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

Mercy Hospital Washington

Mercy Health (MO) · Washington, MO

901 East Fifth Street, Washington, MO 63090(636) 239-8000

4 of 5

CMS star rating

158

Beds

7,757

Inpatient discharges a year

$229.2M

Net patient revenue a year

39

In-network payers

About this hospital

Mercy Hospital Washington is a 158-bed voluntary non-profit - private hospital in Washington, MO, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 514 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
CCN
260052
NPI
1285664177
Health system
Mercy Health (MO)
Teaching
No Medicare-funded residents
County
Franklin County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1969
Last CMS survey
2014

Prices for common services

The 24 services Mercy Hospital Washington 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

$5,396 - $7,444

from 4 insurers · median $6,745

Cigna$7,444
Insurer A*$5,396
Insurer B*$6,631
Insurer C*$6,859

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

Cesarean delivery, hospital stay

MS-DRG 788

$8,369 - $11,156

from 4 insurers · median $9,210

Cigna$11,156
Insurer A*$8,369
Insurer B*$8,707
Insurer C*$9,712

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$302 - $476

from 3 insurers · median $410

UnitedHealthcare$476
Insurer A*$302
Insurer B*$410
Medicare $332Nearby hospitals $69341% below nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,868 - $2,265

from 2 insurers · median $2,066

Aetna$1,868
Insurer A*$2,265
Medicare $3,084Nearby hospitals $3,90447% below nearby hospitals

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Mercy Hospital Washington

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
179%
45
Insurer B*23
125%
128
Insurer C*23
99%
020
Insurer D*23
68%
118

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 Washington, 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

    • 159 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.11%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $229.2M net patient revenue

    • Operating margin on patient care 13.8%
    • $11M unreimbursed and uncompensated care
    • $33.5M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Private (not for profit)
    • Brian Day, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercy Hospital Washington in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-1066883Mercy Hospital Washington60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1285664177 Mercy Hospitals East Communities1104912997 Mercy Hospitals East Communities1093079196 Mercy Hospitals East Communitiesand 8 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

901 East Fifth Street, Washington, MO 63090

(636) 239-8000

Get directions

Frequently asked questions

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

How much does an MRI cost at Mercy Hospital Washington?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Washington range from $354 to $476 across 3 insurers. Blue Cross Blue Shield's rate is $373. The median at nearby comparable hospitals is $514. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Washington range from $302 to $476 across 3 insurers. UnitedHealthcare's rate is $476. The median at nearby comparable hospitals is $693. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Washington?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Washington range from $802 to $1,663 across 3 insurers. Aetna's rate is $1,663. The median at nearby comparable hospitals is $1,709. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Washington?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Washington range from $5,396 to $7,444 across 4 insurers. Cigna's rate is $7,444. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Washington?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Washington range from $112 to $192 across 4 insurers. Cigna's rate is $192. The median at nearby comparable hospitals is $151. 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 Washington?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Hospital Washington range from $10,501 to $18,900 across 4 insurers. Blue Cross Blue Shield's rate is $15,377. The median at nearby comparable hospitals is $23,024. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Washington's CMS star rating?

Mercy Hospital Washington 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 Washington a teaching hospital?

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

Does Medicare penalize Mercy Hospital Washington for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Washington's base inpatient payments by an estimated 0.11% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (133 discharges), heart failure and shock with mcc (95 discharges), respiratory infections and inflammations with mcc (67 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.

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