Blairsville, GA
3 of 5
CMS star rating
189
Beds
2,732
Inpatient discharges a year
$119.4M
Net patient revenue a year
38
In-network payers
Union General Hospital is a 189-bed government - hospital district or authority hospital in Blairsville, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 211 disclosed rate categories.
The 24 services Union General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$1,467 - $2,549
from 4 insurers · median $1,639
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$785 - $981
from 4 insurers · median $897
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$9,627
negotiated rate
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$943 - $1,337
from 4 insurers · median $1,224
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,365 - $1,830
from 4 insurers · median $1,525
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$929 - $1,099
from 4 insurers · median $1,038
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,818
negotiated rate
81 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$1,390 - $1,760
from 4 insurers · median $1,611
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,716 - $2,356
from 4 insurers · median $1,918
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,745
negotiated rate
81 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$7,260
negotiated rate
163 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Mammography
CPT 77067
$131 - $196
from 4 insurers · median $147
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$961 - $1,404
from 4 insurers · median $1,285
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,071 - $1,404
from 4 insurers · median $1,285
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$430 - $492
from 4 insurers · median $458
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,392 - $1,591
from 4 insurers · median $1,521
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$8,495
negotiated rate
60 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93971
$491 - $643
from 4 insurers · median $549
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$328 - $450
from 4 insurers · median $366
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$287 - $496
from 4 insurers · median $320
Common here, based on CMS Medicare volume
Ultrasound
CPT 76770
$320 - $562
from 4 insurers · median $514
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$80 - $111
from 4 insurers · median $90
Typical for a hospital with this service line
Urology
CPT 50590
$11,551
negotiated rate
44 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93970
$614 - $780
from 4 insurers · median $686
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* | 18 | 482% | 15 | 1 |
| Insurer B* | 18 | 461% | 12 | 1 |
| Insurer C* | 18 | 422% | 14 | 1 |
| Insurer D* | 24 | 389% | 20 | 1 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 1 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 Union General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by DNV
Finances
$119.4M net patient revenue
Ownership and leadership
Owned by Hospital Authority Of Union County
The employer identification numbers (EINs) health plans and networks list for Union General Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 58-6025393Union General Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 52 more | 1578682696 Union County Hospital Authority1427384353 Union County Hospital Authority1669923744 Union County Hospital Authorityand 7 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.
35 Hospital Road, Blairsville, GA 30512
(706) 745-2111
How Union General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 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
Worse on 2 of 7 measures
0 better, 5 no different, 2 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
75%
Higher than 62% 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)
0.92
Lower than 68% 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
165 min
Higher than 61% 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
72%
Higher than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | Worse on 2 of 7 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 | 75% | 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) | 0.92 | 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 | 165 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 72% | 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 Union General Hospital's inpatient payments for its readmissions, quality and cost results.
-0.15% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.14% 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 Union General Hospital, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 39 cases | 3.9 | 4.1 | 4.655 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 967 cases | 5.2 | 3.9 | 4.079 | Worse than 92% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 110 cases | 7.6 | 8.5 | 8.691 | Better than 74% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 194 cases | 11.1 | 11 | 10.84 | Worse than 51% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 267 cases | 17.1 | 15.2 | 15.21 | Worse than 77% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 36 cases | 11.7 | 11.6 | 12.45 | Worse than 50% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,427 cases | 0.44 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 61% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,838 cases | 0.2 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,716 cases | 0.26 | 0.27 | 0.2798 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 285 cases | 2.27 | 2.29 | 2.356 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 69 cases | 1.66 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 70 cases | 8.78 | 8.88 | 10.26 | No Different Than the National Rate | Better than 53% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 301 cases | 3.53 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 58 cases | 5.08 | 5.105 | 5.77 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 71 cases | 1.74 | 1.72 | 1.743 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 166 cases | 1 | 1.02 | 1.073 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 196 cases | 38.8 | 1.25 | 12.52 | Worse than 87% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 269 cases | 56.7 | 3.85 | 12.69 | Worse than 94% 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 · 1,485 cases | 14.5 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 489 cases | 0.9 | 1 | 0.9723 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.35 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 127 cases | 19 | 19.8 | 19.84 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 188 cases | 20.9 | 21.3 | 21.19 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 45 cases | 5.6 | 5.8 | 5.927 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 321 cases | 17 | 17.2 | 17.41 | Better than 59% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2721 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.762 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,007 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.595 | 0.9835 | 5.825 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.568 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.619 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.182 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,736 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.373 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3748 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.519 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 27 | 61 | 136 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.636 | 1.591 | 3.769 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.756 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9605 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 44 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.322 | 0.328 | 1.256 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.77 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2796 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.919 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 13,869 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.424 | 0.567 | 3.385 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.336 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6352 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.067 | 0.127 | 0.1286 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.319 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 13,869 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.008 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.399 | 0.279 | 0.2745 | No Different than National Benchmark | Worse than 66% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 423 cases | 74 | 73 | 72.27 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 423 cases | 8 | 8 | 9.85 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 423 cases | 18 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 88 | 87 | 85.97 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 423 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 423 cases | 75 | 80 | 78.79 | Worse than 78% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 91 | 91 | 90.82 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 423 cases | 3 | 4 | 4.903 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 423 cases | 3 | 3 | 3.204 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 423 cases | 22 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 423 cases | 77 | 79 | 79.46 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 91 | 91 | 90.77 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 423 cases | 5 | 5 | 5.717 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 423 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 423 cases | 18 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 423 cases | 56 | 61 | 60.14 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 77 | 77 | 75.68 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 423 cases | 19 | 19 | 21.5 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 423 cases | 3 | 3 | 2.462 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 423 cases | 25 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 86 | 86 | 84.09 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 423 cases | 13 | 13 | 14.95 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 423 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 423 cases | 87 | 87 | 85.05 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 423 cases | 16 | 14 | 17.13 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 423 cases | 84 | 86 | 82.87 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 75 | 74 | 74.33 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 5 | 7 | 7.087 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 20 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 75 | 77 | 77.43 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 6 | 6 | 6.146 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 19 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 82 | 85 | 85.2 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 4 | 3 | 3.728 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 14 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 423 cases | 6 | 8 | 8.69 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 423 cases | 22 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 423 cases | 72 | 72 | 71.31 | Better than 49% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 90 | 88 | 87.94 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 423 cases | 4 | 3 | 3.269 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 423 cases | 66 | 74 | 73.43 | Worse than 92% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 423 cases | 13 | 9 | 10.45 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 423 cases | 21 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 71 | 75 | 74.03 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 4 | 5 | 6.592 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 423 cases | 25 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 71 | 77 | 75.78 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 4 | 4 | 5.34 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 423 cases | 25 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 82 | 86 | 84.54 | Worse than 78% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 1 | 3 | 3.437 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 423 cases | 17 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 423 cases | 58 | 59 | 63.8 | Worse than 53% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 423 cases | 7 | 9 | 8.469 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 423 cases | 35 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 84 | 82 | 83.87 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 423 cases | 4 | 3 | 3.774 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 423 cases | 5 | 5 | 6.124 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 423 cases | 75 | 71 | 70.88 | Better than 62% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 423 cases | 90 | 87 | 87.15 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 423 cases | 20 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 423 cases | 4 | 4 | 3.602 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 423 cases | 46 | 47 | 46.49 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 423 cases | 26 | 30 | 32.79 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 423 cases | 28 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 423 cases | 3 | 3 | 3.151 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 423 cases | 11 | 12 | 13.65 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 423 cases | 89 | 88 | 86.35 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Union General Hospital | US median | GA 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 | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,148 cases | 49 | 79 | 71.13 | Worse than 87% 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 · 431 cases | 173 | 154 | 175 | Worse than 63% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 397 cases | 165 | 148 | 169 | Worse than 61% 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 | Not Available | 348 | |||
| 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 · 26 cases | 391 | 293 | 334 | Worse than 82% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 26,468 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 15 cases | 73 | 74 | 71.14 | Worse than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 210 cases | 100 | 97 | 90.05 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 619 cases | 16 | 15 | 16.89 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 100 cases | 72 | 65 | 58.96 | Better than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 83 | 73 | 70.15 | Better than 72% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 17 cases | 94 | 88 | 83.53 | Better than 69% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 100 cases | 81 | 82 | 77.15 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 60 cases | 95 | 94 | 90.02 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 25 cases | 72 | 94 | 92.46 | Worse than 98% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,330 cases | 94 | 90 | 83.63 | Better than 65% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 95.53 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.7 | 5 | 5.623 | Worse than 75% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2 | 6.6 | 6.411 | Better than 97% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.06 | 0.99 | 0.9648 | Worse than 82% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 2.5 | 20 | 20.96 | Worse than 87% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0.625 | 5 | 5.347 | Worse than 87% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 26.92 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 7.03 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 55 | 34 | 36.51 | Better than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 13.75 | 8.75 | 9.439 | Better than 79% of US hospitals | |
| VBP safety domain scoreFY 2026 | 66.67 | 40 | 38.57 | Better than 87% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 16.67 | 10 | 9.691 | Better than 86% of US hospitals | |
| VBP total performance scoreFY 2026 | 31.04 | 29.5 | 31.07 | Better than 56% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 27.5 | 32.5 | 26.67 | 2.5 | 0 | 2.5 |
| VBP clinical outcomes weighted domain score | 9.167 | 8.125 | 6.667 | 0.625 | 0 | 0.625 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 3.333 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 37 | Not Available | Not Available | 38 | 33 | 55 |
| VBP person and community engagement weighted domain score | 12.33 | Not Available | Not Available | 9.5 | 8.25 | 13.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | 50 | 66.67 | 66.67 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 12.5 | 16.67 | 16.67 |
| VBP total performance score | 24.83 | Not Available | Not Available | 22.63 | 24.92 | 31.04 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 78 cases | 1.001 | 0.9969 | 1.012 | Worse than 54% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 180 cases | 1.008 | 0.9983 | 1.011 | Worse than 56% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9643 | 0.9916 | 1.024 | Better than 58% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 260 cases | 0.9986 | 0.9955 | 1.009 | Worse than 52% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9336 | 0.9355 | 0.9489 | 0.9483 | 0.9893 | 1.001 |
| READM-30-HF-HRRP | 1.036 | 1.001 | 0.9992 | 0.9946 | 1.02 | 1.008 |
| READM-30-HIP-KNEE-HRRP | 1.103 | 1.061 | 1.032 | 1.128 | 1.118 | 0.9643 |
| READM-30-PN-HRRP | 0.9545 | 0.9212 | 0.9264 | 0.9291 | 0.9671 | 0.9986 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Union General Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6612 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.926 | 0.346 | 0.3286 | Worse than 94% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.6574 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8117 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9157 | 0.9628 | 1.068 | Better than 68% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 1.054 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.5133 | -0.0453 | 0.04361 | Better than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | No | No |
| Total HAC score | -0.3154 | 0.2438 | 0 | 0.4157 | -0.4112 | -0.5133 |
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.
DNV (since 2024)
Accreditation
None
Medical school affiliation
Local
Ownership type
45
Medicare-certified beds
22
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Union General Hospital reported to Medicare in its latest cost report, covering May 1, 2024 to Apr 30, 2025.
2,732
Inpatient discharges
Medicare 36%, Medicaid 1%
8,999
Inpatient days
63% of available bed days used
611
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835017). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Union General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,647 | 47 | 5,305 | 8,999 |
| Discharges | 974 | 19 | 1,739 | 2,732 |
| Average length of stay | 3.7 days | 2.5 days | 3.1 days | 3.3 days |
| Average daily census | 10.0 | 0.1 | 14.5 | 24.7 |
2,308
Medicare Advantage days
514 discharges
1,899
Medicaid managed care days
499 discharges
3,868
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 34 | 7,290 | 3,426 | 59% |
| Intensive care unit | 5 | 763 | 221 | 42% |
| Nursery | 946 | |||
| Skilled nursing facility | 150 | 36,670 | 2,803 | 67% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Union General Hospital treats Medicare patients for most often, in 2024. 608 Medicare discharges in 25 published DRGs; 12% surgical; 62% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 75 | $18,155 | $8,290 | $7,171 | 1.28 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 56 | $20,626 | $4,820 | $8,147 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $38,652 | $10,640 | $15,268 | 1.70 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $14,683 | $4,910 | $5,800 | 0.81 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $13,779 | $4,414 | $5,443 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 31 | $18,438 | $4,749 | $7,283 | 0.78 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $45,289 | $13,347 | $17,889 | 2.11 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 26 | $17,044 | $5,083 | $6,733 | 0.85 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $28,286 | $6,521 | $11,173 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $27,883 | $5,800 | $11,014 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $27,518 | $8,425 | $10,870 | 1.33 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $44,410 | $11,856 | $17,542 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $47,139 | $13,132 | $18,620 | 2.07 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $15,269 | $4,662 | $6,031 | 0.74 |
| Renal failure with CCMS-DRG 683, medical | 17 | $14,650 | $5,247 | $5,787 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 17 | $39,099 | $12,821 | $15,444 | 1.98 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 15 | $16,039 | $3,289 | $6,335 | 0.63 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $11,892 | $2,912 | $4,697 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $17,412 | $7,301 | $6,878 | 1.20 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $16,478 | $5,857 | $6,509 | 0.98 |
See all 25 Medicare inpatient DRGs at Union General 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) Union General Hospital billed Medicare for most in 2024: 1,372 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 315 | 300 | $10,404 | $1,954 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 163 | 95 | $10,605 | $1,670 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 120 | 112 | $38,214 | $10,265 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 103 | 96 | $3,502 | $1,358 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 81 | 81 | $20,441 | $4,058 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 71 | 70 | $26,189 | $5,157 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 60 | 59 | $16,195 | $2,255 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 49 | 49 | $47,164 | $14,892 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 48 | 37 | $6,813 | $1,389 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 38 | $17,906 | $2,511 | $2,629 |
See all 25 Medicare outpatient services at Union General 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 Union General 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 1,228 in 2020 to 1,361 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30512 | 512 | 38% | 1,950 | $13.1M | 42% | 46% |
| 28906 | 216 | 16% | 834 | $5.1M | 19% | 14% |
| 30582 | 111 | 8% | 404 | $2.7M | 40% | 46% |
| 28904 | 109 | 8% | 432 | $2.7M | 22% | 18% |
| 30546 | 94 | 7% | 408 | $2.6M | 20% | 27% |
| 30513 | 82 | 6% | 291 | $2M | 15% | 10% |
| 30560 | 69 | 5% | 288 | $2M | 28% | 40% |
| 30559 | 50 | 4% | 214 | $1.4M | 26% | 19% |
| 30514 | 36 | 3% | 130 | $958,135 | 39% | 61% |
| 30572 | 20 | 1% | 77 | $531,848 | 39% | 46% |
| 28901 | 17 | 1% | 63 | $378,560 | 7% | |
| 30555 | 17 | 1% | 53 | $363,319 | 25% | 10% |
| 37317 | 15 | 1% | 61 | $369,222 | 30% | |
| 28902 | 13 | 1% | 46 | $274,583 | 34% |
Source: CMS Hospital Service Area file. Shares are of the 1,361 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 Union General Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
22
Registered nurses
23
Licensed practical nurses
2
Pharmacists
1
Respiratory therapists
1
Dietitians
113
Other personnel
Source: CMS Provider of Services file.
443 clinicians who bill Medicare list Union General 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.
Brent Flickinger, MD
Rheumatology Physician
NPI 1902914872
See commercial rates for Brent Flickinger, MDRachel Benson, PHYSICIAN ASSISTANT
Physician Assistant
NPI 1154065654
See commercial rates for Rachel Benson, PHYSICIAN ASSISTANTDavid Zollinger, P.A.
Physician Assistant
NPI 1952450918
See commercial rates for David Zollinger, P.A.Shanon Smith, MD
Diagnostic Radiology Physician
NPI 1174664163
See commercial rates for Shanon Smith, MDMegan Smith, DO
Cardiovascular Disease Physician
NPI 1366838724
See commercial rates for Megan Smith, DOAnderson Webb, MD
Diagnostic Radiology Physician
NPI 1285139550
See commercial rates for Anderson Webb, MDSharon Reynolds, FNP-BC
Nurse Practitioner
NPI 1609932110
See commercial rates for Sharon Reynolds, FNP-BCMatthey Harris, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1043213176
See commercial rates for Matthey Harris, M.D.Anusha Ramadhas
Endocrinology, Diabetes & Metabolism Physician
NPI 1932506599
See commercial rates for Anusha RamadhasThomas Gary, M.D.
Family Medicine Physician
NPI 1093891921
See commercial rates for Thomas Gary, M.D.Ronald Macbeth, M.D.
Orthopaedic Surgery Physician
NPI 1053393595
See commercial rates for Ronald Macbeth, M.D.Landai Nguyen, DO
Cardiovascular Disease Physician
NPI 1750700332
See commercial rates for Landai Nguyen, DOMichael Baugh, M.D.
Neurology Physician
NPI 1295840577
See commercial rates for Michael Baugh, M.D.Charles Decook, MD
Orthopaedic Surgery Physician
NPI 1386794113
See commercial rates for Charles Decook, MDVeerappan Subramaniyam, M.D.
Cardiovascular Disease Physician
NPI 1144360413
See commercial rates for Veerappan Subramaniyam, M.D.Michael Kizziah, M.D.
Diagnostic Radiology Physician
NPI 1124108923
See commercial rates for Michael Kizziah, M.D.Jonathan Lawrence, MD
Family Medicine Physician
NPI 1972809382
See commercial rates for Jonathan Lawrence, MDDania Masseoud, M.D.
Rheumatology Physician
NPI 1568471258
See commercial rates for Dania Masseoud, M.D.Brent Jordan, MD
Diagnostic Radiology Physician
NPI 1194107839
See commercial rates for Brent Jordan, MDSamuel Church, MD
Family Medicine Physician
NPI 1053398149
See commercial rates for Samuel Church, MDRonald Van Tuyl, MD
Otolaryngology Physician
NPI 1447260633
See commercial rates for Ronald Van Tuyl, MDJoe Livingston, MD
Family Medicine Physician
NPI 1679911846
See commercial rates for Joe Livingston, MDJacob Stirton, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1174966303
See commercial rates for Jacob Stirton, M.D.Elizabeth Price, P.A.
Physician Assistant
NPI 1801866488
See commercial rates for Elizabeth Price, P.A.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 Union General Hospital reported to Medicare for May 1, 2024 to Apr 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $333.3M | 279.2% |
| Inpatient | $74.7M | 62.5% |
| Outpatient | $258.6M | 216.6% |
| Contractual allowances and discounts | -$213.9M | -179.2% |
| Net patient revenue | $119.4M | 100.0% |
| Operating expenses | -$119.8M | -100.4% |
| Operating income from patient care | -$436,358 | -0.4% |
| Other income | $15.2M | 12.7% |
| Contributions and donations | $457,024 | 0.4% |
| Investment income | $5.1M | 4.3% |
| Other | $9.6M | 8.0% |
| Net income | $14.8M | 12.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $87.3M | 29.5% |
| Medicaid (including managed care) | $30.8M | 10.4% |
| Other payers and self-pay | $177.9M | 60.1% |
| Total charges | $295.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, 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 Union General Hospital's latest cost report.
-0.4%
Operating margin
Operating income from patient care / net patient revenue
11.0%
Total margin
Net income / net patient revenue plus other income
16.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.57
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.1%
Return on assets
Net income for a year / total assets
7.2%
Return on equity
Net income for a year / fund balance
0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.19
Current ratio
Current assets / current liabilities
0.97
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
45 days
Days in patient receivables
Net patient receivables / daily net patient revenue
50 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.55
Asset turnover
Total revenue for a year / total assets
14.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Union General Hospital owned and owed at the end of its reporting period (Apr 2025), across all fund types: $243.8M in total assets and a $205.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $387,635 | 0.2% |
| Patient receivables, net | $14.6M | 6.0% |
| Inventory | $3.4M | 1.4% |
| Total current assets | $49M | 20.1% |
| Property and equipment, net of depreciation | $90.3M | 37.0% |
| Investments and other assets | $104.5M | 42.9% |
| Total assets | $243.8M | 100.0% |
| Current liabilities | $15.4M | 6.3% |
| Long-term debt | $353,751 | 0.1% |
| Total liabilities | $38M | 15.6% |
| Fund balance (net assets) | $205.7M | 84.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Union General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$642,502
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5.9M
Bad debt
Patient bills written off as uncollectible, at charges
-$6.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.4M
Total unreimbursed and uncompensated care
2.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Union General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Apr 2020 | Apr 2021 | Apr 2022 | Apr 2023 | Apr 2024 | Apr 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $79M | $96.2M | $107.3M | $108.6M | $119.7M | $119.4M |
| Operating expenses | $83.8M | $89.7M | $99.6M | $106M | $114.3M | $119.8M |
| Operating margin | -6.0% | 6.7% | 7.2% | 2.4% | 4.5% | -0.4% |
| Net income | -$1.3M | $16.7M | $29.3M | $27.1M | $21.3M | $14.8M |
| Total assets | $122.7M | $146.3M | $170.4M | $191.7M | $227.4M | $243.8M |
| Discharges | 2,483 | 2,550 | 2,503 | 2,535 | 2,687 | 2,732 |
| Inpatient days | 8,642 | 10,123 | 10,466 | 9,098 | 9,693 | 8,999 |
| Medicare Advantage days | 1,273 | 1,968 | 2,338 | 1,911 | 2,329 | 2,308 |
| Beds | 189 | 189 | 189 | 189 | 189 | 189 |
| Employees (FTE) | 576 | 568 | 530 | 607 | 609 | 611 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Union General 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 | $11.3M | $51M | 0.22 | 16,763 |
| Medical supplies charged to patient | $7.4M | $17.8M | 0.41 | ||
| Emergency | $3M | $6.8M | $25.1M | 0.27 | 8,430 |
| Laboratory | $2M | $6.8M | $28.6M | 0.24 | 4,423 |
| Physical therapy | $2.8M | $5.7M | $10M | 0.58 | 9,358 |
| Radiology-diagnostic | $1.8M | $5.1M | $22.9M | 0.22 | 14,683 |
| Drugs charged to patients | $4.6M | $49.4M | 0.09 | ||
| Observation beds (non-distinct part | $4.3M | $3.1M | 1.42 | ||
| Delivery room & labor room | $2.7M | $4M | $5M | 0.79 | 4,338 |
| Respiratory therapy | $1.1M | $1.7M | $3.1M | 0.56 | 3,110 |
| Rural health clinic | $808,565 | $1.5M | $1.3M | 1.18 | 2,978 |
| Ct scan | $158,269 | $759,696 | $39.9M | 0.02 | 744 |
| Ambulance services | $211,893 | $525,407 | $354,991 | 1.48 | 1,208 |
| Electrocardiology | $455,183 | $3.7M | 0.12 | ||
| Anesthesiology | $331,851 | $5.4M | 0.06 | ||
| Mri | $141,434 | $322,312 | $8.3M | 0.04 | 1,264 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.4M | $12.5M | $6.8M | 1.84 | 38,738 |
| Skilled nursing facility | $5.3M | $12.3M | $11.9M | 1.03 | |
| Intensive care unit | $1.5M | $2.7M | $1.2M | 2.35 | 4,671 |
| Nursery | $726,094 | $1.1M | 0.64 | 335 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.4M | $16.2M | 195,971 | $31.08 | 25,660 |
| Employee benefits department | $62,249 | $10.7M | 1,898 | $32.80 | |
| Cap rel costs-bldg & fixt | $5.2M | 255,465 | |||
| Pharmacy | $1.3M | $3.1M | 27,406 | $45.73 | 5,242 |
| Operation of plant | $1.1M | $2.1M | 43,224 | $26.31 | 13,145 |
| Dietary | $864,297 | $2M | 37,673 | $22.94 | 4,930 |
| Housekeeping | $1.4M | $1.7M | 72,777 | $19.17 | 598 |
| Cap rel costs-mvble equip | $1.6M | ||||
| Medical records & library | $515,183 | $766,331 | 21,282 | $24.21 | 1,400 |
| Laundry & linen service | $386,835 | $661,417 | 30,156 | $12.83 | 7,000 |
| Central services & supply | $206,745 | $396,801 | 8,356 | $24.74 | 4,391 |
| Nursing administration | $291,459 | 2,080 | $140.12 | 144 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835017, 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 Union General Hospital for an inpatient stay.
1.22
Case mix index
Higher than 7% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
24.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
982
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.28 | 1.28 | 1.46 | 1.38 | 1.22 | 1.20 | 1.22 |
| Wage index | 0.781 | 0.799 | 0.796 | 0.836 | 0.795 | 0.763 | 0.819 |
| Readmissions adjustment | -0.93% | -1.13% | -0.73% | -0.33% | -0.60% | -0.41% | -0.15% |
| Value-based purchasing adjustment | +0.31% | -0.41% | -0.41% | -0.90% | +0.15% | +0.23% | +0.14% |
| Medicare inpatient stays | 1,037 | 1,037 | 988 | 816 | 1,009 | 926 | 982 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Union General Hospital reports to Medicare as owners or with operational control.
Hospital Authority Of Union County
5% or greater direct ownership interest, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Union General 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 10 of 14 are shown.
Union County Hospital Authority files the Form 990 for the tax ID insurers list for Union General Hospital, so these people may lead the wider organization rather than Union General Hospital alone.
| Name | Title |
|---|---|
| Kevin L Bierschenk | CEO |
| Julia Barnett | CNO |
| Michael Gay | COO |
| Nicholas Townsend | CFO |
| Dinah Paris | Vice Chair |
| Steven Rowe | Chairman |
Board members: Rick Davenport, Thomas Gary MD, Sonny Mahan, Greg Owenby.
Source: IRS Form 990 Part VII filed by Union County Hospital Authority (EIN 58-6025393), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2017
340B ID SCH110051-00, registered as a sole community hospital; 1 registered outpatient sites. Authorizing official: Nick Townsend, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Union general hospital swing bed
CCN 11U051, certified 1994, Medicare prospective payment
Union county nursing home
CCN 115695, certified 2005, Medicare prospective payment
Blue mountain family practice
CCN 118516, certified 2007, Medicare cost reimbursed
The clinic at walmart
CCN 118535, certified 2011, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Union General Hospital's latest Medicare cost report (HCRIS).
About Union General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Union General Hospital range from $1,390 to $1,760 across 4 insurers. Blue Cross Blue Shield's rate is $1,760. The median at nearby comparable hospitals is $862. 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 Union General Hospital range from $1,467 to $2,549 across 4 insurers. Aetna's rate is $2,549. The median at nearby comparable hospitals is $739. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Union General Hospital range from $131 to $196 across 4 insurers. Cigna's rate is $143. The median at nearby comparable hospitals is $193. What a patient pays depends on their plan's deductible, coinsurance and network status.
Union General Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Union General Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Union General Hospital's base inpatient payments by an estimated 0.15% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (75 discharges), simple pneumonia and pleurisy with cc (56 discharges), respiratory infections and inflammations with mcc (42 discharges).
Union General Hospital's Medicare case mix index is 1.22 for fiscal year 2027, higher than 7% of hospitals paid under the inpatient prospective payment system.
Union General Hospital reported 2,732 inpatient discharges and 8,999 inpatient days from May 1, 2024 to Apr 30, 2025.
Union General Hospital reported 611 full-time-equivalent employees on payroll from May 1, 2024 to Apr 30, 2025.
Union General Hospital reported $119.4M in net patient revenue on $333.3M of gross charges for May 1, 2024 to Apr 30, 2025, an operating margin of -0.4%, and net income of $14.8M.
Union General Hospital reported $2.4M of unreimbursed and uncompensated care for May 1, 2024 to Apr 30, 2025, including $642,502 of charity care at cost.
Union General Hospital's Medicare enrollment lists Kevin L Bierschenk as Chief Executive Officer since 2019.
Insurers' price transparency files list Union General Hospital under employer identification number 58-6025393 (Union General Hospital). 57 health plans and networks list 58-6025393 for it.
Yes. HRSA's 340B database lists Union General Hospital (340B ID SCH110051-00) as a participating sole community hospital since 2017.
443 clinicians who bill Medicare list Union General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (57), family medicine physician (35), cardiovascular disease physician (31).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Union General Hospital, effective 2024.
In its Medicare enrollment, Union General Hospital reports Hospital Authority Of Union County as 5% or greater direct ownership interest.
CMS lists 16 services at Union General Hospital, including Anesthesia, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Union General Hospital came from ZIP codes 30512 (512), 28906 (216), 30582 (111).
Union General Hospital has 189 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 45 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Union General Hospital is located at 35 Hospital Road, Blairsville, GA 30512. Its main phone number is (706) 745-2111.
Union General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110051.
The National Provider Identifier (NPI) on file for Union General Hospital is 1487684122.
Union General Hospital lists 38 in-network payers, including Aetna, Alliant Health Plans, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
211 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