Review hospital intelligence surfaces

This page combines transparency readiness, chargemaster-cost gap context, enforcement exposure, and segment opportunity proxies for hospital planning workflows.

How to read this page

Start with O14. Use it to see where transparency coverage is strongest or weakest.

Use O15 and O16 next. They show markup context and enforcement pressure, not payer decisions.

Treat O17 as a proxy. Sparse or clustered points reflect limited segment coverage, not a broken chart.

States represented: 56 Matched hospitals: 100 Opportunity segments: 2

Source snapshot: cms.hospital-mrf-urls.v1@2026-04-06T16:52:31.741Z · Schema: intelligence.hospitals.transparency-score.v1

O14 · Transparency Completeness Score

State-level view combining MRF publication status, cost report presence, and enforcement context.

Observed support Coverage 100.00% Join success 100.00%

Transparency completeness scoring has full support across tracked state-level hospital records.

Support: 7,195 of 7,195 entities met support thresholds.

Snapshot cms.hospital-mrf-urls.v1@2026-04-06T16:52:31.741Z · Schema intelligence.hospitals.transparency-score.v1 · Generated 4/6/2026

State-level transparency readiness from published MRF links, cost report availability, and enforcement context.

Hospital must have state assignment in baseline MRF index
Coverage and score fields must resolve deterministically

State aggregates are contextual and do not score individual facilities for compliance outcomes.
Coverage depends on source index completeness and update timing.

Composition by category

Stacked horizontal bar chart showing Hospitals with published URL and Hospitals missing URL by category.

12 categories shown with stacked values for Hospitals with published URL and Hospitals missing URL.
FL has the highest combined total at 292.

Hospitals with published URL and Hospitals missing URL stacked share table
Category	Hospitals with published URL	Hospitals missing URL	Total
PA	221	59	280
UT	43	21	64
AL	79	43	122
WI	101	59	160
NC	86	54	140
FL	186	106	292
MD	62	23	85
SC	61	35	96
ID	32	22	54
AR	72	47	119
GA	117	72	189
HI	19	12	31

O15 · Cost vs Chargemaster Gap View

Facility-level spread between chargemaster markup context and cost-to-charge financial structure.

Derived support Coverage 84.63% Join success 84.63%

Cost-to-chargemaster gap view is derived context where complete payer dimensions are unavailable.

Support: 5,132 of 6,064 entities met support thresholds.

Snapshot cms.hospital-cost-reports.v1@2026-04-06T16:52:50.525Z · Schema intelligence.hospitals.cost-chargemaster-gap.v1 · Generated 4/6/2026

Hospital-level spread between chargemaster markup context and reported cost-to-charge structure.

Facility must have both cost-report and chargemaster context
Rows failing join criteria are excluded and tracked in support metrics

This is aggregate financial context and does not represent payer-specific contract terms.
Gap scores are directional signals and require facility-level validation.

Distribution + intensity

Bubble size represents weighted context volume.

Bubble chart plotting Cost-to-charge ratio (%) against Median markup (%) for 40 points. Bubble size represents weighted context volume.

40 bubble points shown.
New York-Presbyterian Hospital has the highest cost-to-charge ratio (%) at 22.68.
Cjw Medical Center has the highest median markup (%) at 1,769.86.

Cost-to-charge ratio (%) and Median markup (%) bubble chart table
Label	Cost-to-charge ratio (%)	Median markup (%)	Bubble size
Cjw Medical Center	6.36	1,769.86	6
Hca Florida North Florida Hospital	6.25	1,380.01	6
Upmc Presbyterian Shadyside	8.95	1,274.41	6
Hca Florida Ocala Hospital	6.75	1,177.77	6
Methodist Hospital	9.49	1,084.85	6
Cedars-Sinai Medical Center	11.41	1,030.55	6
St Luke's Hospital Bethlehem	9.85	915.01	6
Orlando Health Orlando Regional Medical Center	12.63	915.75	6
Lehigh Valley Hospital	13.35	776.45	6
Tampa General Hospital	15.24	751.03	6
Houston Methodist Hospital	15.71	704.87	6
Adventhealth Orlando	15.63	700.49	6
Hospital Of Univ Of Pennsylvania	14.14	674.84	6
Stanford Health Care	14.03	664.21	6
North Shore University Hospital	19.59	667.18	6
Robert Wood Johnson University Hospital	18.73	653.49	6
Northeast Georgia Medical Center, Inc	17.71	651.69	6
Gulf Coast Medical Center Lee Mem Health System	18.06	628.02	6
Wellstar Kennestone Regional Medical Center	14.92	617.57	6
Sarasota Memorial Hospital	16.94	603.3	6
University Of Colorado Hospital Authority	14.59	600.44	6
Nyu Langone Hospitals	15.6	594.09	6
Baptist Medical Center Jacksonville	18.08	586.53	6
Long Island Jewish Medical Center	19.31	587.3	6
St Francis Hospital, Roslyn	16	582.81	6
Saint Francis Medical Center	17.99	575.3	6
Huntsville Hospital	18.27	570.78	6
Montefiore Medical Center	17.38	569.85	6
Norton Hospital / Norton Healthcare Pavilion / Nor	21.85	563.23	6
Cleveland Clinic Martin North Hospital	15.96	542.88	6
University Of Alabama Hospital	19.76	544.88	6
Vanderbilt University Medical Center	21.53	546.1	6
Toledo Hospital The	17.39	530.57	6
Memorial Mission Hospital And Asheville Surgery Ce	19.03	531.66	6
University Of California Davis Medical Center	22.39	531.13	6
The University Of Chicago Medical Center	18.65	526.88	6
Morristown Medical Center	19.54	525.32	6
Northwestern Memorial Hospital	16.91	513.83	6
New York-Presbyterian Hospital	22.68	508.5	6
Baptist Memorial Hospital	18.82	503.45	6

Click a bubble to open the facility profile. If chart interaction is limited in your browser, use one of the direct links below.

Cjw Medical Center Hca Florida North Florida Hospital Upmc Presbyterian Shadyside Hca Florida Ocala Hospital Methodist Hospital

O16 · Enforcement Exposure Tracker

State exposure score where enforcement actions and low MRF publication overlap.

Observed support Coverage 100.00% Join success 100.00%

Enforcement exposure has full support for tracked states with deterministic scoring inputs.

Support: 8,531 of 8,531 entities met support thresholds.

Snapshot cms.price-transparency-enforcement.v1@2026-04-06T16:52:55.611Z · Schema intelligence.hospitals.enforcement-exposure.v1 · Generated 4/6/2026

State-level enforcement intensity combined with MRF availability to estimate transparency exposure pressure.

Enforcement rows require valid state and action metadata
State exposure score must include publication-coverage context

Exposure score is directional planning context, not a legal determination.
Enforcement activity timing and publication status may update asynchronously.

Compare two measures

Horizontal bar chart comparing All actions and Recent actions across 12 categories.

12 categories compared across All actions and Recent actions.
FL has the highest all actions at 655.
FL has the highest recent actions at 577.

All actions and Recent actions comparison table
Category	All actions	Recent actions
NV	210	171
DE	50	41
DC	43	30
NJ	235	185
VT	37	32
NH	78	48
FL	655	577
VI	3	3
CO	204	189
NC	271	247
MA	188	168
MI	323	313

O17 · Payer Opportunity Matrix (Proxy)

Segment-level opportunity proxy using markup and operating margin context where payer dimensions are unavailable.

This chart is rendering a very small number of segment bubbles right now. The empty space reflects low data density in the current public proxy, not a failed load.

Derived support Coverage 78.50% Join success 78.49%

Opportunity matrix is derived from proxy segment scoring where direct payer dimensions are incomplete.

Support: 4,760 of 6,064 entities met support thresholds.

Snapshot cms.hospital-cost-reports.v1@2026-04-06T16:52:50.525Z · Schema intelligence.hospitals.payer-opportunity-matrix.v1 · Generated 4/6/2026

Segment-level opportunity proxy across hospital control/provider groups using markup and operating-margin context.

Segment rows require markup and operating-margin context
Use as sequencing input, not payer-level conclusion

Payer dimensions are not present; this is a segment proxy and not payer-specific strategy output.
Opportunity bands are heuristic and require local contract validation.

Distribution + intensity

Bubble size represents weighted context volume.

Bubble chart plotting Median operating margin (%) against Median markup (%) for 2 points. Bubble size represents weighted context volume.

2 bubble points shown.
Control 2 · Provider 1 has the highest median operating margin (%) at -5.88.
Control 2 · Provider 1 has the highest median markup (%) at 414.79.

Median operating margin (%) and Median markup (%) bubble chart table
Label	Median operating margin (%)	Median markup (%)	Bubble size
Control 2 · Provider 1	-5.88	414.79	33.5
Control 10 · Provider 1	-7.17	366.66	5.5

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Boundary

State-level transparency readiness from published MRF links, cost report availability, and enforcement context.

Supports state-prioritized hospital transparency reviews before deep facility-level investigation.

State aggregates are contextual and do not score individual facilities for compliance outcomes.
Coverage depends on source index completeness and update timing.

Open all visuals on one page Open knowledge graph How to interpret hospital intelligence Medicaid code variance by state Back to Intelligence Hub

Category	Hospitals with published URL	Hospitals missing URL	Total
PA	221	59	280
UT	43	21	64
AL	79	43	122
WI	101	59	160
NC	86	54	140
FL	186	106	292
MD	62	23	85
SC	61	35	96
ID	32	22	54
AR	72	47	119
GA	117	72	189
HI	19	12	31

Category	All actions	Recent actions
NV	210	171
DE	50	41
DC	43	30
NJ	235	185
VT	37	32
NH	78	48
FL	655	577
VI	3	3
CO	204	189
NC	271	247
MA	188	168
MI	323	313

Category	Hospitals with published URL	Hospitals missing URL	Total
PA	221	59	280
UT	43	21	64
AL	79	43	122
WI	101	59	160
NC	86	54	140
FL	186	106	292
MD	62	23	85
SC	61	35	96
ID	32	22	54
AR	72	47	119
GA	117	72	189
HI	19	12	31

Category	All actions	Recent actions
NV	210	171
DE	50	41
DC	43	30
NJ	235	185
VT	37	32
NH	78	48
FL	655	577
VI	3	3
CO	204	189
NC	271	247
MA	188	168
MI	323	313

Category	Hospitals with published URL	Hospitals missing URL	Total
PA	221	59	280
UT	43	21	64
AL	79	43	122
WI	101	59	160
NC	86	54	140
FL	186	106	292
MD	62	23	85
SC	61	35	96
ID	32	22	54
AR	72	47	119
GA	117	72	189
HI	19	12	31

Category	All actions	Recent actions
NV	210	171
DE	50	41
DC	43	30
NJ	235	185
VT	37	32
NH	78	48
FL	655	577
VI	3	3
CO	204	189
NC	271	247
MA	188	168
MI	323	313