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Critical Access HospitalVoluntary Non-Profit - Other

Madison Medical Center

SSM Health · Fredericktown, MO

611 West Main Street, Fredericktown, MO 63645(573) 781-3341

Not rated by CMS

CMS star rating

124

Beds

146

Inpatient discharges a year

$22.8M

Net patient revenue a year

32

In-network payers

About this hospital

Madison Medical Center is a 124-bed voluntary non-profit - other hospital in Fredericktown, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 289 disclosed rate categories.

  • 340B participant
  • Helipad
CCN
261302
NPI
1720163025
Website
madisonmedicalcenter.net
Health system
SSM Health
County
Madison County
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
2000
Last CMS survey
2024

Prices for common services

The 24 services Madison Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$311 - $3,826

from 4 insurers · median $2,151

Aetna$311
Insurer A*$859
Insurer B*est.$3,443
Insurer C*est.$3,826
Medicare $356Nearby hospitals $1,23874% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$85 - $1,627

from 4 insurers · median $858

Aetna$85
Insurer A*$252
Insurer B*est.$1,464
Insurer C*est.$1,627
Medicare $107Nearby hospitals $67427% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$217 - $3,267

from 4 insurers · median $1,807

Aetna$217
Insurer A*$524
Insurer B*est.$3,091
Insurer C*est.$3,267
Medicare $244Nearby hospitals $880105% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$208 - $2,392

from 4 insurers · median $1,505

UnitedHealthcare$938
Insurer A*$208
Insurer B*est.$2,072
Insurer C*est.$2,392
Medicare $558Nearby hospitals $1,21624% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Madison Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
421%
184
Insurer B*23
371%
99
Insurer C*24
224%
717
Insurer D*19
63%
019

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 Madison Medical Center, or start a free trial.

Insurance Accepted

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

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

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-1445493Madison Medical Center48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more1720163025 Madison Medical Center Stockhoff Memorial Nursing Home1467539031 Madison Medical Center Stockhoff Memorial Nursing Home1669514436 Madison Medical Centerand 14 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

611 West Main Street, Fredericktown, MO 63645

(573) 781-3341

Get directions

Frequently asked questions

About Madison Medical Center's rates and hospital price transparency.

How much does an MRI cost at Madison Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Madison Medical Center range from $395 to $2,828 across 4 insurers. Aetna's rate is $395. The median at nearby comparable hospitals is $1,607. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Madison Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Madison Medical Center range from $311 to $3,826 across 4 insurers. Aetna's rate is $311. The median at nearby comparable hospitals is $1,238. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Madison Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Madison Medical Center range from $1,428 to $2,672 across 3 insurers. UnitedHealthcare's rate is $2,672. The median at nearby comparable hospitals is $1,562. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Madison Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Madison Medical Center range from $114 to $225 across 4 insurers. Blue Cross Blue Shield's rate is $223. The median at nearby comparable hospitals is $243. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many patients does Madison Medical Center admit?

Madison Medical Center reported 146 inpatient discharges and 2,811 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Madison Medical Center have?

Madison Medical Center reported 145 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Madison Medical Center make?

Madison Medical Center reported $22.8M in net patient revenue on $62.8M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -11.6%, and net income of -$437,051.

How much charity and uncompensated care does Madison Medical Center provide?

Madison Medical Center reported $1.4M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $35,993 of charity care at cost.

Who is the CEO of Madison Medical Center?

Madison Medical Center's Medicare enrollment lists Lisa M Twidwell as CEO since 2009.

What is Madison Medical Center's tax ID (EIN)?

Insurers' price transparency files list Madison Medical Center under employer identification number 43-1445493 (Madison Medical Center). 48 health plans and networks list 43-1445493 for it.

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

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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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