University of Texas Health System · Athens, TX
2 of 5
CMS star rating
127
Beds
4,850
Inpatient discharges a year
$120.2M
Net patient revenue a year
34
In-network payers
Ut Health Athens is a 127-bed proprietary hospital in Athens, TX, affiliated with University of Texas Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 328 disclosed rate categories.
The 24 services Ut Health Athens most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,460 - $7,262
from 2 insurers · median $6,861
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
$9,040 - $10,033
from 2 insurers · median $9,537
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
CT imaging
CPT 70450
$182 - $1,940
from 2 insurers · median $1,061
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$279 - $1,734
from 2 insurers · median $1,006
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$352 - $3,221
from 4 insurers · median $2,594
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,460 - $7,262
from 2 insurers · median $6,861
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$5,196 - $14,888
from 3 insurers · median $6,293
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$3,231 - $8,961
from 3 insurers · median $3,612
31 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Urology
CPT 50590
$4,212 - $14,961
from 3 insurers · median $6,202
63 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$25,531 - $32,169
from 2 insurers · median $28,850
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$6,149 - $6,202
from 2 insurers · median $6,175
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$19,519 - $24,714
from 2 insurers · median $22,116
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$70 - $537
from 4 insurers · median $402
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$820 - $1,955
from 4 insurers · median $1,671
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$87 - $552
from 4 insurers · median $238
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,066 - $1,965
from 4 insurers · median $1,671
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,175 - $1,951
from 4 insurers · median $1,671
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$37,943
negotiated rate
Hospital reports orthopedic surgery services to CMS
Ultrasound
CPT 76705
$98 - $1,128
from 4 insurers · median $702
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$386 - $1,830
from 2 insurers · median $1,108
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$536 - $6,156
from 3 insurers · median $1,170
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$486 - $3,030
from 4 insurers · median $2,693
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,482 - $8,966
from 2 insurers · median $7,724
Typical for a hospital with this service line
CT imaging
CPT 74176
$191 - $600
from 2 insurers · median $395
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* | 8 | 590% | 5 | 3 |
| Insurer B* | 13 | 415% | 9 | 4 |
| Insurer C* | 22 | 117% | 4 | 14 |
| Insurer D* | 24 | 113% | 4 | 16 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Ut Health Athens, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$120.2M net patient revenue
Ownership and leadership
Owned by Ahp Health Partners, Inc
The employer identification numbers (EINs) health plans and networks list for Ut Health Athens 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 |
|---|---|---|
| 82-3934511Uthealth Athens | 51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more | 1417465824 Athens Hospital LLC1356320873 East Texas Medical Center Athens1407364847 Tyler Regional Hospital LLC |
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.
2000 South Palestine Street, Athens, TX 75751
(903) 676-1000
How Ut Health Athens compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Mixed on 5 measures
1 better, 3 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
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)
0.94
Lower than 60% 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
155 min
Higher than 54% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
80%
Higher than 84% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 6 measures | |
| Safety | Mixed on 5 measures | |
| Readmissions | Worse on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 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) | 0.94 | 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 | 155 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 80% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Ut Health Athens's inpatient payments for its readmissions, quality and cost results.
-0.93% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.39% 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 Ut Health Athens, beside the US median and the average of TX 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 | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,267 cases | 4.7 | 3.9 | 3.887 | Worse than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 35 cases | 12 | 11.8 | 11.91 | Worse than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 72 cases | 7.9 | 8.5 | 8.703 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 106 cases | 14.8 | 11 | 10.52 | Worse than 96% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 300 cases | 17 | 15.2 | 14.69 | Worse than 76% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 56 cases | 11.9 | 11.6 | 12.01 | Worse than 54% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,496 cases | 0.39 | 0.51 | 0.52 | No Different Than the National Rate | Better than 68% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,999 cases | 0.2 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,984 cases | 0.25 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 208 cases | 2.24 | 2.29 | 2.31 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 42 cases | 1.66 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 50 cases | 8.79 | 8.88 | 10.06 | No Different Than the National Rate | Better than 52% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 220 cases | 3.68 | 3.4 | 3.337 | No Different Than the National Rate | Worse than 69% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 42 cases | 6.05 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 85 cases | 1.72 | 1.72 | 1.771 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 307 cases | 0.99 | 1.02 | 1.035 | No Different Than the National Rate | Better than 61% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 121 cases | -3.8 | 1.25 | -1.323 | Better than 58% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 316 cases | 15.1 | 3.85 | 2.422 | Worse than 66% 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 · 880 cases | 14.4 | 12.9 | 13.1 | 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 | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 209 cases | 1.1 | 1 | 1.017 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 43 cases | 14.4 | 14.4 | 14.48 | Worse than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 160 cases | 20.2 | 19.8 | 19.85 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 203 cases | 22.8 | 21.3 | 21.26 | Worse than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 548 cases | 18.4 | 17.2 | 17.32 | Worse than 85% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.334 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.588 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,379 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.003 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.994 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 97% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.313 | 1.392 | 1.474 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,858 | 1,799 | 4,197 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.282 | 1.377 | 5.155 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3671 | 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 | 0.2931 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.808 | 2.135 | 2.124 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 41 | 61 | 131 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.067 | 1.591 | 3.62 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.6967 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 52 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.431 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.9659 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 18,382 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.728 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.007 | 0.127 | 0.1195 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.699 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 17,208 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.057 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.142 | 0.279 | 0.2623 | Better than the National Benchmark | Better than 70% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 322 cases | 75 | 73 | 75.97 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 322 cases | 10 | 8 | 7.771 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 322 cases | 15 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 87 | 87 | 87.82 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 322 cases | 82 | 80 | 79.96 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 322 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 322 cases | 13 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 322 cases | 84 | 79 | 79.72 | Better than 76% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 93 | 91 | 90.24 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 322 cases | 5 | 5 | 5.687 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 322 cases | 11 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 322 cases | 65 | 61 | 62.66 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 79 | 77 | 76.88 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 322 cases | 18 | 19 | 19.26 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 322 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 322 cases | 17 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 85 | 86 | 84.56 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 322 cases | 14 | 13 | 13.98 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 322 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 322 cases | 86 | 87 | 86.02 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 322 cases | 16 | 14 | 16.2 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 322 cases | 84 | 86 | 83.8 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 82 | 74 | 74.6 | Better than 88% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 6 | 7 | 7.327 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 12 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 82 | 77 | 77.72 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 6 | 6 | 6.395 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 12 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 88 | 85 | 85.15 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 4 | 3 | 4.015 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 8 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 322 cases | 9 | 8 | 8.293 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 322 cases | 19 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 322 cases | 72 | 72 | 73.52 | Better than 49% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 87 | 88 | 88.12 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 322 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 322 cases | 80 | 74 | 74.97 | Better than 80% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 322 cases | 9 | 9 | 9.68 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 322 cases | 11 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 80 | 75 | 75.27 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 6 | 5 | 6.154 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 322 cases | 14 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 80 | 77 | 76.85 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 5 | 4 | 5 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 322 cases | 15 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 86 | 86 | 85.92 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 3 | 3 | 3.094 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 322 cases | 11 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 322 cases | 69 | 59 | 65.6 | Better than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 322 cases | 8 | 9 | 7.774 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 322 cases | 23 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 86 | 82 | 84.26 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 3 | 3.821 | 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 · 322 cases | 6 | 5 | 6.017 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 322 cases | 72 | 71 | 72.87 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 322 cases | 87 | 87 | 87.21 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 322 cases | 22 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 322 cases | 51 | 47 | 49.46 | Better than 67% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 322 cases | 28 | 30 | 29.64 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 322 cases | 21 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 322 cases | 4 | 3 | 3.266 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 322 cases | 12 | 12 | 12.55 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 322 cases | 88 | 88 | 87.45 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Ut Health Athens | US median | TX 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 | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 795 cases | 66 | 79 | 72.24 | Worse than 70% 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 · 412 cases | 162 | 154 | 151 | Worse than 55% 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 · 382 cases | 155 | 148 | 146 | Worse than 54% 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 | 331 | |||
| 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 · 25 cases | 356 | 293 | 279 | Worse than 74% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 25,531 cases | 2 | 1 | 1.372 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 48 cases | 60 | 74 | 69.2 | Worse than 75% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 84 cases | 99 | 97 | 90.54 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,145 cases | 16 | 15 | 13.94 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 229 cases | 80 | 65 | 66.54 | Better than 84% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 67 cases | 93 | 73 | 71.35 | Better than 90% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 45 cases | 96 | 88 | 89.11 | Better than 78% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 230 cases | 87 | 82 | 82.14 | Better than 69% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 140 cases | 99 | 94 | 92.38 | Better than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 41 cases | 98 | 98 | 93.64 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,391 cases | 99 | 90 | 78.56 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,668 cases | 99 | 97 | 93.78 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.9 | 5 | 7.719 | Better than 63% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.7 | 6.6 | 6.859 | Worse than 73% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.08 | 0.99 | 1.034 | Worse than 87% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 25.32 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 6.413 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 56 | 34 | 39.47 | Better than 82% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14 | 8.75 | 10.13 | Better than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 27.5 | 40 | 48.35 | Worse than 75% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 6.875 | 10 | 12.26 | Worse than 75% of US hospitals | |
| VBP total performance scoreFY 2026 | 23.38 | 29.5 | 29.94 | Worse than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 34 | 56 | 40 | 24 | 14 | 10 |
| VBP clinical outcomes weighted domain score | 8.5 | 14 | 10 | 6 | 3.5 | 2.5 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 20 | 20 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 5 | 5 | 2.5 | 0 |
| VBP person and community engagement domain score | 47 | Not Available | Not Available | 18 | 26 | 56 |
| VBP person and community engagement weighted domain score | 11.75 | Not Available | Not Available | 4.5 | 6.5 | 14 |
| VBP safety domain score | 40 | Not Available | Not Available | 10 | 57.5 | 27.5 |
| VBP safety weighted domain score | 10 | Not Available | Not Available | 2.5 | 14.38 | 6.875 |
| VBP total performance score | 32.75 | Not Available | Not Available | 18 | 26.88 | 23.38 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.012 | 0.9995 | 1.013 | Worse than 58% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 86 cases | 1.074 | 0.9969 | 0.999 | Worse than 93% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 142 cases | 1.004 | 0.9983 | 1 | Worse than 53% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 299 cases | 1.077 | 0.9955 | 1.003 | Worse than 87% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9411 | 0.9217 | 0.9654 | 0.9689 | 0.9958 | 1.012 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9395 | 0.9796 | 1.037 | 1.084 | 1.138 | 1.074 |
| READM-30-HF-HRRP | 0.9657 | 0.9578 | 0.9871 | 0.9736 | 0.9861 | 1.004 |
| READM-30-HIP-KNEE-HRRP | 1.027 | 1.054 | 1.057 | 0.9495 | 0.967 | N/A |
| READM-30-PN-HRRP | 0.9979 | 1.001 | 0.9997 | 0.9977 | 1.002 | 1.077 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Ut Health Athens | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.708 | 0.489 | 0.4327 | Worse than 71% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.194 | 0.346 | 0.2562 | Better than 73% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.261 | 0.559 | 0.5596 | Worse than 99% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.582 | 0.6405 | 0.6118 | Better than 56% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9403 | 0.9628 | 0.9684 | Better than 60% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.402 | 0.7945 | 0.7483 | Better than 76% of US hospitals | |
| Total HAC scoreFY 2026 | 0.0954 | -0.0453 | -0.1734 | Worse than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.581 | -0.3855 | 0 | 0.3505 | 0.0321 | 0.0954 |
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 2021)
Accreditation
Limited
Medical school affiliation
Private (for profit)
Ownership type
100
Medicare-certified beds
186
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Ut Health Athens reported to Medicare in its latest cost report, covering May 1, 2024 to Apr 30, 2025.
4,850
Inpatient discharges
Medicare 21%, Medicaid 0%
17,157
Inpatient days
37% of available bed days used
400
Employees (full-time equivalent)
15
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844908). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Ut Health Athens reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,047 | 14 | 13,096 | 17,157 |
| Discharges | 1,038 | 6 | 3,806 | 4,850 |
| Average length of stay | 3.9 days | 2.3 days | 3.4 days | 3.5 days |
| Average daily census | 11.1 | 0.0 | 35.9 | 47.0 |
5,879
Medicare Advantage days
1,496 discharges
3,930
Medicaid managed care days
1,693 discharges
1,031
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 117 | 13,686 | 3,427 | 32% |
| Intensive care unit | 10 | 2,285 | 620 | 63% |
| Nursery | 1,186 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Ut Health Athens treats Medicare patients for most often, in 2024. 603 Medicare discharges in 18 published DRGs; 0% surgical; 75% 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 | 119 | $96,590 | $13,023 | $11,494 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 76 | $80,204 | $8,964 | $9,544 | 1.33 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $80,782 | $10,541 | $9,613 | 1.59 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $50,645 | $8,403 | $6,027 | 1.17 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $63,701 | $7,041 | $7,580 | 1.03 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 35 | $43,244 | $5,615 | $5,146 | 0.78 |
| Heart failure and shock with MCCMS-DRG 291, medical | 32 | $64,935 | $9,204 | $7,727 | 1.28 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $47,263 | $5,816 | $5,624 | 0.82 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 27 | $47,565 | $5,653 | $5,660 | 0.81 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 26 | $93,167 | $10,363 | $11,087 | 1.70 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $44,316 | $6,535 | $5,274 | 0.91 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $49,672 | $5,597 | $5,911 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 19 | $53,231 | $6,450 | $6,335 | 0.90 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $99,162 | $9,144 | $11,800 | 1.23 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $89,017 | $12,002 | $10,593 | 1.65 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $60,416 | $7,807 | $7,189 | 1.10 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $56,599 | $6,930 | $6,735 | 0.98 |
| Cellulitis without MCCMS-DRG 603, medical | 12 | $42,256 | $6,384 | $5,028 | 0.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Ut Health Athens billed Medicare for most in 2024: 421 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 94 | 93 | $30,244 | $1,940 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 85 | 79 | $29,780 | $3,620 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 63 | 51 | $27,992 | $2,419 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 47 | 41 | $12,876 | $1,337 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 31 | $31,841 | $2,479 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 23 | 23 | $41,293 | $3,979 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 20 | $37,088 | $2,285 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 14 | $26,827 | $2,031 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 13 | $26,767 | $1,460 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 13 | $57,559 | $4,735 | $5,339 |
See all 11 Medicare outpatient services at Ut Health Athens
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 Ut Health Athens in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,103 in 2020 to 2,261 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75751 | 450 | 20% | 1,531 | $34.4M | 43% | 54% |
| 75156 | 445 | 20% | 1,702 | $40.5M | 43% | 43% |
| 75143 | 332 | 15% | 1,312 | $30.7M | 34% | 28% |
| 75148 | 197 | 9% | 860 | $19.2M | 45% | 58% |
| 75147 | 195 | 9% | 768 | $16.9M | 42% | 33% |
| 75752 | 145 | 6% | 510 | $12.1M | 32% | 44% |
| 75124 | 140 | 6% | 507 | $12.3M | 47% | 50% |
| 75778 | 68 | 3% | 224 | $5.2M | 23% | 30% |
| 75103 | 62 | 3% | 262 | $5.6M | 7% | 14% |
| 75163 | 49 | 2% | 201 | $4.3M | 46% | 59% |
| 75770 | 42 | 2% | 187 | $4.1M | 25% | 24% |
| 75144 | 35 | 2% | 114 | $2.7M | 20% | 33% |
| 75803 | 27 | 1% | 95 | $2.2M | 3% | 2% |
| 75756 | 19 | 1% | 53 | $1.2M | 9% | 8% |
| 75169 | 17 | 1% | 77 | $1.5M | 2% | 2% |
| 75763 | 15 | 1% | 55 | $1.3M | 3% | |
| 75142 | 12 | 1% | 32 | $958,118 | 1% | 2% |
| 75859 | 11 | 0% | 34 | $840,491 | 16% |
Source: CMS Hospital Service Area file. Shares are of the 2,261 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 Ut Health Athens reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
7
Operating rooms
2
Endoscopy rooms
6
Off-site locations
186
Registered nurses
2
Licensed practical nurses
8
Pharmacists
15
Respiratory therapists
2
Physical therapists
17
Radiology technicians
2
Nuclear medicine technicians
10
Laboratory technicians
7
Medical technologists
Source: CMS Provider of Services file.
344 clinicians who bill Medicare list Ut Health Athens 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.
Lawrence Pan, M.D.
Diagnostic Radiology Physician
NPI 1265750343
See commercial rates for Lawrence Pan, M.D.William Elfarr, M.D.
Urology Physician
NPI 1275542144
See commercial rates for William Elfarr, M.D.Scott Peplinski, MD
Diagnostic Radiology Physician
NPI 1861456444
See commercial rates for Scott Peplinski, MDCharles Crum, MD
Diagnostic Radiology Physician
NPI 1487828596
See commercial rates for Charles Crum, MDAndrew Chung, M.D.
Internal Medicine Physician
NPI 1962500413
See commercial rates for Andrew Chung, M.D.Cade Clark, MD
Hematology & Oncology Physician
NPI 1679061907
See commercial rates for Cade Clark, MDRuben Garcia, M.D.
Specialist
NPI 1639188501
See commercial rates for Ruben Garcia, M.D.James Lowe, M.D.
Diagnostic Radiology Physician
NPI 1801884606
See commercial rates for James Lowe, M.D.Jonathan Edwards, M.D.
Family Medicine Physician
NPI 1720097298
See commercial rates for Jonathan Edwards, M.D.Christopher Creighton, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1326060468
See commercial rates for Christopher Creighton, M.D.Alfred Llave, M.D.
Diagnostic Radiology Physician
NPI 1033271846
See commercial rates for Alfred Llave, M.D.Eric Weissmann
Diagnostic Radiology Physician
NPI 1104141399
See commercial rates for Eric WeissmannSteven Koerth, M.D.
Family Medicine Physician
NPI 1124023130
See commercial rates for Steven Koerth, M.D.Scott Eckert, M.D.
Diagnostic Radiology Physician
NPI 1568652345
See commercial rates for Scott Eckert, M.D.Christopher Johnson, M.D.
Internal Medicine Physician
NPI 1942237078
See commercial rates for Christopher Johnson, M.D.Justin Mccaslin, M.D.
Diagnostic Radiology Physician
NPI 1962814798
See commercial rates for Justin Mccaslin, M.D.Aleksandr Korniyenko, M.D.
Cardiovascular Disease Physician
NPI 1881995983
See commercial rates for Aleksandr Korniyenko, M.D.David Riepe, MD
Diagnostic Radiology Physician
NPI 1750341269
See commercial rates for David Riepe, MDDarrin Morris, MD
Diagnostic Radiology Physician
NPI 1245204080
See commercial rates for Darrin Morris, MDWaleed Mahmoud, D.O.
Family Medicine Physician
NPI 1366447062
See commercial rates for Waleed Mahmoud, D.O.Raymond Leblanc, M.D.
Diagnostic Radiology Physician
NPI 1336672294
See commercial rates for Raymond Leblanc, M.D.Cletus Fuhrmann
Diagnostic Radiology Physician
NPI 1497118665
See commercial rates for Cletus FuhrmannBronson Tindall, MD
Diagnostic Radiology Physician
NPI 1174585285
See commercial rates for Bronson Tindall, MDBenjamin Hyman, M.D.
Diagnostic Radiology Physician
NPI 1669423489
See commercial rates for Benjamin Hyman, 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 Ut Health Athens reported to Medicare for May 1, 2024 to Apr 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1B | 872.2% |
| Inpatient | $344.9M | 286.9% |
| Outpatient | $703.5M | 585.3% |
| Contractual allowances and discounts | -$928.2M | -772.2% |
| Net patient revenue | $120.2M | 100.0% |
| Operating expenses | -$104M | -86.5% |
| Operating income from patient care | $16.2M | 13.5% |
| Other income | $3.8M | 3.1% |
| Net income | $20M | 16.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $194.3M | 18.5% |
| Medicaid (including managed care) | $96.1M | 9.2% |
| Other payers and self-pay | $757.9M | 72.3% |
| Total charges | $1B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, 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 Ut Health Athens's latest cost report.
13.5%
Operating margin
Operating income from patient care / net patient revenue
16.1%
Total margin
Net income / net patient revenue plus other income
18.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$40.05
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
64.7%
Return on assets
Net income for a year / total assets
15.6%
Return on equity
Net income for a year / fund balance
-0.42
Current ratio
Current assets / current liabilities
-3.60
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
13 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
4.02
Asset turnover
Total revenue for a year / total assets
8.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Ut Health Athens owned and owed at the end of its reporting period (Apr 2025), across all fund types: $30.8M in total assets and a $127.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $13,709 | 0.0% |
| Patient receivables, net | -$13.5M | -43.8% |
| Inventory | $2.4M | 7.8% |
| Total current assets | -$1.6M | -5.1% |
| Property and equipment, net of depreciation | $32.4M | 105.1% |
| Investments and other assets | $7,377 | 0.0% |
| Total assets | $30.8M | 100.0% |
| Current liabilities | $3.7M | 12.2% |
| Total liabilities | -$96.8M | -313.9% |
| Fund balance (net assets) | $127.6M | 413.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Ut Health Athens provided without full payment, as reported on Worksheet S-10 of its cost report.
$8.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$17.6M
Bad debt
Patient bills written off as uncollectible, at charges
-$4.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$27,261
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$578,738
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$10.8M
Total unreimbursed and uncompensated care
10.4% 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 844908, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Ut Health Athens'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 | $127.5M | $122.6M | $107.6M | $119.3M | $127.9M | $120.2M |
| Operating expenses | $108.2M | $106.3M | $100M | $98.8M | $102.1M | $104M |
| Operating margin | 15.1% | 13.3% | 7.1% | 17.2% | 20.2% | 13.5% |
| Net income | $19.9M | $14.9M | $21.8M | $21.1M | $26M | $20M |
| Total assets | $47.8M | $44.5M | $44.8M | $26.8M | $24.5M | $30.8M |
| Discharges | 6,062 | 4,827 | 6,180 | 4,679 | 4,536 | 4,850 |
| Inpatient days | 19,048 | 18,494 | 22,420 | 18,044 | 16,957 | 17,157 |
| Medicare Advantage days | 4,277 | 4,449 | 6,202 | 5,622 | 5,270 | 5,879 |
| Beds | 127 | 127 | 127 | 127 | 127 | 127 |
| Employees (FTE) | 444 | 457 | 491 | 418 | 411 | 400 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Ut Health Athens 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 |
|---|---|---|---|---|---|
| Radiology-diagnostic | $4.3M | $14M | $358.2M | 0.04 | 26,436 |
| Emergency | $5.3M | $13.3M | $121.3M | 0.11 | 16,176 |
| Operating room | $2.9M | $9.7M | $94.1M | 0.10 | 31,299 |
| Laboratory | $2.1M | $8M | $132.1M | 0.06 | 3,862 |
| Drugs charged to patients | $7M | $80.3M | 0.09 | ||
| Medical supplies charged to patient | $3.4M | $9.1M | 0.37 | ||
| Respiratory therapy | $1.5M | $3.1M | $24.8M | 0.13 | 4,001 |
| Delivery room & labor room | $2M | $2.6M | $3.6M | 0.73 | 12,054 |
| Impl. dev. charged to patients | $1.7M | $3.9M | 0.42 | ||
| Observation beds (non-distinct part | $1.3M | $3.4M | 0.39 | ||
| Clinic | $182,978 | $903,481 | $388,612 | 2.32 | 1,817 |
| Electrocardiology | $355,489 | $683,312 | $71.9M | 0.01 | 350 |
| Physical therapy | $386,397 | $601,588 | $2.8M | 0.21 | |
| Intravenous therapy | $80,232 | $552,102 | $25.8M | 0.02 | |
| Anesthesiology | $50,129 | $245,256 | $26.9M | 0.01 | 525 |
| Electroencephalography | $4,505 | ||||
| Cardiac catheterization | -$389 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7M | $19M | $63.9M | 0.30 | 40,203 |
| Intensive care unit | $2M | $4.5M | $23.6M | 0.19 | 6,415 |
| Nursery | $937,062 | $2.4M | 0.40 | 1,081 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.1M | $13.4M | 25,056 | $83.92 | 35,509 |
| Cap rel costs-mvble equip | $9.5M | ||||
| Operation of plant | $410,990 | $3M | 11,771 | $34.91 | 25,297 |
| Cafeteria | $2.2M | 2,170 | |||
| Housekeeping | $2.1M | 1,515 | |||
| Cap rel costs-bldg & fixt | $2.1M | 231,131 | |||
| Pharmacy | $1.3M | $1.7M | 27,291 | $47.67 | 1,686 |
| Nursing administration | $705,508 | $1.3M | 14,426 | $48.91 | 793 |
| I&r services-other prgm costs apprv | $595,495 | ||||
| Laundry & linen service | $526,695 | 1,400 | |||
| Central services & supply | $489,723 | $367,289 | 23,262 | $21.05 | 11,371 |
| Dietary | $360,616 | 4,303 | |||
| Employee benefits department | $71,173 | $224,756 | 1,595 | $44.61 | 700 |
| Medical records & library | $34,141 | 1,293 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844908, 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 Ut Health Athens for an inpatient stay.
1.46
Case mix index
Higher than 23% 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).
32.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
991
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 | 1.34 | 1.34 | 1.48 | 1.48 | 1.46 | 1.45 | 1.46 |
| Wage index | 0.949 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | -0.18% | -0.28% | -0.28% | -0.26% | -0.38% | -0.93% |
| Value-based purchasing adjustment | -0.35% | +0.10% | +0.10% | -0.95% | -0.29% | +0.41% | -0.39% |
| Medicare inpatient stays | 1,692 | 1,692 | 1,454 | 1,212 | 1,084 | 995 | 991 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Ut Health Athens reports to Medicare as owners or with operational control.
Ahp Health Partners, Inc
5% or greater indirect ownership interest, 100%, since 2018
Ahs East Texas Health System, LLC
5% or greater direct ownership interest, 100%, since 2018
Ahs Texas, LLC
5% or greater indirect ownership interest, 100%, since 2019
Ardent Health Inc
5% or greater indirect ownership interest, 100%, since 2018
Ardent Legacy Holdings LLC
5% or greater indirect ownership interest, 100%, since 2018
Ahs Management Company Inc.
Operational/managerial control, since 2018
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Ut Health Athens'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 4 of 5 are shown.
340B drug pricing program
Not participating
340B ID DSH450389, registered as a disproportionate share hospital. Authorizing official: Jack R. Endres, Administrator.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Ut Health East Texas Athens Hospital
FAA location ID TX17, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Ut Health Athens's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ut Health Athens range from $536 to $6,156 across 3 insurers. Blue Cross Blue Shield's rate is $1,170. The median at nearby comparable hospitals is $1,772. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Ut Health Athens range from $182 to $1,940 across 2 insurers. UnitedHealthcare's rate is $182. The median at nearby comparable hospitals is $762. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Ut Health Athens range from $1,066 to $1,965 across 4 insurers. Blue Cross Blue Shield's rate is $1,066. The median at nearby comparable hospitals is $2,741. 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 Ut Health Athens range from $6,460 to $7,262 across 2 insurers. Blue Cross Blue Shield's rate is $7,262. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ut Health Athens range from $87 to $552 across 4 insurers. Cigna's rate is $552. The median at nearby comparable hospitals is $217. 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 Ut Health Athens range from $19,519 to $24,714 across 2 insurers. UnitedHealthcare's rate is $19,519. The median at nearby comparable hospitals is $23,369. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ut Health Athens has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Ut Health Athens for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ut Health Athens's base inpatient payments by an estimated 0.93% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (119 discharges), simple pneumonia and pleurisy with mcc (76 discharges), acute myocardial infarction, discharged alive with mcc (43 discharges).
Ut Health Athens's Medicare case mix index is 1.46 for fiscal year 2027, higher than 23% of hospitals paid under the inpatient prospective payment system.
Ut Health Athens reported 4,850 inpatient discharges and 17,157 inpatient days from May 1, 2024 to Apr 30, 2025.
Ut Health Athens reported 400 full-time-equivalent employees on payroll from May 1, 2024 to Apr 30, 2025.
Ut Health Athens reported $120.2M in net patient revenue on $1B of gross charges for May 1, 2024 to Apr 30, 2025, an operating margin of 13.5%, and net income of $20M.
Ut Health Athens reported $10.8M of unreimbursed and uncompensated care for May 1, 2024 to Apr 30, 2025, including $8.5M of charity care at cost.
Ut Health Athens's Medicare enrollment lists Martin Bonick as Ceo-chain Office since 2020.
Insurers' price transparency files list Ut Health Athens under employer identification number 82-3934511 (Uthealth Athens). 51 health plans and networks list 82-3934511 for it.
HRSA's 340B database lists Ut Health Athens (340B ID DSH450389) as no longer participating since 2018.
344 clinicians who bill Medicare list Ut Health Athens as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (38), diagnostic radiology physician (33), family nurse practitioner (32).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Ut Health Athens, effective 2021.
In its Medicare enrollment, Ut Health Athens reports Ahp Health Partners, Inc as 5% or greater indirect ownership interest (100%).
CMS lists 28 services at Ut Health Athens, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Ut Health Athens came from ZIP codes 75751 (450), 75156 (445), 75143 (332).
Ut Health Athens has 127 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 100 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Ut Health Athens is located at 2000 South Palestine Street, Athens, TX 75751. Its main phone number is (903) 676-1000.
Ut Health Athens's CMS Certification Number (CCN), also called its Medicare provider number, is 450389.
The National Provider Identifier (NPI) on file for Ut Health Athens is 1417465824.
Ut Health Athens is affiliated with University of Texas Health System.
Ut Health Athens lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
328 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