Mercy Health (MO) · Lebanon, MO
4 of 5
CMS star rating
43
Beds
1,828
Inpatient discharges a year
$110.7M
Net patient revenue a year
41
In-network payers
Mercy Hospital Lebanon is a 43-bed voluntary non-profit - church hospital in Lebanon, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 364 disclosed rate categories.
The 24 services Mercy Hospital Lebanon 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
MS-DRG 807
$4,165 - $6,865
from 3 insurers · median $6,576
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,688 - $10,415
from 2 insurers · median $9,551
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$3,021 - $8,209
from 3 insurers · median $4,331
413 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$617 - $1,769
from 4 insurers · median $877
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,110 - $11,896
from 3 insurers · median $8,762
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,221 - $3,004
from 3 insurers · median $2,944
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,207 - $3,121
from 3 insurers · median $3,004
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$180 - $595
from 4 insurers · median $337
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,310 - $21,320
from 3 insurers · median $9,781
Typical for a hospital with this service line
Mammography
CPT 77067
$128 - $727
from 3 insurers · median $159
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$2,203 - $7,547
from 3 insurers · median $4,331
86 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
MRI imaging
CPT 70553
$617 - $1,751
from 4 insurers · median $1,246
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,265 - $3,004
from 3 insurers · median $2,923
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$323 - $1,337
from 4 insurers · median $861
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$318 - $924
from 4 insurers · median $628
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$231 - $1,097
from 2 insurers · median $664
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$462 - $4,657
from 4 insurers · median $2,349
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,165 - $6,865
from 3 insurers · median $6,576
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Orthopedics and pain
CPT 20610
$1,188 - $2,430
from 3 insurers · median $2,061
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,134 - $7,136
from 3 insurers · median $5,866
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$617 - $2,096
from 4 insurers · median $1,501
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$33 - $194
from 3 insurers · median $100
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$180 - $461
from 4 insurers · median $309
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,089 - $8,447
from 3 insurers · median $5,866
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* | 10 | 432% | 0 | 0 |
| Insurer B* | 21 | 348% | 17 | 3 |
| Insurer C* | 23 | 177% | 20 | 0 |
| Insurer D* | 24 | 147% | 12 | 3 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 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 Lebanon, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$110.7M net patient revenue
Ownership and leadership
Owned by Mercy Health
The employer identification numbers (EINs) health plans and networks list for Mercy Hospital Lebanon in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 43-1767432Mercy Hospital Lebanon | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1447284898 Mercy Hospital Lebanon1740413988 Mercy Hospital Lebanon1801148499 Mercy Hospital Lebanonand 11 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.
100 Hospital Drive, Lebanon, MO 65536
(417) 533-6100
How Mercy Hospital Lebanon compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 56% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
151 min
Higher than 52% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
81%
Higher than 86% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 151 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 81% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Mercy Hospital Lebanon's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.40% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Mercy Hospital Lebanon, beside the US median and the average of MO hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.203 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 521 cases | 3.4 | 3.9 | 3.991 | Better than 79% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.96 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.622 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.708 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 62 cases | 8.5 | 11 | 11.68 | Better than 91% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 92 cases | 14.7 | 15.2 | 15.5 | Better than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 44 cases | 10.4 | 11.6 | 12.03 | Better than 72% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 356 cases | 0.57 | 0.51 | 0.5582 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 181 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 627 cases | 0.21 | 0.2 | 0.2094 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 643 cases | 0.27 | 0.27 | 0.2774 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.312 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.849 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.388 | Number of Cases Too Small | ||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.071 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.763 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 39 cases | 1.05 | 1.02 | 1.029 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.15 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 56 cases | -24.5 | 1.25 | 2.001 | Better than 83% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 87 cases | 5.1 | 3.85 | 0.788 | Worse than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 575 cases | 13.6 | 12.9 | 13.12 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 75 cases | 9.8 | 10.7 | 11.22 | No Different Than the National Rate | Better than 78% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 75 cases | 5.6 | 5.3 | 5.318 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 32 cases | 1 | 1 | 0.9815 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.32 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.43 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 68 cases | 18.8 | 19.8 | 20.11 | Better than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 140 cases | 19.4 | 21.3 | 21.62 | Better than 94% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.12 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 183 cases | 16 | 17.2 | 17.28 | Better than 92% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.28 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.027 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 161 | 1,370 | 4,135 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.098 | 0.9835 | 4.122 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.604 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6608 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2046 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.947 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 340 | 1,799 | 3,878 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.174 | 1.377 | 4.807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5467 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3088 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.21 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 18 | 61 | 126 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.431 | 1.591 | 3.466 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.877 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8248 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2664 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.522 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 7 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.055 | 0.328 | 0.829 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8929 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.061 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2979 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.478 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,468 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.137 | 0.567 | 2.861 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.978 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8703 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.018 | 0.127 | 0.1657 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.743 | 0.747 | 1.229 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,147 | 13,646 | 38,342 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.829 | 5.683 | 24.41 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 8.022 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.353 | 0.279 | 0.3843 | No Different than National Benchmark | Worse than 61% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 233 cases | 75 | 73 | 72.59 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 233 cases | 7 | 8 | 9.344 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 233 cases | 18 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 88 | 87 | 85.78 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 233 cases | 4 | 4 | 3.297 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 233 cases | 78 | 80 | 79.3 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 92 | 91 | 91.27 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 233 cases | 4 | 4 | 3.882 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 233 cases | 4 | 3 | 3.392 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 233 cases | 18 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 233 cases | 76 | 79 | 79.32 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 90 | 91 | 90.65 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 233 cases | 6 | 5 | 5.032 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 3.095 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 233 cases | 18 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 233 cases | 58 | 61 | 60.96 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 78 | 77 | 76.66 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 233 cases | 19 | 19 | 18.89 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 2.689 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 233 cases | 23 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 86 | 86 | 86.27 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 233 cases | 14 | 13 | 13.38 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 3.432 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 233 cases | 86 | 87 | 86.62 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 233 cases | 17 | 14 | 14.94 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 233 cases | 83 | 86 | 85.06 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 71 | 74 | 73.49 | Worse than 68% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 7 | 7 | 6.488 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 22 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 74 | 77 | 77.34 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 7 | 6 | 5.549 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 19 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 83 | 85 | 85.12 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 4 | 3 | 3.463 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 13 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 233 cases | 9 | 8 | 7.366 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 233 cases | 26 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 233 cases | 65 | 72 | 72.23 | Worse than 75% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 87 | 88 | 88.41 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 3.405 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 233 cases | 70 | 74 | 73.17 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 233 cases | 10 | 9 | 9.915 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 233 cases | 20 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 72 | 75 | 73.79 | Worse than 67% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 6 | 5 | 5.598 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 233 cases | 22 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 75 | 77 | 75.55 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 5 | 4 | 4.585 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 233 cases | 20 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 86 | 86 | 85.67 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 2.427 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 233 cases | 11 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 233 cases | 57 | 59 | 60.98 | Worse than 57% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 233 cases | 11 | 9 | 8.344 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 233 cases | 32 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 82 | 82 | 82.92 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 3.568 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 233 cases | 7 | 5 | 5.892 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 233 cases | 64 | 71 | 70.75 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 233 cases | 85 | 87 | 87.14 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 233 cases | 29 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 4 | 3.662 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 233 cases | 47 | 47 | 45.78 | Worse than 47% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 233 cases | 28 | 30 | 29.67 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 233 cases | 25 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 233 cases | 3 | 3 | 3.311 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 233 cases | 11 | 12 | 12.12 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 233 cases | 89 | 88 | 87.88 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.941 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 408 cases | 0 | 1 | 1.026 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2857 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 506 cases | 92 | 79 | 81.12 | Better than 77% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 413 cases | 157 | 154 | 167 | Worse than 52% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 375 cases | 151 | 148 | 161 | Worse than 52% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 20 cases | 356 | 247 | 273 | Worse than 81% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 445 | 293 | 288 | Worse than 90% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 26,851 cases | 3 | 1 | 2.18 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 17 cases | 18 | 74 | 72.93 | Worse than 98% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 63 cases | 87 | 97 | 95.34 | Worse than 83% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 98 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 55.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 367 cases | 14 | 15 | 17.13 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 88 cases | 81 | 65 | 61.69 | Better than 86% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 77 | 73 | 66.69 | Better than 58% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 100 | 88 | 82.85 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 88 cases | 90 | 82 | 78.59 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 51 cases | 96 | 94 | 92.68 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 41 cases | 98 | 98 | 96.61 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.14 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 95.06 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.25 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 375 cases | 97 | 97 | 95.05 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.3 | 5 | 5.293 | Better than 82% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.7 | 6.6 | 6.538 | Better than 94% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.84 | 0.99 | 0.981 | Better than 96% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 20 | 20 | 20.74 | Better than 48% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 5.208 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 100 | 10 | 24.07 | The best result, shared by 2% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 25 | 2.5 | 6.186 | Better than 97% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 50 | 34 | 35.83 | Better than 75% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 12.5 | 8.75 | 9.052 | Better than 75% of US hospitals | |
| VBP safety domain scoreFY 2026 | 85 | 40 | 39.11 | Better than 96% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 21.25 | 10 | 9.878 | Better than 96% of US hospitals | |
| VBP total performance scoreFY 2026 | 63.75 | 29.5 | 30.07 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 35 | 57.5 | 36.67 | 10 | 5 | 20 |
| VBP clinical outcomes weighted domain score | 11.67 | 14.38 | 9.167 | 3.333 | 1.667 | 5 |
| VBP efficiency and cost reduction domain score | 50 | Not Available | 40 | 70 | 100 | 100 |
| VBP efficiency and cost reduction weighted domain score | 16.67 | Not Available | 10 | 23.33 | 33.33 | 25 |
| VBP person and community engagement domain score | 18 | Not Available | Not Available | 18 | 28 | 50 |
| VBP person and community engagement weighted domain score | 6 | Not Available | Not Available | 6 | 9.333 | 12.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 85 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 21.25 |
| VBP total performance score | 34.33 | Not Available | Not Available | 32.67 | 44.33 | 63.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.004 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9855 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.004 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.973 | 0.9983 | 1 | Better than 68% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.018 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9526 | 0.9955 | 0.9936 | Better than 79% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.005 | 0.963 | 0.9663 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 1.007 | 0.9826 | 0.9997 | 0.9648 | 0.951 | 0.973 |
| READM-30-HIP-KNEE-HRRP | 0.969 | 0.9776 | 0.9192 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.041 | 1.027 | 1.034 | 1.002 | 0.9413 | 0.9526 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Mercy Hospital Lebanon | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5555 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.185 | 0.346 | 0.3878 | Better than 75% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5837 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8346 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9743 | 0.9628 | 0.9777 | Worse than 56% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.777 | |||
| Total HAC scoreFY 2026 | -0.4223 | -0.0453 | -0.03378 | Better than 75% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.0943 | -0.1948 | 0 | -0.5029 | -0.2123 | -0.4223 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 1999)
Accreditation
None
Medical school affiliation
Church
Ownership type
48
Medicare-certified beds
55
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mercy Hospital Lebanon reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,828
Inpatient discharges
Medicare 16%, Medicaid 16%
4,295
Inpatient days
27% of available bed days used
368
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 840923). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mercy Hospital Lebanon reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 731 | 546 | 3,018 | 4,295 |
| Discharges | 288 | 288 | 1,252 | 1,828 |
| Average length of stay | 2.5 days | 1.9 days | 2.4 days | 2.3 days |
| Average daily census | 2.0 | 1.5 | 8.3 | 11.8 |
1,659
Medicare Advantage days
595 discharges
665
Medicaid managed care days
602 discharges
972
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 39 | 3,853 | 693 | 27% |
| Intensive care unit | 4 | 105 | 38 | 7% |
| Nursery | 337 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mercy Hospital Lebanon treats Medicare patients for most often, in 2024. 129 Medicare discharges in 7 published DRGs; 0% surgical; 68% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 33 | $29,454 | $16,796 | $10,515 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 29 | $24,379 | $12,485 | $8,703 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $24,898 | $10,228 | $8,889 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $21,175 | $12,758 | $7,560 | 1.33 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $19,051 | $8,744 | $6,801 | 0.81 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 12 | $24,579 | $15,452 | $8,775 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $19,627 | $10,970 | $7,007 | 1.23 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Mercy Hospital Lebanon billed Medicare for most in 2024: 619 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 413 | 237 | $4,800 | $1,647 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 86 | 67 | $6,326 | $1,327 | $1,407 |
| Comprehensive Observation ServicesAPC 8011 | 54 | 51 | $14,914 | $1,964 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $11,652 | $4,140 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 18 | $7,605 | $2,039 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 15 | 15 | $6,730 | $1,371 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $6,161 | $2,322 | $2,373 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Mercy Hospital Lebanon in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 627 in 2020 to 769 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 65536 | 399 | 52% | 1,095 | $10M | 27% | 30% |
| 65583 | 86 | 11% | 219 | $2M | 19% | 17% |
| 65706 | 53 | 7% | 147 | $1.3M | 8% | |
| 65556 | 44 | 6% | 110 | $1.1M | 15% | 19% |
| 65632 | 26 | 3% | 68 | $655,516 | 20% | 13% |
| 65584 | 20 | 3% | 45 | $480,399 | 10% | 12% |
| 65459 | 19 | 2% | 48 | $443,879 | 6% | 6% |
| 65667 | 19 | 2% | 59 | $486,845 | 12% | 13% |
| 65722 | 19 | 2% | 42 | $397,606 | 29% | 31% |
| 65452 | 16 | 2% | 39 | $386,244 | 14% | 13% |
| 65470 | 16 | 2% | 49 | $408,257 | 34% | |
| 65713 | 16 | 2% | 48 | $428,810 | 13% | |
| 65590 | 14 | 2% | 33 | $255,818 | 18% | |
| 65567 | 11 | 1% | 23 | $274,191 | 41% | |
| 65662 | 11 | 1% | 32 | $255,206 | 28% |
Source: CMS Hospital Service Area file. Shares are of the 769 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Mercy Hospital Lebanon reported at its latest Medicare certification survey (2000). Counts are people, not full-time equivalents.
55
Registered nurses
10
Licensed practical nurses
6
Physicians
3
Nurse anesthetists (CRNAs)
2
Pharmacists
5
Respiratory therapists
5
Physical therapists
1
Occupational therapists
1
Dietitians
1
Social workers
161
Other personnel
Source: CMS Provider of Services file.
409 clinicians who bill Medicare list Mercy Hospital Lebanon as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Jenifer Zhai, MD
Neurology Physician
NPI 1144388745
See commercial rates for Jenifer Zhai, MDYaqoob Ali, M.D.
Hematology & Oncology Physician
NPI 1477582799
See commercial rates for Yaqoob Ali, M.D.Ling Li, MD
Neurology Physician
NPI 1235207028
See commercial rates for Ling Li, MDSombabu Maganti, M.D
Neurology Physician
NPI 1407142474
See commercial rates for Sombabu Maganti, M.DDennis Robinson, D.O.
General Practice Physician
NPI 1295712743
See commercial rates for Dennis Robinson, D.O.Mary Welch, PA-C
Physician Assistant
NPI 1316086978
See commercial rates for Mary Welch, PA-CChelsie Holman, PA-C
Physician Assistant
NPI 1447558929
See commercial rates for Chelsie Holman, PA-CBaron Adkins, D.O.
Diagnostic Radiology Physician
NPI 1992754147
See commercial rates for Baron Adkins, D.O.Michael Vierra, M.D.
Diagnostic Radiology Physician
NPI 1598741514
See commercial rates for Michael Vierra, M.D.Muthu Krishnan, MD
Interventional Cardiology Physician
NPI 1528089539
See commercial rates for Muthu Krishnan, MDSunthosh Parvathaneni, MD
Clinical Cardiac Electrophysiology Physician
NPI 1982814935
See commercial rates for Sunthosh Parvathaneni, MDZubair Khan, MD
Interventional Cardiology Physician
NPI 1861491854
See commercial rates for Zubair Khan, MDTyler Barnes, PA-C
Physician Assistant
NPI 1477850964
See commercial rates for Tyler Barnes, PA-CShang-Chiun Lee, MD
Clinical Cardiac Electrophysiology Physician
NPI 1588754402
See commercial rates for Shang-Chiun Lee, MDKeesag Baron, M.D.
Cardiovascular Disease Physician
NPI 1891736930
See commercial rates for Keesag Baron, M.D.Ayokunle Osho, M.D
Diagnostic Radiology Physician
NPI 1548526825
See commercial rates for Ayokunle Osho, M.DJared Hodgson, MD
Diagnostic Radiology Physician
NPI 1932595626
See commercial rates for Jared Hodgson, MDRyan Hegg, M.D.
Vascular & Interventional Radiology Physician
NPI 1033436670
See commercial rates for Ryan Hegg, M.D.Stilianos Efstratiadis, M.D.
Interventional Cardiology Physician
NPI 1437328556
See commercial rates for Stilianos Efstratiadis, M.D.Daniel Ellis, PA-C
Physician Assistant
NPI 1366077240
See commercial rates for Daniel Ellis, PA-CRichard Reber, M.D.
Diagnostic Radiology Physician
NPI 1730173964
See commercial rates for Richard Reber, M.D.Jinna Chen, MD
Diagnostic Radiology Physician
NPI 1215075189
See commercial rates for Jinna Chen, MDMegha Garg, M.D.
Diagnostic Radiology Physician
NPI 1871695049
See commercial rates for Megha Garg, M.D.Avram Adelman, M.D.
Diagnostic Radiology Physician
NPI 1245610963
See commercial rates for Avram Adelman, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Mercy Hospital Lebanon reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $405.8M | 366.6% |
| Inpatient | $40.9M | 36.9% |
| Outpatient | $365M | 329.7% |
| Contractual allowances and discounts | -$295.1M | -266.6% |
| Net patient revenue | $110.7M | 100.0% |
| Operating expenses | -$88.5M | -79.9% |
| Operating income from patient care | $22.2M | 20.1% |
| Other income | $797,820 | 0.7% |
| Contributions and donations | $344,744 | 0.3% |
| Other | $453,076 | 0.4% |
| Net income | $23M | 20.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $60.6M | 16.1% |
| Medicaid (including managed care) | $60.6M | 16.1% |
| Other payers and self-pay | $255.9M | 67.9% |
| Total charges | $377.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Mercy Hospital Lebanon's latest cost report.
20.1%
Operating margin
Operating income from patient care / net patient revenue
20.6%
Total margin
Net income / net patient revenue plus other income
25.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.46
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
84.3%
Return on assets
Net income for a year / total assets
98.9%
Return on equity
Net income for a year / fund balance
4.65
Current ratio
Current assets / current liabilities
4.06
Quick ratio
Cash, temporary investments and net receivables / current liabilities
10 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
46 days
Days in patient receivables
Net patient receivables / daily net patient revenue
18 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
4.09
Asset turnover
Total revenue for a year / total assets
4.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Mercy Hospital Lebanon owned and owed at the end of its reporting period (Jun 2025), across all fund types: $27.3M in total assets and a $23.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.4M | 8.7% |
| Patient receivables, net | $14M | 51.2% |
| Inventory | $2.4M | 8.9% |
| Total current assets | $18.7M | 68.7% |
| Property and equipment, net of depreciation | $8.5M | 31.3% |
| Total assets | $27.3M | 100.0% |
| Current liabilities | $4M | 14.8% |
| Total liabilities | $4M | 14.8% |
| Fund balance (net assets) | $23.3M | 85.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Mercy Hospital Lebanon provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.9M
Bad debt
Patient bills written off as uncollectible, at charges
-$2.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$72,314
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
-$326
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$5.5M
Total unreimbursed and uncompensated care
6.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements.
Mercy Hospital Lebanon's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $81.6M | $79.7M | $86.7M | $94.1M | $101.6M | $110.7M |
| Operating expenses | $66.3M | $69.7M | $77.2M | $79.5M | $82.7M | $88.5M |
| Operating margin | 18.8% | 12.5% | 11.0% | 15.5% | 18.6% | 20.1% |
| Net income | $22.7M | $20.6M | $13M | $15.3M | $19.6M | $23M |
| Total assets | $18.4M | $20M | $22.6M | $23.1M | $26.4M | $27.3M |
| Discharges | 1,682 | 1,757 | 1,566 | 1,597 | 2,062 | 1,828 |
| Inpatient days | 4,471 | 4,590 | 5,409 | 4,804 | 4,284 | 4,295 |
| Medicare Advantage days | 1,085 | 1,352 | 1,942 | 1,746 | 1,709 | 1,659 |
| Beds | 43 | 43 | 43 | 43 | 43 | 43 |
| Employees (FTE) | 328 | 336 | 322 | 334 | 334 | 368 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mercy Hospital Lebanon reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $23.7M | $102.1M | 0.23 | ||
| Emergency | $6.6M | $8.1M | $60.5M | 0.13 | 12,446 |
| Operating room | $2.3M | $6.5M | $25.9M | 0.25 | 15,980 |
| Physical therapy | $2.1M | $5M | $16.1M | 0.31 | 10,860 |
| Laboratory | $1.1M | $4.5M | $26.8M | 0.17 | 1,892 |
| Medical supplies charged to patient | $4M | $7.7M | 0.52 | ||
| Radiology-diagnostic | $2.5M | $3.1M | $25.5M | 0.12 | 2,024 |
| Cardiac rehabilitation | $762,822 | $2.3M | $5M | 0.45 | 10,872 |
| Delivery room & labor room | $1.2M | $2.1M | $1.5M | 1.41 | 7,804 |
| Other ancillary services | $600,996 | $1.9M | $6.1M | 0.32 | 10,048 |
| Respiratory therapy | $898,130 | $1.8M | $7.2M | 0.25 | 613 |
| Impl. dev. charged to patients | $1.8M | $1.8M | 0.97 | ||
| Observation beds (non-distinct part | $1.6M | $2M | 0.81 | ||
| Sleep lab | $566,686 | $1.6M | $4.1M | 0.39 | 5,630 |
| Radioisotope | $504,325 | $1.2M | $7.5M | 0.16 | 753 |
| Ct scan | $428,769 | $1.1M | $39.2M | 0.03 | 1,687 |
| Mri | $391,463 | $982,527 | $17.5M | 0.06 | 1,699 |
| Electrocardiology | $172,762 | $753,273 | $8.3M | 0.09 | 5,818 |
| Wound services | $108,059 | $347,888 | $576,432 | 0.60 | 754 |
| Anesthesiology | $1M | $249,657 | $3.2M | 0.08 | 530 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $4.1M | $8.2M | $7.6M | 1.08 | 19,715 |
| Intensive care unit | $220,951 | $728,712 | $424,962 | 1.71 | 4,302 |
| Nursery | $290,367 | $219,463 | 1.32 | 762 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.7M | $19.9M | 61,428 | $27.24 | 11,369 |
| Cap rel costs-bldg & fixt | $3.7M | 158,903 | |||
| Cap rel costs-mvble equip | $1.6M | ||||
| Housekeeping | $860,307 | $1.5M | 45,228 | $19.03 | 1,341 |
| Pharmacy | $1.2M | $1.3M | 25,963 | $25.26 | 841 |
| Nursing administration | $1M | $1.1M | 26,879 | $35.90 | 455 |
| Medical records & library | $310,189 | $1M | 10,339 | $30.00 | 2,434 |
| Operation of plant | $807,909 | $782,199 | 29,673 | $27.23 | 13,706 |
| Dietary | $606,673 | $779,841 | 29,594 | $20.50 | 4,218 |
| Central services & supply | $403,584 | $584,988 | 9,740 | $41.43 | 3,235 |
| Pastoral services | $98,363 | $121,819 | 2,991 | $32.88 | 1,218 |
| Employee benefits department | $34,300 |
Source: CMS cost report (HCRIS, Form 2552-10), report 840923, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Mercy Hospital Lebanon for an inpatient stay.
1.26
Case mix index
Higher than 9% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
32.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
282
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.40 | 1.40 | 1.65 | 1.41 | 1.26 | 1.21 | 1.26 |
| Wage index | 0.819 | 0.807 | 0.812 | 0.828 | 0.843 | 0.967 | 0.951 |
| Readmissions adjustment | -0.86% | -0.38% | -0.25% | 0.00% | -0.01% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.56% | +0.20% | +0.20% | +1.16% | +1.10% | +1.97% | +2.40% |
| Medicare inpatient stays | 592 | 592 | 333 | 313 | 344 | 317 | 282 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Mercy Hospital Lebanon reports to Medicare as owners or with operational control.
Mercy Health
5% or greater indirect ownership interest, 100%, since 2012
Mercy Health Springfield Communities
5% or greater direct ownership interest, 100%, since 2012
Sources: CMS Hospital All Owners.
The officers and board members on Mercy Hospital Lebanon's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 17 of 18 are shown.
| Name | Title |
|---|---|
| Craig McCoy | President - Springfield Communities (thru 7/2022) |
| David Argueta | President, Mercy Springfield Communities & Board Member |
| Christie Eckhardt | VP, Chief Operations Counsel & Secretary |
| Judy Penniman | Executive Director - Nursing |
Board members: Robert B Wyrsch MD, Rafael Bonilla MD, Nicki Gamet, Byron Dudley, David Schmitz, Deborah Moore, Greg Bechtel, Jeremy Goforth, John Carr, Marsha Vincent, Randall Angst, Steven Hite.
Source: IRS Form 990 Part VII filed by Mercy Hospital Lebanon (EIN 43-1767432), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2007
340B ID DSH260059, registered as a disproportionate share hospital; 9 registered outpatient sites; 4 active contract pharmacies. Authorizing official: William J Roberts, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Mercy Health ACO, LLC
ACO A2616, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Mercy Hospital Lebanon's legal name.
Helipad
Mercy Hospital-Lebanon
FAA location ID 46MO, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Mercy hospital lebanon
CCN 26U059, certified 1995, Medicare prospective payment
Mercy hospital lebanon
CCN 26U059, certified 1995
Source: Worksheet S-2 Part I of Mercy Hospital Lebanon's latest Medicare cost report (HCRIS).
About Mercy Hospital Lebanon's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Lebanon range from $617 to $1,751 across 4 insurers. Cigna's rate is $1,744. The median at nearby comparable hospitals is $563. 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 Lebanon range from $617 to $1,769 across 4 insurers. Aetna's rate is $684. The median at nearby comparable hospitals is $486. 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 Lebanon range from $2,207 to $3,121 across 3 insurers. Blue Cross Blue Shield's rate is $3,121. The median at nearby comparable hospitals is $1,108. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Lebanon range from $4,165 to $6,865 across 3 insurers. UnitedHealthcare's rate is $6,576. 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 Lebanon range from $128 to $727 across 3 insurers. Aetna's rate is $128. The median at nearby comparable hospitals is $128. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Hospital Lebanon 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.
CMS reports no Medicare-funded interns or residents at Mercy Hospital Lebanon for fiscal year 2027.
No. Mercy Hospital Lebanon has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (33 discharges), heart failure and shock with mcc (29 discharges), septicemia or severe sepsis without mv >96 hours without mcc (15 discharges).
Mercy Hospital Lebanon's Medicare case mix index is 1.26 for fiscal year 2027, higher than 9% of hospitals paid under the inpatient prospective payment system.
Mercy Hospital Lebanon reported 1,828 inpatient discharges and 4,295 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Mercy Hospital Lebanon reported 368 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Mercy Hospital Lebanon reported $110.7M in net patient revenue on $405.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 20.1%, and net income of $23M.
Mercy Hospital Lebanon reported $5.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $3.8M of charity care at cost.
Mercy Hospital Lebanon's Medicare enrollment lists Brian Day as Senior Vice President since 2025. Its 2022 IRS Form 990 lists Craig McCoy as President - Springfield Communities (thru 7/2022).
Insurers' price transparency files list Mercy Hospital Lebanon under employer identification number 43-1767432 (Mercy Hospital Lebanon). 58 health plans and networks list 43-1767432 for it.
Yes. HRSA's 340B database lists Mercy Hospital Lebanon (340B ID DSH260059) as a participating disproportionate share hospital since 2007, with 4 active contract pharmacies.
409 clinicians who bill Medicare list Mercy Hospital Lebanon as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (74), physician assistant (36), family medicine physician (32).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Mercy Hospital Lebanon, effective 1999.
In its Medicare enrollment, Mercy Hospital Lebanon reports Mercy Health as 5% or greater indirect ownership interest (100%).
CMS lists 20 services at Mercy Hospital Lebanon, including Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department, Inpatient Surgical.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mercy Hospital Lebanon came from ZIP codes 65536 (399), 65583 (86), 65706 (53).
Mercy Hospital Lebanon has 43 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 48 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mercy Hospital Lebanon is located at 100 Hospital Drive, Lebanon, MO 65536. Its main phone number is (417) 533-6100.
Mercy Hospital Lebanon's CMS Certification Number (CCN), also called its Medicare provider number, is 260059.
The National Provider Identifier (NPI) on file for Mercy Hospital Lebanon is 1447284898.
Mercy Hospital Lebanon is affiliated with Mercy Health (MO).
Mercy Hospital Lebanon lists 41 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
364 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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