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  • Financial data for hospital cost report period ending 04/30/2023 (HCRIS 774967 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2023 (Proposed rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Highpoint Health-Sumner

Gallatin, TN  37066
CMS Certification Number: 440003

Identification and Characteristics

Name and Address: Highpoint Health-Sumner
555 Hartsville Pike
Gallatin, TN  37066
Telephone Number: (615) 328-8888
Hospital Website:
CMS Certification Number: 440003
   
Type of Facility: Short Term Acute Care
Type of Control: Proprietary, Corporation
Total Staffed Beds: 167
   
Total Patient Revenue: $1,042,629,975
Total Discharges: 6,478
Total Patient Days: 27,450
TPS Quality Score: 21.25
Patient Experience Rating: **...
Profile Compare
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Notes



Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Coronary Interventions
Vascular Intervention
Emergency Services
Emergency Department
Neurosciences
Electroencephalography (EEG)
Sleep Studies
Oncology Services
Chemotherapy
Radiation Therapy
Orthopedic Services
Spine Surgery
Other Services
Hemodialysis
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Speech Therapy
Special Care
Intensive Care Unit (ICU)
Subprovider Units
Psychiatric
Rehabilitation
Surgery
Inpatient Surgery
Radiosurgery
Robotic Surgery
Wound Care
Hyperbaric Oxygen
Wound Care

Joint Commission Accreditation

  • Current Status: 03/19/2022 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level III Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Cardiology 389 3.35 $51,425 1.1230
Cardiovascular Surgery 36 3.56 $132,280 2.8833
Medicine 655 5.10 $69,635 1.4755
Neurology 140 5.14 $59,410 1.3145
Oncology 25 3.40 $54,577 1.4077
Orthopedic Surgery 85 4.69 $116,804 2.6133
Orthopedics 131 6.89 $56,876 1.0802
Psychiatry 12 4.17 $51,575 1.5262
Pulmonology 241 3.73 $59,156 1.3293
Surgery 78 7.51 $147,350 3.8596
Urology 163 3.96 $52,823 1.2184
Total 1,968 4.63 $67,895 1.5012
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
37066 1,722 7,305 $125,815,792 5.3% 51.5%
37148 430 2,022 $34,830,047 12.0% 34.5%
37186 323 1,401 $25,567,530 43.6% 53.6%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5623 Level 3 Radiation Therapy 122 $2,679 $209
5024 Level 4 Type A ED Visits 1,009 $2,532 $268
5025 Level 5 Type A ED Visits 623 $3,720 $394
8011 Comprehensive Observation Services 120 $3,622 $383
5594 Level 4 Nuclear Medicine and Related Services 172 $20,684 $2,267
5593 Level 3 Nuclear Medicine and Related Services 177 $10,697 $1,172
5375 Level 5 Urology and Related Services 46 $13,831 $1,676
5312 Level 2 Lower GI Procedures 177 $4,737 $369
5626 Level 6 Radiation Therapy 33 $9,442 $736
5361 Level 1 Laparoscopy and Related Services 34 $37,361 $4,528
8006 CT and CTA with Contrast Composite 408 $14,562 $269
5193 Level 3 Endovascular Procedures 17 $41,643 $3,924
5572 Level 2 Imaging with Contrast 461 $9,312 $216
5191 Level 1 Endovascular Procedures 55 $21,041 $976
5522 Level 2 Imaging without Contrast 1,409 $2,146 $103
5693 Level 3 Drug Administration 712 $409 $33
5524 Level 4 Imaging without Contrast 288 $2,705 $211
5771 Cardiac Rehabilitation 172 $455 $35
5613 Level 3 Therapeutic Radiation Treatment Preparation 87 $8,505 $663
5612 Level 2 Therapeutic Radiation Treatment Preparation 125 $2,039 $159

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 120 20,412
Special Care 18 5,587
Nursery 1,451
Total Hospital 167 29,754
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $1,042,629,975 99.6
Non-Patient Revenue $3,727,402 0.4
Total Revenue $1,046,357,377  
Net Income (or Loss) $-693,797 -0.1
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