Mercy Health (Ohio) · Irvine, KY
30
In-network payers
110
Disclosed rate categories
25
Beds
5
Care quality
Mercy Health - Marcum And Wallace Hospital is a 25-bed voluntary non-profit - private hospital in Irvine, KY, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 110 disclosed rate categories.
CCN (Medicare provider number)
181301
NPI
1487643821
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mercy Health - Marcum And Wallace 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.
CT imaging
CPT 74177
$310 - $1,707
from 4 insurers · median $1,231
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,152 - $7,743
from 4 insurers · median $5,399
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,504 - $6,711
from 4 insurers · median $5,474
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,117 - $5,971
from 4 insurers · median $5,151
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,773 - $2,963
from 3 insurers · median $1,952
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,944 - $5,014
from 3 insurers · median $4,862
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 70450
$108 - $986
from 4 insurers · median $474
Typical for a hospital with this service line
CT imaging
CPT 74176
$102 - $1,910
from 4 insurers · median $1,093
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,680 - $5,133
from 4 insurers · median $3,990
Typical for a hospital with this service line
Mammography
CPT 77067
$88 - $438
from 3 insurers · median $262
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$130 - $338
from 4 insurers · median $260
Typical for a hospital with this service line
Gynecology
CPT 58571
$34,998
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,441 - $2,813
from 3 insurers · median $1,683
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$25,201
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 71275
$684 - $1,353
from 3 insurers · median $810
Typical for a hospital with this service line
Ultrasound
CPT 76705
$357 - $1,006
from 4 insurers · median $578
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$9,121
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,441 - $3,546
from 3 insurers · median $2,122
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$22,719
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,044 - $1,937
from 3 insurers · median $1,159
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,044 - $2,441
from 3 insurers · median $1,460
Typical for a hospital with this service line
Gynecology
CPT 58661
$25,201
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,456 - $4,439
from 3 insurers · median $4,105
Typical for a hospital with this service line
Ultrasound
CPT 76830
$357 - $1,020
from 3 insurers · median $610
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 678% | 17 | 0 |
| Insurer B* | 10 | 414% | 5 | 4 |
| Insurer C* | 19 | 405% | 4 | 10 |
| Insurer D* | 23 | 387% | 8 | 3 |
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 Mercy Health - Marcum And Wallace Hospital.
60 Mercy Court, Irvine, KY 40336
(606) 723-2115
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Marcum And Wallace Hospital for the same insurers and services above.
Chi Saint Joseph Health - Saint Joseph Berea
▼ Rates typically 18% lower than Mercy Health - Marcum And Wallace Hospital (24 services)
Ephraim Mcdowell Fort Logan Hospital
▼ Rates typically 78% lower than Mercy Health - Marcum And Wallace Hospital (18 services)
Morgan County Arh Hospital
▼ Rates typically 33% lower than Mercy Health - Marcum And Wallace Hospital (19 services)
Bluegrass Community Hospital
▼ Rates typically 47% lower than Mercy Health - Marcum And Wallace Hospital (14 services)
Ephraim Mcdowell James B. Haggin Hospital
▼ Rates typically 27% lower than Mercy Health - Marcum And Wallace Hospital (19 services)
Mary Breckinridge Arh Hospital
▼ Rates typically 32% lower than Mercy Health - Marcum And Wallace Hospital (18 services)
Methodist Hospital Union County
About Mercy Health - Marcum And Wallace Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Health - Marcum And Wallace Hospital range from $1,441 to $2,813 across 3 insurers. Blue Cross Blue Shield's rate is $1,441. The median at nearby comparable hospitals is $760. 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 Mercy Health - Marcum And Wallace Hospital range from $310 to $1,707 across 4 insurers. Blue Cross Blue Shield's rate is $1,441. The median at nearby comparable hospitals is $481. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Health - Marcum And Wallace Hospital range from $3,504 to $6,711 across 4 insurers. Blue Cross Blue Shield's rate is $5,093. The median at nearby comparable hospitals is $1,721. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Health - Marcum And Wallace Hospital range from $88 to $438 across 3 insurers. Aetna's rate is $88. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Marcum And Wallace Hospital has 25 beds. Facility type: Critical Access Hospital.
Mercy Health - Marcum And Wallace Hospital is located at 60 Mercy Court, Irvine, KY 40336. Its main phone number is (606) 723-2115.
Mercy Health - Marcum And Wallace Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 181301.
The National Provider Identifier (NPI) on file for Mercy Health - Marcum And Wallace Hospital is 1487643821.
Mercy Health - Marcum And Wallace Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Marcum And Wallace Hospital lists 30 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.
110 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.
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{
"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