PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Church

Mercy Hospital Joplin

Mercy Health (MO) · Joplin, MO

100 Mercy Way, Joplin, MO 64804(417) 781-2727

1 of 5

CMS star rating

221

Beds

14,800

Inpatient discharges a year

$314.6M

Net patient revenue a year

37

In-network payers

About this hospital

Mercy Hospital Joplin is a 221-bed voluntary non-profit - church hospital in Joplin, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 468 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
260001
NPI
1700112745
Website
mercy.net
Health system
Mercy Health (MO)
Teaching
No Medicare-funded residents
County
Jasper County
Metro area
Joplin, MO-KS MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2003

Prices for common services

The 24 services Mercy Hospital Joplin 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

$2,831 - $6,045

from 4 insurers · median $4,337

Cigna$3,842
Insurer A*$2,831
Insurer B*$4,831
Insurer C*$6,045

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

$4,017 - $9,964

from 4 insurers · median $6,542

Cigna$4,017
Insurer A*$5,836
Insurer B*$7,249
Insurer C*$9,964

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 cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$73,958 - $211,008

from 4 insurers · median $120,019

UnitedHealthcare$211,008
Insurer A*$73,958
Insurer B*$108,369
Insurer C*$131,670
Medicare $90,833Nearby hospitals $99,59321% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$27,232 - $44,857

from 3 insurers · median $35,809

UnitedHealthcare$35,809
Insurer A*$27,232
Insurer B*$44,857
Medicare $22,928Nearby hospitals $34,991In line with nearby hospitals

13 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Mercy Hospital Joplin

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*12
489%
42
Insurer B*23
93%
218
Insurer C*23
88%
810
Insurer D*19
72%
214

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Joplin, 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

    1 of 5 stars

    • 226 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.50%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 28 services, including trauma care
    • 576 affiliated clinicians
    See doctors and services
  • Finances

    $314.6M net patient revenue

    • Operating margin on patient care 7.8%
    • $14.9M unreimbursed and uncompensated care
    • $25.7M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Church
    • Jeremy S Drinkwitz, 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 Joplin in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
27-0814858(multi-state) Mercy Hospital Joplin63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1700112745 Mercy Hospital Joplin1205162732 Mercy Hospital Joplin1235465279 Mercy Hospital Joplinand 25 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

100 Mercy Way, Joplin, MO 64804

(417) 781-2727

Get directions

Frequently asked questions

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

How much does an MRI cost at Mercy Hospital Joplin?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Joplin range from $233 to $1,744 across 4 insurers. Cigna's rate is $1,744. The median at nearby comparable hospitals is $857. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Joplin range from $292 to $1,084 across 4 insurers. Aetna's rate is $292. The median at nearby comparable hospitals is $760. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Joplin?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Joplin range from $1,162 to $1,849 across 3 insurers. Blue Cross Blue Shield's rate is $1,162. The median at nearby comparable hospitals is $1,295. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Joplin?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Joplin range from $2,831 to $6,045 across 4 insurers. Cigna's rate is $3,842. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Joplin?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Joplin range from $101 to $416 across 4 insurers. Aetna's rate is $102. The median at nearby comparable hospitals is $93. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Joplin's CMS star rating?

Mercy Hospital Joplin has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Mercy Hospital Joplin a teaching hospital?

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

Does Medicare penalize Mercy Hospital Joplin for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Joplin's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (223 discharges), heart failure and shock with mcc (143 discharges), simple pneumonia and pleurisy with mcc (101 discharges).

What is Mercy Hospital Joplin's case mix index?

Mercy Hospital Joplin's Medicare case mix index is 1.88 for fiscal year 2027, higher than 69% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster