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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Hospital Jefferson

Mercy Health (MO) · Crystal City, MO

Highway 61 South, Crystal City, MO 63019(636) 933-1000

4 of 5

CMS star rating

209

Beds

12,081

Inpatient discharges a year

$281.1M

Net patient revenue a year

37

In-network payers

About this hospital

Mercy Hospital Jefferson is a 209-bed voluntary non-profit - private hospital in Crystal City, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 511 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
260023
NPI
1508859661
Website
mercy.net
Health system
Mercy Health (MO)
Teaching
No Medicare-funded residents
County
Jefferson County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Mercy Hospital Jefferson 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

$6,854 - $8,278

from 4 insurers · median $7,144

Cigna$7,146
Insurer A*$6,854
Insurer B*$7,142
Insurer C*$8,278

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,666 - $10,163

from 4 insurers · median $9,715

Cigna$10,163
Insurer A*$9,666
Insurer B*$9,712
Insurer C*$9,719

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 neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$9,661 - $27,333

from 4 insurers · median $19,250

Aetna$19,586
Insurer A*$9,661
Insurer B*$18,914
Insurer C*$27,333
Medicare $11,743Nearby hospitals $21,70911% below nearby hospitals

31 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$410 - $2,721

from 4 insurers · median $882

Blue Cross$1,287
Insurer A*$410
Insurer B*$476
Insurer C*$2,721
Medicare $329Nearby hospitals $80410% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mercy Hospital Jefferson

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*24
287%
137
Insurer B*24
127%
1011
Insurer C*24
119%
810
Insurer D*24
79%
119

How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 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 Jefferson, 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

  • Quality

    4 of 5 stars

    • 202 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.63%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 40 services
    • 567 affiliated clinicians
    See doctors and services
  • Finances

    $281.1M net patient revenue

    • Operating margin on patient care 5.4%
    • $11.5M unreimbursed and uncompensated care
    • $18.8M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Private (not for profit)
    • Daniel S Eckenfels, 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 Mercy Hospital Jefferson in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-0687077Mercy Hospital Jefferson57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1508859661 Mercy Hospital Jefferson1124355417 Mercy Hospital Jefferson1396748588 Mercy Hospital Jeffersonand 10 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

Highway 61 South, Crystal City, MO 63019

(636) 933-1000

Get directions

Frequently asked questions

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

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Jefferson range from $410 to $2,721 across 4 insurers. Blue Cross Blue Shield's rate is $1,287. The median at nearby comparable hospitals is $804. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Jefferson?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Jefferson range from $1,136 to $6,324 across 4 insurers. UnitedHealthcare's rate is $1,136. The median at nearby comparable hospitals is $2,226. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Jefferson?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Jefferson range from $6,854 to $8,278 across 4 insurers. Cigna's rate is $7,146. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Jefferson?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Jefferson range from $118 to $321 across 4 insurers. Cigna's rate is $192. The median at nearby comparable hospitals is $163. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercy Hospital Jefferson?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Hospital Jefferson range from $9,661 to $27,333 across 4 insurers. Aetna's rate is $19,586. The median at nearby comparable hospitals is $21,709. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Jefferson's CMS star rating?

Mercy Hospital Jefferson has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Mercy Hospital Jefferson a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercy Hospital Jefferson for fiscal year 2027.

Does Medicare penalize Mercy Hospital Jefferson for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Jefferson's base inpatient payments by an estimated 0.63% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercy Hospital Jefferson?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (272 discharges), psychoses (159 discharges), heart failure and shock with mcc (127 discharges).

What is Mercy Hospital Jefferson's case mix index?

Mercy Hospital Jefferson's Medicare case mix index is 1.59 for fiscal year 2027, higher than 39% 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.

Compliance MRF

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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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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