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Critical Access HospitalVoluntary Non-Profit - Private

Mercy Hospital Carthage

Mercy Health (MO) · Carthage, MO

3125 Dr Russell Smith Way, Carthage, MO 64836(417) 358-8121

4 of 5

CMS star rating

25

Beds

978

Inpatient discharges a year

$75.9M

Net patient revenue a year

34

In-network payers

About this hospital

Mercy Hospital Carthage is a 25-bed voluntary non-profit - private hospital in Carthage, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 375 disclosed rate categories.

  • 340B participant
  • ACO participant
CCN
261338
NPI
1003201955
Website
mercy.net
Health system
Mercy Health (MO)
County
Jasper County
Metro area
Joplin, MO-KS MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
2015
Last CMS survey
2024

Prices for common services

The 24 services Mercy Hospital Carthage 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

$300 - $3,931

from 4 insurers · median $1,895

Aetna$3,931
Insurer A*$300
Insurer B*$745
Insurer C*$3,046
Medicare $356Nearby hospitals $1,09373% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$192 - $1,580

from 4 insurers · median $715

Aetna$1,580
Insurer A*$192
Insurer B*$240
Insurer C*$1,189
Medicare $107Nearby hospitals $48747% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$194 - $3,323

from 4 insurers · median $1,573

Aetna$3,323
Insurer A*$194
Insurer B*$478
Insurer C*$2,667
Medicare $244Nearby hospitals $98859% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$329 - $2,849

from 4 insurers · median $1,733

Aetna$2,818
Insurer A*$329
Insurer B*$649
Insurer C*$2,849
Medicare $179Nearby hospitals $1,11555% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Mercy Hospital Carthage

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
462%
10
Insurer B*24
403%
191
Insurer C*24
162%
419
Insurer D*22
141%
213

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 Carthage, 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 Mercy Hospital Carthage in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
45-3808607(multi-state) Mercy Hospital Carthage59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1003201955 Mercy Hospital Carthage1912392861 Mercy Hospital Carthage1992074959 Mercy Hospital Carthageand 24 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

3125 Dr Russell Smith Way, Carthage, MO 64836

(417) 358-8121

Get directions

Frequently asked questions

About Mercy Hospital Carthage's rates and hospital price transparency.

How much does an MRI cost at Mercy Hospital Carthage?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Carthage range from $525 to $3,915 across 4 insurers. Blue Cross Blue Shield's rate is $649. The median at nearby comparable hospitals is $1,558. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercy Hospital Carthage?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Carthage range from $300 to $3,931 across 4 insurers. Aetna's rate is $3,931. The median at nearby comparable hospitals is $1,093. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Carthage?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Carthage range from $454 to $2,503 across 4 insurers. Cigna's rate is $454. The median at nearby comparable hospitals is $1,199. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Carthage?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Carthage range from $101 to $319 across 4 insurers. Cigna's rate is $137. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Carthage's CMS star rating?

Mercy Hospital Carthage has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-09-30). That is higher than 58% of US hospitals.

How many patients does Mercy Hospital Carthage admit?

Mercy Hospital Carthage reported 978 inpatient discharges and 4,713 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Mercy Hospital Carthage have?

Mercy Hospital Carthage reported 398 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Mercy Hospital Carthage make?

Mercy Hospital Carthage reported $75.9M in net patient revenue on $244M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 13.7%, and net income of $10.9M.

How much charity and uncompensated care does Mercy Hospital Carthage provide?

Mercy Hospital Carthage reported $5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $3M of charity care at cost.

Who is the CEO of Mercy Hospital Carthage?

Mercy Hospital Carthage's Medicare enrollment lists Brian Day as Senior Vice President since 2025.

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
  • Refreshed when your contracts change
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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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