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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Capital Region Medical Center

University of Missouri Health Care · Jefferson City, MO

1125 Madison Street, Jefferson City, MO 65101(573) 632-5000

114

Beds

2,426

Inpatient discharges a year

$116.1M

Net patient revenue a year

24

In-network payers

About this hospital

Capital Region Medical Center is a 114-bed voluntary non-profit - private hospital in Jefferson City, MO, affiliated with University of Missouri Health Care. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 422 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • Helipad
CCN
260047
NPI
1174597892
Website
crmc.org
Health system
University of Missouri Health Care
Teaching
Teaching hospital
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)

Prices for common services

The 24 services Capital Region Medical 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,489 - $17,192

from 4 insurers · median $6,000

Cigna$17,192
Insurer A*$3,489
Insurer B*$4,962
Insurer C*$7,038

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$4,810 - $24,210

from 4 insurers · median $9,407

Cigna$24,210
Insurer A*$4,810
Insurer B*$7,057
Insurer C*$11,758

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 obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$11,089 - $49,187

from 4 insurers · median $19,466

Aetna$15,171
Insurer A*$11,089
Insurer B*$23,761
Insurer C*$49,187
Medicare $12,808Nearby hospitals $19,287In line with nearby hospitals

38 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$56,503 - $244,570

from 4 insurers · median $84,822

Aetna$75,048
Insurer A*$56,503
Insurer B*$94,596
Insurer C*$244,570
Medicare $90,833Nearby hospitals $102,36917% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at Capital Region Medical 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*24
209%
183
Insurer B*18
186%
59
Insurer C*22
83%
711
Insurer D*7
48%
31

How we chose these services: 1 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 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 Capital Region Medical 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)
Aspirus Health PlanBanner HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Capital Region Medical 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
44-0546366Capital Region Medical Center40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 35 more1174597892 Curators Of The University Of Missouri1477980837 Capital Region Medical Center1700043791 Capital Region Medical Centerand 36 more
43-6003859(multi-state) Curators of the University of Missouri24Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 19 more1679664718 Curators Of The University Of Missouri1699769901 Curators Of The University Of Missouri1639291263 Curators Of The University Of Missouriand 51 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

1125 Madison Street, Jefferson City, MO 65101

(573) 632-5000

Get directions

Frequently asked questions

About Capital Region Medical Center's rates and hospital price transparency.

How much does an MRI cost at Capital Region Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Capital Region Medical Center range from $278 to $770 across 2 insurers. UnitedHealthcare's rate is $278. The median at nearby comparable hospitals is $657. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Capital Region Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Capital Region Medical Center range from $278 to $534 across 2 insurers. UnitedHealthcare's rate is $278. The median at nearby comparable hospitals is $575. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Capital Region Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Capital Region Medical Center range from $2,110 to $2,789 across 3 insurers. Blue Cross Blue Shield's rate is $2,268. The median at nearby comparable hospitals is $1,193. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Capital Region Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Capital Region Medical Center range from $3,489 to $17,192 across 4 insurers. Cigna's rate is $17,192. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Capital Region Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Capital Region Medical Center range from $79 to $199 across 2 insurers. UnitedHealthcare's rate is $79. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Capital Region Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Capital Region Medical Center range from $11,089 to $49,187 across 4 insurers. Aetna's rate is $15,171. The median at nearby comparable hospitals is $19,287. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Capital Region Medical Center a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Capital Region Medical Center for fiscal year 2026, so it is a teaching hospital.

Does Medicare penalize Capital Region Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Capital Region Medical Center's base inpatient payments by an estimated 0.21% in fiscal year 2026 for more readmissions than expected.

What is Capital Region Medical Center's case mix index?

Capital Region Medical Center's Medicare case mix index is 1.43 for fiscal year 2026, higher than 19% of hospitals paid under the inpatient prospective payment system.

How many patients does Capital Region Medical Center admit?

Capital Region Medical Center reported 2,426 inpatient discharges and 8,371 inpatient days from Jul 1, 2023 to Dec 31, 2023.

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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • Missing, duplicate and outdated charge lines identified
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