Short Term Acute Care HospitalGovernment - Local

Monroe County Hospital

Monroeville, AL

2016 South Alabama Avenue, Monroeville, AL 36460(251) 575-3111

Not rated by CMS

CMS star rating

Beds

569

Inpatient discharges a year

$23.3M

Net patient revenue a year

In-network payers

About this hospital

Monroe County Hospital is a 46-bed government - local hospital in Monroeville, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 174 disclosed rate categories.

Sole community hospital
Disproportionate share hospital
Helipad

CCN: 010120
NPI: 1457392904
Website: mchcare.com
Teaching: No Medicare-funded residents
Medicare contractor: Jurisdiction 5, WPS Government Health Administrators (05901)

Prices for common services

The 24 services Monroe County Hospital 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.

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Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,402

negotiated rate

Cigna$5,402

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

$299 - $454

from 2 insurers · median $376

Aetna$299

Insurer A*$454

Medicare $325Nearby hospitals $61439% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$77 - $462

from 2 insurers · median $269

Aetna$77

Insurer A*$462

Medicare $97Nearby hospitals $59955% below nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$527 - $695

from 2 insurers · median $611

Aetna$527

Insurer A*$695

Medicare $509Nearby hospitals $95436% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Monroe County Hospital

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*	22	129%	3	18
Insurer B*	6	90%	3	3
Insurer C*	18	69%	1	16
Insurer D*	6	47%	0	0

How we chose these services: 0 appear in this hospital's own Medicare claims, 17 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 Monroe County Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

Quality
Not rated by CMS
- Medicare readmissions penalty (-0.14%)
See quality ratings
Doctors and services
No Medicare-funded residents
- 23 services
See doctors and services
Finances
$23.3M net patient revenue
- Operating margin on patient care -95.5%
- $676,196 unreimbursed and uncompensated care
- -$19.8M net income
See finances

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Monroe County Hospital 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
63-0438739Monroe County Health Care Authority	53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more	1457392904 Monroe County Health Care Authority1912946708 Monroe County Health Care Authority1811027576 Monroe County Health Care Authorityand 7 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

2016 South Alabama Avenue, Monroeville, AL 36460

(251) 575-3111

Get directions

Quality ratings (CMS Care Compare)

How Monroe County Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.99
Higher than 63% 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

Measure details and reporting periods

Measure	Result	Period
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.99	2022-07-01 to 2024-06-30

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.

Medicare quality penalties and bonuses

How Medicare adjusts Monroe County Hospital's inpatient payments for its readmissions, quality and cost results.

-0.14% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
-0.84% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2026).

Every CMS quality measure

Each result CMS publishes for Monroe County Hospital, beside the US median and the average of AL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	Monroe County Hospital	US median	AL average	US rank
VBP clinical outcomes domain scoreFY 2026	0	20	12.82	The worst result, shared by 11% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	0	5	3.268	The worst result, shared by 11% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	30	10	19.17	Better than 68% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	10	2.5	5.035	Better than 76% of US hospitals
VBP person and community engagement domain scoreFY 2026	Not Available		41.4
VBP person and community engagement weighted domain scoreFY 2026	Not Available		10.89
VBP safety domain scoreFY 2026	10	40	40.62	Worse than 95% of US hospitals
VBP safety weighted domain scoreFY 2026	3.333	10	10.27	Worse than 93% of US hospitals
VBP total performance scoreFY 2026	13.33	29.5	28.52	Worse than 97% of US hospitals

By fiscal year	FY 2021	FY 2023	FY 2025	FY 2026
VBP clinical outcomes domain score	16.67	Not Available	0	0
VBP clinical outcomes weighted domain score	5.556	Not Available	0	0
VBP efficiency and cost reduction domain score	0	40	0	30
VBP efficiency and cost reduction weighted domain score	0	10	0	10
VBP person and community engagement domain score	87	Not Available	39	Not Available
VBP person and community engagement weighted domain score	29	Not Available	13	Not Available
VBP safety domain score	Not Available	Not Available	Not Available	10
VBP safety weighted domain score	Not Available	Not Available	Not Available	3.333
VBP total performance score	34.56	Not Available	13	13.33

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Monroe County Hospital	US median	AL average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A		1.029
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.045
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	N/A		0.996
READM-30-HF-HRRP2021-07-01 to 2024-06-30	1.021	0.9983	1.009	Worse than 65% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A		1.039
READM-30-PN-HRRP2021-07-01 to 2024-06-30	1.034	0.9955	1.003	Worse than 72% 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	1.021	1.008	N/A	N/A	N/A	N/A
READM-30-HF-HRRP	1.012	1.007	0.9584	N/A	0.9913	1.021
READM-30-HIP-KNEE-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-PN-HRRP	1	1.021	0.9813	1.02	1.014	1.034

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Monroe County Hospital	US median	AL average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.5999
CDI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.4007
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.8784
HAC Reduction Program payment reductionFY 2026	Yes
MRSA standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.8744
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.9922	0.9628	1.049	Worse than 63% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.5688
Total HAC scoreFY 2026	1.654	-0.0453	0.09962	Worse than 98% 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	Yes
Total HAC score	-0.1969	-0.0054	0	-0.7644	-0.7995	1.654

Source: CMS Care Compare hospital files, latest release 2026-08-13, 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.

Accreditation and services

23 services at Monroe County Hospital

Emergency and trauma: Emergency DepartmentEmergency Psychiatric Care
Intensive care: Surgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Outpatient SurgeryPostoperative Recovery Room
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Therapeutic Radiology
Cancer: Chemotherapy
Women and children: Clinical LaboratoryObstetrics / Child BirthPediatric Care
Rehabilitation and therapy: AudiologyCARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)PT (Physical Therapy)Respiratory Care
Other services: OutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Monroe County Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 12, 2025.

569
Inpatient discharges
Medicare 25%, Medicaid 21%
1,994
Inpatient days
12% of available bed days used
177
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 830002). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Monroe County Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	480	326	1,188	1,994
Discharges	141	117	311	569
Average length of stay	3.4 days	2.8 days	3.8 days	3.5 days
Average daily census	1.4	0.9	3.4	5.7

490
Medicare Advantage days
102 discharges
1,972
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	38	1,160	281	8%
Intensive care unit	8	814	199	28%
Nursery		20

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Monroe County Hospital treats Medicare patients for most often, in 2024. 30 Medicare discharges in 2 published DRGs; 0% surgical; 100% 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	18	$17,857	$13,880	$8,054	1.98
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	12	$12,728	$5,886	$5,740	0.82

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.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Monroe County Hospital billed Medicare for most in 2024: 113 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	113	105	$10,460	$1,911	$2,090

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.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Monroe County Hospital 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 283 in 2020 to 111 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
36460	71	64%	300	$1.2M	20%	35%
36445	29	26%	107	$483,170	18%	43%
36461	11	10%	42	$172,674	30%	49%

Source: CMS Hospital Service Area file. Shares are of the 111 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Income statement

Revenue, expenses and income Monroe County Hospital reported to Medicare for Oct 1, 2024 to Sep 12, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$85.9M	369.0%
Inpatient	$7.1M	30.7%
Outpatient	$78.7M	338.3%
Contractual allowances and discounts	-$62.6M	-269.0%
Net patient revenue	$23.3M	100.0%
Operating expenses	-$45.5M	-195.5%
Operating income from patient care	-$22.2M	-95.5%
Other income	$2.4M	10.5%
Contributions and donations	$37,497	0.2%
Investment income	$38,563	0.2%
Government appropriations	$1.4M	6.2%
Other	$928,864	4.0%
Net income	-$19.8M	-85.1%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$11.8M	8.5%
Medicaid (including managed care)	$9.9M	7.2%
Other payers and self-pay	$116.9M	84.3%
Total charges	$138.7M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. 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.

Financial ratios

Computed from Monroe County Hospital's latest cost report.

-95.5%
Operating margin
Operating income from patient care / net patient revenue
-77.0%
Total margin
Net income / net patient revenue plus other income
-73.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$53.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-94.3%
Return on assets
Net income for a year / total assets
-216.8%
Return on equity
Net income for a year / fund balance
0.45
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.99
Current ratio
Current assets / current liabilities
0.84
Quick ratio
Cash, temporary investments and net receivables / current liabilities
27 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
49 days
Days in patient receivables
Net patient receivables / daily net patient revenue
63 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.22
Asset turnover
Total revenue for a year / total assets
36.3 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Monroe County Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $22.1M in total assets and a $9.6M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$3.5M	16.0%
Patient receivables, net	$3.3M	15.0%
Inventory	$994,341	4.5%
Total current assets	$8.1M	36.5%
Property and equipment, net of depreciation	$11.2M	50.9%
Investments and other assets	$2.8M	12.6%
Total assets	$22.1M	100.0%
Current liabilities	$8.1M	36.8%
Long-term debt	$4.3M	19.7%
Total liabilities	$12.5M	56.5%
Fund balance (net assets)	$9.6M	43.5%

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Monroe County Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.

$87,696
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.9M
Bad debt
Patient bills written off as uncollectible, at charges
$1.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$676,196
Total unreimbursed and uncompensated care
1.5% 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 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Monroe County Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Sep 2020	Sep 2021	Sep 2022	Sep 2023	Sep 2024	Sep 2025
Net patient revenue	$21.4M	$26.6M	$23.8M	$22.3M	$23.3M	$23.3M
Operating expenses	$25.1M	$30.1M	$27.2M	$27.4M	$26.8M	$45.5M
Operating margin	-16.9%	-12.9%	-14.1%	-22.6%	-15.0%	-95.5%
Net income	-$729,773	$3.7M	-$702,183	$284,431	-$1M	-$19.8M
Total assets	$27.9M	$25.3M	$21.8M	$20.5M	$22.1M	$22.1M
Discharges	920	982	917	810	569	569
Inpatient days	3,308	4,390	3,352	2,908	1,994	1,994
Medicare Advantage days	425	753	695	566	515	490
Beds	46	46	46	46	46	46
Employees (FTE)	184	179	169	191	177	177

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Monroe County Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 29 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$5.9M	$45.2M	0.13
Chemotherapy	$773,210	$4.9M	$250,478	19.70	4,320
Laboratory	$1.3M	$4.4M	$22.2M	0.20	2,156
Observation beds (non-distinct part		$4.4M	$1.7M	2.56
Rural health clinic	$1.9M	$3.3M	$1.2M	2.82	5,760
Emergency	$2M	$3.3M	$13.9M	0.24	3,300
Radiology-diagnostic	$1.4M	$2.7M	$33.3M	0.08	6,285
Operating room	$529,877	$1.9M	$6.3M	0.29	8,778
Respiratory therapy	$1M	$1.8M	$2.5M	0.73	2,697
Home health agency	$484,673	$1.2M	$1.5M	0.77	1,480
Medical supplies charged to patient		$362,504	$1.6M	0.22
Sleep lab		$291,927	$1.4M	0.21	786
Anesthesiology	$332,666	$259,513	$225,143	1.15
Delivery room & labor room	$122,394	$249,242	$49,881	5.00	1,373
Recovery room	$49,248	$166,671	$223,926	0.74	684

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$4M	$6.9M	$2M	3.40	16,119
Intensive care unit	$1.9M	$3.3M	$3.5M	0.95	2,709
Nursery	$4,948	$22,849	$240	95.20	195

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2.3M	$7.6M	67,271	$33.88	13,835
Maintenance & repairs	$697,041	$3M	11,026	$63.22	14,861
Pharmacy	$914,401	$2.3M	13,711	$66.69	1,248
Housekeeping	$764,383	$1.1M	25,663	$29.79	699
Dietary	$542,782	$933,150	18,374	$29.54	3,782
Nursing administration	$446,803	$602,970	9,471	$47.18	1,429
Cap rel costs-bldg & fixt		$541,054			119,694
Cap rel costs-mvble equip		$390,545
Medical records & library		$223,547	12,722		1,728
Employee benefits department	$140,330	$170,283
Central services & supply		$7,328			1,814

Source: CMS cost report (HCRIS, Form 2552-10), report 830002, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Monroe County Hospital for an inpatient stay.

1.10
Case mix index
Higher than 3% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
33.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
172
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).

Show FY 2021 to FY 2026

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
Case mix index	1.05	1.07	1.29	1.08	1.07	1.10
Wage index	0.757	0.746	0.749	0.789	0.758	0.739
Readmissions adjustment	-0.23%	-0.33%	-0.42%	0.00%	-0.14%	-0.14%
Value-based purchasing adjustment	+0.36%	+0.22%	+0.22%	-0.35%	0.00%	-0.84%
Medicare inpatient stays	266	266	239	219	195	172

Source: CMS IPPS final rule Impact File (FY 2026).

Frequently asked questions

About Monroe County Hospital's rates and hospital price transparency.

How much does an MRI cost at Monroe County Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monroe County Hospital range from $313 to $626 across 2 insurers. Aetna's rate is $313. The median at nearby comparable hospitals is $1,043. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Monroe County Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Monroe County Hospital range from $299 to $454 across 2 insurers. Aetna's rate is $299. The median at nearby comparable hospitals is $614. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Monroe County Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Monroe County Hospital range from $557 to $1,337 across 4 insurers. UnitedHealthcare's rate is $1,105. The median at nearby comparable hospitals is $1,308. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Monroe County Hospital?

For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Monroe County Hospital range from $5,402 to $5,402 across 1 insurers. Cigna's rate is $5,402. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Monroe County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monroe County Hospital range from $75 to $114 across 2 insurers. Blue Cross Blue Shield's rate is $75. The median at nearby comparable hospitals is $171. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Monroe County Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Monroe County Hospital for fiscal year 2026.

Does Medicare penalize Monroe County Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Monroe County Hospital's base inpatient payments by an estimated 0.14% in fiscal year 2026 for more readmissions than expected.

What are the most common Medicare inpatient stays at Monroe County Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (18 discharges), simple pneumonia and pleurisy with cc (12 discharges).

What is Monroe County Hospital's case mix index?

Monroe County Hospital's Medicare case mix index is 1.10 for fiscal year 2026, higher than 3% of hospitals paid under the inpatient prospective payment system.

How many patients does Monroe County Hospital admit?

Monroe County Hospital reported 569 inpatient discharges and 1,994 inpatient days from Oct 1, 2024 to Sep 12, 2025.

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

About this hospital

Prices for common services

How the insurers pay at Monroe County Hospital

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

23 services at Monroe County Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Comparable hospitals nearby

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts