physician
NPI 1134197429
See commercial rates for David Shih, MDNicholas Rego, PA-C
Physician Assistant
NPI 1144452681
See commercial rates for Nicholas Rego, PA-CSlawomir Pajak, M.D.
Nephrology Physician
NPI 1235105206
See commercial rates for Slawomir Pajak, M.D.Shan Qin, M.D., PH.D.
Nephrology Physician
NPI 1891138822
See commercial rates for Shan Qin, M.D., PH.D.John Stamoulis, MD
Neurology Physician
NPI 1861441891
See commercial rates for John Stamoulis, MDMichael Hait, M.D.
Rheumatology Physician
NPI 1326028085
See commercial rates for Michael Hait, M.D.Roland Chan, M.D.
Rheumatology Physician
NPI 1912986100
See commercial rates for Roland Chan, M.D.Michael Atalay, MD
Diagnostic Radiology Physician
NPI 1881682748
See commercial rates for Michael Atalay, MDJoseph Lifrak, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1093700726
See commercial rates for Joseph Lifrak, MDAnna Somerto, MD
Neurology Physician
NPI 1336107150
See commercial rates for Anna Somerto, MDLinsey Philip, M.D.
Infectious Disease Physician
NPI 1053304469
See commercial rates for Linsey Philip, M.D.Deanna Murphy, FNP-C
Family Nurse Practitioner
NPI 1689273054
See commercial rates for Deanna Murphy, FNP-CRaju Singla, M.D.
Internal Medicine Physician
NPI 1043204407
See commercial rates for Raju Singla, M.D.Manuela Mendes, M.D.
Family Medicine Physician
NPI 1912904988
See commercial rates for Manuela Mendes, M.D.Joan Wildenhain, NP
Nurse Practitioner
NPI 1720073455
See commercial rates for Joan Wildenhain, NPTamer Yacoub, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1578557807
See commercial rates for Tamer Yacoub, 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 Tobey 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) | $3.7B | 325.2% |
| Inpatient | $1.4B | 121.7% |
| Outpatient | $2.3B | 203.5% |
| Contractual allowances and discounts | -$2.6B | -225.2% |
| Net patient revenue | $1.1B | 100.0% |
| Operating expenses | -$1.3B | -111.9% |
| Operating income from patient care | -$136.6M | -11.9% |
| Other income | $260.6M | 22.7% |
| Contributions and donations | $4.5M | 0.4% |
| Investment income | $47.9M | 4.2% |
| COVID-19 relief funding | $5.7M | 0.5% |
| Other | $202.5M | 17.6% |
| Net income | $124.1M | 10.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $951.5M | 25.5% |
| Medicaid (including managed care) | $766.2M | 20.5% |
| Other payers and self-pay | $2B | 54.0% |
| Total charges | $3.7B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, 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 Tobey Hospital's latest cost report.
-11.9%
Operating margin
Operating income from patient care / net patient revenue
8.8%
Total margin
Net income / net patient revenue plus other income
12.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$48.48
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
10.0%
Return on assets
Net income for a year / total assets
16.3%
Return on equity
Net income for a year / fund balance
0.26
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.47
Current ratio
Current assets / current liabilities
0.83
Quick ratio
Cash, temporary investments and net receivables / current liabilities
13 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
40 days
Days in patient receivables
Net patient receivables / daily net patient revenue
60 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.14
Asset turnover
Total revenue for a year / total assets
15.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Tobey Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $1.2B in total assets and a $759.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $44.1M | 3.6% |
| Patient receivables, net | $124.9M | 10.1% |
| Inventory | $21.4M | 1.7% |
| Total current assets | $298.4M | 24.1% |
| Property and equipment, net of depreciation | $316M | 25.5% |
| Investments and other assets | $625.7M | 50.5% |
| Total assets | $1.2B | 100.0% |
| Current liabilities | $203.3M | 16.4% |
| Long-term debt | $200M | 16.1% |
| Total liabilities | $480.9M | 38.8% |
| Fund balance (net assets) | $759.1M | 61.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Tobey Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$13.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$36.3M
Bad debt
Patient bills written off as uncollectible, at charges
$43M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$23.7M
Total unreimbursed and uncompensated care
1.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
-$6.1M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Tobey 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 | $777.9M | $830.3M | $845.4M | $914.2M | $994.6M | $1.1B |
| Operating expenses | $838.6M | $889M | $981M | $1B | $1.1B | $1.3B |
| Operating margin | -7.8% | -7.1% | -16.0% | -13.1% | -11.6% | -11.9% |
| Net income | $107.6M | $106.5M | -$67.3M | $111.1M | $153.8M | $124.1M |
| Total assets | $1.2B | $1.3B | $991.2M | $1B | $1.2B | $1.2B |
| Discharges | 31,495 | 29,364 | 27,594 | 28,805 | 30,156 | 31,620 |
| Inpatient days | 153,017 | 154,556 | 158,390 | 148,359 | 158,549 | 161,229 |
| Medicare Advantage days | 359 | 191 | 33,493 | 29,276 | 35,338 | 38,133 |
| Beds | 852 | 652 | 669 | 665 | 689 | 686 |
| Employees (FTE) | 4,275 | 4,239 | 4,146 | 4,111 | 4,392 | 4,627 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Tobey 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $120.1M | $355.1M | 0.34 | ||
| Laboratory | $18.3M | $71.5M | $519.6M | 0.14 | 27,461 |
| Operating room | $18.3M | $68.6M | $234.7M | 0.29 | 61,389 |
| Emergency | $29.2M | $65.5M | $368.1M | 0.18 | 75,868 |
| Medical supplies charged to patient | $61.1M | $208.7M | 0.29 | ||
| Impl. dev. charged to patients | $59M | $167.3M | 0.35 | ||
| Radiology-diagnostic | $21.6M | $58.3M | $253.6M | 0.23 | 71,115 |
| Physical therapy | $19.9M | $40.5M | $105.2M | 0.38 | 23,581 |
| Oncology clinic | $9.3M | $27M | $80.8M | 0.33 | 70,239 |
| Observation beds (non-distinct part | $26.9M | $61.4M | 0.44 | ||
| Asc (non-distinct part) | $7.4M | $22.6M | $123.4M | 0.18 | 8,327 |
| Delivery room & labor room | $725,631 | $21.7M | $30.7M | 0.71 | 18,797 |
| Cardiac catheterization | $6.8M | $18.2M | $210M | 0.09 | 17,499 |
| Clinic | $5.1M | $17M | $52.7M | 0.32 | 17,377 |
| Recovery room | $5.6M | $16.7M | $123.3M | 0.14 | 44,042 |
| Respiratory therapy | $5.9M | $12.4M | $70.6M | 0.18 | 5,024 |
| Ct scan | $2.9M | $10.9M | $183.9M | 0.06 | 5,032 |
| Blood storing processing & trans. | $1.2M | $8.7M | $22.1M | 0.39 | 2,389 |
| Observation beds (distinct part) | $7.4M | $38.7M | 0.19 | 1,174 | |
| Electrocardiology | $3M | $6.7M | $54.7M | 0.12 | 4,646 |
| Mri | $1.2M | $6.3M | $49.1M | 0.13 | 11,715 |
| Intravenous therapy | $693,999 | $5.4M | $17.9M | 0.30 | |
| Radioisotope | $1.4M | $5.3M | $17M | 0.31 | 11,313 |
| Jarabeck clinic | $875,869 | $2.4M | $3.4M | 0.72 | 6,289 |
| Enterostomal therapy | $738,341 | $1.2M | $2.2M | 0.54 | |
| Electroencephalography | $207,843 | $568,076 | $1.2M | 0.48 | 1,219 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $104.4M | $227.2M | $283M | 0.80 | 251,341 |
| Intensive care unit | $18.8M | $42.2M | $62.6M | 0.67 | 32,291 |
| Subprovider - irf | $4.4M | $12.7M | $16.6M | 0.77 | 13,726 |
| Level ii nursery | $2.7M | $6.1M | $8.6M | 0.71 | 1,209 |
| Nursery | $4.8M | $9.1M | 0.53 | 3,283 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $88.2M | $172.5M | 1,551,375 | $54.98 | 122,583 |
| Employee benefits department | $13.5M | $130.4M | 112,765 | $60.63 | 11,369 |
| Pharmacy | $15.1M | $91M | 290,450 | $53.26 | 6,588 |
| Maintenance & repairs | $6.9M | $34.5M | 152,703 | $47.09 | 215,211 |
| Cap rel costs-mvble equip | $26.7M | ||||
| Cap rel costs-bldg & fixt | $24M | 1,658,884 | |||
| Operation of plant | $5.3M | $16.7M | 179,530 | $30.48 | 381,251 |
| Housekeeping | $8M | $10.7M | 339,046 | $23.31 | 16,502 |
| Medical records & library | $5.8M | $9.8M | 146,775 | $40.18 | 8,730 |
| Nursing administration | $7.7M | $9.3M | 101,486 | $83.08 | 13,631 |
| Dietary | $8.2M | $9.1M | 301,622 | $25.63 | 44,076 |
| Central services & supply | $4.6M | $8.8M | 170,643 | $26.81 | 34,388 |
| Laundry & linen service | $4.2M | 26,208 | $21.34 | 3,061 | |
| Nursing program | $622,309 | $641,268 | |||
| Social service | $198,318 | $203,833 | 7,345 | $27.74 | 2,298 |
| Nursing program | $163,204 | $171,382 | |||
| Nursing program | $24,335 | $24,563 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831068, 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 Tobey Hospital for an inpatient stay.
1.77
Case mix index
Higher than 59% 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).
29.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
11,192
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.60 | 1.60 | 1.71 | 1.78 | 1.74 | 1.75 | 1.77 |
| Wage index | 1.267 | 1.284 | 1.297 | 1.242 | 1.313 | 1.288 | 1.307 |
| Readmissions adjustment | -2.74% | -2.76% | -2.07% | -1.00% | -0.20% | -0.14% | 0.00% |
| Value-based purchasing adjustment | -0.14% | -0.46% | -0.46% | -0.09% | -0.63% | -0.46% | -0.70% |
| Medicare inpatient stays | 14,186 | 14,186 | 11,146 | 10,172 | 10,521 | 10,790 | 11,192 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Tobey 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.
Southcoast Hospitals Group Inc files the Form 990 for the tax ID insurers list for Tobey Hospital, so these people may lead the wider organization rather than Tobey Hospital alone.
| Name | Title |
|---|---|
| David Mccready | Ex-officio, President & CEO |
| Renee Clark Asst Clerk Until | 12/24)/clerk (at 1/25)/EVP COO |
| Wade Broughman | Treasurer, EVP Fin/cfo (until 12/24) |
| James Feen | SVP - Chief Digital Info Officer |
| Lauren Desimon Johnson | Svp/chro |
| Stephen Canessa | SVP External Affairs Cco |
| Jaqueline Somerville | Svp/cno |
| Mark Cale | CFO Shg & SVP Fin Shs (until 9/25) |
| Tonya Johnson | SVP & COO (until 6/28/24) |
| Michael Bushell | Treasurer (as Of 1/25), EVP Fin/cfo |
| Carmen F Sylvester | Vice Chair |
| Christopher Hodgson | Trustee, Clerk (until 12/2024) |
| Donald Giumetti | Chair |
Board members: Ilana Feinerman MD, Anil Shukla MD, John Mungovan MD, Salman Bashir MD, Dennis Fusco, Elizabeth Huidekoper, Helena Dasilva Hughes, Jason Rua, Jay S Schachne MD, Jonathan L Rounds, Judge Phillip Rapoza, Louis Cabral, W Hugh Morton.
Source: IRS Form 990 Part VII filed by Southcoast Hospitals Group Inc (EIN 22-2592333), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2004
340B ID DSH220074, registered as a disproportionate share hospital; 92 registered outpatient sites; 62 active contract pharmacies. Authorizing official: Renee Clark, Exec. Vice President & Chief Operating Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Charlton Meml Hospital
FAA location ID MA31, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Se ma rehab center - cmh
CCN 22T074, certified 1990, Medicare prospective payment
Source: Worksheet S-2 Part I of Tobey Hospital's latest Medicare cost report (HCRIS).
About Tobey Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tobey Hospital range from $658 to $2,153 across 4 insurers. Blue Cross Blue Shield's rate is $1,019. The median at nearby comparable hospitals is $1,690. 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 Tobey Hospital range from $495 to $1,528 across 4 insurers. Aetna's rate is $1,528. The median at nearby comparable hospitals is $962. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Tobey Hospital range from $3,514 to $7,320 across 2 insurers. Aetna's rate is $7,320. The median at nearby comparable hospitals is $2,151. 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 Tobey Hospital range from $7,469 to $11,041 across 3 insurers. Cigna's rate is $10,045. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tobey Hospital range from $154 to $372 across 4 insurers. Cigna's rate is $248. The median at nearby comparable hospitals is $260. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Tobey Hospital range from $17,678 to $47,256 across 4 insurers. UnitedHealthcare's rate is $40,442. The median at nearby comparable hospitals is $24,448. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tobey 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 Tobey Hospital for fiscal year 2027.
No. Tobey Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (731 discharges), heart failure and shock with mcc (716 discharges), respiratory infections and inflammations with mcc (392 discharges).
Tobey Hospital's Medicare case mix index is 1.77 for fiscal year 2027, higher than 59% of hospitals paid under the inpatient prospective payment system.
Tobey Hospital reported 31,620 inpatient discharges and 161,229 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Tobey Hospital reported 4,627 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Tobey Hospital reported $1.1B in net patient revenue on $3.7B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -11.9%, and net income of $124.1M.
Tobey Hospital reported $23.7M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $13.1M of charity care at cost.
Insurers' price transparency files list Tobey Hospital under employer identification number 22-2592333 ((multi-state) Tobey Hospital). 58 health plans and networks list 22-2592333 for it.
Yes. HRSA's 340B database lists Tobey Hospital (340B ID DSH220074) as a participating disproportionate share hospital since 2004, with 62 active contract pharmacies.
1,585 clinicians who bill Medicare list Tobey Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are nurse practitioner (195), internal medicine physician (134), family medicine physician (110).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Tobey Hospital, effective 2010.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Tobey Hospital came from ZIP codes 02740 (2,538), 02745 (1,197), 02720 (1,135).
Tobey Hospital has 686 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 695 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Tobey Hospital is located at 363 Highland Avenue, Wareham, MA 02571. Its main phone number is None.
Tobey Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 220074.
The National Provider Identifier (NPI) on file for Tobey Hospital is 1922024835.
Tobey Hospital is affiliated with Southcoast Health System.
Tobey Hospital lists 37 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.
265 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