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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Marion General Hospital

Marion, IN

441 North Wabash Avenue, Marion, IN 46952(765) 660-6000

3 of 5

CMS star rating

100

Beds

4,157

Inpatient discharges a year

$225.8M

Net patient revenue a year

35

In-network payers

About this hospital

Marion General Hospital is a 100-bed voluntary non-profit - private hospital in Marion, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 243 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
150011
NPI
1770679201
Teaching
Teaching hospital
County
Grant County
Metro area
Marion, IN MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2018

Prices for common services

The 24 services Marion General 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,846 - $10,450

from 2 insurers · median $9,648

Cigna$10,450
Insurer A*$8,846

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,409 - $14,861

from 2 insurers · median $13,635

Cigna$14,861
Insurer A*$12,409

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

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$417 - $10,506

from 2 insurers · median $5,461

Blue Cross$10,506
Insurer A*$417
Medicare $1,236Nearby hospitals $5,765In line with nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,846 - $10,450

from 2 insurers · median $9,648

Cigna$10,450
Insurer A*$8,846

CMS lists this service as CPT 59610, 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

How the insurers pay at Marion General 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*18
538%
123
Insurer B*11
284%
30
Insurer C*9
92%
09

How we chose these services: 4 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 10 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 Marion General 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 132 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.28%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • Teaching hospital
    • 33 services
    • 407 affiliated clinicians
    See doctors and services
  • Finances

    $225.8M net patient revenue

    • Operating margin on patient care -3.4%
    • $12.5M unreimbursed and uncompensated care
    • $28.1M net income
    See finances
  • Ownership and leadership

    Owned by Marion General Hospital

    • Private (not for profit)
    • Stephanie Hilton-Siebert, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Marion General 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
35-0868130Marion General Hospital52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 47 more1770679201 Marion General Hospital1760186373 Marion General Hospital1114013646 Marion General Hospitaland 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

441 North Wabash Avenue, Marion, IN 46952

(765) 660-6000

Get directions

Frequently asked questions

About Marion General Hospital's rates and hospital price transparency.

How much does a CT scan cost at Marion General Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Marion General Hospital range from $375 to $1,000 across 2 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $650. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Marion General Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Marion General Hospital range from $417 to $10,506 across 2 insurers. Blue Cross Blue Shield's rate is $10,506. The median at nearby comparable hospitals is $5,765. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Marion General Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Marion General Hospital range from $8,846 to $10,450 across 2 insurers. Cigna's rate is $10,450. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Marion General Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Marion General Hospital range from $119 to $260 across 2 insurers. Aetna's rate is $119. The median at nearby comparable hospitals is $226. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Marion General Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Marion General Hospital range from $29,254 to $29,898 across 2 insurers. Blue Cross Blue Shield's rate is $29,254. The median at nearby comparable hospitals is $27,916. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Marion General Hospital's CMS star rating?

Marion General Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Marion General Hospital a teaching hospital?

Yes. CMS counts 0.19 Medicare-funded residents per bed at Marion General Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Marion General Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Marion General Hospital's base inpatient payments by an estimated 0.28% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Marion General Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (100 discharges), heart failure and shock with mcc (77 discharges), simple pneumonia and pleurisy with mcc (61 discharges).

What is Marion General Hospital's case mix index?

Marion General Hospital's Medicare case mix index is 1.42 for fiscal year 2027, higher than 19% of hospitals paid under the inpatient prospective payment system.

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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