Rolla, MO
2 of 5
CMS star rating
240
Beds
5,905
Inpatient discharges a year
$357.2M
Net patient revenue a year
32
In-network payers
Phelps County Regional Medical Center is a 240-bed government - local hospital in Rolla, MO. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 244 disclosed rate categories.
The 24 services Phelps County 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
$289 - $6,850
from 4 insurers · median $3,524
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,465 - $6,810
from 2 insurers · median $6,638
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58558
$2,662 - $8,375
from 3 insurers · median $8,295
20 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$273 - $3,741
from 4 insurers · median $2,788
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$9,194
negotiated rate
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
MRI imaging
CPT 70553
$298 - $6,094
from 4 insurers · median $3,041
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$150 - $3,438
from 4 insurers · median $1,808
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,950 - $19,235
from 3 insurers · median $12,785
34 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$9,661 - $18,496
from 2 insurers · median $14,078
32 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$79 - $527
from 4 insurers · median $238
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$202 - $4,745
from 4 insurers · median $2,372
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $516
from 4 insurers · median $295
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$204 - $4,663
from 4 insurers · median $2,404
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$298 - $6,097
from 4 insurers · median $3,185
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$432 - $5,412
from 4 insurers · median $3,220
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,931 - $15,397
from 3 insurers · median $10,592
36 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,465 - $6,810
from 2 insurers · median $6,638
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58571
$9,208 - $16,210
from 3 insurers · median $9,809
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$4,931 - $13,986
from 3 insurers · median $12,738
36 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Lung function and sleep
CPT 95810
$722 - $6,127
from 4 insurers · median $5,755
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$795 - $7,033
from 4 insurers · median $5,821
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$176 - $1,258
from 4 insurers · median $1,052
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,931 - $14,558
from 3 insurers · median $10,312
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,971 - $4,249
from 4 insurers · median $3,733
173 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
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* | 23 | 625% | 17 | 3 |
| Insurer B* | 20 | 576% | 20 | 0 |
| Insurer C* | 14 | 89% | 0 | 14 |
| Insurer D* | 24 | 84% | 4 | 16 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 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 Phelps County 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 The Joint Commission
Finances
$357.2M net patient revenue
Ownership and leadership
Owned by Phelps County Clerk
The employer identification numbers (EINs) health plans and networks list for Phelps County 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 |
|---|---|---|
| 43-6004435Phelps County Regional Medical Center | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1891766051 Phelps County Regional Medical Center1346287455 Phelps County Regional Medical Center1578559076 Phelps County Regional Medical Centerand 10 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.
1000 West Tenth Street, Rolla, MO 65401
(573) 458-8899
How Phelps County 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
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 10 measures
0 better, 7 no different, 3 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
71%
Lower than 49% 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)
0.89
Lower than 75% 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
211 min
Higher than 86% 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
55%
Lower than 72% 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 | Worse on 1 of 7 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 3 of 10 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 | 71% | 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) | 0.89 | 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 | 211 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 55% | 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 Phelps County Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-1.12% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.38% 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 Phelps County 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 · 41 cases | 4.2 | 4.1 | 4.203 | Worse than 53% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,208 cases | 5.1 | 3.9 | 3.991 | Worse than 91% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 99 cases | 10.9 | 11.8 | 11.96 | Better than 78% 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 · 123 cases | 11.8 | 8.5 | 8.708 | Worse than 97% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 271 cases | 13.2 | 11 | 11.68 | Worse than 86% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 257 cases | 16.7 | 15.2 | 15.5 | Worse than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 69 cases | 12.6 | 11.6 | 12.03 | Worse than 65% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,295 cases | 0.28 | 0.51 | 0.5582 | No Different Than the National Rate | Better than 82% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 30 cases | 191 | 173 | 181 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,410 cases | 0.18 | 0.2 | 0.2094 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,315 cases | 0.28 | 0.27 | 0.2774 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 548 cases | 2.15 | 2.29 | 2.312 | No Different Than the National Rate | Better than 73% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 128 cases | 1.63 | 1.63 | 1.619 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 134 cases | 10.13 | 8.88 | 9.849 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 572 cases | 2.78 | 3.4 | 3.388 | No Different Than the National Rate | Better than 89% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 118 cases | 5.8 | 5.105 | 5.071 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 76 cases | 1.7 | 1.72 | 1.763 | No Different Than the National Rate | Better than 58% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 267 cases | 0.97 | 1.02 | 1.029 | No Different Than the National Rate | Better than 67% 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 · 100 cases | 21.5 | 4.2 | 5.15 | Worse than 77% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 325 cases | 45 | 1.25 | 2.001 | Worse than 91% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 287 cases | 41.4 | 3.85 | 0.788 | Worse than 89% 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 · 886 cases | 12.9 | 12.9 | 13.12 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 130 cases | 11.7 | 10.7 | 11.22 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 130 cases | 5.8 | 5.3 | 5.318 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 362 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 · 134 cases | 14.1 | 14.4 | 14.32 | Better than 61% 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 · 150 cases | 19.8 | 19.8 | 20.11 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 347 cases | 24.2 | 21.3 | 21.62 | Worse than 98% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 37 cases | 6.4 | 5.8 | 6.12 | Worse than 80% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 294 cases | 17.5 | 17.2 | 17.28 | Worse than 60% 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 | 0.455 | 0.172 | 0.28 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.453 | 1.504 | 2.027 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 4,146 | 1,370 | 4,135 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.794 | 0.9835 | 4.122 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 4 | 0 | 2.604 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.432 | 0.484 | 0.6608 | No Different than National Benchmark | Worse than 93% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.714 | 0.138 | 0.2046 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.665 | 1.392 | 1.947 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,801 | 1,799 | 3,878 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.405 | 1.377 | 4.807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 6 | 0 | 2.413 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.762 | 0.399 | 0.5467 | No Different than National Benchmark | Worse than 98% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.551 | 0.2345 | 0.3088 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.186 | 2.135 | 2.21 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 87 | 61 | 126 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.305 | 1.591 | 3.466 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 2.877 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.735 | 0.7155 | 0.8248 | No Different than National Benchmark | Worse than 90% of US hospitals |
| 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 | 5 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.069 | 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 | 0.149 | 0.193 | 0.2979 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.943 | 1.855 | 2.478 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 40,503 | 14,451 | 41,352 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.245 | 0.567 | 2.861 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.978 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.891 | 0.597 | 0.8703 | No Different than National Benchmark | Worse than 73% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.087 | 0.127 | 0.1657 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.528 | 0.747 | 1.229 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 38,850 | 13,646 | 38,342 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 21.01 | 5.683 | 24.41 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 5 | 2 | 8.022 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.238 | 0.279 | 0.3843 | Better than the National Benchmark | Better than 57% 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 · 493 cases | 70 | 73 | 72.59 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 493 cases | 6 | 8 | 9.344 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 493 cases | 24 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 87 | 87 | 85.78 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 493 cases | 4 | 4 | 3.297 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 493 cases | 76 | 80 | 79.3 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 90 | 91 | 91.27 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 493 cases | 6 | 4 | 3.882 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 493 cases | 3 | 3 | 3.392 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 493 cases | 18 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 493 cases | 73 | 79 | 79.32 | Worse than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 88 | 91 | 90.65 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 493 cases | 7 | 5 | 5.032 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 493 cases | 2 | 3 | 3.095 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 493 cases | 20 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 493 cases | 58 | 61 | 60.96 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 77 | 77 | 76.66 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 493 cases | 21 | 19 | 18.89 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 493 cases | 3 | 3 | 2.689 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 493 cases | 21 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 86 | 86 | 86.27 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 493 cases | 14 | 13 | 13.38 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 493 cases | 3 | 3 | 3.432 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 493 cases | 86 | 87 | 86.62 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 493 cases | 12 | 14 | 14.94 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 493 cases | 88 | 86 | 85.06 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 493 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 · 493 cases | 9 | 7 | 6.488 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 493 cases | 22 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 70 | 77 | 77.34 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 8 | 6 | 5.549 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 22 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 81 | 85 | 85.12 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 4 | 3 | 3.463 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 15 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 493 cases | 10 | 8 | 7.366 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 493 cases | 19 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 493 cases | 71 | 72 | 72.23 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 88 | 88 | 88.41 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 493 cases | 3 | 3 | 3.405 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 493 cases | 70 | 74 | 73.17 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 493 cases | 11 | 9 | 9.915 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 493 cases | 19 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 493 cases | 71 | 75 | 73.79 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 493 cases | 8 | 5 | 5.598 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 493 cases | 21 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 72 | 77 | 75.55 | Worse than 76% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 7 | 4 | 4.585 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 493 cases | 21 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 84 | 86 | 85.67 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 4 | 3 | 2.427 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 493 cases | 12 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 493 cases | 54 | 59 | 60.98 | Worse than 67% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 493 cases | 11 | 9 | 8.344 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 493 cases | 35 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 81 | 82 | 82.92 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 493 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 · 493 cases | 5 | 5 | 5.892 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 493 cases | 71 | 71 | 70.75 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 493 cases | 87 | 87 | 87.14 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 493 cases | 24 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 493 cases | 4 | 4 | 3.662 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 493 cases | 46 | 47 | 45.78 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 493 cases | 31 | 30 | 29.67 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 493 cases | 23 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 493 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 · 493 cases | 17 | 12 | 12.12 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 493 cases | 83 | 88 | 87.88 | Worse than 86% 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 | medium | ||||
| 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 | Not Available | 1.026 | |||
| 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 · 2,161 cases | 79 | 79 | 81.12 | Worse than 50% 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 · 375 cases | 212 | 154 | 167 | Worse than 83% 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 · 343 cases | 211 | 148 | 161 | Worse than 86% 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 · 22 cases | 237 | 247 | 273 | Better than 54% 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 · 11 cases | 466 | 293 | 288 | Worse than 93% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 33,171 cases | 2 | 1 | 2.18 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 22 cases | 50 | 74 | 72.93 | Worse than 85% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 67 cases | 85 | 97 | 95.34 | Worse than 86% 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 · 1,358 cases | 24 | 15 | 17.13 | Worse than 94% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 507 cases | 55 | 65 | 61.69 | Worse than 72% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 129 cases | 68 | 73 | 66.69 | Worse than 61% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 95 | 88 | 82.85 | Better than 74% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 507 cases | 64 | 82 | 78.59 | Worse than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 217 cases | 98 | 94 | 92.68 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 54 cases | 96 | 98 | 96.61 | Worse than 66% of US hospitals | |
| 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 · 53 cases | 96 | 94 | 95.06 | Better than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.25 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 682 cases | 90 | 97 | 95.05 | Worse than 82% 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 | 2.8 | 5 | 5.293 | Better than 77% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4 | 6.6 | 6.538 | Better than 83% 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 | 14 | 20 | 20.74 | Worse than 62% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.5 | 5 | 5.208 | Worse than 62% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 24.07 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 6.186 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 30 | 34 | 35.83 | Worse than 58% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.5 | 8.75 | 9.052 | Worse than 58% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 39.11 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 9.878 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 23.5 | 29.5 | 30.07 | Worse than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 14 | 16 | 22.5 | 10 | 2 | 14 |
| VBP clinical outcomes weighted domain score | 3.5 | 4 | 5.625 | 2.5 | 0.5 | 3.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 20 | 30 | 20 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 5 | 7.5 | 5 |
| VBP person and community engagement domain score | 25 | Not Available | Not Available | 14 | 25 | 30 |
| VBP person and community engagement weighted domain score | 6.25 | Not Available | Not Available | 3.5 | 6.25 | 7.5 |
| VBP safety domain score | 58 | Not Available | Not Available | 30 | 34 | 30 |
| VBP safety weighted domain score | 14.5 | Not Available | Not Available | 7.5 | 8.5 | 7.5 |
| VBP total performance score | 24.25 | Not Available | Not Available | 18.5 | 22.75 | 23.5 |
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 · 90 cases | 1.015 | 0.9995 | 1.004 | Worse than 60% 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 · 130 cases | 1.033 | 0.9969 | 1.004 | Worse than 78% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 338 cases | 1.109 | 0.9983 | 1 | Worse than 95% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.054 | 0.9916 | 1.018 | Worse than 68% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 311 cases | 1.114 | 0.9955 | 0.9936 | Worse than 94% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9742 | 0.9611 | 0.9415 | 0.9297 | 0.9711 | 1.015 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9726 | 0.9249 | 0.9914 | 1.025 | 1.071 | 1.033 |
| READM-30-HF-HRRP | 1.002 | 1.008 | 1.015 | 0.9754 | 1.017 | 1.109 |
| READM-30-HIP-KNEE-HRRP | 0.8818 | 0.8899 | 0.9327 | 0.8923 | 0.992 | 1.054 |
| READM-30-PN-HRRP | 0.9375 | 0.9797 | 0.9756 | 1.026 | 1.093 | 1.114 |
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 | 0.137 | 0.489 | 0.5555 | Better than 83% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.316 | 0.346 | 0.3878 | Better than 55% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.715 | 0.559 | 0.5837 | Worse than 64% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 2.128 | 0.6405 | 0.8346 | Worse than 98% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8943 | 0.9628 | 0.9777 | Better than 75% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.118 | 0.7945 | 0.777 | Worse than 70% of US hospitals | |
| Total HAC scoreFY 2026 | 0.1753 | -0.0453 | -0.03378 | Worse than 63% 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 | -0.4191 | -0.4852 | 0 | -0.2125 | 0.1524 | 0.1753 |
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.
The Joint Commission (since 2021)
Accreditation
Limited
Medical school affiliation
Local
Ownership type
229
Medicare-certified beds
159
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Phelps County Regional Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,905
Inpatient discharges
Medicare 27%, Medicaid 11%
25,909
Inpatient days
35% of available bed days used
1,133
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836897). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Phelps County Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 7,215 | 2,603 | 16,091 | 25,909 |
| Discharges | 1,617 | 626 | 3,662 | 5,905 |
| Average length of stay | 4.5 days | 4.2 days | 4.4 days | 4.4 days |
| Average daily census | 19.8 | 7.1 | 44.1 | 71.0 |
5,673
Medicare Advantage days
1,032 discharges
5,633
Medicaid managed care days
1,352 discharges
8,195
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 184 | 22,196 | 6,457 | 33% |
| Intensive care unit | 18 | 2,280 | 758 | 35% |
| Nursery | 1,433 | |||
| Subprovider - irf | 18 | 3,385 | 1,694 | 52% |
| Skilled nursing facility | 20 | 3,290 | 1,665 | 45% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Phelps County Regional Medical Center treats Medicare patients for most often, in 2024. 1,102 Medicare discharges in 33 published DRGs; 17% surgical; 73% 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 | 200 | $74,615 | $16,764 | $16,938 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 138 | $57,166 | $10,649 | $12,977 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 53 | $98,221 | $15,055 | $22,296 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $127,871 | $25,211 | $29,027 | 2.87 |
| Renal failure with CCMS-DRG 683, medical | 38 | $43,326 | $7,158 | $9,835 | 0.90 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $78,732 | $14,601 | $17,872 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $67,343 | $10,905 | $15,287 | 1.33 |
| PsychosesMS-DRG 885, medical | 35 | $32,674 | $11,395 | $7,417 | 1.37 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $42,833 | $8,040 | $9,723 | 1.03 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 32 | $74,997 | $18,276 | $17,024 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 31 | $61,987 | $8,446 | $14,071 | 1.08 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 30 | $47,445 | $5,925 | $10,770 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $100,407 | $17,611 | $22,792 | 2.11 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $51,248 | $9,634 | $11,633 | 1.17 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $60,083 | $13,463 | $13,639 | 1.59 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $98,615 | $17,455 | $22,386 | 2.07 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $49,840 | $12,442 | $11,314 | 1.50 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $48,003 | $8,966 | $10,897 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $44,634 | $5,958 | $10,132 | 0.82 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $39,203 | $6,087 | $8,899 | 0.81 |
See all 33 Medicare inpatient DRGs at Phelps County Regional Medical Center
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) Phelps County Regional Medical Center billed Medicare for most in 2024: 2,094 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 329 | 303 | $23,674 | $2,053 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 202 | 201 | $26,878 | $2,232 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 185 | 152 | $71,130 | $10,595 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 173 | 107 | $12,179 | $1,724 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 121 | 100 | $1,450 | $515 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 99 | 85 | $64,110 | $8,754 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 96 | 81 | $11,680 | $1,466 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 89 | 86 | $10,912 | $1,169 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 77 | 76 | $43,967 | $5,359 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 68 | 64 | $11,072 | $1,203 | $1,196 |
See all 35 Medicare outpatient services at Phelps County 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 Phelps County 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 2,682 in 2020 to 2,335 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 65401 | 814 | 35% | 3,992 | $63.9M | 62% | 73% |
| 65559 | 283 | 12% | 1,298 | $20.8M | 57% | 65% |
| 65560 | 268 | 11% | 1,236 | $20.5M | 38% | 29% |
| 65583 | 149 | 6% | 695 | $12.6M | 33% | 37% |
| 65459 | 139 | 6% | 688 | $10.8M | 44% | 56% |
| 65584 | 95 | 4% | 425 | $7.2M | 49% | 50% |
| 65550 | 84 | 4% | 377 | $6.3M | 88% | 89% |
| 65453 | 76 | 3% | 389 | $7M | 15% | 16% |
| 65542 | 72 | 3% | 350 | $6M | 29% | 30% |
| 65462 | 60 | 3% | 298 | $5.4M | 100% | 100% |
| 65402 | 41 | 2% | 224 | $3.4M | 100% | 81% |
| 65565 | 38 | 2% | 195 | $2.9M | 14% | 20% |
| 65483 | 37 | 2% | 179 | $2.8M | 13% | 6% |
| 65013 | 32 | 1% | 160 | $2.4M | 18% | 20% |
| 65582 | 32 | 1% | 173 | $2.4M | 26% | 17% |
| 65452 | 27 | 1% | 146 | $2.2M | 24% | 30% |
| 65556 | 25 | 1% | 129 | $2.3M | 8% | 10% |
| 65566 | 15 | 1% | 91 | $1.5M | 100% | 48% |
| 63629 | 13 | 1% | 69 | $1.3M | 100% | 38% |
| 63080 | 12 | 1% | 79 | $908,166 | 2% | |
| 65580 | 12 | 1% | 44 | $753,459 | 100% | 100% |
| 65014 | 11 | 0% | 45 | $878,625 | 10% | 13% |
Source: CMS Hospital Service Area file. Shares are of the 2,335 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 Phelps County Regional Medical Center reported at its latest Medicare certification survey (2003). Counts are people, not full-time equivalents.
18
Psychiatric unit beds
30
Rehabilitation unit beds
13
Off-site locations
159
Registered nurses
65
Licensed practical nurses
5
Physicians
12
Nurse anesthetists (CRNAs)
7
Pharmacists
18
Respiratory therapists
9
Physical therapists
4
Occupational therapists
1
Speech pathologists and audiologists
2
Dietitians
1
Social workers
361
Other personnel
Source: CMS Provider of Services file.
374 clinicians who bill Medicare list Phelps County 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.
Stephen Sides, D.O.
Rheumatology Physician
NPI 1366428914
See commercial rates for Stephen Sides, D.O.Yaqoob Ali, M.D.
Hematology & Oncology Physician
NPI 1477582799
See commercial rates for Yaqoob Ali, M.D.Sean Burns, MD
Diagnostic Radiology Physician
NPI 1578756193
See commercial rates for Sean Burns, MDJeffrey Judd, M.D.
Diagnostic Radiology Physician
NPI 1689659039
See commercial rates for Jeffrey Judd, M.D.Edward Bok, MD
Diagnostic Radiology Physician
NPI 1225061732
See commercial rates for Edward Bok, MDGlenn Davison, M.D.
Cardiovascular Disease Physician
NPI 1518924513
See commercial rates for Glenn Davison, M.D.Monica Drylewicz, MD
Diagnostic Radiology Physician
NPI 1023371499
See commercial rates for Monica Drylewicz, MDBradley Baker, M.D.
Diagnostic Radiology Physician
NPI 1093790487
See commercial rates for Bradley Baker, M.D.John Stephens, M.D.
Diagnostic Radiology Physician
NPI 1902002744
See commercial rates for John Stephens, M.D.Alan Rauba, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1568442267
See commercial rates for Alan Rauba, M.D.Christopher Case, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1871552794
See commercial rates for Christopher Case, M.D.Stilianos Efstratiadis, M.D.
Interventional Cardiology Physician
NPI 1437328556
See commercial rates for Stilianos Efstratiadis, M.D.Jose Sanchez, MD
Clinical Cardiac Electrophysiology Physician
NPI 1346336815
See commercial rates for Jose Sanchez, MDRafay Ahmed, MD
Diagnostic Radiology Physician
NPI 1851617146
See commercial rates for Rafay Ahmed, MDMarc Clemente, MD
Diagnostic Radiology Physician
NPI 1073576484
See commercial rates for Marc Clemente, MDMichael Stadnyk, M. D.
Diagnostic Radiology Physician
NPI 1356455463
See commercial rates for Michael Stadnyk, M. D.Hui Hua Shu, MD
Diagnostic Radiology Physician
NPI 1831139286
See commercial rates for Hui Hua Shu, MDMichael Dudenhoeffer, DO
Family Medicine Physician
NPI 1073517900
See commercial rates for Michael Dudenhoeffer, DOJanice Semenkovich, MD
Diagnostic Radiology Physician
NPI 1164593406
See commercial rates for Janice Semenkovich, MDResten Imaoka, MD
Diagnostic Radiology Physician
NPI 1437595469
See commercial rates for Resten Imaoka, MDBruce Hedgepeth, MD
Nuclear Medicine Physician
NPI 1942269733
See commercial rates for Bruce Hedgepeth, MDCurtis Morrison, M.D.
Cardiovascular Disease Physician
NPI 1528409638
See commercial rates for Curtis Morrison, M.D.Ifeanyi Orizu, MD
Ophthalmology Physician
NPI 1548283930
See commercial rates for Ifeanyi Orizu, MDAndrew Bierhals, MD
Diagnostic Radiology Physician
NPI 1649208976
See commercial rates for Andrew Bierhals, 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 Phelps County Regional Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.7B | 477.7% |
| Inpatient | $445.7M | 124.8% |
| Outpatient | $1.3B | 353.0% |
| Contractual allowances and discounts | -$1.3B | -377.7% |
| Net patient revenue | $357.2M | 100.0% |
| Operating expenses | -$240M | -67.2% |
| Operating income from patient care | $117.2M | 32.8% |
| Other income | $60.4M | 16.9% |
| Contributions and donations | $33,425 | 0.0% |
| Investment income | $18.6M | 5.2% |
| Other | $41.8M | 11.7% |
| Other expenses | -$110.3M | -30.9% |
| Net income | $67.3M | 18.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $314.4M | 19.5% |
| Medicaid (including managed care) | $270.3M | 16.7% |
| Other payers and self-pay | $1B | 63.8% |
| Total charges | $1.6B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, 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.
Computed from Phelps County Regional Medical Center's latest cost report.
32.8%
Operating margin
Operating income from patient care / net patient revenue
16.1%
Total margin
Net income / net patient revenue plus other income
21.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
55% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.31
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.7%
Return on assets
Net income for a year / total assets
9.5%
Return on equity
Net income for a year / fund balance
0.01
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.83
Current ratio
Current assets / current liabilities
0.42
Quick ratio
Cash, temporary investments and net receivables / current liabilities
46 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
40 days
Days in patient receivables
Net patient receivables / daily net patient revenue
264 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.48
Asset turnover
Total revenue for a year / total assets
11.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Phelps County Regional Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $872.5M in total assets and a $706.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $27.2M | 3.1% |
| Patient receivables, net | $38.7M | 4.4% |
| Inventory | $6.7M | 0.8% |
| Total current assets | $444.3M | 50.9% |
| Property and equipment, net of depreciation | $162.7M | 18.7% |
| Investments and other assets | $265.5M | 30.4% |
| Total assets | $872.5M | 100.0% |
| Current liabilities | $157.2M | 18.0% |
| Long-term debt | $9.3M | 1.1% |
| Total liabilities | $166.5M | 19.1% |
| Fund balance (net assets) | $706.1M | 80.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Phelps County Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$36.3M
Bad debt
Patient bills written off as uncollectible, at charges
$2.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12.2M
Total unreimbursed and uncompensated care
5.1% 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 836897, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Phelps County Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $230M | $267.4M | $270.3M | $285.4M | $323.9M | $357.2M |
| Operating expenses | $159M | $179M | $181M | $180.8M | $210.1M | $240M |
| Operating margin | 30.9% | 33.0% | 33.1% | 36.7% | 35.1% | 32.8% |
| Net income | $46.7M | $58.3M | $17.5M | $34.1M | $42.2M | $67.3M |
| Total assets | $671.5M | $712.2M | $665.2M | $704M | $750M | $872.5M |
| Discharges | 5,249 | 6,628 | 6,278 | 5,980 | 5,824 | 5,905 |
| Inpatient days | 21,120 | 28,335 | 27,750 | 24,660 | 25,385 | 25,909 |
| Medicare Advantage days | 2,692 | 4,513 | 5,558 | 5,604 | 5,995 | 5,673 |
| Beds | 242 | 242 | 242 | 240 | 240 | 240 |
| Employees (FTE) | 929 | 958 | 952 | 939 | 1,040 | 1,133 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Phelps County 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $819,248 | $31.6M | $128.1M | 0.25 | 800 |
| Operating room | $6M | $20.7M | $131M | 0.16 | 47,842 |
| Impl. dev. charged to patients | $19.8M | $67.6M | 0.29 | ||
| Medical supplies charged to patient | $18M | $60.6M | 0.30 | ||
| Laboratory | $3.3M | $15.4M | $188.4M | 0.08 | 10,965 |
| Emergency | $6.4M | $14.9M | $101.8M | 0.15 | 18,073 |
| Observation beds (non-distinct part | $12M | $18.6M | 0.65 | ||
| Oncology | $2.5M | $11.9M | $65.4M | 0.18 | 41,533 |
| Radiology-diagnostic | $2.7M | $8.4M | $47.4M | 0.18 | 28,853 |
| Cardiac catheterization | $1.5M | $7.9M | $67.6M | 0.12 | 6,077 |
| Ambulance services | $2.6M | $6.2M | $15.4M | 0.40 | 12,782 |
| Anesthesiology | $10.2M | $5.3M | $62.9M | 0.08 | 2,846 |
| Rural health clinic | $1.8M | $5.2M | $6.2M | 0.84 | 1,893 |
| Cardiopulmonary | $1.3M | $5M | $50.8M | 0.10 | 8,598 |
| Rural health clinic iv | $1M | $4.1M | $5.4M | 0.77 | 9,000 |
| Physical therapy | $4.1M | $26M | 0.16 | 8,811 | |
| Ct scan | $728,104 | $3.5M | $165.1M | 0.02 | 1,633 |
| Respiratory therapy | $1.3M | $3.5M | $33M | 0.11 | 2,038 |
| Delivery room & labor room | $3.1M | $3.3M | $9.7M | 0.34 | 1,662 |
| Mob ortho and pod | $1M | $3.2M | $13.5M | 0.23 | 9,650 |
| Rural health clinic iii | $1.1M | $2.9M | $3.3M | 0.88 | 6,843 |
| Rural health clinic ii | $905,367 | $2.7M | $3.5M | 0.78 | 9,538 |
| Blues lake fam med clinic | $675,140 | $2.7M | $7.1M | 0.38 | 13,260 |
| Mob heart and vasc clinic | $858,244 | $2.3M | $8.2M | 0.29 | 3,175 |
| Ddci gen surg clinic | $598,007 | $2.1M | $6.2M | 0.34 | 9,155 |
| Occupational therapy | $2M | $11.7M | 0.17 | 2,749 | |
| Mob womens health clinic | $610,763 | $2M | $4.7M | 0.42 | 6,946 |
| Mob ent clinic | $396,721 | $1.8M | $4.1M | 0.43 | 9,960 |
| Mri | $533,842 | $1.8M | $57M | 0.03 | 1,745 |
| Ultra sound | $558,611 | $1.7M | $22.8M | 0.07 | 495 |
| Rolla walk in clinic | $450,846 | $1.6M | $7.1M | 0.22 | 4,050 |
| Clinic | $1.4M | $1.4M | $2.4M | 0.58 | 3,396 |
| Radioisotope | $287,673 | $1.2M | $26.6M | 0.05 | 536 |
| Blues lake im clinic | $252,795 | $1.2M | $2.5M | 0.47 | 5,610 |
| Wound care | $284,633 | $1.1M | $5.2M | 0.22 | 5,048 |
| Electrocardiology | $392,230 | $1.1M | $19.8M | 0.05 | 806 |
| Speech pathology | $974,236 | $4.8M | 0.20 | 1,341 | |
| Whole blood & packed red blood cell | $905,347 | $4M | 0.23 | ||
| Cardiac rehabilitation | $295,488 | $855,169 | $2.8M | 0.30 | 2,836 |
| Ddci med onc clinic | $391,126 | $812,787 | $2.6M | 0.31 | |
| Renal dialysis | $35,000 | $809,733 | $3.3M | 0.25 | 406 |
| Mob urology clinic | $206,383 | $784,439 | $2.6M | 0.30 | 3,376 |
| Wmp walk in clinic | $289,702 | $767,176 | $3.3M | 0.23 | 1,780 |
| Mob 350 im clinic | $188,769 | $712,892 | $1.3M | 0.54 | 3,085 |
| Blues lake allergy clinic | $185,018 | $662,862 | $1.3M | 0.50 | 2,362 |
| Mob pulmonology clinic | $161,751 | $554,789 | $1.1M | 0.49 | 2,480 |
| Mob neurology clinic | $156,844 | $549,676 | $2.3M | 0.24 | 1,856 |
| Hauck bariatrics | $132,286 | $461,590 | $326,024 | 1.42 | 1,980 |
| Mob nephrology clinic | $155,043 | $426,512 | $1.2M | 0.36 | 1,195 |
| Waynesville specialty | $174,733 | $402,122 | $1.6M | 0.25 | 403 |
| Diabetic education | $191,681 | $397,878 | $180,345 | 2.21 | 677 |
| Ddci rad onc clinic | $309,637 | $2.9M | 0.11 | ||
| Salem specialty | $21,019 | $152,327 | $258,618 | 0.59 | 857 |
| Blues lake audiology clinic | $27,675 | $152,260 | $705,991 | 0.22 | 546 |
| Waynesville allergy clinic | $27,158 | $90,120 | $162,445 | 0.55 | 403 |
| Wmp womens health clinic | $2,093 | $49,026 | $139,250 | 0.35 | 403 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $13.2M | $44.7M | $87M | 0.51 | 56,269 |
| Intensive care unit | $2.5M | $8.2M | $16.2M | 0.50 | 10,416 |
| Subprovider - irf | $1.5M | $6.3M | $9.5M | 0.67 | 15,853 |
| Skilled nursing facility | $1.5M | $4.7M | $6.2M | 0.76 | 10,902 |
| Nursery | $3.7M | $3.8M | 0.99 | 1,162 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $3.7M | $46M | 62,587 | ||
| Cap rel costs-mvble equip | $12.9M | ||||
| Fra expense | $12.1M | ||||
| Operation of plant | $11.4M | 141,803 | |||
| Cap rel costs-bldg & fixt | $10.3M | 681,061 | |||
| Nursing administration | $6.2M | $9.6M | 162,386 | $37.98 | 5,296 |
| Admitting | $2.4M | $9.2M | 8,271 | ||
| Pharmacy | $181,844 | $7.2M | 4,666 | $38.97 | 4,030 |
| Employee benefits department | $7.2M | 2,145 | |||
| Housekeeping | $2.4M | $5.1M | 125,979 | $18.86 | 3,554 |
| Dietary | $2.3M | $4.4M | 108,095 | $21.04 | 9,828 |
| Medical records & library | $104,334 | $3M | 4,270 | $24.43 | 3,498 |
| Purchasing receiving and stores | $1.5M | 2,294 | |||
| Laundry & linen service | $125,550 | $1.1M | 6,415 | $19.57 | 1,246 |
| Central services & supply | $743,023 | 8,697 | |||
| Inservice education | $699,732 | 1,045 | |||
| Nonpatient telephones | $273,173 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836897, 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.
The factors Medicare uses to set what it pays Phelps County Regional Medical Center for an inpatient stay.
1.70
Case mix index
Higher than 53% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
36.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,636
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 | 1.47 | 1.48 | 1.59 | 1.55 | 1.53 | 1.61 | 1.70 |
| Wage index | 0.915 | 0.942 | 0.934 | 0.915 | 0.899 | 0.967 | 0.951 |
| Readmissions adjustment | 0.00% | 0.00% | -0.01% | -0.05% | -0.13% | -0.43% | -1.12% |
| Value-based purchasing adjustment | -0.55% | -0.44% | -0.44% | -0.23% | -0.24% | +0.04% | -0.38% |
| Medicare inpatient stays | 2,295 | 2,295 | 2,194 | 2,118 | 1,759 | 1,694 | 1,636 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Phelps County Regional Medical Center reports to Medicare as owners or with operational control.
Phelps County Clerk
Operational/managerial control, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Phelps County 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 9 of 12 are shown.
340B drug pricing program
Participating since 2021
340B ID DSH260017, registered as a disproportionate share hospital; 42 registered outpatient sites; 52 active contract pharmacies. Authorizing official: Jana Cook, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Aledade 155 National MSSP Enhanced
ACO A5358, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Phelps County Regional Medical Center's legal name.
Helipad
Phelps County Rgnl Medical Center
FAA location ID 47MO, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Pcrmc rehabilitation unit
CCN 26T017, certified 1994, Medicare prospective payment
Pcrmc skilled nursing facility
CCN 265327, certified 1988, Medicare prospective payment
Phelps health medical group
CCN 268798, certified 2023, Medicare cost reimbursed
Phelps health waynesville medical pl
CCN 268796, certified 2023, Medicare cost reimbursed
Phelps health medical group salem
CCN 268797, certified 2023, Medicare cost reimbursed
Phelps health medical group st james
CCN 268799, certified 2023, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Phelps County Regional Medical Center's latest Medicare cost report (HCRIS).
About Phelps County Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Phelps County Regional Medical Center range from $298 to $6,094 across 4 insurers. Aetna's rate is $5,745. The median at nearby comparable hospitals is $976. 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 Phelps County Regional Medical Center range from $289 to $6,850 across 4 insurers. Blue Cross Blue Shield's rate is $289. The median at nearby comparable hospitals is $867. 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 Phelps County Regional Medical Center range from $6,465 to $6,810 across 2 insurers. UnitedHealthcare's rate is $6,465. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Phelps County Regional Medical Center range from $79 to $527 across 4 insurers. Blue Cross Blue Shield's rate is $123. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Phelps County Regional Medical Center range from $9,661 to $18,496 across 2 insurers. UnitedHealthcare's rate is $18,496. The median at nearby comparable hospitals is $21,570. What a patient pays depends on their plan's deductible, coinsurance and network status.
Phelps County 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.
CMS reports no Medicare-funded interns or residents at Phelps County Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Phelps County Regional Medical Center's base inpatient payments by an estimated 1.12% 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 (200 discharges), heart failure and shock with mcc (138 discharges), percutaneous cardiovascular procedures with intraluminal device without mcc (53 discharges).
Phelps County Regional Medical Center's Medicare case mix index is 1.70 for fiscal year 2027, higher than 53% of hospitals paid under the inpatient prospective payment system.
Phelps County Regional Medical Center reported 5,905 inpatient discharges and 25,909 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Phelps County Regional Medical Center reported 1,133 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Phelps County Regional Medical Center reported $357.2M in net patient revenue on $1.7B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 32.8%, and net income of $67.3M.
Phelps County Regional Medical Center reported $12.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $3.1M of charity care at cost.
Phelps County Regional Medical Center's Medicare enrollment lists Jason Shenefield as CEO since 2021.
Insurers' price transparency files list Phelps County Regional Medical Center under employer identification number 43-6004435 (Phelps County Regional Medical Center). 56 health plans and networks list 43-6004435 for it.
Yes. HRSA's 340B database lists Phelps County Regional Medical Center (340B ID DSH260017) as a participating disproportionate share hospital since 2021, with 52 active contract pharmacies.
374 clinicians who bill Medicare list Phelps County Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (72), family nurse practitioner (59), family medicine physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Phelps County Regional Medical Center, effective 2021.
In its Medicare enrollment, Phelps County Regional Medical Center reports Phelps County Clerk as Operational/managerial control.
CMS lists 22 services at Phelps County Regional Medical Center, including Adult Inpatient Psychiatric Care, Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Phelps County Regional Medical Center came from ZIP codes 65401 (814), 65559 (283), 65560 (268).
Phelps County Regional Medical Center has 240 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 229 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Phelps County Regional Medical Center is located at 1000 West Tenth Street, Rolla, MO 65401. Its main phone number is (573) 458-8899.
Phelps County Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 260017.
The National Provider Identifier (NPI) on file for Phelps County Regional Medical Center is 1891766051.
Phelps County Regional Medical Center lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
244 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