Decatur, IN
34
In-network payers
182
Disclosed rate categories
25
Beds
3
Care quality
Adams Memorial Hospital is a 25-bed government - local hospital in Decatur, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 182 disclosed rate categories.
CCN (Medicare provider number)
151330
NPI
1689696148
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Adams 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.
CT imaging
CPT 74177
$162 - $2,155
from 4 insurers · median $1,743
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,771 - $2,895
from 4 insurers · median $2,376
Typical for a hospital with this service line
Gynecology
CPT 58571
$10,860 - $25,996
from 2 insurers · median $18,428
Typical for a hospital with this service line
CT imaging
CPT 70450
$177 - $930
from 4 insurers · median $484
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$10,860 - $16,806
from 2 insurers · median $13,833
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$355 - $2,915
from 3 insurers · median $2,161
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,948 - $28,972
from 2 insurers · median $16,960
Typical for a hospital with this service line
CT imaging
CPT 74176
$90 - $1,579
from 4 insurers · median $1,000
Typical for a hospital with this service line
CT imaging
CPT 71260
$272 - $1,615
from 4 insurers · median $1,326
Typical for a hospital with this service line
Mammography
CPT 77067
$194 - $301
from 4 insurers · median $264
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,025 - $2,501
from 4 insurers · median $2,053
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,034 - $3,635
from 4 insurers · median $3,325
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45380
$635 - $2,915
from 3 insurers · median $1,836
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$32 - $228
from 4 insurers · median $201
Typical for a hospital with this service line
MRI imaging
CPT 70551
$699 - $1,859
from 4 insurers · median $1,390
Typical for a hospital with this service line
MRI imaging
CPT 72148
$435 - $1,726
from 4 insurers · median $1,313
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$139 - $160
from 3 insurers · median $154
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$10,860 - $14,725
from 2 insurers · median $12,792
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$326 - $2,915
from 3 insurers · median $1,730
Typical for a hospital with this service line
MRI imaging
CPT 72197
$1,272 - $2,639
from 4 insurers · median $2,166
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,596 - $10,860
from 2 insurers · median $7,228
Typical for a hospital with this service line
Ultrasound
CPT 76536
$83 - $697
from 4 insurers · median $638
Typical for a hospital with this service line
Ultrasound
CPT 76642
$227 - $534
from 4 insurers · median $429
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$176 - $559
from 4 insurers · median $511
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* | 16 | 626% | 5 | 7 |
| Insurer B* | 24 | 424% | 14 | 10 |
| Insurer C* | 24 | 294% | 11 | 5 |
| Insurer D* | 18 | 225% | 14 | 4 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Adams Memorial Hospital.
1100 Mercer Avenue, Decatur, IN 46733
(260) 724-2145
The nearest hospitals of similar type and size. Their rates are compared with Adams Memorial Hospital for the same insurers and services above.
Iu Health Jay Hospital
â–¼ Rates typically 11% lower than Adams Memorial Hospital (19 services)
Paulding County Hospital
â–² Rates typically 17% higher than Adams Memorial Hospital (22 services)
Iu Health Blackford Hospital
â–¼ Rates typically 31% lower than Adams Memorial Hospital (11 services)
Community Memorial Hospital
Too few shared services to compare rates
Promedica Defiance Regional Hospital
â–² Rates typically 14% higher than Adams Memorial Hospital (24 services)
St. Vincent Randolph
â–¼ Rates typically 63% lower than Adams Memorial Hospital (24 services)
St. Vincent Jennings
Iu Health Paoli Hospital
Community Hospital Of Bremen
Parkview Lagrange Hospital
About Adams Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Adams Memorial Hospital range from $1,025 to $2,501 across 4 insurers. Cigna's rate is $2,501. The median at nearby comparable hospitals is $1,559. 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 Adams Memorial Hospital range from $162 to $2,155 across 4 insurers. Aetna's rate is $2,025. The median at nearby comparable hospitals is $1,278. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adams Memorial Hospital range from $635 to $2,915 across 3 insurers. Blue Cross Blue Shield's rate is $1,836. The median at nearby comparable hospitals is $3,319. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adams Memorial Hospital range from $194 to $301 across 4 insurers. Cigna's rate is $269. The median at nearby comparable hospitals is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.
Adams Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Adams Memorial Hospital is located at 1100 Mercer Avenue, Decatur, IN 46733. Its main phone number is (260) 724-2145.
Adams Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151330.
The National Provider Identifier (NPI) on file for Adams Memorial Hospital is 1689696148.
Adams Memorial Hospital lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
182 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.
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{
"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