Lahey Health System · Winchester, MA
3 of 5
CMS star rating
183
Beds
12,276
Inpatient discharges a year
$366M
Net patient revenue a year
32
In-network payers
Winchester Hospital is a 183-bed voluntary non-profit - private hospital in Winchester, MA, affiliated with Lahey Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 175 disclosed rate categories.
The 24 services Winchester 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.
Gynecology
CPT 58558
$2,584 - $9,039
from 2 insurers · median $5,812
46 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,058
negotiated rate
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
CT imaging
CPT 74177
$736 - $1,933
from 2 insurers · median $1,334
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,671 - $13,017
from 2 insurers · median $7,844
131 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$13,745
negotiated rate
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
Digestive procedures
CPT 49650
$2,671 - $13,017
from 2 insurers · median $7,844
131 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$20,170
negotiated rate
77 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$252 - $817
from 2 insurers · median $535
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$2,671 - $13,017
from 2 insurers · median $7,844
131 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$2,671 - $9,039
from 2 insurers · median $5,855
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$3,086 - $6,691
from 2 insurers · median $4,889
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$798 - $1,496
from 3 insurers · median $1,011
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$517 - $1,989
from 2 insurers · median $1,253
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$171 - $285
from 3 insurers · median $221
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$489 - $8,498
from 3 insurers · median $2,046
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$89 - $210
from 2 insurers · median $150
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$335 - $8,498
from 3 insurers · median $2,046
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$453 - $1,268
from 2 insurers · median $860
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,671 - $9,401
from 2 insurers · median $6,036
85 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$2,584 - $8,498
from 2 insurers · median $5,541
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$2,671 - $9,401
from 2 insurers · median $6,036
30 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$13,017
negotiated rate
38 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$1,408 - $2,758
from 2 insurers · median $2,083
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,710 - $13,017
from 2 insurers · median $7,863
Typical for a hospital with this service line
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* | 14 | 265% | 12 | 0 |
| Insurer B* | 2 | 228% | 0 | 2 |
| Insurer C* | 12 | 209% | 3 | 6 |
| Insurer D* | 20 | 164% | 8 | 12 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 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 Winchester 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
$366M net patient revenue
Ownership and leadership
Owned by Beth Israel Lahey Health, Inc.
The employer identification numbers (EINs) health plans and networks list for Winchester 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 |
|---|---|---|
| 04-2104434Winchester Hospital | 60Aetna, BCBS Massachusetts, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 55 more | 1790740777 Winchester Hospital1477721579 Winchester Hospital1033199732 Winchester Hospitaland 1 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.
41 Highland Avenue, Winchester, MA 01890
(781) 729-9000
How Winchester 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
Better on 1 of 7 measures
1 better, 6 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 7 measures
0 better, 7 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 4 of 9 measures
0 better, 5 no different, 4 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
75%
Higher than 62% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.8
Lower than 93% 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
233 min
Higher than 92% 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
52%
Lower than 78% 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 | Better on 1 of 7 measures | |
| Safety | No different on 7 measures | |
| Readmissions | Worse on 4 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 75% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.8 | 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 | 233 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 52% | 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 Winchester Hospital's inpatient payments for its readmissions, quality and cost results.
-3.00% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.96% 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 Winchester Hospital, beside the US median and the average of MA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 218 cases | 3.1 | 4.1 | 4.091 | Better than 91% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,177 cases | 3.3 | 3.9 | 3.416 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 59 cases | 11 | 11.8 | 11.44 | Better than 75% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.108 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 225 cases | 7.2 | 8.5 | 7.486 | Better than 84% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 580 cases | 10 | 11 | 9.785 | Better than 69% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 996 cases | 11.4 | 15.2 | 13.44 | Better than 95% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 135 cases | 8.1 | 11.6 | 11.76 | Better than 98% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 5,302 cases | 0.2 | 0.51 | 0.6721 | No Different Than the National Rate | Better than 91% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 28 cases | 167 | 173 | 175 | No Different Than the National Rate | Better than 60% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 7,901 cases | 0.16 | 0.2 | 0.2083 | No Different Than the National Rate | Better than 90% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 7,832 cases | 0.32 | 0.27 | 0.296 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 868 cases | 2.22 | 2.29 | 2.482 | No Different Than the National Rate | Better than 63% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 339 cases | 1.59 | 1.63 | 1.613 | No Different Than the National Rate | Better than 65% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 328 cases | 6.5 | 8.88 | 9.192 | No Different Than the National Rate | Better than 90% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 923 cases | 3.24 | 3.4 | 3.743 | No Different Than the National Rate | Better than 65% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 330 cases | 5.08 | 5.105 | 5.331 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 155 cases | 2.36 | 1.72 | 1.756 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 968 cases | 1.91 | 1.02 | 1.044 | No Different Than the National Rate | Worse than 99% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 18.16 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 681 cases | 24.8 | 1.25 | 17.34 | Worse than 79% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 1,066 cases | 11.6 | 3.85 | 17.01 | Worse than 61% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,493 cases | 13.3 | 12.9 | 12.66 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 202 cases | 11 | 10.7 | 10.92 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 202 cases | 5.1 | 5.3 | 5.182 | No Different Than the National Rate | Better than 62% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 515 cases | 0.9 | 1 | 0.9596 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.76 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.82 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 284 cases | 19.9 | 19.8 | 20.36 | Worse than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 646 cases | 23.3 | 21.3 | 22.03 | Worse than 93% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 219 cases | 5.9 | 5.8 | 5.709 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,082 cases | 18.2 | 17.2 | 17.81 | Worse than 81% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.031 | 0.172 | 0.2107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.054 | 1.504 | 1.812 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,813 | 1,370 | 8,303 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.615 | 0.9835 | 8.287 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 4.273 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.619 | 0.484 | 0.4759 | No Different than National Benchmark | Worse than 62% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2845 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.873 | 1.392 | 1.932 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,713 | 1,799 | 7,314 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.431 | 1.377 | 8.986 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 5.818 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.6647 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.293 | 0.2345 | 0.3618 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.137 | 2.135 | 2.379 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 106 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.603 | 1.591 | 3.928 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 3 | 1 | 3.531 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.153 | 0.7155 | 0.7845 | No Different than National Benchmark | Worse than 74% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4656 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.886 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 32 | 38 | 72.32 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.265 | 0.328 | 0.6066 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.7955 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.451 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.321 | 0.193 | 0.2428 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.435 | 1.855 | 2.383 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 54,535 | 14,451 | 69,453 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.377 | 0.567 | 4.799 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.018 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.262 | 0.597 | 0.6915 | No Different than National Benchmark | Worse than 88% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.386 | 0.127 | 0.2286 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.11 | 0.747 | 0.9902 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 46,417 | 13,646 | 64,881 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 20.66 | 5.683 | 33.9 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 14 | 2 | 16.5 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.678 | 0.279 | 0.4375 | No Different than National Benchmark | Worse than 86% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,288 cases | 66 | 73 | 69.54 | Worse than 79% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,288 cases | 12 | 8 | 10.27 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,288 cases | 22 | 18 | 20.2 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 83 | 87 | 85.15 | Worse than 77% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 4 | 3.13 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 83 | 80 | 79.3 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 93 | 91 | 91.43 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 4 | 4.75 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 4 | 3 | 3.463 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 14 | 16 | 15.95 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 78 | 79 | 78.45 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 91 | 91 | 90.5 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 6 | 5 | 5.893 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 3 | 3.019 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,288 cases | 16 | 16 | 15.66 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,288 cases | 65 | 61 | 60.82 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 80 | 77 | 76.96 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,288 cases | 17 | 19 | 19.86 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 3 | 2.704 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,288 cases | 18 | 19 | 19.32 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 87 | 86 | 86.83 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,288 cases | 13 | 13 | 12.75 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 4 | 3 | 3.648 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,288 cases | 87 | 87 | 87.25 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,288 cases | 15 | 14 | 13.96 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,288 cases | 85 | 86 | 86.04 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 75 | 74 | 73.88 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 7 | 7 | 7.232 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 18 | 19 | 18.89 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 77 | 77 | 76.98 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 7 | 6 | 6.357 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 16 | 17 | 16.66 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 84 | 85 | 84.46 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 4 | 3 | 4.036 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 12 | 11 | 11.5 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,288 cases | 8 | 8 | 9.911 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,288 cases | 22 | 20 | 22.54 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,288 cases | 70 | 72 | 67.55 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 88 | 88 | 86.72 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 3 | 2.981 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,288 cases | 77 | 74 | 74.29 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,288 cases | 8 | 9 | 9.679 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,288 cases | 15 | 16 | 16.04 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 78 | 75 | 75.66 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 5 | 5 | 6.125 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,288 cases | 17 | 20 | 18.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 82 | 77 | 77 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 4 | 4.946 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,288 cases | 15 | 19 | 18.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 89 | 86 | 85.23 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 2 | 3 | 3.125 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,288 cases | 9 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,288 cases | 42 | 59 | 47.63 | Worse than 94% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,288 cases | 21 | 9 | 17.7 | Worse than 94% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,288 cases | 37 | 31 | 34.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 72 | 82 | 74.48 | Worse than 93% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 2 | 3 | 2.111 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,288 cases | 4 | 5 | 6.143 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,288 cases | 75 | 71 | 69.48 | Better than 62% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,288 cases | 90 | 87 | 86.65 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,288 cases | 21 | 23 | 24.38 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,288 cases | 4 | 4 | 3.556 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,288 cases | 52 | 47 | 47.23 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,288 cases | 26 | 30 | 30.13 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,288 cases | 22 | 22 | 22.64 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,288 cases | 3 | 3 | 3.056 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,288 cases | 11 | 12 | 11.66 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,288 cases | 89 | 88 | 88.34 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.188 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,759 cases | 100 | 79 | 84.05 | Better than 99% 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 · 401 cases | 242 | 154 | 227 | Worse than 93% 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 · 368 cases | 233 | 148 | 219 | Worse than 92% 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 · 22 cases | 424 | 247 | 381 | Worse than 90% 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 · 12 cases | 292 | 293 | 358 | Better than 50% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 53,285 cases | 3 | 1 | 3.981 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.39 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 103 cases | 95 | 97 | 97.12 | Worse than 60% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 30.67 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,522 cases | 13 | 15 | 17.23 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 107 cases | 52 | 65 | 53.88 | Worse than 78% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 38 cases | 53 | 73 | 63.72 | Worse than 86% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 16 cases | 62 | 88 | 81.64 | Worse than 93% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 108 cases | 81 | 82 | 74.82 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 52 cases | 87 | 94 | 90.31 | Worse than 82% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97.42 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 81 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 84 cases | 98 | 94 | 93 | Better than 83% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 6,520 cases | 93 | 90 | 91.36 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 559 cases | 97 | 97 | 96.17 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.5 | 5 | 4.356 | Better than 55% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.1 | 6.6 | 6.335 | Worse than 57% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.93 | 0.99 | 0.9783 | Better than 78% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 50 | 20 | 37.36 | Better than 89% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 12.5 | 5 | 9.341 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 15.42 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 3.854 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 35 | 34 | 33.06 | Better than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.75 | 8.75 | 8.266 | Better than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 46.67 | 40 | 34.38 | Better than 60% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.67 | 10 | 8.595 | Better than 59% of US hospitals | |
| VBP total performance scoreFY 2026 | 42.92 | 29.5 | 30.06 | Better than 85% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 100 | 100 | 72.5 | 42 | 38 | 50 |
| VBP clinical outcomes weighted domain score | 25 | 25 | 18.13 | 10.5 | 9.5 | 12.5 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 20 | 10 | 20 | 40 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 5 | 2.5 | 5 | 10 |
| VBP person and community engagement domain score | 44 | Not Available | Not Available | 17 | 14 | 35 |
| VBP person and community engagement weighted domain score | 11 | Not Available | Not Available | 4.25 | 3.5 | 8.75 |
| VBP safety domain score | 36 | Not Available | Not Available | 46 | 48 | 46.67 |
| VBP safety weighted domain score | 9 | Not Available | Not Available | 11.5 | 12 | 11.67 |
| VBP total performance score | 47.5 | Not Available | Not Available | 28.75 | 30 | 42.92 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.079 | 0.9995 | 1.051 | Worse than 89% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 237 cases | 1.141 | 0.9969 | 1.036 | Worse than 99% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 685 cases | 1.23 | 0.9983 | 1.036 | Worse than 99% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 186 cases | 1.479 | 0.9916 | 1.008 | Worse than 99% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 921 cases | 1.176 | 0.9955 | 1.046 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.07 | 1.046 | N/A | N/A | 1.033 | 1.079 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.046 | 1.001 | 1.017 | 1 | 1.128 | 1.141 |
| READM-30-HF-HRRP | 1.102 | 1.148 | 1.221 | 1.189 | 1.223 | 1.23 |
| READM-30-HIP-KNEE-HRRP | 0.8316 | 0.7534 | 0.8146 | 1.067 | 1.293 | 1.479 |
| READM-30-PN-HRRP | 1.106 | 1.16 | 1.202 | 1.099 | 1.119 | 1.176 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Winchester Hospital | US median | MA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.532 | 0.489 | 0.7646 | Worse than 54% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.583 | 0.346 | 0.4801 | Worse than 80% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.683 | 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 | 0.409 | 0.6405 | 0.6605 | Better than 71% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8013 | 0.9628 | 1.026 | Better than 93% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.993 | 0.7945 | 0.9399 | Worse than 64% of US hospitals | |
| Total HAC scoreFY 2026 | -0.3854 | -0.0453 | 0.2232 | Better than 73% 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 | 0.0577 | -0.1355 | 0 | -0.418 | -0.395 | -0.3854 |
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 2011)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
189
Medicare-certified beds
487
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Winchester Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
12,276
Inpatient discharges
Medicare 35%, Medicaid 4%
50,717
Inpatient days
76% of available bed days used
1,297
Employees (full-time equivalent)
3
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830585). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Winchester Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 17,676 | 1,826 | 31,215 | 50,717 |
| Discharges | 4,319 | 535 | 7,422 | 12,276 |
| Average length of stay | 4.1 days | 3.4 days | 4.2 days | 4.1 days |
| Average daily census | 48.4 | 5.0 | 85.5 | 139.0 |
7,220
Medicare Advantage days
1,642 discharges
2,293
Medicaid managed care days
755 discharges
2,751
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 173 | 40,570 | 16,649 | 64% |
| Intensive care unit | 10 | 2,015 | 1,027 | 55% |
| Nursery | 8,132 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Winchester Hospital treats Medicare patients for most often, in 2024. 3,636 Medicare discharges in 89 published DRGs; 7% surgical; 68% 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 | 327 | $29,921 | $13,609 | $14,482 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 221 | $19,317 | $9,011 | $9,350 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 209 | $25,568 | $11,783 | $12,375 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 158 | $19,957 | $9,110 | $9,659 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 127 | $12,759 | $4,918 | $6,175 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 92 | $14,545 | $5,888 | $7,040 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 86 | $14,734 | $8,034 | $7,131 | 1.17 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 84 | $17,287 | $8,618 | $8,367 | 1.23 |
| Cellulitis without MCCMS-DRG 603, medical | 83 | $10,612 | $5,602 | $5,136 | 0.88 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 77 | $12,751 | $5,172 | $6,171 | 0.81 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 75 | $24,069 | $10,883 | $11,650 | 1.59 |
| Renal failure with MCCMS-DRG 682, medical | 74 | $19,830 | $10,234 | $9,598 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 73 | $23,422 | $11,516 | $11,336 | 1.65 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 68 | $12,674 | $4,986 | $6,134 | 0.82 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 64 | $31,714 | $12,764 | $15,350 | 1.88 |
| Syncope and collapseMS-DRG 312, medical | 63 | $13,414 | $5,650 | $6,492 | 0.86 |
| Medical back problems without MCCMS-DRG 552, medical | 61 | $10,616 | $6,141 | $5,138 | 0.97 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 54 | $17,166 | $6,382 | $8,308 | 0.99 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 52 | $19,636 | $6,644 | $9,504 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 52 | $11,899 | $4,982 | $5,759 | 0.78 |
See all 89 Medicare inpatient DRGs at Winchester Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Winchester Hospital billed Medicare for most in 2024: 2,215 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 283 | 278 | $25,945 | $12,390 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 247 | 235 | $4,807 | $1,370 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 177 | 173 | $10,447 | $2,276 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 151 | 137 | $7,730 | $1,629 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 148 | 132 | $6,973 | $1,611 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 146 | 140 | $5,056 | $1,350 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 131 | 129 | $13,947 | $4,824 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 116 | 107 | $10,550 | $4,428 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 104 | 103 | $23,135 | $6,004 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 104 | 92 | $7,555 | $2,926 | $2,629 |
See all 25 Medicare outpatient services at Winchester 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 Winchester 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 5,004 in 2020 to 5,850 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 01801 | 895 | 15% | 3,867 | $22.7M | 36% | 39% |
| 02155 | 705 | 12% | 2,886 | $17.7M | 25% | 21% |
| 02180 | 571 | 10% | 2,344 | $14.1M | 37% | 38% |
| 01890 | 503 | 9% | 1,841 | $11.8M | 53% | 52% |
| 01867 | 466 | 8% | 1,821 | $11M | 40% | 42% |
| 01887 | 436 | 7% | 1,682 | $9.9M | 39% | 40% |
| 01864 | 289 | 5% | 1,152 | $7M | 35% | 34% |
| 01880 | 259 | 4% | 1,027 | $6.3M | 18% | 20% |
| 01876 | 221 | 4% | 873 | $5.7M | 12% | 12% |
| 01803 | 184 | 3% | 714 | $3.9M | 14% | 11% |
| 02176 | 138 | 2% | 551 | $3.4M | 9% | 10% |
| 02148 | 137 | 2% | 560 | $3.7M | 5% | 6% |
| 02474 | 127 | 2% | 534 | $3.1M | 13% | 9% |
| 01821 | 121 | 2% | 502 | $3.4M | 8% | 7% |
| 01810 | 94 | 2% | 398 | $2.3M | 7% | 4% |
| 02476 | 90 | 2% | 329 | $2.1M | 13% | 8% |
| 01906 | 66 | 1% | 262 | $1.4M | 4% | 5% |
| 01940 | 53 | 1% | 182 | $1M | 8% | 6% |
| 01844 | 48 | 1% | 158 | $1.1M | 2% | 1% |
| 02149 | 47 | 1% | 167 | $1M | 3% | 3% |
| 01960 | 46 | 1% | 214 | $1.1M | 1% | 1% |
| 02421 | 37 | 1% | 121 | $641,707 | 4% | 2% |
| 01862 | 35 | 1% | 116 | $703,597 | 7% | 6% |
| 01845 | 28 | 0% | 120 | $768,400 | 2% | 3% |
| 02420 | 26 | 0% | 103 | $544,218 | 6% | 4% |
Source: CMS Hospital Service Area file. Shares are of the 5,850 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 Winchester Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
11
Operating rooms
6
Endoscopy rooms
23
Off-site locations
23
Off-site emergency departments
487
Registered nurses
3
Licensed practical nurses
4
Physicians
2
Nurse practitioners
1
Physician assistants
16
Pharmacists
17
Respiratory therapists
26
Physical therapists
5
Occupational therapists
2
Speech pathologists and audiologists
91
Radiology technicians
3
Nuclear medicine technicians
7
Laboratory technicians
54
Medical technologists
5
Dietitians
14
Social workers
1,072
Other personnel
Source: CMS Provider of Services file.
1,316 clinicians who bill Medicare list Winchester 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.
Sharon Stotsky, MD
Internal Medicine Physician
NPI 1912913039
See commercial rates for Sharon Stotsky, MDEvan Zahner, MD
Orthopaedic Surgery Physician
NPI 1154378479
See commercial rates for Evan Zahner, MDKendra Klein-Mascia, MD
Ophthalmology Physician
NPI 1205192697
See commercial rates for Kendra Klein-Mascia, MDMichael Fehm, M.D.
Orthopaedic Surgery Physician
NPI 1548381791
See commercial rates for Michael Fehm, M.D.Stephen Gross, MD
Orthopaedic Surgery Physician
NPI 1205893229
See commercial rates for Stephen Gross, MDStephen Lyle, M.D., PH.D.
Anatomic Pathology Physician
NPI 1598750234
See commercial rates for Stephen Lyle, M.D., PH.D.Jennifer Braimon, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1649373986
See commercial rates for Jennifer Braimon, MDStephen Anesi, M.D.
Ophthalmology Physician
NPI 1003052788
See commercial rates for Stephen Anesi, M.D.Grayson Connors, D.O.
Orthopaedic Surgery Physician
NPI 1629496401
See commercial rates for Grayson Connors, D.O.Jordan Scott, M.D.
Allergy & Immunology Physician
NPI 1275517245
See commercial rates for Jordan Scott, M.D.Jeffrey Clayman, MD
Nuclear Cardiology Physician
NPI 1477509206
See commercial rates for Jeffrey Clayman, MDVito Pugliano, M.D.
Orthopaedic Surgery Physician
NPI 1245524974
See commercial rates for Vito Pugliano, M.D.Joshua Shofner
Dermatology Physician
NPI 1023218237
See commercial rates for Joshua ShofnerAbraham Shurland, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1144214032
See commercial rates for Abraham Shurland, MDDavid Criss, MD
Cardiovascular Disease Physician
NPI 1437135779
See commercial rates for David Criss, MDSujatha Rajan, M.D.
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI 1710962543
See commercial rates for Sujatha Rajan, M.D.William Mayers, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1306200225
See commercial rates for William Mayers, M.D.Andrew Ferree, MD
Neurology Physician
NPI 1942662366
See commercial rates for Andrew Ferree, MDDaniel Vardeh, M.D.
Pain Medicine (Psychiatry & Neurology) Physician
NPI 1205132990
See commercial rates for Daniel Vardeh, M.D.Deborah Shih, M.D.
Internal Medicine Physician
NPI 1679512768
See commercial rates for Deborah Shih, M.D.Catherine Martin, MS RN ANP-BC
Adult Health Nurse Practitioner
NPI 1700108560
See commercial rates for Catherine Martin, MS RN ANP-BCDaniel Lyons, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1700806122
See commercial rates for Daniel Lyons, M.D.David Alessandro, M.D.
Orthopaedic Hand Surgery Physician
NPI 1508880576
See commercial rates for David Alessandro, M.D.Tara Hamilton, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1326181710
See commercial rates for Tara Hamilton, 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 Winchester Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $963.4M | 263.2% |
| Inpatient | $302.8M | 82.7% |
| Outpatient | $660.6M | 180.5% |
| Contractual allowances and discounts | -$597.4M | -163.2% |
| Net patient revenue | $366M | 100.0% |
| Operating expenses | -$351.2M | -96.0% |
| Operating income from patient care | $14.8M | 4.0% |
| Other income | $30.1M | 8.2% |
| Investment income | $5.2M | 1.4% |
| Other | $24.9M | 6.8% |
| Net income | $44.9M | 12.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $193.4M | 20.1% |
| Medicaid (including managed care) | $74M | 7.7% |
| Other payers and self-pay | $696M | 72.2% |
| Total charges | $963.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, 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 Winchester Hospital's latest cost report.
4.0%
Operating margin
Operating income from patient care / net patient revenue
11.3%
Total margin
Net income / net patient revenue plus other income
16.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$49.28
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
2.5%
Return on assets
Net income for a year / total assets
9.1%
Return on equity
Net income for a year / fund balance
0.15
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.04
Current ratio
Current assets / current liabilities
0.03
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
36 days
Days in patient receivables
Net patient receivables / daily net patient revenue
1338 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.22
Asset turnover
Total revenue for a year / total assets
10.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Winchester Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $1.8B in total assets and a $491.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $868,340 | 0.0% |
| Patient receivables, net | $36.2M | 2.0% |
| Total current assets | $51.4M | 2.9% |
| Property and equipment, net of depreciation | $106.5M | 5.9% |
| Investments and other assets | $1.6B | 91.2% |
| Total assets | $1.8B | 100.0% |
| Current liabilities | $1.2B | 67.8% |
| Long-term debt | $72M | 4.0% |
| Total liabilities | $1.3B | 72.7% |
| Fund balance (net assets) | $491.5M | 27.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Winchester Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.4M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11.2M
Bad debt
Patient bills written off as uncollectible, at charges
$4.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8.6M
Total unreimbursed and uncompensated care
2.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$1.7M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Winchester Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $261.4M | $300.8M | $314.9M | $338.6M | $368.8M | $366M |
| Operating expenses | $278.1M | $296.4M | $327.2M | $343.8M | $367M | $351.2M |
| Operating margin | -6.4% | 1.5% | -3.9% | -1.5% | 0.5% | 4.0% |
| Net income | $19.4M | $19.9M | $7.1M | $13.5M | $29.1M | $44.9M |
| Total assets | $501.8M | $544.7M | $463.1M | $886.6M | $1.3B | $1.8B |
| Discharges | 11,379 | 12,223 | 12,225 | 12,003 | 13,264 | 12,276 |
| Inpatient days | 49,271 | 52,868 | 55,837 | 50,171 | 54,427 | 50,717 |
| Medicare Advantage days | 6,341 | 7,196 | 7,766 | 7,002 | 8,569 | 7,220 |
| Beds | 194 | 194 | 178 | 182 | 183 | 183 |
| Employees (FTE) | 1,592 | 1,404 | 1,360 | 1,494 | 1,370 | 1,297 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Winchester 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 |
|---|---|---|---|---|---|
| Laboratory | $9.9M | $34.1M | $219.8M | 0.16 | 8,762 |
| Operating room | $11.8M | $34.1M | $90.8M | 0.38 | 24,087 |
| Clinic | $10.6M | $28.9M | $38.2M | 0.76 | 38,553 |
| Drugs charged to patients | $22.8M | $43.5M | 0.52 | ||
| Emergency | $9.2M | $21.9M | $103.8M | 0.21 | 15,665 |
| Radiology-diagnostic | $5.4M | $17.8M | $71.3M | 0.25 | 23,972 |
| Delivery room & labor room | $6.6M | $15.2M | $29.7M | 0.51 | 10,430 |
| Medical supplies charged to patient | $12.8M | $22.6M | 0.57 | ||
| Impl. dev. charged to patients | $12.6M | $22.1M | 0.57 | ||
| Recovery room | $3.9M | $7.1M | $17.9M | 0.39 | 1,218 |
| Physical therapy | $2.5M | $7M | $15.1M | 0.47 | 13,191 |
| Ultrasound | $1.8M | $5.1M | $22.6M | 0.23 | 9,321 |
| Ct scan | $1.4M | $5.1M | $77.6M | 0.07 | 1,040 |
| Observation beds (non-distinct part | $4.1M | $10.7M | 0.38 | ||
| Radiology-therapeutic | $814,005 | $3.9M | $15.2M | 0.26 | |
| Respiratory therapy | $1.8M | $3.5M | $8.9M | 0.40 | 2,343 |
| Electrocardiology | $1.4M | $3.1M | $23.1M | 0.13 | 3,069 |
| Electroencephalography | $437,436 | $2.2M | $3.6M | 0.63 | 7,423 |
| Intravenous therapy | $596,292 | $2.1M | $10.8M | 0.20 | |
| Blood storing processing & trans. | $504,651 | $2.1M | $3.2M | 0.66 | 364 |
| Radioisotope | $348,771 | $1.5M | $5.5M | 0.26 | 1,544 |
| Anesthesiology | $2,598 | $976,195 | $32M | 0.03 | 375 |
| Occupational therapy | $486,037 | $799,601 | $1.8M | 0.44 | |
| Speech pathology | $334,743 | $566,922 | $3M | 0.19 | |
| Mri | $2,498 | $500,305 | $784,407 | 0.64 | 2,638 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $25.1M | $64.6M | $47.1M | 1.37 | 44,128 |
| Nursery | $3M | $9.9M | $16.7M | 0.59 | 5,013 |
| Intensive care unit | $2.7M | $8.2M | $5.9M | 1.40 | 5,326 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.8M | $61.5M | 162,698 | $54.07 | 10,132 |
| Employee benefits department | $983,205 | $35.1M | 12,728 | $77.25 | 17,771 |
| Cap rel costs-bldg & fixt | $11.6M | 321,556 | |||
| Cap rel costs-mvble equip | $10.4M | ||||
| Operation of plant | $3.2M | $9.6M | 104,666 | $30.22 | 22,871 |
| Housekeeping | $2.7M | $4.7M | 105,872 | $25.76 | 2,701 |
| Maintenance & repairs | $1.2M | $4.4M | 32,739 | $37.66 | 22,610 |
| Social service | $3.4M | $3.9M | 49,046 | $69.53 | 917 |
| Pharmacy | $2.5M | $3.6M | 44,346 | $56.13 | 2,400 |
| Nursing administration | $4.5M | $3.5M | 62,858 | $52.30 | 313 |
| Cafeteria | $2.9M | 493 | |||
| Central services & supply | $1.4M | $2.7M | 39,125 | $35.54 | 5,004 |
| Dietary | $2.9M | $1.7M | 110,781 | $11.90 | 5,000 |
| Medical records & library | $241,134 | 9,850 | |||
| I&r services-other prgm costs apprv | $232,886 | ||||
| Laundry & linen service | $53,601 | $71,557 | 2,142 | $25.02 | 1,922 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830585, 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 Winchester Hospital for an inpatient stay.
1.48
Case mix index
Higher than 25% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.01 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
10.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
4,311
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.34 | 1.34 | 1.37 | 1.41 | 1.42 | 1.41 | 1.48 |
| Wage index | 1.267 | 1.284 | 1.297 | 1.242 | 1.313 | 1.288 | 1.307 |
| Readmissions adjustment | -0.48% | -1.77% | -2.24% | -1.37% | -1.75% | -2.72% | -3.00% |
| Value-based purchasing adjustment | +0.41% | +1.05% | +1.05% | -0.18% | +0.73% | +0.69% | +0.96% |
| Medicare inpatient stays | 3,920 | 3,920 | 3,733 | 3,915 | 3,917 | 4,293 | 4,311 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Winchester Hospital reports to Medicare as owners or with operational control.
Beth Israel Lahey Health, Inc.
5% or greater direct ownership interest, 100%, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on Winchester 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 12 of 15 are shown.
| Name | Title |
|---|---|
| Tabb MD Kevin | CEO (ex-off) (CEO, Bilh) |
| Rios Cindy | Treas (ex-off) (exec VP & CFO, Bilh) |
| Katz Esq Jamie | Clerk (ex-off); Bilh General Counsel |
| Campbell RN MBA FACHE Al | President & Trustee (ex-officio) |
| Francioli Carl | Treas Ex-of; Bilh Intrm Cfo/bstn CFO |
| Zitkovsky MD Dana | Senior VP And Chief Medical Officer |
| Hinkle Mha Bsn RN Matthew | Chief Operating Officer |
| Woods Matthew | Asst Treas Ex-off, CFO; Bilh SVP Fin |
| Keaney Mpah RN Achce Karen | CNO And VP Of Patient Care Services |
| Robertson MPH Catharine | Vice President, Ambulatory Services |
| Taylor Elizabeth Beth | Exec Dir, Hr Business Partner |
| Glass Esq Hannah | Asst Clerk (asst Gen Counsel, Bilh) |
| Jones Tim | Ttee (ex-off) & Interim Pres |
| Smith Kevin F | Trustee & Chair |
| Tarby III Esq Joseph | Trustee & Vice Chair |
| Herndon MBA CPA FACHE Scott | Treas (ex-off) (exec VP & CFO, Bilh) |
Board members: Breckwoldt MD William, Carucci Dean, Mcalmon MD Karen, Taylor MD Joseph, Avellaneda Carolina, Derosa Cindy, Dubrow MD John, Duverne Herby, Fortunato MD Robert, Fuller MD Arlan, Martignetti John, Mccance William, Stott Gabrielle, Thurlow Julieann, Yadav Sujata.
Source: IRS Form 990 Part VII filed by Winchester Hospital (EIN 04-2104434), via the IRS e-file data. A health system's return can cover several hospitals.
Accountable care organization (Medicare Shared Savings Program)
BILH Performance Network Medicare ACO-1 LLC
ACO A5638, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Winchester Hospital's legal name.
About Winchester Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Winchester Hospital range from $736 to $1,933 across 2 insurers. Blue Cross Blue Shield's rate is $736. The median at nearby comparable hospitals is $804. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Winchester Hospital range from $489 to $8,498 across 3 insurers. UnitedHealthcare's rate is $8,498. The median at nearby comparable hospitals is $2,334. 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 Winchester Hospital range from $11,058 to $11,058 across 1 insurers. UnitedHealthcare's rate is $11,058. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Winchester Hospital range from $171 to $285 across 3 insurers. Blue Cross Blue Shield's rate is $221. The median at nearby comparable hospitals is $240. 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 Winchester Hospital range from $20,170 to $20,170 across 1 insurers. The median at nearby comparable hospitals is $16,912. What a patient pays depends on their plan's deductible, coinsurance and network status.
Winchester 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.
Yes. CMS counts 0.01 Medicare-funded residents per bed at Winchester Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Winchester Hospital's base inpatient payments by an estimated 3.00% 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 (327 discharges), heart failure and shock with mcc (221 discharges), respiratory infections and inflammations with mcc (209 discharges).
Winchester Hospital's Medicare case mix index is 1.48 for fiscal year 2027, higher than 25% of hospitals paid under the inpatient prospective payment system.
Winchester Hospital reported 12,276 inpatient discharges and 50,717 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Winchester Hospital reported 1,297 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Winchester Hospital reported $366M in net patient revenue on $963.4M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 4.0%, and net income of $44.9M.
Winchester Hospital reported $8.6M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $4.4M of charity care at cost.
Winchester Hospital's Medicare enrollment lists Alpheaus Campbell as President since 2023. Its 2024 IRS Form 990 lists Tabb MD Kevin as CEO (ex-off) (CEO, Bilh).
Insurers' price transparency files list Winchester Hospital under employer identification number 04-2104434 (Winchester Hospital). 60 health plans and networks list 04-2104434 for it.
1,316 clinicians who bill Medicare list Winchester Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (199), family nurse practitioner (95), physician assistant (90).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Winchester Hospital, effective 2011.
In its Medicare enrollment, Winchester Hospital reports Beth Israel Lahey Health, Inc. as 5% or greater direct ownership interest (100%).
CMS lists 39 services at Winchester Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Winchester Hospital came from ZIP codes 01801 (895), 02155 (705), 02180 (571).
Winchester Hospital has 183 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 189 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Winchester Hospital is located at 41 Highland Avenue, Winchester, MA 01890. Its main phone number is (781) 729-9000.
Winchester Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 220105.
The National Provider Identifier (NPI) on file for Winchester Hospital is 1790740777.
Winchester Hospital is affiliated with Lahey Health System.
Winchester Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
175 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