Great Plains Health Alliance · Moundridge, KS
25
In-network payers
427
Disclosed rate categories
21
Beds
Mercy Hospital is a 21-bed voluntary non-profit - church hospital in Moundridge, KS, affiliated with Great Plains Health Alliance. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 427 disclosed rate categories.
CCN (Medicare provider number)
170075
NPI
1083628911
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
21
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 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
$458 - $1,765
from 4 insurers · median $1,715
Typical for a hospital with this service line
CT imaging
CPT 74176
$481 - $1,710
from 4 insurers · median $1,620
Typical for a hospital with this service line
CT imaging
CPT 70450
$158 - $713
from 4 insurers · median $602
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$327 - $1,569
from 4 insurers · median $1,444
Typical for a hospital with this service line
CT imaging
CPT 71275
$295 - $1,115
from 4 insurers · median $998
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$595 - $2,147
from 4 insurers · median $1,817
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$533 - $1,815
from 4 insurers · median $1,662
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$432 - $1,221
from 4 insurers · median $1,195
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$128 - $150
from 4 insurers · median $143
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,318 - $1,406
from 4 insurers · median $1,386
Typical for a hospital with this service line
MRI imaging
CPT 70553
$526 - $958
from 2 insurers · median $742
Typical for a hospital with this service line
Gynecology
CPT 58571
$12,981
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$263 - $618
from 4 insurers · median $549
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,275
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76536
$137 - $493
from 4 insurers · median $456
Typical for a hospital with this service line
MRI imaging
CPT 70551
$450 - $580
from 2 insurers · median $515
Typical for a hospital with this service line
Mammography
CPT 77067
$143
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$406 - $551
from 2 insurers · median $478
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$4,730 - $10,128
from 3 insurers · median $7,377
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93970
$415 - $618
from 4 insurers · median $549
Typical for a hospital with this service line
MRI imaging
CPT 73721
$436 - $551
from 2 insurers · median $494
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$7,570
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,929
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$4,106 - $6,915
from 3 insurers · median $6,915
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* | 14 | 256% | 0 | 8 |
| Insurer B* | 15 | 256% | 11 | 4 |
| Insurer C* | 18 | 164% | 10 | 5 |
| Insurer D* | 24 | 155% | 5 | 2 |
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 Hospital.
218 East Pack Street, Moundridge, KS 67107
(620) 345-6391
The nearest hospitals of similar type and size. Their rates are compared with Mercy Hospital for the same insurers and services above.
University Of Kansas Health Systems - Great Bend Campus
Rates about the same as Mercy Hospital (24 services)
Pratt Regional Medical Center
Rates about the same as Mercy Hospital (24 services)
Coffey County Hospital
▼ Rates typically 6% lower than Mercy Hospital (24 services)
Share Medical Center
▼ Rates typically 9% lower than Mercy Hospital (23 services)
Stillwater Medical - Perry
▲ Rates typically 115% higher than Mercy Hospital (24 services)
Miami County Medical Center
▼ Rates typically 6% lower than Mercy Hospital (24 services)
Adventhealth Ottawa
Stormont-Vail Regional Health Center
Olathe Medical Center
Menorah Medical Center
About Mercy Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital range from $526 to $958 across 2 insurers. Aetna's rate is $958. The median at nearby comparable hospitals is $496. 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 Hospital range from $458 to $1,765 across 4 insurers. Aetna's rate is $1,665. The median at nearby comparable hospitals is $601. 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 Hospital range from $595 to $2,147 across 4 insurers. UnitedHealthcare's rate is $2,147. The median at nearby comparable hospitals is $1,443. 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 Hospital range from $143 to $143 across 1 insurers. Blue Cross Blue Shield's rate is $143. The median at nearby comparable hospitals is $153. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Hospital has 21 beds. Facility type: Short Term Acute Care Hospital.
Mercy Hospital is located at 218 East Pack Street, Moundridge, KS 67107. Its main phone number is (620) 345-6391.
Mercy Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 170075.
The National Provider Identifier (NPI) on file for Mercy Hospital is 1083628911.
Mercy Hospital is affiliated with Great Plains Health Alliance.
Mercy Hospital lists 25 in-network payers, including Aetna, Ambetter, 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.
427 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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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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{
"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