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Short Term Acute Care HospitalGovernment - Local

Bothwell Regional Health Center

Sedalia, MO

601 East 14th Street, Sedalia, MO 65301(660) 826-8833

4 of 5

CMS star rating

71

Beds

2,742

Inpatient discharges a year

$177.9M

Net patient revenue a year

27

In-network payers

About this hospital

Bothwell Regional Health Center is a 71-bed government - local hospital in Sedalia, MO. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 178 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
260009
NPI
1235102690
Teaching
Teaching hospital
County
Pettis County
Metro area
Sedalia, MO MicroSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Bothwell Regional Health Center 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$346 - $4,247

from 3 insurers · median $2,923

Aetna$4,247
Insurer A*$346
Insurer B*est.$2,923
Medicare $348Nearby hospitals $1,59483% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,881 - $4,994

from 2 insurers · median $4,437

UnitedHealthcare$3,881
Insurer A*$4,994

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,887 - $10,372

from 2 insurers · median $8,130

UnitedHealthcare$5,887
Insurer A*$10,372

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

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$542 - $1,639

from 4 insurers · median $784

Blue Cross$542
Insurer A*$551
Insurer B*est.$1,017
Insurer C*est.$1,639
Medicare $544Nearby hospitals $8599% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Bothwell Regional Health Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
253%
106
Insurer B*10
233%
51
Insurer C*13
102%
67
Insurer D*24
97%
120

How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 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 Bothwell Regional Health Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 198 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.38%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 34 services
    • 394 affiliated clinicians
    See doctors and services
  • Finances

    $177.9M net patient revenue

    • Operating margin on patient care 2.8%
    • $6.2M unreimbursed and uncompensated care
    • -$7.6M net income
    See finances
  • Ownership and leadership

    Owned by Bothwell Regional Health Center

    • Local
    • Lori L Wightman, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Bothwell Regional Health Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
44-0552490Bothwell Regional Health Center53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more1235102690 Bothwell Regional Health Center1548439094 Bothwell Regional Health Center1871568790 Bothwell Regional Health Centerand 16 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.

Location

601 East 14th Street, Sedalia, MO 65301

(660) 826-8833

Get directions

Frequently asked questions

About Bothwell Regional Health Center's rates and hospital price transparency.

How much does an MRI cost at Bothwell Regional Health Center?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Bothwell Regional Health Center range from $270 to $2,185 across 3 insurers. Aetna's rate is $2,185. The median at nearby comparable hospitals is $777. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Bothwell Regional Health Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Bothwell Regional Health Center range from $346 to $4,247 across 3 insurers. Aetna's rate is $4,247. The median at nearby comparable hospitals is $1,594. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Bothwell Regional Health Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Bothwell Regional Health Center range from $1,188 to $1,505 across 2 insurers. Blue Cross Blue Shield's rate is $1,188. The median at nearby comparable hospitals is $2,023. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Bothwell Regional Health Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Bothwell Regional Health Center range from $3,881 to $4,994 across 2 insurers. UnitedHealthcare's rate is $3,881. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Bothwell Regional Health Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Bothwell Regional Health Center range from $31 to $210 across 4 insurers. Cigna's rate is $137. The median at nearby comparable hospitals is $141. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Bothwell Regional Health Center's CMS star rating?

Bothwell Regional Health Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Bothwell Regional Health Center a teaching hospital?

Yes. CMS counts 0.06 Medicare-funded residents per bed at Bothwell Regional Health Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Bothwell Regional Health Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Bothwell Regional Health Center's base inpatient payments by an estimated 0.38% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Bothwell Regional Health Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (94 discharges), heart failure and shock with mcc (72 discharges), simple pneumonia and pleurisy with mcc (41 discharges).

What is Bothwell Regional Health Center's case mix index?

Bothwell Regional Health Center's Medicare case mix index is 1.53 for fiscal year 2027, higher than 32% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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