Jesup, GA
3 of 5
CMS star rating
88
Beds
1,801
Inpatient discharges a year
$73.1M
Net patient revenue a year
36
In-network payers
Wayne Memorial Hospital is an 88-bed government - hospital district or authority hospital in Jesup, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 322 disclosed rate categories.
The 24 services Wayne Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,031 - $9,189
from 3 insurers · median $7,810
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
$9,967 - $10,969
from 3 insurers · median $10,950
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 74177
$275 - $2,082
from 4 insurers · median $1,273
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$275 - $1,331
from 4 insurers · median $933
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$275 - $1,901
from 4 insurers · median $1,558
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$462 - $1,712
from 4 insurers · median $1,403
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$59,113 - $60,680
from 2 insurers · median $59,897
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,031 - $9,189
from 3 insurers · median $7,810
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 71275
$275 - $1,630
from 4 insurers · median $1,068
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$97 - $302
from 4 insurers · median $250
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$425 - $2,964
from 4 insurers · median $1,783
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$22,681 - $34,409
from 2 insurers · median $28,545
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$24,215 - $32,185
from 2 insurers · median $28,200
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70551
$339 - $2,060
from 4 insurers · median $1,688
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$425 - $2,964
from 4 insurers · median $2,429
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$347 - $2,289
from 4 insurers · median $1,501
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$425 - $2,208
from 4 insurers · median $1,441
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$15,065 - $18,862
from 2 insurers · median $16,963
Hospital reports inpatient surgical services to CMS
Gynecology
CPT 58571
$13,159
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$7,547
negotiated rate
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$25 - $119
from 4 insurers · median $76
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,167
negotiated rate
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 77080
$70 - $218
from 3 insurers · median $198
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$111 - $218
from 4 insurers · median $169
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* | 17 | 682% | 9 | 4 |
| Insurer B* | 14 | 619% | 2 | 12 |
| Insurer C* | 21 | 253% | 2 | 12 |
| Insurer D* | 23 | 116% | 2 | 14 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 8 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 Wayne Memorial 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 The Joint Commission
Finances
$73.1M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Wayne Memorial 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 |
|---|---|---|
| 58-6011876Wayne Memorial Hospital | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1770578999 Hospital Authority Of Wayne County Georgia1366506222 Hospital Authority Of Wayne County Georgia1699779405 Hospital Authority Of Wayne County Georgiaand 2 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.
865 South First Street, Jesup, GA 31545
(912) 530-3302
How Wayne Memorial 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
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 8 measures
0 better, 7 no different, 1 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
71%
Lower than 49% 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)
0.95
Lower than 56% 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
188 min
Higher than 74% 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
22%
Lower than 98% 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 | No different on 3 measures | |
| Readmissions | Worse on 1 of 8 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 | 71% | 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) | 0.95 | 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 | 188 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 22% | 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 Wayne Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.33% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.21% 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 Wayne Memorial 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 | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 436 cases | 5 | 3.9 | 4.079 | Worse than 89% 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 · 29 cases | 8.5 | 8.5 | 8.691 | Worse than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 40 cases | 12.6 | 11 | 10.84 | Worse than 79% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 118 cases | 17.3 | 15.2 | 15.21 | Worse than 79% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 29 cases | 19.1 | 11.6 | 12.45 | Worse than 97% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 787 cases | 0.5 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 51% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 962 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 · 938 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 · 130 cases | 2.28 | 2.29 | 2.356 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.26 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 132 cases | 3.35 | 3.4 | 3.811 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.77 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 41 cases | 1.75 | 1.72 | 1.743 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 140 cases | 1.03 | 1.02 | 1.073 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Wayne Memorial 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 · 42 cases | 28 | 1.25 | 12.52 | Worse than 82% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 123 cases | 22.3 | 3.85 | 12.69 | Worse than 75% 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 · 246 cases | 13 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 38 cases | 10.7 | 10.7 | 10.62 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 38 cases | 4.8 | 5.3 | 5.229 | No Different Than the National Rate | Better than 80% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 234 cases | 0.8 | 1 | 0.9723 | No Different than expected | Better than 92% 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 · 68 cases | 20.8 | 19.8 | 19.84 | Worse than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 56 cases | 21 | 21.3 | 21.19 | Better than 60% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 145 cases | 17.2 | 17.2 | 17.41 | Better than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Wayne Memorial 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 | 1,139 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.79 | 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 | 2.621 | 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 | 1,998 | 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 | 1.143 | 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 | 6 | 61 | 136 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.15 | 1.591 | 3.769 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 2 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.019 | 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 | 8,513 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.405 | 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 | 0.015 | 0.127 | 0.1286 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.445 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,361 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.414 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.293 | 0.279 | 0.2745 | No Different than National Benchmark | Worse than 52% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 146 cases | 78 | 73 | 72.27 | Better than 68% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 146 cases | 6 | 8 | 9.85 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 146 cases | 16 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 90 | 87 | 85.97 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 146 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 146 cases | 83 | 80 | 78.79 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 93 | 91 | 90.82 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 146 cases | 3 | 4 | 4.903 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 146 cases | 4 | 3 | 3.204 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 146 cases | 14 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 146 cases | 77 | 79 | 79.46 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 90 | 91 | 90.77 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 146 cases | 6 | 5 | 5.717 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 146 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 146 cases | 17 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 146 cases | 59 | 61 | 60.14 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 76 | 77 | 75.68 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 146 cases | 18 | 19 | 21.5 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 146 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 146 cases | 23 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 146 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 · 146 cases | 13 | 13 | 14.95 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 146 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 146 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 · 146 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 · 146 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 · 146 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 · 146 cases | 8 | 7 | 7.087 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 146 cases | 17 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 72 | 77 | 77.43 | Worse than 82% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 7 | 6 | 6.146 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 21 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 146 cases | 83 | 85 | 85.2 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 146 cases | 3 | 3 | 3.728 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 146 cases | 14 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 146 cases | 10 | 8 | 8.69 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 146 cases | 16 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 146 cases | 74 | 72 | 71.31 | Better than 58% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 88 | 88 | 87.94 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 146 cases | 3 | 3 | 3.269 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 146 cases | 72 | 74 | 73.43 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 146 cases | 7 | 9 | 10.45 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 146 cases | 21 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 146 cases | 82 | 75 | 74.03 | Better than 87% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 146 cases | 5 | 5 | 6.592 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 146 cases | 13 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 79 | 77 | 75.78 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 2 | 4 | 5.34 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 146 cases | 19 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 146 cases | 87 | 86 | 84.54 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 146 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 · 146 cases | 12 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 146 cases | 70 | 59 | 63.8 | Better than 83% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 146 cases | 5 | 9 | 8.469 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 146 cases | 25 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 88 | 82 | 83.87 | Better than 89% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 146 cases | 5 | 3 | 3.774 | The top rating, shared by 11% 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 · 146 cases | 8 | 5 | 6.124 | Worse than 76% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 146 cases | 71 | 71 | 70.88 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 146 cases | 87 | 87 | 87.15 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 146 cases | 21 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 146 cases | 4 | 4 | 3.602 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 146 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 · 146 cases | 29 | 30 | 32.79 | Better than 55% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 146 cases | 25 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 146 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 · 146 cases | 10 | 12 | 13.65 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 146 cases | 90 | 88 | 86.35 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| 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 · 976 cases | 57 | 79 | 71.13 | Worse than 80% 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 · 432 cases | 197 | 154 | 175 | Worse than 76% 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 · 394 cases | 188 | 148 | 169 | Worse than 74% 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 · 19 cases | 278 | 247 | 348 | Worse than 61% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 20 cases | 322 | 293 | 334 | Worse than 62% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 1.759 | |||
| Head CT results2024-10-01 to 2025-09-30 · 19 cases | 16 | 74 | 71.14 | Worse than 99% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.05 | |||
| 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 · 360 cases | 17 | 15 | 16.89 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 36 cases | 22 | 65 | 58.96 | Worse than 98% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 70.15 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.53 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 31 | 82 | 77.15 | Worse than 99% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.02 | |||
| 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 | Not Available | 92.46 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,092 cases | 90 | 90 | 83.63 | Better than 49% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 389 cases | 88 | 97 | 95.53 | Worse than 85% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.4 | 5 | 5.623 | Better than 81% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10 | 6.6 | 6.411 | Worse than 82% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Wayne Memorial 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 | 1.1 | 0.99 | 0.9648 | Worse than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 13.33 | 20 | 20.96 | Worse than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.333 | 5 | 5.347 | Worse than 64% 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 | 57 | 34 | 36.51 | Better than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14.25 | 8.75 | 9.439 | Better than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 33.33 | 40 | 38.57 | Worse than 61% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 8.333 | 10 | 9.691 | Worse than 61% of US hospitals | |
| VBP total performance scoreFY 2026 | 25.92 | 29.5 | 31.07 | Worse than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 37.5 | 45 | 10 | 0 | 0 | 13.33 |
| VBP clinical outcomes weighted domain score | 9.375 | 11.25 | 2.5 | 0 | 0 | 3.333 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 24 | Not Available | Not Available | 15 | 34 | 57 |
| VBP person and community engagement weighted domain score | 6 | Not Available | Not Available | 3.75 | 8.5 | 14.25 |
| VBP safety domain score | 25 | Not Available | Not Available | 57.5 | 50 | 33.33 |
| VBP safety weighted domain score | 6.25 | Not Available | Not Available | 14.38 | 12.5 | 8.333 |
| VBP total performance score | 24.13 | Not Available | Not Available | 18.13 | 21 | 25.92 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Wayne Memorial Hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.035 | 0.9969 | 1.012 | Worse than 79% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9754 | 0.9983 | 1.011 | Better than 66% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 126 cases | 1.029 | 0.9955 | 1.009 | Worse than 69% 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 | 1.002 | 1.002 | 1.012 | 1.019 | 1.013 | 1.035 |
| READM-30-HF-HRRP | 0.9732 | 0.9683 | 1.016 | 0.9905 | 0.9963 | 0.9754 |
| READM-30-HIP-KNEE-HRRP | 1.273 | 1.142 | 1.342 | 1.063 | N/A | N/A |
| READM-30-PN-HRRP | 0.911 | 0.9642 | 0.9314 | 0.9746 | 0.9488 | 1.029 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Wayne Memorial 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 | 1.157 | 0.346 | 0.3286 | Worse than 97% 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 | 0.9481 | 0.9628 | 1.068 | Better than 56% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.054 | |||
| Total HAC scoreFY 2026 | -0.2035 | -0.0453 | 0.04361 | Better than 62% 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 | -0.9173 | -0.1445 | 0 | -0.2784 | -0.1503 | -0.2035 |
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 2024)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
88
Medicare-certified beds
126
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Wayne Memorial Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,801
Inpatient discharges
Medicare 30%, Medicaid 5%
7,768
Inpatient days
24% of available bed days used
395
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 835044). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Wayne Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,388 | 349 | 5,031 | 7,768 |
| Discharges | 543 | 85 | 1,173 | 1,801 |
| Average length of stay | 4.4 days | 4.1 days | 4.3 days | 4.3 days |
| Average daily census | 6.5 | 1.0 | 13.8 | 21.3 |
1,795
Medicare Advantage days
373 discharges
1,228
Medicaid managed care days
469 discharges
548
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 76 | 5,532 | 1,981 | 20% |
| Intensive care unit | 12 | 1,495 | 407 | 34% |
| Nursery | 561 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Wayne Memorial Hospital treats Medicare patients for most often, in 2024. 255 Medicare discharges in 16 published DRGs; 0% surgical; 45% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 36 | $20,730 | $6,717 | $8,520 | 0.81 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 24 | $42,737 | $16,458 | $17,565 | 1.98 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $27,000 | $6,682 | $11,097 | 0.82 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $22,777 | $8,636 | $9,361 | 1.17 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $16,958 | $7,740 | $6,970 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $14,784 | $6,269 | $6,076 | 0.78 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 13 | $36,172 | $13,967 | $14,867 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 13 | $28,558 | $10,644 | $11,738 | 1.33 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $24,371 | $6,985 | $10,017 | 0.86 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $33,644 | $8,133 | $13,828 | 1.03 |
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $19,708 | $6,464 | $8,100 | 0.80 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $39,946 | $9,902 | $16,418 | 1.23 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 11 | $19,802 | $4,982 | $8,139 | 0.63 |
| Chest painMS-DRG 313, medical | 11 | $18,381 | $5,896 | $7,555 | 0.72 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $20,866 | $6,046 | $8,576 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 11 | $25,012 | $7,781 | $10,280 | 0.90 |
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) Wayne Memorial Hospital billed Medicare for most in 2024: 596 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 4 Urology and Related ServicesAPC 5374 | 153 | 114 | $22,017 | $2,481 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 151 | 138 | $12,131 | $1,974 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 46 | $76,196 | $9,908 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 47 | $2,506 | $493 | $502 | |
| Level 1 Intraocular ProceduresAPC 5491 | 42 | 25 | $16,277 | $1,681 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 36 | 34 | $21,622 | $3,732 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 28 | $12,762 | $1,469 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 23 | 22 | $10,944 | $1,169 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $22,094 | $2,299 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 16 | $47,978 | $5,160 | $5,339 |
See all 12 Medicare outpatient services at Wayne Memorial 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 Wayne Memorial 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 1,091 in 2020 to 675 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 31545 | 310 | 46% | 1,416 | $10.3M | 40% | 55% |
| 31546 | 103 | 15% | 472 | $3.4M | 42% | 50% |
| 31316 | 58 | 9% | 303 | $2.6M | 18% | 27% |
| 31560 | 40 | 6% | 174 | $1.2M | 29% | 67% |
| 31555 | 39 | 6% | 148 | $1.3M | 41% | 47% |
| 31513 | 27 | 4% | 124 | $1.1M | 4% | 6% |
| 31516 | 24 | 4% | 106 | $1.5M | 2% | 4% |
| 31313 | 20 | 3% | 75 | $690,306 | 2% | 6% |
| 31598 | 17 | 3% | 85 | $454,139 | 61% | 100% |
| 31543 | 14 | 2% | 59 | $522,490 | 7% | 10% |
| 31553 | 12 | 2% | 57 | $765,501 | 4% | 5% |
| 31503 | 11 | 2% | 71 | $567,075 | 1% | 2% |
Source: CMS Hospital Service Area file. Shares are of the 675 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 Wayne Memorial Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
6
Operating rooms
2
Endoscopy rooms
126
Registered nurses
2
Licensed practical nurses
1
Nurse practitioners
1
Nurse anesthetists (CRNAs)
7
Pharmacists
11
Respiratory therapists
23
Radiology technicians
2
Nuclear medicine technicians
24
Laboratory technicians
1
Dietitians
1
Social workers
186
Other personnel
Source: CMS Provider of Services file.
168 clinicians who bill Medicare list Wayne Memorial 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.
Asit Jha, MD
Medical Oncology Physician
NPI 1497745632
See commercial rates for Asit Jha, MDErick Bournigal, MD
Rheumatology Physician
NPI 1275548547
See commercial rates for Erick Bournigal, MDCharles Galea, M.D.
Rheumatology Physician
NPI 1174517502
See commercial rates for Charles Galea, M.D.Shanon Smith, MD
Diagnostic Radiology Physician
NPI 1174664163
See commercial rates for Shanon Smith, MDAnderson Webb, MD
Diagnostic Radiology Physician
NPI 1285139550
See commercial rates for Anderson Webb, MDEmmanuel Gage
Interventional Pain Medicine Physician
NPI 1720213093
See commercial rates for Emmanuel GageFiras Bannout, MD
Internal Medicine Physician
NPI 1912068768
See commercial rates for Firas Bannout, MDNizar Eskandar, M.D.
Nephrology Physician
NPI 1104833698
See commercial rates for Nizar Eskandar, M.D.Sabin Tomus, M.D.
Internal Medicine Physician
NPI 1689616963
See commercial rates for Sabin Tomus, M.D.Vadim Petrov-Kondratov, M.D.
Interventional Pain Medicine Physician
NPI 1891061040
See commercial rates for Vadim Petrov-Kondratov, M.D.Sydney Hendrix, M.D.
Internal Medicine Physician
NPI 1679643712
See commercial rates for Sydney Hendrix, M.D.Lina Harper, M.D.
Family Medicine Physician
NPI 1467426023
See commercial rates for Lina Harper, M.D.Brent Jordan, MD
Diagnostic Radiology Physician
NPI 1194107839
See commercial rates for Brent Jordan, MDJames Daly, MD
Sleep Medicine (Internal Medicine) Physician
NPI 1003884669
See commercial rates for James Daly, MDCharles Brown, M.D.
Diagnostic Radiology Physician
NPI 1437417359
See commercial rates for Charles Brown, M.D.David Knopf, M.D.
Diagnostic Radiology Physician
NPI 1750351359
See commercial rates for David Knopf, M.D.Robert Pumpelly, MD
Internal Medicine Physician
NPI 1235121658
See commercial rates for Robert Pumpelly, MDMark Watkins
Specialist
NPI 1972604692
See commercial rates for Mark WatkinsGary Dent, MD
Diagnostic Radiology Physician
NPI 1841255759
See commercial rates for Gary Dent, MDDouglas Boler, M.D.
Interventional Pain Medicine Physician
NPI 1558339374
See commercial rates for Douglas Boler, M.D.Mark Byron, MD
Urology Physician
NPI 1154315877
See commercial rates for Mark Byron, MDTimothy Alder, MD
Diagnostic Radiology Physician
NPI 1922207059
See commercial rates for Timothy Alder, MDDaniel O'Mara, M.D.
Diagnostic Radiology Physician
NPI 1316203532
See commercial rates for Daniel O'Mara, M.D.Robert Dunlap
Diagnostic Radiology Physician
NPI 1982099727
See commercial rates for Robert DunlapSource: 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 Wayne Memorial Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $300.5M | 411.1% |
| Inpatient | $64.6M | 88.4% |
| Outpatient | $235.8M | 322.7% |
| Contractual allowances and discounts | -$227.4M | -311.1% |
| Net patient revenue | $73.1M | 100.0% |
| Operating expenses | -$85.2M | -116.6% |
| Operating income from patient care | -$12.1M | -16.6% |
| Other income | $3.7M | 5.1% |
| Contributions and donations | $2M | 2.8% |
| Other | $1.7M | 2.3% |
| Other expenses | -$533,390 | -0.7% |
| Net income | -$8.9M | -12.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $57.1M | 19.1% |
| Medicaid (including managed care) | $22.3M | 7.4% |
| Other payers and self-pay | $220.1M | 73.5% |
| Total charges | $299.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. 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 Wayne Memorial Hospital's latest cost report.
-16.6%
Operating margin
Operating income from patient care / net patient revenue
-11.6%
Total margin
Net income / net patient revenue plus other income
-0.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$29.63
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-14.6%
Return on assets
Net income for a year / total assets
-23.4%
Return on equity
Net income for a year / fund balance
0.01
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.62
Current ratio
Current assets / current liabilities
0.42
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
44 days
Days in patient receivables
Net patient receivables / daily net patient revenue
105 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.25
Asset turnover
Total revenue for a year / total assets
12.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Wayne Memorial Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $61.2M in total assets and a $38.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $732,973 | 1.2% |
| Patient receivables, net | $8.8M | 14.3% |
| Inventory | $3M | 4.8% |
| Total current assets | $13.9M | 22.8% |
| Property and equipment, net of depreciation | $33.5M | 54.8% |
| Investments and other assets | $13.7M | 22.4% |
| Total assets | $61.2M | 100.0% |
| Current liabilities | $22.5M | 36.8% |
| Long-term debt | $569,681 | 0.9% |
| Total liabilities | $23.1M | 37.7% |
| Fund balance (net assets) | $38.1M | 62.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Wayne Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.9M
Bad debt
Patient bills written off as uncollectible, at charges
$1.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$103,365
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$8.8M
Total unreimbursed and uncompensated care
10.3% 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 835044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Wayne Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $84.2M | $93M | $88.8M | $79.9M | $75M | $73.1M |
| Operating expenses | $80.5M | $85M | $85.1M | $78.6M | $85.2M | $85.2M |
| Operating margin | 4.5% | 8.6% | 4.1% | 1.7% | -13.6% | -16.6% |
| Net income | $4.8M | $13.4M | $1.3M | $2.9M | -$8.6M | -$8.9M |
| Total assets | $74.4M | $78.2M | $71.8M | $72.5M | $70.4M | $61.2M |
| Discharges | 2,875 | 2,717 | 2,610 | 2,338 | 2,202 | 1,801 |
| Inpatient days | 13,249 | 13,831 | 15,330 | 11,336 | 11,255 | 7,768 |
| Medicare Advantage days | 2,080 | 2,286 | 2,507 | 2,092 | 2,111 | 1,795 |
| Beds | 88 | 88 | 88 | 88 | 88 | 88 |
| Employees (FTE) | 412 | 421 | 421 | 417 | 429 | 395 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Wayne Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $806,560 | $15M | $71.3M | 0.21 | 4,850 |
| Operating room | $3.5M | $10.5M | $57.9M | 0.18 | 17,544 |
| Medical supplies charged to patient | $7.5M | $26.5M | 0.28 | ||
| Laboratory | $1.5M | $6.1M | $20.9M | 0.29 | 4,212 |
| Radiology-diagnostic | $1.9M | $5.1M | $44.7M | 0.11 | 8,680 |
| Emergency | $1.8M | $4.7M | $35.7M | 0.13 | 9,367 |
| Impl. dev. charged to patients | $3.3M | $13.9M | 0.24 | ||
| Delivery room & labor room | $442,787 | $2.6M | $623,813 | 4.14 | 17,484 |
| Home health agency | $911,769 | $2.6M | $1.7M | 1.55 | 2,658 |
| Respiratory therapy | $704,686 | $1.4M | $7.2M | 0.20 | 1,632 |
| Physical therapy | $230,446 | $1.3M | $1.4M | 0.96 | 4,410 |
| Observation beds (non-distinct part | $859,500 | $2.1M | 0.42 | ||
| Radioisotope | $149,141 | $472,307 | $2.2M | 0.21 | 924 |
| Anesthesiology | $59,716 | $6.1M | 0.01 | 206 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.3M | $9.6M | $4.8M | 2.00 | 28,141 |
| Intensive care unit | $1.2M | $3.2M | $2.2M | 1.42 | 7,776 |
| Nursery | $459,856 | $951,230 | $307,998 | 3.09 | 1,121 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.3M | $7M | 121,166 | $27.03 | 26,019 |
| Employee benefits department | $6M | ||||
| Cap rel costs-mvble equip | $5.4M | ||||
| Pharmacy | $1M | $3.7M | 23,595 | $42.43 | 1,919 |
| Cap rel costs-bldg & fixt | $2.9M | 158,966 | |||
| Operation of plant | $681,012 | $2.8M | 26,244 | $25.95 | 7,495 |
| Nursing administration | $1.5M | $1.7M | 38,251 | $39.95 | 2,464 |
| Dietary | $676,026 | $1.1M | 38,516 | $17.55 | 5,344 |
| Central services & supply | $150,383 | $708,695 | 7,156 | $21.01 | 1,162 |
| Housekeeping | $577,112 | $706,503 | 33,378 | $17.29 | 1,321 |
| Medical records & library | $299,758 | $367,255 | 12,926 | $23.19 | 1,508 |
| Laundry & linen service | $16,842 | $185,419 | 647 | $26.04 | 378 |
Source: CMS cost report (HCRIS, Form 2552-10), report 835044, amended. 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 Wayne Memorial Hospital for an inpatient stay.
1.14
Case mix index
Higher than 4% 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).
28.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
515
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 | 1.33 | 1.33 | 1.43 | 1.31 | 1.23 | 1.25 | 1.14 |
| Wage index | 0.781 | 0.799 | 0.796 | 0.836 | 0.795 | 0.763 | 0.819 |
| Readmissions adjustment | -0.63% | -2.47% | -1.53% | -2.94% | -0.33% | -0.03% | -0.33% |
| Value-based purchasing adjustment | +0.24% | -0.45% | -0.45% | +0.44% | -0.28% | -0.12% | -0.21% |
| Medicare inpatient stays | 983 | 983 | 656 | 507 | 479 | 512 | 515 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Wayne Memorial 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 9 of 11 are shown.
340B drug pricing program
Participating since 2020
340B ID DSH110124, registered as a disproportionate share hospital. Authorizing official: Gregory A. Jones, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Wayne Meml Hospital
FAA location ID 39GA, a medical-use heliport 0.1 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Wayne memorial hospital
CCN 11U124, certified 2007, Medicare prospective payment
Wayne memorial hospital
CCN 117012, certified 1968, Medicare prospective payment
Source: Worksheet S-2 Part I of Wayne Memorial Hospital's latest Medicare cost report (HCRIS).
About Wayne Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wayne Memorial Hospital range from $425 to $2,964 across 4 insurers. Cigna's rate is $2,688. The median at nearby comparable hospitals is $2,852. 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 Wayne Memorial Hospital range from $275 to $2,082 across 4 insurers. Blue Cross Blue Shield's rate is $659. The median at nearby comparable hospitals is $2,323. 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 Wayne Memorial Hospital range from $6,031 to $9,189 across 3 insurers. UnitedHealthcare's rate is $7,810. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wayne Memorial Hospital range from $97 to $302 across 4 insurers. Cigna's rate is $274. The median at nearby comparable hospitals is $195. 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 Wayne Memorial Hospital range from $24,215 to $32,185 across 2 insurers. Aetna's rate is $24,215. The median at nearby comparable hospitals is $25,208. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wayne Memorial 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 Wayne Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wayne Memorial Hospital's base inpatient payments by an estimated 0.33% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were kidney and urinary tract infections without mcc (36 discharges), septicemia or severe sepsis without mv >96 hours with mcc (24 discharges), simple pneumonia and pleurisy with cc (21 discharges).
Wayne Memorial Hospital's Medicare case mix index is 1.14 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.
Wayne Memorial Hospital reported 1,801 inpatient discharges and 7,768 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Wayne Memorial Hospital reported 395 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Wayne Memorial Hospital reported $73.1M in net patient revenue on $300.5M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -16.6%, and net income of -$8.9M.
Wayne Memorial Hospital reported $8.8M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $6M of charity care at cost.
Insurers' price transparency files list Wayne Memorial Hospital under employer identification number 58-6011876 (Wayne Memorial Hospital). 53 health plans and networks list 58-6011876 for it.
Yes. HRSA's 340B database lists Wayne Memorial Hospital (340B ID DSH110124) as a participating disproportionate share hospital since 2020.
168 clinicians who bill Medicare list Wayne Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (27), internal medicine physician (18), family medicine physician (17).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Wayne Memorial Hospital, effective 2024.
CMS lists 32 services at Wayne Memorial Hospital, including Acute Renal Dialysis, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Wayne Memorial Hospital came from ZIP codes 31545 (310), 31546 (103), 31316 (58).
Wayne Memorial Hospital has 88 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Wayne Memorial Hospital is located at 865 South First Street, Jesup, GA 31545. Its main phone number is (912) 530-3302.
Wayne Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110124.
The National Provider Identifier (NPI) on file for Wayne Memorial Hospital is 1770578999.
Wayne Memorial Hospital lists 36 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.
322 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