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Short Term Acute Care HospitalProprietary

Poplar Bluff Regional Medical Center

Community Health Systems · Poplar Bluff, MO

3100 Oak Grove Road, Poplar Bluff, MO 63901(573) 785-7721

2 of 5

CMS star rating

195

Beds

10,642

Inpatient discharges a year

$264M

Net patient revenue a year

38

In-network payers

About this hospital

Poplar Bluff Regional Medical Center is a 195-bed proprietary hospital in Poplar Bluff, MO, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 186 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
260119
NPI
1700831724
Website
pbrmc.com
Health system
Community Health Systems
Teaching
Teaching hospital
County
Butler County
Metro area
Poplar Bluff, MO MicroSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Poplar Bluff 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.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$8,942 - $9,825

from 2 insurers · median $9,383

Aetna$8,942
Insurer A*$9,825
Medicare $3,129Nearby hospitals $4,151126% above nearby hospitals

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,466

negotiated rate

Blue Cross$3,466

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

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$31,982 - $34,988

from 2 insurers · median $33,485

Aetna$34,988
Insurer A*$31,982
Medicare $10,274Nearby hospitals $8,335302% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$787 - $3,454

from 2 insurers · median $2,120

Blue Cross$787
Insurer A*$3,454
Medicare $231Nearby hospitals $411416% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Poplar Bluff Regional Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
584%
171
Insurer B*24
304%
170

How we chose these services: 3 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Poplar Bluff Regional Medical Center, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

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

    Accredited by The Joint Commission

    • Teaching hospital
    • 33 services
    • 380 affiliated clinicians
    See doctors and services
  • Finances

    $264M net patient revenue

    • Operating margin on patient care 15.0%
    • $4.4M unreimbursed and uncompensated care
    • $44.4M net income
    See finances
  • Ownership and leadership

    Owned by Central States Hma Holdings LLC

    • Private (for profit)
    • Kevin J Hammons, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Poplar Bluff 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 itOrganization NPIs
43-1238701Poplar Bluff Regional Medical Center LLC58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1962446054 Poplar Bluff Regional Medical Center LLC1700831724 Poplar Bluff Regional Medical Center LLC1275576654 Poplar Bluff Regional Medical Center LLCand 11 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3100 Oak Grove Road, Poplar Bluff, MO 63901

(573) 785-7721

Get directions

Frequently asked questions

About Poplar Bluff Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Poplar Bluff Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Poplar Bluff Regional Medical Center range from $1,197 to $4,122 across 2 insurers. Aetna's rate is $4,122. The median at nearby comparable hospitals is $1,416. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Poplar Bluff Regional Medical Center?

For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Poplar Bluff Regional Medical Center range from $787 to $3,454 across 2 insurers. Blue Cross Blue Shield's rate is $787. The median at nearby comparable hospitals is $411. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Poplar Bluff Regional Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Poplar Bluff Regional Medical Center range from $3,452 to $3,643 across 2 insurers. Blue Cross Blue Shield's rate is $3,643. The median at nearby comparable hospitals is $764. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Poplar Bluff Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Poplar Bluff Regional Medical Center range from $3,466 to $3,466 across 1 insurers. Blue Cross Blue Shield's rate is $3,466. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Poplar Bluff Regional Medical Center's CMS star rating?

Poplar Bluff 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.

Is Poplar Bluff Regional Medical Center a teaching hospital?

Yes. CMS counts 0.11 Medicare-funded residents per bed at Poplar Bluff Regional Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Poplar Bluff Regional Medical Center for readmissions?

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

What are the most common Medicare inpatient stays at Poplar Bluff Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (302 discharges), psychoses (148 discharges), respiratory infections and inflammations with mcc (140 discharges).

What is Poplar Bluff Regional Medical Center's case mix index?

Poplar Bluff Regional Medical Center's Medicare case mix index is 1.63 for fiscal year 2027, higher than 43% of hospitals paid under the inpatient prospective payment system.

How many patients does Poplar Bluff Regional Medical Center admit?

Poplar Bluff Regional Medical Center reported 10,642 inpatient discharges and 49,400 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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