Community Health Systems · Kirksville, MO
2 of 5
CMS star rating
50
Beds
1,964
Inpatient discharges a year
$83.4M
Net patient revenue a year
33
In-network payers
Northeast Regional Medical Center is a 50-bed proprietary hospital in Kirksville, MO, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 150 disclosed rate categories.
The 24 services Northeast Regional 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.
CT imaging
CPT 74177
$2,489 - $5,305
from 4 insurers · median $3,303
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$21,048 - $44,857
from 4 insurers · median $28,208
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$2,150 - $4,420
from 2 insurers · median $3,285
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
Digestive procedures
CPT 49650
$24,672 - $52,580
from 4 insurers · median $33,065
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$11,403 - $26,775
from 2 insurers · median $19,089
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$3,150 - $5,802
from 2 insurers · median $4,476
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
CPT 70450
$1,747 - $2,093
from 2 insurers · median $1,920
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$2,178 - $4,642
from 4 insurers · median $2,800
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$15,916 - $33,919
from 4 insurers · median $21,684
27 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$7,435 - $17,701
from 4 insurers · median $9,130
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,798 - $3,473
from 3 insurers · median $3,353
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$5,498 - $45,986
from 4 insurers · median $23,718
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,399 - $15,642
from 4 insurers · median $8,067
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$3,259 - $6,946
from 4 insurers · median $4,112
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$213 - $738
from 4 insurers · median $494
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,689 - $10,117
from 4 insurers · median $5,745
79 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 55866
$11,403 - $26,775
from 2 insurers · median $19,089
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$38,556 - $49,877
from 2 insurers · median $44,217
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$2,115 - $4,507
from 4 insurers · median $2,736
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,124 - $1,389
from 4 insurers · median $1,290
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$3,259 - $6,946
from 4 insurers · median $4,368
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$17,776 - $37,883
from 4 insurers · median $23,823
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$34,257 - $73,007
from 4 insurers · median $45,910
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$2,920 - $6,223
from 4 insurers · median $3,914
Common here, based on CMS Medicare volume
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 | 985% | 8 | 1 |
| Insurer B* | 19 | 814% | 6 | 3 |
| Insurer C* | 18 | 664% | 14 | 2 |
| Insurer D* | 24 | 476% | 15 | 1 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 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 Northeast Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by ACHC
Finances
$83.4M net patient revenue
Ownership and leadership
Owned by CHS Community Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Northeast Regional Medical Center 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 |
|---|---|---|
| 36-4395800Kirksville Missouri Hospital Company LLC | 51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more | 1508135005 Kirksville Missouri Hospital Company LLC1104899442 Kirksville Missouri Hospital Company LLC1932172293 Kirksville Missouri Hospital Company LLCand 3 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.
315 South Osteopathy, Kirksville, MO 63501
(660) 785-1000
How Northeast Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 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
Worse on 1 of 6 measures
0 better, 5 no different, 1 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
52%
Lower than 96% 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)
1
Higher than 66% 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
150 min
Higher than 51% 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
67%
Higher than 53% 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 | 2 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 1 of 6 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 | 52% | 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) | 1 | 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 | 150 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 67% | 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 Northeast Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.17% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.98% 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 Northeast Regional Medical Center, 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 | This hospital | 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 · 543 cases | 4 | 3.9 | 3.991 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 57 cases | 13.7 | 11.8 | 11.96 | Worse than 94% of US hospitals | |
| 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 · 91 cases | 11.7 | 11 | 11.68 | Worse than 64% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 176 cases | 13.6 | 15.2 | 15.5 | Better than 74% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 28 cases | 11.5 | 11.6 | 12.03 | Better than 52% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 981 cases | 0.41 | 0.51 | 0.5582 | No Different Than the National Rate | Better than 65% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 181 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,210 cases | 0.19 | 0.2 | 0.2094 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,175 cases | 0.26 | 0.27 | 0.2774 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 255 cases | 2.57 | 2.29 | 2.312 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 75 cases | 1.6 | 1.63 | 1.619 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 75 cases | 11.04 | 8.88 | 9.849 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 277 cases | 3.5 | 3.4 | 3.388 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 67 cases | 5.84 | 5.105 | 5.071 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 53 cases | 2.06 | 1.72 | 1.763 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 132 cases | 1.28 | 1.02 | 1.029 | No Different Than the National Rate | Worse than 87% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 56 cases | 62.8 | 4.2 | 5.15 | Worse than 97% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 95 cases | -21.6 | 1.25 | 2.001 | Better than 81% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 185 cases | -3.2 | 3.85 | 0.788 | Better than 59% 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 · 344 cases | 15 | 12.9 | 13.12 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.318 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 115 cases | 0.9 | 1 | 0.9815 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 71 cases | 14.5 | 14.4 | 14.32 | Worse than 55% of US hospitals | |
| 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 · 31 cases | 19.6 | 19.8 | 20.11 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 96 cases | 21.3 | 21.3 | 21.62 | Better than 49% 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 · 206 cases | 15.7 | 17.2 | 17.28 | Better than 96% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | 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 | 1,118 | 1,370 | 4,135 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.897 | 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 | 1,302 | 1,799 | 3,878 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.978 | 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 | 32 | 61 | 126 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.864 | 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 | 2 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.016 | 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 | 6,979 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.239 | 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 | Not Available | 0.1657 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.164 | 0.747 | 1.229 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 6,979 | 13,646 | 38,342 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.573 | 5.683 | 24.41 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.022 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3843 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 301 cases | 68 | 73 | 72.59 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 301 cases | 13 | 8 | 9.344 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 301 cases | 19 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 84 | 87 | 85.78 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 301 cases | 3 | 4 | 3.297 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 301 cases | 77 | 80 | 79.3 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 91 | 91 | 91.27 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 301 cases | 4 | 4 | 3.882 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 301 cases | 3 | 3 | 3.392 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 301 cases | 19 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 301 cases | 76 | 79 | 79.32 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 90 | 91 | 90.65 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 301 cases | 5 | 5 | 5.032 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 301 cases | 3 | 3 | 3.095 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 301 cases | 19 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 301 cases | 51 | 61 | 60.96 | Worse than 94% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 72 | 77 | 76.66 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 301 cases | 25 | 19 | 18.89 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 301 cases | 2 | 3 | 2.689 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 301 cases | 24 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 83 | 86 | 86.27 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 301 cases | 17 | 13 | 13.38 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 301 cases | 3 | 3 | 3.432 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 301 cases | 83 | 87 | 86.62 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 301 cases | 18 | 14 | 14.94 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 301 cases | 82 | 86 | 85.06 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 301 cases | 69 | 74 | 73.49 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 301 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 · 301 cases | 24 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 74 | 77 | 77.34 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 6 | 6 | 5.549 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 20 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 86 | 85 | 85.12 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 2 | 3 | 3.463 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 12 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 301 cases | 11 | 8 | 7.366 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 301 cases | 26 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 301 cases | 63 | 72 | 72.23 | Worse than 82% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 85 | 88 | 88.41 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 301 cases | 2 | 3 | 3.405 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 301 cases | 66 | 74 | 73.17 | Worse than 92% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 301 cases | 14 | 9 | 9.915 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 301 cases | 20 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 301 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 · 301 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 · 301 cases | 22 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 73 | 77 | 75.55 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 4 | 4 | 4.585 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 301 cases | 23 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 87 | 86 | 85.67 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 2 | 3 | 2.427 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 301 cases | 11 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 301 cases | 55 | 59 | 60.98 | Worse than 64% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 301 cases | 11 | 9 | 8.344 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 301 cases | 34 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 81 | 82 | 82.92 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 301 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 · 301 cases | 7 | 5 | 5.892 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 301 cases | 52 | 71 | 70.75 | Worse than 96% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 301 cases | 81 | 87 | 87.14 | Worse than 89% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 301 cases | 41 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 301 cases | 2 | 4 | 3.662 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 301 cases | 37 | 47 | 45.78 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 301 cases | 35 | 30 | 29.67 | Worse than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 301 cases | 28 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 301 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 · 301 cases | 15 | 12 | 12.12 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 301 cases | 85 | 88 | 87.88 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 · 389 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 · 448 cases | 42 | 79 | 81.12 | Worse than 91% 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 · 423 cases | 155 | 154 | 167 | Worse than 50% 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 · 377 cases | 150 | 148 | 161 | Worse than 51% 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 · 15 cases | 165 | 247 | 273 | Better than 82% 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 · 32 cases | 276 | 293 | 288 | Better than 58% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 13,058 cases | 1 | 1 | 2.18 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 72.93 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 69 cases | 75 | 97 | 95.34 | Worse than 93% 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 · 575 cases | 18 | 15 | 17.13 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 122 cases | 67 | 65 | 61.69 | Better than 53% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 61 | 73 | 66.69 | Worse than 75% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 95 | 88 | 82.85 | Better than 74% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 123 cases | 86 | 82 | 78.59 | Better than 65% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 79 cases | 90 | 94 | 92.68 | Worse than 72% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.61 | |||
| 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 · 848 cases | 94 | 90 | 83.25 | Better than 65% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 356 cases | 99 | 97 | 95.05 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 6.6 | 5 | 5.293 | Worse than 67% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.3 | 6.6 | 6.538 | Worse than 70% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.98 | 0.99 | 0.981 | Better than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | 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 | 10 | 10 | 24.07 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 6.186 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 9 | 34 | 35.83 | Worse than 97% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 2.25 | 8.75 | 9.052 | Worse than 97% of US hospitals | |
| VBP safety domain scoreFY 2026 | 20 | 40 | 39.11 | Worse than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5 | 10 | 9.878 | Worse than 85% of US hospitals | |
| VBP total performance scoreFY 2026 | 14.75 | 29.5 | 30.07 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 44 | 58 | 35 | 12.5 | 15 | 20 |
| VBP clinical outcomes weighted domain score | 11 | 14.5 | 8.75 | 4.167 | 3.75 | 5 |
| VBP efficiency and cost reduction domain score | 40 | Not Available | 0 | 20 | 50 | 10 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 0 | 6.667 | 12.5 | 2.5 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 13 | 11 | 9 |
| VBP person and community engagement weighted domain score | 5 | Not Available | Not Available | 4.333 | 2.75 | 2.25 |
| VBP safety domain score | 50 | Not Available | Not Available | Not Available | 65 | 20 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | Not Available | 16.25 | 5 |
| VBP total performance score | 38.5 | Not Available | Not Available | 15.17 | 35.25 | 14.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.031 | 0.9995 | 1.004 | Worse than 69% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9855 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.025 | 0.9969 | 1.004 | Worse than 73% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 90 cases | 1.014 | 0.9983 | 1 | Worse than 61% 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 · 128 cases | 0.9362 | 0.9955 | 0.9936 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9971 | 1.009 | N/A | N/A | 1.052 | 1.031 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9632 | 0.9584 | 0.9459 | 1.022 | 1.044 | 1.025 |
| READM-30-HF-HRRP | 1.035 | 1.027 | 1.014 | 1.022 | 0.9925 | 1.014 |
| READM-30-HIP-KNEE-HRRP | 0.9826 | 0.9791 | 1.003 | 0.9598 | N/A | N/A |
| READM-30-PN-HRRP | 1.016 | 0.9676 | 0.9907 | 0.9138 | 0.9627 | 0.9362 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.5555 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.504 | 0.346 | 0.3878 | Worse than 73% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.5837 | The best result, shared by 14% of US hospitals | |
| 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 | 1.004 | 0.9628 | 0.9777 | Worse than 66% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.777 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.7164 | -0.0453 | -0.03378 | Better than 88% 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 | 0.145 | -0.0013 | 0 | -0.7138 | -0.9664 | -0.7164 |
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.
ACHC (since 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
194
Medicare-certified beds
59
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Northeast Regional Medical Center reported to Medicare in its latest cost report, covering Jun 1, 2024 to May 31, 2025.
1,964
Inpatient discharges
Medicare 37%, Medicaid 21%
8,419
Inpatient days
46% of available bed days used
246
Employees (full-time equivalent)
28
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841087). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Northeast Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,864 | 868 | 3,687 | 8,419 |
| Discharges | 728 | 404 | 832 | 1,964 |
| Average length of stay | 5.3 days | 2.1 days | 4.4 days | 4.3 days |
| Average daily census | 10.6 | 2.4 | 10.1 | 23.1 |
1,290
Medicare Advantage days
300 discharges
900
Medicaid managed care days
347
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 41 | 5,601 | 2,605 | 37% |
| Intensive care unit | 9 | 910 | 417 | 28% |
| Nursery | 884 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Northeast Regional Medical Center treats Medicare patients for most often, in 2024. 312 Medicare discharges in 10 published DRGs; 11% surgical; 83% 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 | 162 | $101,558 | $20,805 | $14,726 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $59,626 | $10,175 | $8,646 | 1.03 |
| Heart failure and shock with MCCMS-DRG 291, medical | 23 | $62,007 | $13,332 | $8,991 | 1.28 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $159,651 | $21,674 | $23,149 | 2.07 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $101,197 | $17,808 | $14,674 | 1.65 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $49,198 | $7,740 | $7,134 | 0.78 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $83,522 | $16,698 | $12,111 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $45,930 | $12,155 | $6,660 | 1.20 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $141,742 | $19,520 | $20,553 | 1.88 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 12 | $72,105 | $13,239 | $10,455 | 1.33 |
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) Northeast Regional Medical Center billed Medicare for most in 2024: 428 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 81 | 76 | $26,248 | $1,993 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 79 | 43 | $14,058 | $1,700 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 51 | $32,624 | $2,143 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 27 | 27 | $36,130 | $2,355 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 27 | 27 | $37,653 | $2,331 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $77,206 | $4,231 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 25 | $64,532 | $5,004 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 22 | 21 | $123,654 | $10,405 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 20 | $16,787 | $1,159 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $87,712 | $7,790 | $8,164 |
See all 13 Medicare outpatient services at Northeast Regional Medical Center
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 Northeast Regional Medical Center 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 718 in 2020 to 895 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 63501 | 490 | 55% | 2,209 | $56M | 56% | 50% |
| 63549 | 58 | 6% | 245 | $6.7M | 45% | 38% |
| 63546 | 38 | 4% | 173 | $4.7M | 63% | 62% |
| 63561 | 33 | 4% | 122 | $3.7M | 61% | 63% |
| 63565 | 29 | 3% | 123 | $3.4M | 20% | 21% |
| 63556 | 28 | 3% | 146 | $3.7M | 25% | 21% |
| 63548 | 24 | 3% | 100 | $2.9M | 38% | 61% |
| 63533 | 23 | 3% | 81 | $2.2M | 100% | 100% |
| 63544 | 23 | 3% | 113 | $2.9M | 64% | 58% |
| 63537 | 22 | 2% | 76 | $2.3M | 27% | 31% |
| 63555 | 21 | 2% | 113 | $3.1M | 12% | |
| 63559 | 21 | 2% | 74 | $2.2M | 38% | 54% |
| 63545 | 20 | 2% | 78 | $2.3M | 63% | 44% |
| 63552 | 19 | 2% | 102 | $2.8M | 4% | |
| 52537 | 16 | 2% | 86 | $2.6M | 12% | |
| 63541 | 16 | 2% | 73 | $2M | 57% | |
| 64628 | 14 | 2% | 72 | $1.7M | 5% |
Source: CMS Hospital Service Area file. Shares are of the 895 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 Northeast Regional Medical Center reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
5
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
119
Psychiatric unit beds
10
Rehabilitation unit beds
59
Registered nurses
5
Licensed practical nurses
26
Resident physicians
2
Pharmacists
6
Respiratory therapists
7
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
8
Medical technologists
122
Other personnel
Source: CMS Provider of Services file.
216 clinicians who bill Medicare list Northeast Regional Medical Center 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.
Umasankar Ramadoss, MD
Hematology & Oncology Physician
NPI 1962499806
See commercial rates for Umasankar Ramadoss, MDLiana Makarian, M.D.
Hematology & Oncology Physician
NPI 1730495250
See commercial rates for Liana Makarian, M.D.Elangovan Balakrishnan, MD
Hematology & Oncology Physician
NPI 1407843022
See commercial rates for Elangovan Balakrishnan, MDAndrew Iliff, MD
Hematology & Oncology Physician
NPI 1851654818
See commercial rates for Andrew Iliff, MDRachel Nelson, M.D.
Diagnostic Radiology Physician
NPI 1245523380
See commercial rates for Rachel Nelson, M.D.Abram Geisendorfer, M.D.
Ophthalmology Physician
NPI 1326230087
See commercial rates for Abram Geisendorfer, M.D.Lawrence Ciesemier, D.O
Allergy & Immunology (Internal Medicine) Physician
NPI 1952464190
See commercial rates for Lawrence Ciesemier, D.OBaydon Hilton
Dermatology Physician
NPI 1790330371
See commercial rates for Baydon HiltonFang Yu, MD
Diagnostic Radiology Physician
NPI 1811159296
See commercial rates for Fang Yu, MDLloyd Cleaver, DO
Dermatology Physician
NPI 1104829829
See commercial rates for Lloyd Cleaver, DOMyles Goble, MD
Neurology Physician
NPI 1013028745
See commercial rates for Myles Goble, MDJustin Puckett, DO
Family Medicine Physician
NPI 1205044146
See commercial rates for Justin Puckett, DOMary Roberts, PA-C
Physician Assistant
NPI 1447969787
See commercial rates for Mary Roberts, PA-CMaura Gerdes, D.O.
Internal Medicine Physician
NPI 1043593841
See commercial rates for Maura Gerdes, D.O.Deborah Holte, DPM
Podiatrist
NPI 1487687935
See commercial rates for Deborah Holte, DPMClay Mechlin, M.D.
Urology Physician
NPI 1760645840
See commercial rates for Clay Mechlin, M.D.Ryan Farrer, DO
Diagnostic Radiology Physician
NPI 1861429953
See commercial rates for Ryan Farrer, DOLarry Handlin, DO
Cardiovascular Disease Physician
NPI 1437144375
See commercial rates for Larry Handlin, DODawn Fairley, DO
Family Medicine Physician
NPI 1801832373
See commercial rates for Dawn Fairley, DOMarcus Kirkpatrick, M.D.
Diagnostic Radiology Physician
NPI 1861682643
See commercial rates for Marcus Kirkpatrick, M.D.Jake Vrdoljak, MD
Radiological Physics Physician
NPI 1619976230
See commercial rates for Jake Vrdoljak, MDPaul Mcgowan, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1023126919
See commercial rates for Paul Mcgowan, MDChristopher Hasiak, M.D.
Diagnostic Radiology Physician
NPI 1992090773
See commercial rates for Christopher Hasiak, M.D.Stanley Smith, MD
Diagnostic Radiology Physician
NPI 1003802968
See commercial rates for Stanley Smith, MDSource: 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 Northeast Regional Medical Center reported to Medicare for Jun 1, 2024 to May 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $461.1M | 552.7% |
| Inpatient | $183.4M | 219.8% |
| Outpatient | $277.7M | 332.9% |
| Contractual allowances and discounts | -$377.7M | -452.7% |
| Net patient revenue | $83.4M | 100.0% |
| Operating expenses | -$66.3M | -79.5% |
| Operating income from patient care | $17.1M | 20.5% |
| Other income | $392,230 | 0.5% |
| Net income | $17.5M | 21.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $119.1M | 25.9% |
| Medicaid (including managed care) | $86.1M | 18.7% |
| Other payers and self-pay | $254.8M | 55.4% |
| Total charges | $460M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, 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 Northeast Regional Medical Center's latest cost report.
20.5%
Operating margin
Operating income from patient care / net patient revenue
20.9%
Total margin
Net income / net patient revenue plus other income
27.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.64
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
40.3%
Return on assets
Net income for a year / total assets
4.6%
Return on equity
Net income for a year / fund balance
0.02
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
-0.06
Current ratio
Current assets / current liabilities
-0.05
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
74 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-1994 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.93
Asset turnover
Total revenue for a year / total assets
17.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Northeast Regional Medical Center owned and owed at the end of its reporting period (May 2025), across all fund types: $43.5M in total assets and a $383.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $89,888 | 0.2% |
| Patient receivables, net | $17M | 39.1% |
| Inventory | $3.5M | 8.0% |
| Total current assets | $21.1M | 48.4% |
| Property and equipment, net of depreciation | $9.9M | 22.7% |
| Investments and other assets | $12.6M | 28.9% |
| Total assets | $43.5M | 100.0% |
| Current liabilities | -$350.7M | -806.4% |
| Long-term debt | $8.8M | 20.3% |
| Total liabilities | -$340.2M | -782.3% |
| Fund balance (net assets) | $383.7M | 882.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Northeast Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.6M
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
$1.6M
Total unreimbursed and uncompensated care
2.4% 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 841087, amended. Hospitals report these figures themselves; they are not audited financial statements.
Northeast Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | May 2020 | May 2021 | May 2022 | May 2023 | May 2024 | May 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $61.1M | $66.7M | $67.9M | $70.6M | $78M | $83.4M |
| Operating expenses | $36.2M | $32.8M | $29M | $39.8M | $61.7M | $66.3M |
| Operating margin | 40.8% | 50.9% | 57.3% | 43.6% | 20.9% | 20.5% |
| Net income | $25.4M | $40.5M | $41.2M | $31.3M | $16.6M | $17.5M |
| Total assets | $20.1M | $39.8M | $41.4M | $43.4M | $41.9M | $43.5M |
| Discharges | 2,149 | 1,792 | 1,721 | 2,216 | 1,976 | 1,964 |
| Inpatient days | 9,005 | 7,767 | 6,471 | 6,244 | 7,652 | 8,419 |
| Medicare Advantage days | 361 | 556 | 726 | 1,126 | 1,431 | 1,290 |
| Beds | 51 | 50 | 45 | 40 | 41 | 50 |
| Employees (FTE) | 280 | 275 | 264 | 254 | 239 | 246 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Northeast Regional Medical Center 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 |
|---|---|---|---|---|---|
| Operating room | $1.6M | $6.1M | $77.2M | 0.08 | 18,540 |
| Laboratory | $955,221 | $4.7M | $69.1M | 0.07 | 3,945 |
| Impl. dev. charged to patients | $4.2M | $17.6M | 0.24 | ||
| Emergency | $896,328 | $4.2M | $42M | 0.10 | 7,014 |
| Rural health clinic | $1.2M | $3.5M | $1M | 3.50 | 11,500 |
| Drugs charged to patients | $2.7M | $18.3M | 0.15 | 496 | |
| Radiology-diagnostic | $571,555 | $2.2M | $17.6M | 0.12 | 7,730 |
| Delivery room & labor room | $677,584 | $1.5M | $2.2M | 0.69 | 2,112 |
| Medical supplies charged to patient | $1.4M | $5.2M | 0.27 | 755 | |
| Respiratory therapy | $533,929 | $1.2M | $7M | 0.17 | 1,357 |
| Cardiac catheterization | $574,410 | $1.2M | $11.5M | 0.10 | |
| Recovery room | $244,567 | $947,037 | $10.4M | 0.09 | 3,988 |
| Ct scan | $310,149 | $793,021 | $51.3M | 0.02 | 474 |
| Physical therapy | $748,929 | $6.4M | 0.12 | 3,992 | |
| Electrocardiology | $216,289 | $677,370 | $9.7M | 0.07 | 1,538 |
| Observation beds (non-distinct part | $558,569 | $1.8M | 0.32 | ||
| Radioisotope | $118,707 | $495,258 | $3.2M | 0.16 | 2,631 |
| Ultra sound | $243,941 | $470,664 | $10.2M | 0.05 | |
| Whole blood & packed red blood cell | $361,611 | $2.1M | 0.17 | 158 | |
| Sleep lab | $66,717 | $249,201 | $3M | 0.08 | 833 |
| Mri | $121,430 | $245,987 | $11M | 0.02 | |
| Anesthesiology | $218,218 | $26.1M | 0.01 | 313 | |
| Occupational therapy | $96,302 | $2.1M | 0.05 | ||
| Speech pathology | $11,988 | $179,783 | 0.07 | ||
| Clinic | $4,078 | $37,115 | 0.11 | ||
| Psychiatric/psychological services | -$39 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.2M | $9.6M | $42.4M | 0.23 | 27,040 |
| Intensive care unit | $700,368 | $3.7M | $8M | 0.47 | 7,731 |
| Nursery | $324,362 | $717,771 | $3.3M | 0.22 | 443 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.7M | $13M | 80,197 | $32.29 | 24,464 |
| Operation of plant | $714,124 | $4.1M | 25,055 | $28.50 | 56,056 |
| Cap rel costs-bldg & fixt | $3M | 212,903 | |||
| Employee benefits department | $199,751 | $2.9M | 4,606 | $43.37 | 2,378 |
| I&r services-salary & fringes apprv | $2M | $2.7M | 2,943 | ||
| Cap rel costs-mvble equip | $2.7M | ||||
| Nursing administration | $738,561 | $1M | 17,664 | $45.89 | 404 |
| Housekeeping | $872,201 | 1,790 | |||
| Cafeteria | $796,846 | 2,147 | |||
| Central services & supply | $160,590 | $777,251 | 8,876 | $18.09 | 6,916 |
| Pharmacy | $345,281 | $685,440 | 7,643 | $45.18 | 1,351 |
| Medical records & library | $308,490 | $589,084 | 14,071 | $21.92 | 4,058 |
| Dietary | $365,312 | 5,641 | |||
| Social service | $309,986 | $333,637 | 7,371 | $42.05 | |
| Laundry & linen service | $98,509 | 1,272 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841087, 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 Northeast Regional Medical Center for an inpatient stay.
1.81
Case mix index
Higher than 63% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.52 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
30.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
715
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 | 1.78 | 1.79 | 1.73 | 1.75 | 1.78 | 1.83 | 1.81 |
| Wage index | 0.843 | 0.841 | 0.838 | 0.854 | 0.843 | 0.967 | 0.951 |
| Readmissions adjustment | -0.17% | -0.17% | -0.08% | -0.05% | -0.09% | -0.13% | -0.17% |
| Value-based purchasing adjustment | +0.33% | +0.47% | +0.47% | -0.34% | -0.56% | +1.15% | -0.98% |
| Medicare inpatient stays | 942 | 942 | 710 | 586 | 628 | 707 | 715 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Northeast Regional Medical Center reports to Medicare as owners or with operational control.
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2012
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2012
Community Health Investment Company LLC
5% or greater indirect ownership interest, 100%, since 2007
Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2011
Kirksville Hospital Company, LLC
5% or greater direct ownership interest, 98.7%, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Northeast Regional Medical Center'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 10 of 12 are shown.
Accountable care organization (Medicare Shared Savings Program)
CHSPSC ACO 8, LLC
ACO A3715, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Northeast Regional Medical Center's legal name.
Northeast regional swingbed
CCN 26U022, certified 2001, Medicare prospective payment
Northeast regional medical group
CCN 268675, certified 2012, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Northeast Regional Medical Center's latest Medicare cost report (HCRIS).
About Northeast Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Northeast Regional Medical Center range from $3,259 to $6,946 across 4 insurers. UnitedHealthcare's rate is $6,946. The median at nearby comparable hospitals is $2,445. 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 Northeast Regional Medical Center range from $2,489 to $5,305 across 4 insurers. Cigna's rate is $2,983. The median at nearby comparable hospitals is $2,570. 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 Northeast Regional Medical Center range from $7,435 to $17,701 across 4 insurers. Aetna's rate is $7,435. The median at nearby comparable hospitals is $1,742. 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 Northeast Regional Medical Center range from $2,150 to $4,420 across 2 insurers. Blue Cross Blue Shield's rate is $4,420. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northeast Regional Medical Center range from $213 to $738 across 4 insurers. Cigna's rate is $415. The median at nearby comparable hospitals is $268. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northeast Regional Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
Yes. CMS counts 0.52 Medicare-funded residents per bed at Northeast Regional Medical Center for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northeast Regional Medical Center's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (162 discharges), septicemia or severe sepsis without mv >96 hours without mcc (25 discharges), heart failure and shock with mcc (23 discharges).
Northeast Regional Medical Center's Medicare case mix index is 1.81 for fiscal year 2027, higher than 63% of hospitals paid under the inpatient prospective payment system.
Northeast Regional Medical Center reported 1,964 inpatient discharges and 8,419 inpatient days from Jun 1, 2024 to May 31, 2025.
Northeast Regional Medical Center reported 246 full-time-equivalent employees on payroll from Jun 1, 2024 to May 31, 2025.
Northeast Regional Medical Center reported $83.4M in net patient revenue on $461.1M of gross charges for Jun 1, 2024 to May 31, 2025, an operating margin of 20.5%, and net income of $17.5M.
Northeast Regional Medical Center reported $1.6M of unreimbursed and uncompensated care for Jun 1, 2024 to May 31, 2025, including $1.1M of charity care at cost.
Northeast Regional Medical Center's Medicare enrollment lists Kevin J Hammons as President/board Member since 2012.
Insurers' price transparency files list Northeast Regional Medical Center under employer identification number 36-4395800 (Kirksville Missouri Hospital Company LLC). 51 health plans and networks list 36-4395800 for it.
216 clinicians who bill Medicare list Northeast Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (31), family nurse practitioner (24), diagnostic radiology physician (19).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Northeast Regional Medical Center, effective 2025.
In its Medicare enrollment, Northeast Regional Medical Center reports CHS Community Health Systems Inc as 5% or greater indirect ownership interest (100%).
CMS lists 35 services at Northeast Regional Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Northeast Regional Medical Center came from ZIP codes 63501 (490), 63549 (58), 63546 (38).
Northeast Regional Medical Center has 50 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 194 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Northeast Regional Medical Center is located at 315 South Osteopathy, Kirksville, MO 63501. Its main phone number is (660) 785-1000.
Northeast Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 260022.
The National Provider Identifier (NPI) on file for Northeast Regional Medical Center is 1104899442.
Northeast Regional Medical Center is affiliated with Community Health Systems.
Northeast Regional Medical Center lists 33 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.
150 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