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Mercy Hospital

Great Plains Health Alliance
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Hospital Overview
Facility Details

CCN

170075

NPI

1083628911

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Church

Beds

21

Contact Information

Address

218 East Pack Street

Moundridge, KS 67107

Phone

(620) 345-6391

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Inpatient

MS-DRG

Endocrine, Nutritional & Metabolic Diseases & Disorders

Range: 614 - 645

Negotiated

Very Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Kidney & Urinary Tract

Range: 650 - 700

Negotiated

Very Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Ear, Nose, Mouth & Throat

Range: 135 - 159

Negotiated

Very Low

Aetna

Inpatient

MS-DRG

Burns

Range: 927 - 935

Negotiated

Very Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Musculoskeletal System & Connective Tissue

Range: 447 - 566

Negotiated

Very Low

Aetna

Facility

RC

Room and Board Private (one bed)

Range: 0110 - 0119

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Pathology and Laboratory Services

Range: P2028 - P9615

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Factors Influencing Health Status & Other Contacts with Health Services

Range: 939 - 951

Negotiated

Very Low

Aetna

Facility

RC

Pharmacy (Also see 063X, an extension of 250X)

Range: 0250 - 0259

Percentage of Bill Charged

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