Appleton City, MO
Not rated by CMS
CMS star rating
12
Beds
85
Inpatient discharges a year
$10.3M
Net patient revenue a year
31
In-network payers
Ellett Memorial Hospital is a 12-bed government - hospital district or authority hospital in Appleton City, MO. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 175 disclosed rate categories.
The 24 services Ellett 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, or start a free trial.
Cardiology and vascular testing
CPT 93306
$244 - $1,351
from 4 insurers · median $1,351
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$33 - $238
from 4 insurers · median $238
Typical for a hospital with this service line
CT imaging
CPT 74177
$270 - $310
from 4 insurers · median $270
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$275 - $918
from 4 insurers · median $918
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$10 - $164
from 4 insurers · median $164
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$378 - $1,101
from 4 insurers · median $1,101
Typical for a hospital with this service line
CT imaging
CPT 70450
$108 - $193
from 4 insurers · median $193
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$937 - $937
from 3 insurers · median $937
Typical for a hospital with this service line
Ultrasound
CPT 76830
$118 - $637
from 4 insurers · median $637
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$144 - $613
from 4 insurers · median $613
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$8 - $116
from 4 insurers · median $116
Typical for a hospital with this service line
CT imaging
CPT 74176
$186 - $258
from 4 insurers · median $258
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$280 - $937
from 4 insurers · median $937
Typical for a hospital with this service line
MRI imaging
CPT 70553
$528 - $533
from 4 insurers · median $528
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$34 - $266
from 4 insurers · median $266
Typical for a hospital with this service line
CT imaging
CPT 71275
$257 - $281
from 4 insurers · median $281
Typical for a hospital with this service line
Ultrasound
CPT 76536
$109 - $481
from 4 insurers · median $481
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$234 - $853
from 4 insurers · median $853
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$34 - $259
from 4 insurers · median $259
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$36 - $258
from 4 insurers · median $258
Typical for a hospital with this service line
Mammography
CPT 77067
$125
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$788 - $2,332
from 4 insurers · median $2,332
Typical for a hospital with this service line
Laboratory and pathology
CPT 80048
$8 - $115
from 4 insurers · median $115
Typical for a hospital with this service line
MRI imaging
CPT 73721
$337 - $454
from 4 insurers · median $454
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* | 23 | 266% | 16 | 7 |
| Insurer B* | 23 | 266% | 9 | 9 |
| Insurer C* | 23 | 266% | 11 | 11 |
| Insurer D* | 23 | 96% | 0 | 23 |
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 Ellett Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
17 services
Finances
$10.3M net patient revenue
Ownership and leadership
Owned by Citizens Memorial Hospital District
The employer identification numbers (EINs) health plans and networks list for Ellett Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 43-0906258Ellett Memorial Hospital | 51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more | 1609894716 Community Memorial Hospital District1053444687 Community Memorial Hospital1629250758 Community Memorial Hospital Districtand 4 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.
610 North Ohio Avenue, Appleton City, MO 64724
(660) 476-2111
How Ellett Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Would definitely recommend
79%
Higher than 75% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Time in the ER before going home
107 min
Lower than 85% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 79% | 2024-10-01 to 2025-09-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 107 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Ellett Memorial Hospital, beside the US median and the average of MO hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.203 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 33 cases | 4 | 3.9 | 3.991 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.96 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.622 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.708 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.68 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.5 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.03 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.5582 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 181 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2094 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2774 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.312 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.849 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.388 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.071 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.763 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.029 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 0.9777 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.15 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 2.001 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 0.788 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 13.12 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.318 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.9815 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.32 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.43 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 20.11 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.62 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.12 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.28 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.28 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.027 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 84 | 1,370 | 4,135 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.022 | 0.9835 | 4.122 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.604 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6608 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2046 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.947 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 152 | 1,799 | 3,878 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.099 | 1.377 | 4.807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5467 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3088 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.21 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 126 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.466 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.877 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8248 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2664 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.522 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 93.8 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.829 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.8929 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.061 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2979 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.478 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 937 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.019 | 0.567 | 2.861 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.978 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8703 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1657 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.229 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 937 | 13,646 | 38,342 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.206 | 5.683 | 24.41 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.022 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3843 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 28 cases | 92 | 73 | 72.59 | Better than 98% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 28 cases | 7 | 8 | 9.344 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 28 cases | 1 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 85.78 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.297 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 28 cases | 84 | 80 | 79.3 | Better than 74% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 91.27 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 28 cases | 0 | 4 | 3.882 | The best result, shared by 4% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.392 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 28 cases | 16 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 28 cases | 84 | 79 | 79.32 | Better than 76% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 90.65 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 28 cases | 0 | 5 | 5.032 | The best result, shared by 3% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.095 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 28 cases | 16 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 28 cases | 72 | 61 | 60.96 | Better than 88% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 76.66 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 28 cases | 7 | 19 | 18.89 | Better than 96% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 2.689 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 · 28 cases | 21 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 86.27 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 28 cases | 7 | 13 | 13.38 | Better than 93% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.432 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 28 cases | 93 | 87 | 86.62 | Better than 93% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 28 cases | Not Available | 14.94 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 28 cases | Not Available | 85.06 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 73.49 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 6.488 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 20.02 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 77.34 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 5.549 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 17.11 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 85.12 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 3.463 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 11.41 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 28 cases | 5 | 8 | 7.366 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 28 cases | 10 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 28 cases | 85 | 72 | 72.23 | Better than 91% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 88.41 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.405 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 28 cases | Not Available | 73.17 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 28 cases | Not Available | 9.915 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 28 cases | Not Available | 16.91 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 73.79 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 5.598 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 28 cases | Not Available | 20.61 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 75.55 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 4.585 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 28 cases | Not Available | 19.87 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 85.67 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 2.427 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 28 cases | Not Available | 11.9 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 28 cases | 53 | 59 | 60.98 | Worse than 71% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 28 cases | 12 | 9 | 8.344 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 28 cases | 35 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 82.92 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.568 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 28 cases | 0 | 5 | 5.892 | The best result, shared by 4% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 28 cases | 79 | 71 | 70.75 | Better than 75% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 87.14 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 28 cases | 21 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.662 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 28 cases | Not Available | 45.78 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 28 cases | Not Available | 29.67 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 28 cases | Not Available | 24.55 | |||
| Summary star rating2024-10-01 to 2025-09-30 · 28 cases | Not Applicable | 3.311 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 28 cases | Not Available | 12.12 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 28 cases | Not Available | 87.88 |
How often the hospital gave recommended care, and how fast.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.941 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.026 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2857 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 111 cases | 30 | 79 | 81.12 | Worse than 97% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 249 cases | 122 | 154 | 167 | Better than 77% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 213 cases | 107 | 148 | 161 | Better than 85% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 273 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 28 cases | 189 | 293 | 288 | Better than 91% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 1,412 cases | 0 | 1 | 2.18 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 72.93 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 95.34 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 98 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 55.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 29 cases | 34 | 15 | 17.13 | Worse than 99% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 61.69 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 66.69 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.85 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 78.59 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.68 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.61 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 0 cases | Not Available | 69.14 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 95.06 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 113 cases | 32 | 90 | 83.25 | Worse than 96% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 0 cases | Not Available | 95.05 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 5.293 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.538 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Ellett Memorial Hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.981 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Not accredited
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
12
Medicare-certified beds
7
Registered nurses (full-time equivalent)
1999
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Ellett Memorial Hospital reported to Medicare in its latest cost report, covering Jun 1, 2024 to May 31, 2025.
85
Inpatient discharges
Medicare 49%, Medicaid 4%
899
Inpatient days
21% of available bed days used
67
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 821761). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Ellett Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 435 | 6 | 458 | 899 |
| Discharges | 42 | 3 | 40 | 85 |
| Average length of stay | 10.4 days | 2.0 days | 11.4 days | 10.6 days |
| Average daily census | 1.2 | 0.0 | 1.3 | 2.5 |
100
Medicare Advantage days
28 discharges
92
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 12 | 262 | 115 | 6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
ZIP codes with the most Medicare inpatient stays at Ellett Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 48 in 2020 to 17 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 64724 | 17 | 100% | 49 | $188,736 | 33% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 17 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Ellett Memorial Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
1
Endoscopy rooms
7
Registered nurses
3
Licensed practical nurses
2
Physicians
3
Nurse practitioners
1
Pharmacists
2
Respiratory therapists
6
Radiology technicians
4
Laboratory technicians
2
Medical technologists
45
Other personnel
Source: CMS Provider of Services file.
16 clinicians who bill Medicare list Ellett Memorial Hospital as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Jonathan Gray, D.O
Orthopaedic Surgery Physician
NPI 1578798054
See commercial rates for Jonathan Gray, D.OJeffrey Bissing, D.O.
Cardiovascular Disease Physician
NPI 1366441545
See commercial rates for Jeffrey Bissing, D.O.Farid Namin, MD
Gastroenterology Physician
NPI 1770546483
See commercial rates for Farid Namin, MDErin Stilson, APRN
Nurse Practitioner
NPI 1922790534
See commercial rates for Erin Stilson, APRNHeather Dains, FNP-BC
Nurse Practitioner
NPI 1760967533
See commercial rates for Heather Dains, FNP-BCJonathan Blake, D.O.
Orthopaedic Surgery Physician
NPI 1598739708
See commercial rates for Jonathan Blake, D.O.Stacey Dobbs, FNP
Family Nurse Practitioner
NPI 1750796082
See commercial rates for Stacey Dobbs, FNPJerad Widman, M.D.
Family Medicine Physician
NPI 1083655039
See commercial rates for Jerad Widman, M.D.Laura Noble, FNP-BC
Family Nurse Practitioner
NPI 1164875191
See commercial rates for Laura Noble, FNP-BCKendrick Maus, NP
Family Nurse Practitioner
NPI 1992367502
See commercial rates for Kendrick Maus, NPPaul Kramer, DO
Emergency Medicine Physician
NPI 1407848351
See commercial rates for Paul Kramer, DODavid John, MD
Rheumatology Physician
NPI 1568424174
See commercial rates for David John, MDJamie O'Farrell, FNP-BC
Family Nurse Practitioner
NPI 1437604592
See commercial rates for Jamie O'Farrell, FNP-BCJames Miller, DO
Family Medicine Physician
NPI 1568443935
See commercial rates for James Miller, DOChristopher Maxwell, MD
Family Medicine Physician
NPI 1740278464
See commercial rates for Christopher Maxwell, MDJared Nichols, D.O.
Neuromusculoskeletal Medicine & OMM Physician
NPI 1982018727
See commercial rates for Jared Nichols, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Ellett Memorial Hospital reported to Medicare for Jun 1, 2024 to May 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $11.6M | 112.5% |
| Inpatient | $2.5M | 24.0% |
| Outpatient | $9.2M | 88.6% |
| Contractual allowances and discounts | -$1.3M | -12.5% |
| Net patient revenue | $10.3M | 100.0% |
| Operating expenses | -$10.9M | -105.9% |
| Operating income from patient care | -$607,684 | -5.9% |
| Other income | $1.5M | 14.5% |
| Contributions and donations | $147,767 | 1.4% |
| Investment income | $335,793 | 3.2% |
| Government appropriations | $259,698 | 2.5% |
| Other | $757,546 | 7.3% |
| Net income | $893,120 | 8.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2.3M | 20.8% |
| Medicaid (including managed care) | $1.6M | 14.4% |
| Other payers and self-pay | $7.1M | 64.8% |
| Total charges | $10.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Ellett Memorial Hospital's latest cost report.
-5.9%
Operating margin
Operating income from patient care / net patient revenue
7.5%
Total margin
Net income / net patient revenue plus other income
13.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
6.2%
Return on assets
Net income for a year / total assets
11.8%
Return on equity
Net income for a year / fund balance
0.58
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.85
Current ratio
Current assets / current liabilities
0.73
Quick ratio
Cash, temporary investments and net receivables / current liabilities
23 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
34 days
Days in patient receivables
Net patient receivables / daily net patient revenue
78 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.83
Asset turnover
Total revenue for a year / total assets
18.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Ellett Memorial Hospital owned and owed at the end of its reporting period (May 2025), across all fund types: $14.3M in total assets and a $7.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $649,247 | 4.5% |
| Patient receivables, net | $963,489 | 6.7% |
| Inventory | $157,453 | 1.1% |
| Total current assets | $1.9M | 13.2% |
| Property and equipment, net of depreciation | $1.8M | 12.4% |
| Investments and other assets | $10.7M | 74.4% |
| Total assets | $14.3M | 100.0% |
| Current liabilities | $2.2M | 15.5% |
| Long-term debt | $4.4M | 30.5% |
| Total liabilities | $6.8M | 47.2% |
| Fund balance (net assets) | $7.6M | 52.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Ellett Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$532,965
Bad debt
Patient bills written off as uncollectible, at charges
$610,423
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.2M
Total unreimbursed and uncompensated care
10.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Ellett Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | May 2020 | May 2021 | May 2022 | May 2023 | May 2024 | May 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $8.9M | $10.4M | $11.5M | $10.3M | $10.1M | $10.3M |
| Operating expenses | $8.9M | $9.5M | $10.1M | $10.3M | $10.3M | $10.9M |
| Operating margin | -0.2% | 9.2% | 12.1% | -0.3% | -1.7% | -5.9% |
| Net income | $560,644 | $3.1M | $2.5M | $1.5M | $650,601 | $893,120 |
| Total assets | $12.9M | $14.6M | $12.6M | $12.4M | $13.3M | $14.3M |
| Discharges | 94 | 114 | 130 | 60 | 66 | 85 |
| Inpatient days | 675 | 818 | 847 | 786 | 732 | 899 |
| Medicare Advantage days | 62 | 55 | 78 | 40 | 41 | 100 |
| Beds | 25 | 25 | 25 | 25 | 25 | 12 |
| Employees (FTE) | 65 | 62 | 62 | 68 | 69 | 67 |
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Ellett Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $1.4M | $2.6M | $1.3M | 1.90 | |
| Rural health clinic | $551,686 | $1.6M | $941,992 | 1.74 | |
| Laboratory | $423,861 | $1.3M | $1.9M | 0.68 | 809 |
| Radiology-diagnostic | $345,849 | $1.1M | $2.2M | 0.49 | |
| Operating room | $158,281 | $542,192 | $340,277 | 1.59 | 3,098 |
| Respiratory therapy | $209,384 | $480,062 | $382,933 | 1.25 | 308 |
| Drugs charged to patients | $30,704 | $372,874 | $686,520 | 0.54 | 448 |
| Observation beds (non-distinct part | $311,813 | $157,564 | 1.98 | ||
| Physical therapy | $279,829 | $370,339 | 0.76 | 497 | |
| Ambulance services | $34,156 | $165,226 | $845,889 | 0.20 | |
| Occupational therapy | $109,200 | $185,847 | 0.59 | 248 | |
| Medical supplies charged to patient | $78,906 | $313,747 | 0.25 | ||
| Anesthesiology | $43,038 | $90,480 | 0.48 | ||
| Speech pathology | $31,830 | $12,300 | 2.59 | 341 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $3.3M | $1.1M | 3.06 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $354,329 | $3.5M | 5,675 | ||
| Employee benefits department | $1M | ||||
| Cap rel costs-mvble equip | $524,092 | ||||
| New cap - 2008 bldg/fixed | $309,251 | ||||
| Operation of plant | $65,805 | $274,073 | 1,814 | ||
| Dietary | $145,345 | $199,698 | 849 | ||
| Housekeeping | $131,749 | $149,038 | 291 | ||
| Medical records & library | $134,066 | $148,132 | 889 | ||
| Cap rel costs-bldg & fixt | $65,358 | 16,499 | |||
| Nonphysician anesthetists | $27,800 | ||||
| Laundry & linen service | $24,438 | $27,042 | 462 |
Source: CMS cost report (HCRIS, Form 2552-10), report 821761, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Organizations Ellett Memorial Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Citizens Memorial Hospital District
Operational/managerial control, 0%, since 2013
Sources: CMS Hospital All Owners.
The officers and board members on Ellett Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 2 of 3 are shown.
340B drug pricing program
Participating since 2016
340B ID CAH261301-00, registered as a critical access hospital; 3 registered outpatient sites; 27 active contract pharmacies. Authorizing official: Laura Ninette Smith, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Ellett memorial hospital
CCN 26Z301, certified 1999, Medicare cost reimbursed
Ellett memorial hospital
CCN 26Z301, certified 1999
Ac clinic
CCN 268593, certified 2005, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Ellett Memorial Hospital's latest Medicare cost report (HCRIS).
About Ellett Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ellett Memorial Hospital range from $528 to $533 across 4 insurers. Cigna's rate is $528. The median at nearby comparable hospitals is $1,913. 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 Ellett Memorial Hospital range from $270 to $310 across 4 insurers. Blue Cross Blue Shield's rate is $270. The median at nearby comparable hospitals is $1,482. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ellett Memorial Hospital range from $378 to $1,101 across 4 insurers. Cigna's rate is $1,101. The median at nearby comparable hospitals is $1,925. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ellett Memorial Hospital range from $125 to $125 across 1 insurers. Aetna's rate is $125. The median at nearby comparable hospitals is $240. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ellett Memorial Hospital reported 85 inpatient discharges and 899 inpatient days from Jun 1, 2024 to May 31, 2025.
Ellett Memorial Hospital reported 67 full-time-equivalent employees on payroll from Jun 1, 2024 to May 31, 2025.
Ellett Memorial Hospital reported $10.3M in net patient revenue on $11.6M of gross charges for Jun 1, 2024 to May 31, 2025, an operating margin of -5.9%, and net income of $893,120.
Ellett Memorial Hospital reported $1.2M of unreimbursed and uncompensated care for Jun 1, 2024 to May 31, 2025.
Ellett Memorial Hospital's Medicare enrollment lists Laura N Smith as CEO since 2019.
Insurers' price transparency files list Ellett Memorial Hospital under employer identification number 43-0906258 (Ellett Memorial Hospital). 51 health plans and networks list 43-0906258 for it.
Yes. HRSA's 340B database lists Ellett Memorial Hospital (340B ID CAH261301-00) as a participating critical access hospital since 2016, with 27 active contract pharmacies.
16 clinicians who bill Medicare list Ellett Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (4), family medicine physician (3), nurse practitioner (2).
CMS's Provider of Services file lists no accrediting organization for Ellett Memorial Hospital; it is certified for Medicare through state survey.
In its Medicare enrollment, Ellett Memorial Hospital reports Citizens Memorial Hospital District as Operational/managerial control (0%).
CMS lists 17 services at Ellett Memorial Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Ellett Memorial Hospital came from ZIP codes 64724 (17).
Ellett Memorial Hospital has 12 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Critical Access Hospital.
Ellett Memorial Hospital is located at 610 North Ohio Avenue, Appleton City, MO 64724. Its main phone number is (660) 476-2111.
Ellett Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 261301.
The National Provider Identifier (NPI) on file for Ellett Memorial Hospital is 1609894716.
Ellett Memorial Hospital lists 31 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.
175 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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