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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Hospital St. Louis

Mercy Health (MO) · Saint Louis, MO

615 South New Ballas Road, Saint Louis, MO 63141(314) 569-6000

4 of 5

CMS star rating

795

Beds

49,752

Inpatient discharges a year

$1.6B

Net patient revenue a year

35

In-network payers

Photo 1: LittleT889, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Mercy Hospital St. Louis is a 795-bed voluntary non-profit - private hospital in Saint Louis, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 582 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
260020
NPI
1427098169
Website
mercy.net
Health system
Mercy Health (MO)
Teaching
Teaching hospital
County
St. Louis County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Mercy Hospital St. Louis 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

$6,208 - $7,074

from 4 insurers · median $6,914

Cigna$6,208
Insurer A*$6,865
Insurer B*$6,963
Insurer C*$7,074

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

$9,580 - $11,346

from 4 insurers · median $9,864

Cigna$10,016
Insurer A*$9,580
Insurer B*$9,712
Insurer C*$11,346

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$345 - $1,070

from 4 insurers · median $457

Blue Cross$438
Insurer A*$345
Insurer B*$476
Insurer C*$1,070
Medicare $327Nearby hospitals $80443% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$10,501 - $19,825

from 4 insurers · median $19,238

Aetna$19,743
Insurer A*$10,501
Insurer B*$18,733
Insurer C*$19,825
Medicare $11,926Nearby hospitals $26,41527% below nearby hospitals

58 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Mercy Hospital St. Louis

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*16
264%
58
Insurer B*23
126%
163
Insurer C*24
100%
120
Insurer D*23
92%
119

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 St. Louis, 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

    • 220 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.34%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 53 services, including trauma care
    • 1,995 affiliated clinicians
    See doctors and services
  • Finances

    $1.6B net patient revenue

    • Operating margin on patient care 10.2%
    • $41.2M unreimbursed and uncompensated care
    • $188.9M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Private (not for profit)
    • David J Meiners, 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 St. Louis in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-0653493Mercy Hospitals East Communities55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1881329902 Mercy Hospitals East Communities1427098169 Mercy Hospitals East Communities1881792547 Mercy Hospitals East Communitiesand 34 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

615 South New Ballas Road, Saint Louis, MO 63141

(314) 569-6000

Get directions

Frequently asked questions

About Mercy Hospital St. Louis's rates and hospital price transparency.

How much does an MRI cost at Mercy Hospital St. Louis?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital St. Louis range from $446 to $1,744 across 4 insurers. UnitedHealthcare's rate is $476. The median at nearby comparable hospitals is $898. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercy Hospital St. Louis?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital St. Louis range from $345 to $1,070 across 4 insurers. Blue Cross Blue Shield's rate is $438. 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 St. Louis?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital St. Louis range from $1,063 to $1,167 across 3 insurers. UnitedHealthcare's rate is $1,167. The median at nearby comparable hospitals is $1,834. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital St. Louis?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital St. Louis range from $6,208 to $7,074 across 4 insurers. Cigna's rate is $6,208. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital St. Louis?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital St. Louis range from $118 to $320 across 4 insurers. Cigna's rate is $192. The median at nearby comparable hospitals is $209. 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 St. Louis?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Hospital St. Louis range from $10,501 to $19,825 across 4 insurers. Aetna's rate is $19,743. The median at nearby comparable hospitals is $26,415. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital St. Louis's CMS star rating?

Mercy Hospital St. Louis 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 St. Louis a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Mercy Hospital St. Louis for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mercy Hospital St. Louis for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital St. Louis's base inpatient payments by an estimated 1.34% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercy Hospital St. Louis?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (413 discharges), heart failure and shock with mcc (332 discharges), respiratory infections and inflammations with mcc (208 discharges).

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