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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercyone Clinton Medical Center

MercyOne · Clinton, IA

1410 North Fourth Street, Clinton, IA 52732(563) 244-5555

4 of 5

CMS star rating

107

Beds

2,469

Inpatient discharges a year

$110.7M

Net patient revenue a year

37

In-network payers

About this hospital

Mercyone Clinton Medical Center is a 107-bed voluntary non-profit - private hospital in Clinton, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 129 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
160080
NPI
1427093962
Health system
MercyOne
Teaching
No Medicare-funded residents
County
Clinton County
Metro area
Clinton, IA MicroSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services Mercyone Clinton Medical Center 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

$11,442

negotiated rate

UnitedHealthcare$11,442

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

$15,373

negotiated rate

UnitedHealthcare$15,373

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

$356 - $4,641

from 4 insurers · median $3,727

Aetna$4,461
Insurer A*$356
Insurer B*$2,993
Insurer C*$4,641
Medicare $342Nearby hospitals $1,007270% above nearby hospitals

Common here, based on CMS Medicare volume

Urology

Diagnostic examination of the bladder with a scope

CPT 52000

$712 - $12,688

from 3 insurers · median $5,461

Blue Cross$712
Insurer A*$5,461
Insurer B*$12,688
Medicare $683Nearby hospitals $1,042424% above nearby hospitals

132 Medicare claims in Level 2 Urology and Related Services (CMS 2024)

How the insurers pay at Mercyone Clinton Medical Center

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*18
1126%
171
Insurer B*13
1104%
120
Insurer C*24
778%
210
Insurer D*19
100%
514

How we chose these services: 4 appear in this hospital's own Medicare claims, 14 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 Mercyone Clinton Medical Center, 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

    • 123 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 38 services, including trauma care
    • 243 affiliated clinicians
    See doctors and services
  • Finances

    $110.7M net patient revenue

    • Operating margin on patient care -15.0%
    • $3.5M unreimbursed and uncompensated care
    • -$7.8M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health Services-iowa Corp

    • Private (not for profit)
    • 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 Mercyone Clinton Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-1336618Mercy Medical Center - Clinton INC59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1427093962 Mercy Medical Center-clinton Inc1538139472 Mercy Medical Center-clinton Inc1093845737 Mercy Medical Center-clinton Inc.and 9 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

1410 North Fourth Street, Clinton, IA 52732

(563) 244-5555

Get directions

Frequently asked questions

About Mercyone Clinton Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mercyone Clinton Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone Clinton Medical Center range from $356 to $6,704 across 4 insurers. Cigna's rate is $6,034. The median at nearby comparable hospitals is $1,234. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercyone Clinton Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone Clinton Medical Center range from $356 to $4,641 across 4 insurers. Aetna's rate is $4,461. The median at nearby comparable hospitals is $1,007. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercyone Clinton Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercyone Clinton Medical Center range from $11,442 to $11,442 across 1 insurers. UnitedHealthcare's rate is $11,442. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone Clinton Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone Clinton Medical Center range from $476 to $515 across 3 insurers. Aetna's rate is $483. The median at nearby comparable hospitals is $196. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercyone Clinton Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercyone Clinton Medical Center range from $23,363 to $33,761 across 2 insurers. Blue Cross Blue Shield's rate is $23,363. The median at nearby comparable hospitals is $24,420. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercyone Clinton Medical Center's CMS star rating?

Mercyone Clinton Medical Center 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 Mercyone Clinton Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercyone Clinton Medical Center for fiscal year 2027.

Does Medicare penalize Mercyone Clinton Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercyone Clinton Medical Center's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercyone Clinton Medical Center?

In 2024, the most common were respiratory infections and inflammations with mcc (70 discharges), septicemia or severe sepsis without mv >96 hours with mcc (67 discharges), simple pneumonia and pleurisy with mcc (53 discharges).

What is Mercyone Clinton Medical Center's case mix index?

Mercyone Clinton Medical Center's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% 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
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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
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