Hannibal, MO
2 of 5
CMS star rating
99
Beds
5,095
Inpatient discharges a year
$277.4M
Net patient revenue a year
32
In-network payers
Hannibal Regional Healthcare System is a 99-bed voluntary non-profit - other hospital in Hannibal, MO. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 113 disclosed rate categories.
The 24 services Hannibal Regional Healthcare System 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
CPT 74177
$5,036 - $6,150
from 4 insurers · median $5,778
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$3,814 - $4,739
from 4 insurers · median $4,376
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$888 - $1,714
from 4 insurers · median $1,590
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$17,535
negotiated rate
14 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
MRI imaging
CPT 70553
$5,096 - $5,881
from 4 insurers · median $5,613
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,500 - $29,096
from 2 insurers · median $19,298
48 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$2,325 - $3,396
from 4 insurers · median $3,149
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,122 - $4,023
from 2 insurers · median $3,573
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
Nuclear imaging
CPT 78815
$6,671 - $8,743
from 4 insurers · median $7,940
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,698 - $2,473
from 4 insurers · median $2,294
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$4,831 - $5,555
from 2 insurers · median $5,193
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
Nuclear imaging
CPT 78452
$6,604 - $7,633
from 4 insurers · median $7,578
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$3,346 - $4,002
from 4 insurers · median $3,839
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$313 - $381
from 4 insurers · median $359
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$4,863 - $5,817
from 4 insurers · median $5,580
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$359 - $453
from 4 insurers · median $421
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$3,000 - $3,588
from 4 insurers · median $3,442
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$849 - $1,225
from 4 insurers · median $1,076
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$36,433
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$20,155
negotiated rate
48 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ultrasound
CPT 76642
$530 - $655
from 4 insurers · median $642
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$146 - $152
from 4 insurers · median $150
Typical for a hospital with this service line
Ultrasound
CPT 76856
$966 - $1,202
from 4 insurers · median $1,130
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$414 - $512
from 4 insurers · median $476
Common here, based on CMS Medicare volume
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* | 18 | 1267% | 15 | 1 |
| Insurer B* | 21 | 1089% | 19 | 0 |
| Insurer C* | 18 | 1078% | 18 | 0 |
| Insurer D* | 24 | 763% | 21 | 1 |
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 Hannibal Regional Healthcare System, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$277.4M net patient revenue
Ownership and leadership
Owned by Hannibal Regional Healthcare System Inc
The employer identification numbers (EINs) health plans and networks list for Hannibal Regional Healthcare System 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 |
|---|---|---|
| 43-0662495Hannibal Regional Hospital | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1003956095 Hannibal Regional Healthcare System Inc1922042704 Hannibal Regional Healthcare System Inc1508155888 Hannibal Regional Hospitaland 24 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.
6000 Hospital Drive, Hannibal, MO 63401
(573) 248-1300
How Hannibal Regional Healthcare System compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 4 of 10 measures
1 better, 5 no different, 4 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.16
Higher than 87% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
145 min
Lower than 52% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
71%
Higher than 63% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 4 of 10 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.16 | 2022-07-01 to 2024-06-30 |
| 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 | 145 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 71% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Hannibal Regional Healthcare System's inpatient payments for its readmissions, quality and cost results.
-1.70% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.09% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Hannibal Regional Healthcare System, 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 | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 67 cases | 4.5 | 4.1 | 4.203 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,399 cases | 4.2 | 3.9 | 3.991 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 73 cases | 10.3 | 11.8 | 11.96 | Better than 91% of US hospitals | |
| 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 · 229 cases | 7.8 | 8.5 | 8.708 | Better than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 266 cases | 11.4 | 11 | 11.68 | Worse than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 494 cases | 16.2 | 15.2 | 15.5 | Worse than 65% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 78 cases | 14.4 | 11.6 | 12.03 | Worse than 85% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,581 cases | 0.28 | 0.51 | 0.5582 | No Different Than the National Rate | Better than 82% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 39 cases | 184 | 173 | 181 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,205 cases | 0.19 | 0.2 | 0.2094 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,487 cases | 0.28 | 0.27 | 0.2774 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 499 cases | 2.13 | 2.29 | 2.312 | No Different Than the National Rate | Better than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 230 cases | 1.63 | 1.63 | 1.619 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 231 cases | 13.28 | 8.88 | 9.849 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 526 cases | 2.89 | 3.4 | 3.388 | No Different Than the National Rate | Better than 85% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 221 cases | 10.7 | 5.105 | 5.071 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 74 cases | 1.73 | 1.72 | 1.763 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 421 cases | 1.26 | 1.02 | 1.029 | No Different Than the National Rate | Worse than 86% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 57 cases | -23.5 | 4.2 | 5.15 | Better than 90% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 325 cases | 27.4 | 1.25 | 2.001 | Worse than 81% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 513 cases | 31.9 | 3.85 | 0.788 | Worse than 83% of US hospitals | |
| 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 · 396 cases | 11.8 | 12.9 | 13.12 | No Different Than the National Rate | Better than 93% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 46 cases | 10.9 | 10.7 | 11.22 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 46 cases | 5.3 | 5.3 | 5.318 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 268 cases | 1 | 1 | 0.9815 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 67 cases | 14.4 | 14.4 | 14.32 | Worse than 50% of US hospitals | |
| 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 · 339 cases | 22.4 | 19.8 | 20.11 | Worse than 99% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 351 cases | 22.9 | 21.3 | 21.62 | Worse than 88% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 56 cases | 5.3 | 5.8 | 6.12 | Better than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 564 cases | 17.4 | 17.2 | 17.28 | Worse than 55% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | 1,233 | 1,370 | 4,135 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.775 | 0.9835 | 4.122 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | 0.041 | 0.138 | 0.2046 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.01 | 1.392 | 1.947 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,352 | 1,799 | 3,878 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.23 | 1.377 | 4.807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.413 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.813 | 0.399 | 0.5467 | No Different than National Benchmark | Worse than 81% of US hospitals |
| 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 | 15 | 61 | 126 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.376 | 1.591 | 3.466 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 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 | 32 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.285 | 0.328 | 0.829 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 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 | 19,999 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.755 | 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 | 0.109 | 0.127 | 0.1657 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.165 | 0.747 | 1.229 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 18,906 | 13,646 | 38,342 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.009 | 5.683 | 24.41 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 3 | 2 | 8.022 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.428 | 0.279 | 0.3843 | No Different than National Benchmark | Worse than 70% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 792 cases | 72 | 73 | 72.59 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 792 cases | 7 | 8 | 9.344 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 792 cases | 21 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 88 | 87 | 85.78 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 4 | 3.297 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 792 cases | 81 | 80 | 79.3 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 92 | 91 | 91.27 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 792 cases | 3 | 4 | 3.882 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 3 | 3.392 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 792 cases | 16 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 792 cases | 76 | 79 | 79.32 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 90 | 91 | 90.65 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 792 cases | 5 | 5 | 5.032 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 792 cases | 3 | 3 | 3.095 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 792 cases | 19 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 792 cases | 57 | 61 | 60.96 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 77 | 77 | 76.66 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 792 cases | 19 | 19 | 18.89 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 792 cases | 3 | 3 | 2.689 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 792 cases | 24 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 89 | 86 | 86.27 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 792 cases | 11 | 13 | 13.38 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 3 | 3.432 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 792 cases | 89 | 87 | 86.62 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 792 cases | 12 | 14 | 14.94 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 792 cases | 88 | 86 | 85.06 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 70 | 74 | 73.49 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 7 | 7 | 6.488 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 23 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 73 | 77 | 77.34 | Worse than 77% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 6 | 6 | 5.549 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 21 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 84 | 85 | 85.12 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 4 | 3 | 3.463 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 12 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 792 cases | 6 | 8 | 7.366 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 792 cases | 25 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 792 cases | 69 | 72 | 72.23 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 89 | 88 | 88.41 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 3 | 3.405 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 792 cases | 73 | 74 | 73.17 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 792 cases | 9 | 9 | 9.915 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 792 cases | 18 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 76 | 75 | 73.79 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 5 | 5 | 5.598 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 792 cases | 19 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 78 | 77 | 75.55 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 4 | 4 | 4.585 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 792 cases | 18 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 89 | 86 | 85.67 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 2 | 3 | 2.427 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 792 cases | 9 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 792 cases | 50 | 59 | 60.98 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 792 cases | 10 | 9 | 8.344 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 792 cases | 40 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 79 | 82 | 82.92 | Worse than 66% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 792 cases | 3 | 3 | 3.568 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 792 cases | 4 | 5 | 5.892 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 792 cases | 67 | 71 | 70.75 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 792 cases | 87 | 87 | 87.14 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 792 cases | 29 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 4 | 3.662 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 792 cases | 41 | 47 | 45.78 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 792 cases | 30 | 30 | 29.67 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 792 cases | 29 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 792 cases | 4 | 3 | 3.311 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 792 cases | 10 | 12 | 12.12 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 792 cases | 90 | 88 | 87.88 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 2,203 cases | 79 | 79 | 81.12 | Worse than 50% 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 · 374 cases | 152 | 154 | 167 | Better than 51% 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 · 338 cases | 145 | 148 | 161 | Better than 52% 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 · 24 cases | 296 | 247 | 273 | Worse than 66% of US hospitals | |
| 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 · 13 cases | 184 | 293 | 288 | Better than 92% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 25,955 cases | 2 | 1 | 2.18 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 86 | 74 | 72.93 | Better than 78% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 61 cases | 95 | 97 | 95.34 | Worse than 60% of US hospitals | |
| 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 · 1,515 cases | 19 | 15 | 17.13 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 480 cases | 71 | 65 | 61.69 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 186 cases | 87 | 73 | 66.69 | Better than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 107 cases | 92 | 88 | 82.85 | Better than 61% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 481 cases | 81 | 82 | 78.59 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 266 cases | 95 | 94 | 92.68 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 54 cases | 98 | 98 | 96.61 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.14 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 49 cases | 84 | 94 | 95.06 | Worse than 95% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,933 cases | 84 | 90 | 83.25 | Worse than 63% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 824 cases | 93 | 97 | 95.05 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.3 | 5 | 5.293 | Better than 90% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.6 | 6.6 | 6.538 | Worse than 50% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 0.98 | 0.99 | 0.981 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 14 | 20 | 20.74 | Worse than 62% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.5 | 5 | 5.208 | Worse than 62% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 24.07 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 6.186 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 27 | 34 | 35.83 | Worse than 64% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.75 | 8.75 | 9.052 | Worse than 64% of US hospitals | |
| VBP safety domain scoreFY 2026 | 50 | 40 | 39.11 | Better than 64% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.5 | 10 | 9.878 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 27.75 | 29.5 | 30.07 | Worse than 56% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 40 | 40 | 32.5 | 8 | 0 | 14 |
| VBP clinical outcomes weighted domain score | 10 | 10 | 8.125 | 2 | 0 | 3.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 20 | 10 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 5 | 2.5 | 5 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 8 | 8 | 27 |
| VBP person and community engagement weighted domain score | 5 | Not Available | Not Available | 2 | 2 | 6.75 |
| VBP safety domain score | 15 | Not Available | Not Available | 33.33 | 43.33 | 50 |
| VBP safety weighted domain score | 3.75 | Not Available | Not Available | 8.333 | 10.83 | 12.5 |
| VBP total performance score | 18.75 | Not Available | Not Available | 17.33 | 15.33 | 27.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9473 | 0.9995 | 1.004 | Better than 81% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9855 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 253 cases | 1.115 | 0.9969 | 1.004 | Worse than 98% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 292 cases | 1.142 | 0.9983 | 1 | Worse than 98% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.07 | 0.9916 | 1.018 | Worse than 71% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 463 cases | 1.082 | 0.9955 | 0.9936 | Worse than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9811 | 0.9729 | 0.966 | 0.9226 | 0.9096 | 0.9473 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.171 | 1.181 | 1.222 | 1.11 | 1.131 | 1.115 |
| READM-30-HF-HRRP | 1.012 | 1.035 | 1.069 | 1.121 | 1.177 | 1.142 |
| READM-30-HIP-KNEE-HRRP | 0.878 | 1.044 | 1.051 | 1.088 | 1.052 | 1.07 |
| READM-30-PN-HRRP | 0.9792 | 0.9984 | 1.067 | 1.087 | 1.058 | 1.082 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.914 | 0.489 | 0.5555 | Worse than 83% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.697 | 0.346 | 0.3878 | Worse than 87% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.441 | 0.559 | 0.5837 | Better than 62% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.415 | 0.6405 | 0.8346 | Worse than 90% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.163 | 0.9628 | 0.9777 | Worse than 87% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.403 | 0.7945 | 0.777 | Worse than 82% of US hospitals | |
| Total HAC scoreFY 2026 | 0.8999 | -0.0453 | -0.03378 | Worse than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | Yes | Yes |
| Total HAC score | 0.6924 | 0.9719 | 0 | 0.1627 | 0.5069 | 0.8999 |
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.
The Joint Commission (since 2020)
Accreditation
None
Medical school affiliation
Other
Ownership type
91
Medicare-certified beds
181
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Hannibal Regional Healthcare System reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
5,095
Inpatient discharges
Medicare 35%, Medicaid 7%
20,176
Inpatient days
64% of available bed days used
1,249
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830772). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Hannibal Regional Healthcare System reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 7,369 | 951 | 11,856 | 20,176 |
| Discharges | 1,790 | 345 | 2,960 | 5,095 |
| Average length of stay | 4.1 days | 2.8 days | 4.0 days | 4.0 days |
| Average daily census | 20.2 | 2.6 | 32.5 | 55.3 |
4,399
Medicare Advantage days
863 discharges
2,760
Medicaid managed care days
460 discharges
1,299
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 73 | 16,338 | 6,601 | 61% |
| Intensive care unit | 13 | 2,656 | 768 | 56% |
| Nursery | 1,182 | |||
| Subprovider - irf | 13 | 2,756 | 2,139 | 58% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Hannibal Regional Healthcare System treats Medicare patients for most often, in 2024. 1,231 Medicare discharges in 35 published DRGs; 5% surgical; 80% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 263 | $56,162 | $15,320 | $16,848 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 121 | $28,766 | $9,402 | $8,630 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 91 | $40,668 | $12,419 | $12,200 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 74 | $29,658 | $9,215 | $8,897 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $30,539 | $8,883 | $9,162 | 1.23 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $33,055 | $12,006 | $9,916 | 1.59 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $35,507 | $7,150 | $10,652 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $24,636 | $5,281 | $7,391 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $26,677 | $7,763 | $8,003 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 32 | $20,380 | $5,522 | $6,114 | 0.85 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 30 | $32,269 | $8,446 | $9,681 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 25 | $23,745 | $6,247 | $7,123 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 24 | $91,719 | $13,646 | $27,516 | 1.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $25,179 | $5,212 | $7,554 | 0.78 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $31,442 | $5,339 | $9,433 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $42,008 | $15,005 | $12,602 | 2.00 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $19,100 | $5,224 | $5,730 | 0.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $21,521 | $5,102 | $6,456 | 0.74 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $123,371 | $38,597 | $37,011 | 5.00 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $41,993 | $6,772 | $12,598 | 0.98 |
See all 35 Medicare inpatient DRGs at Hannibal Regional Healthcare System
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Hannibal Regional Healthcare System billed Medicare for most in 2024: 1,318 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 274 | 251 | $21,232 | $2,077 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 134 | 129 | $84,168 | $10,892 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 133 | 128 | $32,351 | $2,231 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 110 | 61 | $10,671 | $1,770 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 75 | 63 | $14,484 | $1,466 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 56 | 53 | $12,336 | $1,231 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 50 | $55,648 | $5,433 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 47 | $21,358 | $2,418 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 48 | 48 | $62,231 | $4,382 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 46 | 38 | $38,310 | $4,338 | $4,338 |
See all 26 Medicare outpatient services at Hannibal Regional Healthcare System
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Hannibal Regional Healthcare System 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 2,163 in 2020 to 2,460 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 63401 | 1,104 | 45% | 4,815 | $56.1M | 67% | 68% |
| 63456 | 174 | 7% | 789 | $9.1M | 55% | 68% |
| 63459 | 171 | 7% | 670 | $8.6M | 63% | 66% |
| 63334 | 154 | 6% | 625 | $8.5M | 37% | 30% |
| 63461 | 129 | 5% | 574 | $7.1M | 40% | 43% |
| 63382 | 96 | 4% | 426 | $6.5M | 52% | 43% |
| 63468 | 87 | 4% | 340 | $4.5M | 59% | 46% |
| 63436 | 76 | 3% | 335 | $3.3M | 86% | 81% |
| 63462 | 71 | 3% | 306 | $3.6M | 68% | 48% |
| 63353 | 59 | 2% | 294 | $3.1M | 26% | 27% |
| 63441 | 41 | 2% | 167 | $2.1M | 75% | 100% |
| 65275 | 39 | 2% | 197 | $1.8M | 20% | |
| 63469 | 37 | 2% | 145 | $2.6M | 48% | 57% |
| 63435 | 29 | 1% | 140 | $1.7M | 13% | 15% |
| 62301 | 23 | 1% | 115 | $1.4M | 1% | 2% |
| 63443 | 20 | 1% | 89 | $900,973 | 65% | |
| 62343 | 19 | 1% | 78 | $880,571 | 41% | 39% |
| 63339 | 19 | 1% | 118 | $1.4M | 100% | 100% |
| 65283 | 18 | 1% | 69 | $1M | 62% | 100% |
| 63440 | 15 | 1% | 83 | $609,543 | 14% | |
| 63501 | 15 | 1% | 63 | $1M | 2% | |
| 62312 | 14 | 1% | 57 | $861,334 | 13% | 35% |
| 62363 | 14 | 1% | 46 | $1.2M | 3% | 7% |
| 63447 | 13 | 1% | 53 | $708,664 | 21% | |
| 63359 | 12 | 0% | 30 | $542,886 | 22% |
Source: CMS Hospital Service Area file. Shares are of the 2,460 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 Hannibal Regional Healthcare System reported at its latest Medicare certification survey (2012). Counts are people, not full-time equivalents.
4
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
13
Rehabilitation unit beds
181
Registered nurses
20
Licensed practical nurses
45
Physicians
6
Nurse anesthetists (CRNAs)
11
Pharmacists
15
Respiratory therapists
2
Physical therapists
1
Occupational therapists
4
Speech pathologists and audiologists
8
Radiology technicians
2
Nuclear medicine technicians
5
Laboratory technicians
7
Medical technologists
4
Dietitians
3
Social workers
Source: CMS Provider of Services file.
300 clinicians who bill Medicare list Hannibal Regional Healthcare System as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Stephen Pomeranz, M.D.
Diagnostic Radiology Physician
NPI 1285639690
See commercial rates for Stephen Pomeranz, M.D.Muhammad Ali, M.D
Hematology & Oncology Physician
NPI 1306826250
See commercial rates for Muhammad Ali, M.DVinu Madhusudanannair Kunnuparampil, M.D.
Hematology & Oncology Physician
NPI 1780875096
See commercial rates for Vinu Madhusudanannair Kunnuparampil, M.D.Ming He, M.D.
Diagnostic Radiology Physician
NPI 1801807722
See commercial rates for Ming He, M.D.Linda Cooke, M.D.
Dermatology Physician
NPI 1679552350
See commercial rates for Linda Cooke, M.D.Austin Hake, M.D.
Neurology Physician
NPI 1003077389
See commercial rates for Austin Hake, M.D.Justin Puckett, DO
Family Medicine Physician
NPI 1205044146
See commercial rates for Justin Puckett, DOAbdullah Arshad, MD
Internal Medicine Physician
NPI 1477660637
See commercial rates for Abdullah Arshad, MDAdam Rafi
Interventional Cardiology Physician
NPI 1356640825
See commercial rates for Adam RafiHumam Farah, M D
Critical Care Medicine (Internal Medicine) Physician
NPI 1306880141
See commercial rates for Humam Farah, M DMaura Gerdes, D.O.
Internal Medicine Physician
NPI 1043593841
See commercial rates for Maura Gerdes, D.O.Richard Valuck, M.D.
Cardiovascular Disease Physician
NPI 1366444549
See commercial rates for Richard Valuck, M.D.Babak Rejaie, MD
Body Imaging Physician
NPI 1275574220
See commercial rates for Babak Rejaie, MDBlake Kramer, D.O.
Diagnostic Radiology Physician
NPI 1255745063
See commercial rates for Blake Kramer, D.O.Rodney Yager, D.O.
Family Medicine Physician
NPI 1851321202
See commercial rates for Rodney Yager, D.O.David Phillips, M.D.
Ophthalmology Physician
NPI 1649538638
See commercial rates for David Phillips, M.D.Santhosh Mannem, MD
Interventional Cardiology Physician
NPI 1518242957
See commercial rates for Santhosh Mannem, MDMohammad Jarbou, MD
Pulmonary Disease Physician
NPI 1396830915
See commercial rates for Mohammad Jarbou, MDDaniel Schneider, M.D.
Urology Physician
NPI 1861786261
See commercial rates for Daniel Schneider, M.D.John Collins, DO
Family Medicine Physician
NPI 1689659559
See commercial rates for John Collins, DOEdward Cline, DPM
Foot & Ankle Surgery Podiatrist
NPI 1306849971
See commercial rates for Edward Cline, DPMGary Early, DO
Family Medicine Physician
NPI 1215913132
See commercial rates for Gary Early, DOJordan Palmer, DO
Family Medicine Physician
NPI 1245760495
See commercial rates for Jordan Palmer, DOLance Dorsey, MD
Diagnostic Radiology Physician
NPI 1073629770
See commercial rates for Lance Dorsey, MDSource: 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 Hannibal Regional Healthcare System reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $853.6M | 307.7% |
| Inpatient | $259.9M | 93.7% |
| Outpatient | $593.7M | 214.0% |
| Contractual allowances and discounts | -$576.2M | -207.7% |
| Net patient revenue | $277.4M | 100.0% |
| Operating expenses | -$305.1M | -110.0% |
| Operating income from patient care | -$27.7M | -10.0% |
| Other income | $25.6M | 9.2% |
| Contributions and donations | $1.5M | 0.5% |
| Investment income | $2.7M | 1.0% |
| COVID-19 relief funding | $10.5M | 3.8% |
| Other | $10.9M | 3.9% |
| Net income | -$2.1M | -0.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $207M | 27.9% |
| Medicaid (including managed care) | $105.8M | 14.2% |
| Other payers and self-pay | $430.2M | 57.9% |
| Total charges | $743M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, 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 Hannibal Regional Healthcare System's latest cost report.
-10.0%
Operating margin
Operating income from patient care / net patient revenue
-0.7%
Total margin
Net income / net patient revenue plus other income
2.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
58% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$49.73
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-1.0%
Return on assets
Net income for a year / total assets
-1.8%
Return on equity
Net income for a year / fund balance
0.34
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.51
Current ratio
Current assets / current liabilities
1.22
Quick ratio
Cash, temporary investments and net receivables / current liabilities
43 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
48 days
Days in patient receivables
Net patient receivables / daily net patient revenue
72 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.38
Asset turnover
Total revenue for a year / total assets
17.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Hannibal Regional Healthcare System owned and owed at the end of its reporting period (Sep 2025), across all fund types: $219M in total assets and a $117.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $34.8M | 15.9% |
| Patient receivables, net | $36.2M | 16.5% |
| Inventory | $6.3M | 2.9% |
| Total current assets | $88.4M | 40.4% |
| Property and equipment, net of depreciation | $72.6M | 33.2% |
| Investments and other assets | $58M | 26.5% |
| Total assets | $219M | 100.0% |
| Current liabilities | $58.3M | 26.6% |
| Long-term debt | $40M | 18.3% |
| Total liabilities | $101.3M | 46.2% |
| Fund balance (net assets) | $117.8M | 53.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Hannibal Regional Healthcare System provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11.7M
Bad debt
Patient bills written off as uncollectible, at charges
$6.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12.6M
Total unreimbursed and uncompensated care
4.1% 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 830772, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Hannibal Regional Healthcare System's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $170.8M | $199.7M | $226.2M | $245.1M | $274.3M | $277.4M |
| Operating expenses | $183.2M | $204.7M | $241.5M | $261M | $293.9M | $305.1M |
| Operating margin | -7.3% | -2.5% | -6.8% | -6.5% | -7.1% | -10.0% |
| Net income | -$3.5M | $13.2M | -$10.1M | -$3.5M | -$504,479 | -$2.1M |
| Total assets | $216.4M | $223.7M | $201.8M | $198.9M | $199.3M | $219M |
| Discharges | 4,042 | 4,355 | 4,740 | 4,833 | 5,121 | 5,095 |
| Inpatient days | 15,046 | 19,783 | 20,080 | 19,587 | 21,385 | 20,176 |
| Medicare Advantage days | 1,623 | 3,030 | 3,571 | 3,921 | 4,414 | 4,399 |
| Beds | 99 | 99 | 99 | 99 | 99 | 99 |
| Employees (FTE) | 942 | 998 | 1,040 | 1,143 | 1,217 | 1,249 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Hannibal Regional Healthcare System 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $17.6M | $76.6M | 0.23 | ||
| Operating room | $2.6M | $15M | $122M | 0.12 | 13,520 |
| Emergency | $7.7M | $12.4M | $71.1M | 0.17 | 29,363 |
| Rural health clinic ix | $5.9M | $11.9M | $6.1M | 1.95 | 21,999 |
| Impl. dev. charged to patients | $10.8M | $30M | 0.36 | ||
| Laboratory | $3.3M | $9.3M | $74.2M | 0.13 | 5,998 |
| Cardiac catheterization | $1.7M | $7.7M | $36.6M | 0.21 | 3,645 |
| Radiology-diagnostic | $2.3M | $6.2M | $39.6M | 0.16 | 10,633 |
| Recovery room | $1.9M | $5M | $13M | 0.39 | 10,898 |
| Rural health clinic v | $2.2M | $4.5M | $2.5M | 1.82 | |
| Home health agency | $2.1M | $4.4M | $2.6M | 1.69 | 3,000 |
| Respiratory therapy | $1.2M | $3.2M | $3M | 1.07 | 2,596 |
| Radiology-therapeutic | $897,273 | $3.1M | $9.9M | 0.32 | 19,240 |
| Delivery room & labor room | $1.2M | $2.9M | $4.6M | 0.63 | 8,525 |
| Physical therapy | $652,273 | $2.4M | $3.1M | 0.76 | 2,386 |
| Observation beds (non-distinct part | $2.3M | $8.8M | 0.26 | ||
| Intravenous therapy | $409,695 | $2.2M | $6.1M | 0.37 | 1,865 |
| Rural health clinic iv | $919,455 | $1.8M | $900,688 | 1.98 | |
| Rural health clinic iii | $735,064 | $1.7M | $734,094 | 2.34 | 5,737 |
| Ct scan | $665,543 | $1.6M | $87M | 0.02 | 572 |
| Hyperbaric oxygen therapy | $87,424 | $1.3M | $2.5M | 0.52 | |
| Rural health clinic | $607,963 | $1.2M | $1M | 1.14 | |
| Rural health clinic ii | $552,495 | $1.2M | $618,468 | 1.87 | |
| Electrocardiology | $323,755 | $1.1M | $18.7M | 0.06 | 495 |
| Occupational therapy | $137,249 | $1.1M | $2.1M | 0.51 | 1,141 |
| Rural health clinic x | $509,882 | $906,332 | $752,350 | 1.20 | |
| Anesthesiology | $4.5M | $864,429 | $33.6M | 0.03 | 375 |
| Whole blood & packed red blood cell | $61,798 | $864,360 | $3.8M | 0.23 | 135 |
| Electroencephalography | $343,874 | $828,996 | $2.6M | 0.32 | 155 |
| Mri | $285,647 | $784,600 | $19.8M | 0.04 | 844 |
| Medical supplies charged to patient | $704,941 | $2.2M | 0.33 | ||
| Renal dialysis | $213,221 | $692,089 | $390,380 | 1.77 | |
| Rural health clinic vii | $351,799 | $638,187 | $499,032 | 1.28 | |
| Cardiac rehabilitation | $264,453 | $597,725 | $1.7M | 0.34 | 2,152 |
| Rural health clinic vi | $335,969 | $593,927 | $589,086 | 1.01 | |
| Radioisotope | $179,672 | $582,454 | $4.5M | 0.13 | 1,241 |
| Clinic | $581,674 | $418,639 | 1.39 | ||
| Speech pathology | $273,351 | $499,872 | $1.3M | 0.38 | |
| Rural health clinic viii | $235,191 | $415,329 | $459,297 | 0.90 | |
| Diabetes center | $114,149 | $199,736 | $108,658 | 1.84 | 67 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14M | $31.4M | $29.8M | 1.05 | 43,125 |
| Intensive care unit | $3.9M | $9M | $10.7M | 0.84 | 12,201 |
| Subprovider - irf | $1.5M | $5.7M | $3.7M | 1.54 | 7,500 |
| Nursery | $400,370 | $977,700 | $2.7M | 0.37 | 416 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $21.4M | $52.6M | 519,339 | $38.87 | 72,917 |
| Employee benefits department | $784,021 | $23.8M | 40,997 | $30.25 | 5,875 |
| Cap rel costs-mvble equip | $6.2M | ||||
| Operation of plant | $1.1M | $5M | 38,838 | $28.57 | 31,401 |
| Cap rel costs-bldg & fixt | $3.6M | 438,619 | |||
| Medical records & library | $2.3M | $3.5M | 85,771 | $26.80 | 3,234 |
| Nursing administration | $2.2M | $2.8M | 44,102 | $50.03 | 451 |
| Dietary | $1.8M | $2.1M | 80,323 | $22.75 | 5,402 |
| Housekeeping | $1.2M | $2M | 67,062 | $18.30 | 930 |
| Maintenance & repairs | $624,115 | $725,243 | 25,805 | $24.19 | |
| Central services & supply | $249,030 | $481,592 | 11,453 | $21.74 | 1,364 |
| Laundry & linen service | $54,753 | $421,420 | 3,164 | $17.30 | 890 |
| Pharmacy | $2.5M | $348,847 | 1,679 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830772, 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.
The factors Medicare uses to set what it pays Hannibal Regional Healthcare System for an inpatient stay.
1.67
Case mix index
Higher than 49% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
22.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,777
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.41 | 1.41 | 1.65 | 1.70 | 1.64 | 1.67 | 1.67 |
| Wage index | 0.915 | 0.942 | 0.934 | 0.915 | 0.899 | 0.967 | 0.951 |
| Readmissions adjustment | -0.52% | -0.90% | -1.30% | -1.24% | -1.34% | -1.45% | -1.70% |
| Value-based purchasing adjustment | +0.19% | -0.80% | -0.80% | +0.54% | -0.36% | -0.63% | -0.09% |
| Medicare inpatient stays | 2,155 | 2,155 | 1,841 | 1,802 | 1,789 | 1,900 | 1,777 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Hannibal Regional Healthcare System reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Hannibal Regional Healthcare System Inc
Operational/managerial control, 100%, since 2014
Hannibal Regional Healthcare System Inc
5% or greater direct ownership interest, 100%, since 2014
Sources: CMS Hospital All Owners.
The officers and board members on Hannibal Regional Healthcare System'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 5 are shown.
| Name | Title |
|---|---|
| C Todd Ahrens | President & CEO |
| Pranav Parikh MD | VP - Chief Medical Officer |
| Aaron Zook | VP - Operations |
| Rob Gasaway | VP - Finance |
| Teresa Generous | VP - General Counsel |
| Wendy Harrington | VP - Hrhs Development |
| Susan Wathen | VP- Human Resources (thru 12/24) |
| Karmon Kindhart | VP - Nursing |
| Brad Kurz | Chair |
| Michael Holliday | Vice Chair |
| John Bleigh | Secretary |
| John Zimmer | Treasurer |
Board members: Richard Valuck MD, Devon Mcclain, Justin Trantham, Josh Wilson, Rahul Basho MD, Eric Jones, Susan Johnson, Amy Lehenbauer, Leeann Homberger, Carolyn Shaw, Deborah Thornburg.
Source: IRS Form 990 Part VII filed by Hannibal Regional Healthcare System Inc (EIN 43-0662495), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2023
340B ID SCH260025-00, registered as a sole community hospital; 12 registered outpatient sites; 48 active contract pharmacies. Authorizing official: Rob Gasaway, Vp-finance/cfo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Main Street Rural Health Maple ACO LLC
ACO A5401, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Hannibal Regional Healthcare System's legal name.
Hannibal regional hospital
CCN 26T025, certified 2015, Medicare prospective payment
Hannibal regional - hha
CCN 267282, certified 1990, Medicare prospective payment
Hannibal reg - shelbina
CCN 268512, certified 1997, Medicare cost reimbursed
Hannibal reg - lagrange
CCN 263984, certified 1992, Medicare cost reimbursed
Hannibal reg - monroe city
CCN 268513, certified 1997, Medicare cost reimbursed
Hannibal reg - louisiana
CCN 268723, certified 2014, Medicare cost reimbursed
Hannibal reg - bowling green
CCN 268724, certified 2014, Medicare cost reimbursed
Hannibal reg - la plata
CCN 268756, certified 2017, Medicare cost reimbursed
Hannibal reg - lancaster
CCN 268757, certified 2017, Medicare cost reimbursed
Hannibal reg - kirksville
CCN 268758, certified 2017, Medicare cost reimbursed
Hannibal reg - hrmg 2nd floor
CCN 268754, certified 2017, Medicare cost reimbursed
Hannibal reg - walmart
CCN 268759, certified 2017, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Hannibal Regional Healthcare System's latest Medicare cost report (HCRIS).
About Hannibal Regional Healthcare System's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hannibal Regional Healthcare System range from $5,096 to $5,881 across 4 insurers. Blue Cross Blue Shield's rate is $5,813. The median at nearby comparable hospitals is $1,360. 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 Hannibal Regional Healthcare System range from $5,036 to $6,150 across 4 insurers. Aetna's rate is $6,150. The median at nearby comparable hospitals is $1,358. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hannibal Regional Healthcare System range from $3,122 to $4,023 across 2 insurers. Blue Cross Blue Shield's rate is $3,122. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hannibal Regional Healthcare System range from $313 to $381 across 4 insurers. Blue Cross Blue Shield's rate is $357. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hannibal Regional Healthcare System has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Hannibal Regional Healthcare System for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hannibal Regional Healthcare System's base inpatient payments by an estimated 1.70% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (263 discharges), heart failure and shock with mcc (121 discharges), respiratory infections and inflammations with mcc (91 discharges).
Hannibal Regional Healthcare System's Medicare case mix index is 1.67 for fiscal year 2027, higher than 49% of hospitals paid under the inpatient prospective payment system.
Hannibal Regional Healthcare System reported 5,095 inpatient discharges and 20,176 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Hannibal Regional Healthcare System reported 1,249 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Hannibal Regional Healthcare System reported $277.4M in net patient revenue on $853.6M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -10.0%, and net income of -$2.1M.
Hannibal Regional Healthcare System reported $12.6M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $2.8M of charity care at cost.
Hannibal Regional Healthcare System's Medicare enrollment lists Christopher T Ahrens as CEO since 2012.
Insurers' price transparency files list Hannibal Regional Healthcare System under employer identification number 43-0662495 (Hannibal Regional Hospital). 56 health plans and networks list 43-0662495 for it.
Yes. HRSA's 340B database lists Hannibal Regional Healthcare System (340B ID SCH260025-00) as a participating sole community hospital since 2023, with 48 active contract pharmacies.
300 clinicians who bill Medicare list Hannibal Regional Healthcare System as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (46), internal medicine physician (27), family medicine physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Hannibal Regional Healthcare System, effective 2020.
In its Medicare enrollment, Hannibal Regional Healthcare System reports Hannibal Regional Healthcare System Inc as 5% or greater direct ownership interest (100%).
CMS lists 35 services at Hannibal Regional Healthcare System, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hannibal Regional Healthcare System came from ZIP codes 63401 (1,104), 63456 (174), 63459 (171).
Hannibal Regional Healthcare System has 99 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 91 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Hannibal Regional Healthcare System is located at 6000 Hospital Drive, Hannibal, MO 63401. Its main phone number is (573) 248-1300.
Hannibal Regional Healthcare System's CMS Certification Number (CCN), also called its Medicare provider number, is 260025.
The National Provider Identifier (NPI) on file for Hannibal Regional Healthcare System is 1922042704.
Hannibal Regional Healthcare System lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
113 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