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Short Term Acute Care HospitalProprietary

Elmore Community Hospital

Wetumpka, AL

500 Hospital Drive, Wetumpka, AL 36092(334) 567-4311

Not rated by CMS

CMS star rating

33

Beds

710

Inpatient discharges a year

$14.7M

Net patient revenue a year

33

In-network payers

About this hospital

Elmore Community Hospital is a 33-bed proprietary hospital in Wetumpka, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 261 disclosed rate categories.

  • Disproportionate share hospital
CCN
010097
NPI
1588795942
Website
ivycreekhealth.com
Teaching
No Medicare-funded residents
County
Elmore County
Metro area
Montgomery, AL MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Elmore Community 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.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,704

negotiated rate

Blue Cross$2,704
Medicare $2,059Nearby hospitals $3,00810% below nearby hospitals

38 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$3,395

negotiated rate

Blue Cross$3,395
Medicare $2,919Nearby hospitals $3,6808% below nearby hospitals

21 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$100 - $362

from 3 insurers · median $196

Aetna$196
Insurer A*$100
Insurer B*$362
Medicare $311Nearby hospitals $52162% below nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$80 - $750

from 4 insurers · median $105

UnitedHealthcare$100
Insurer A*$80
Insurer B*est.$110
Insurer C*$750
Medicare $81Nearby hospitals $9115% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Elmore Community Hospital

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
112%
321
Insurer B*5
92%
00
Insurer C*12
75%
39
Insurer D*12
56%
111

How we chose these services: 3 appear in this hospital's own Medicare claims, 17 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 Elmore Community Hospital, 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)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneDean Health Plan

More about this hospital

  • Quality

    Not rated by CMS

    • 110 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.16%)
    See quality ratings

  • Doctors and services

    No Medicare-funded residents

    • 17 services
    • 84 affiliated clinicians
    See doctors and services

  • Finances

    $14.7M net patient revenue

    • Operating margin on patient care -33.5%
    • $1.4M unreimbursed and uncompensated care
    • -$3.8M net income
    See finances

  • Ownership and leadership

    Owned by Ivy Creek Of Elmore LLC

    • Private (for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
63-1253446Elmore Community Hospital46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 41 more1588795942 Ivy Creek Of Elmore LLC1255533642 Ivy Creek Home Health Of Elmore LLC1790093029 Ivy Creek Of Elmore LLCand 17 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

500 Hospital Drive, Wetumpka, AL 36092

(334) 567-4311

Get directions

Frequently asked questions

About Elmore Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Elmore Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Elmore Community Hospital range from $100 to $560 across 3 insurers. Aetna's rate is $175. The median at nearby comparable hospitals is $505. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Elmore Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Elmore Community Hospital range from $100 to $362 across 3 insurers. Aetna's rate is $196. The median at nearby comparable hospitals is $521. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Elmore Community Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Elmore Community Hospital range from $275 to $1,218 across 2 insurers. Blue Cross Blue Shield's rate is $1,218. The median at nearby comparable hospitals is $1,444. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Elmore Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Elmore Community Hospital range from $80 to $750 across 4 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $91. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Elmore Community Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Elmore Community Hospital for fiscal year 2027.

Does Medicare penalize Elmore Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Elmore Community Hospital's base inpatient payments by an estimated 0.16% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Elmore Community Hospital?

In 2024, the most common were alcohol, drug abuse or dependence with rehabilitation therapy (28 discharges), simple pneumonia and pleurisy with cc (11 discharges), kidney and urinary tract infections without mcc (11 discharges).

What is Elmore Community Hospital's case mix index?

Elmore Community Hospital's Medicare case mix index is 1.06 for fiscal year 2027, higher than 3% of hospitals paid under the inpatient prospective payment system.

How many patients does Elmore Community Hospital admit?

Elmore Community Hospital reported 710 inpatient discharges and 3,129 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Elmore Community Hospital have?

Elmore Community Hospital reported 124 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • 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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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