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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Reid Hospital And Health Care Services

Reid Health · Richmond, IN

1100 Reid Parkway, Richmond, IN 47374(765) 983-3000

2 of 5

CMS star rating

227

Beds

12,329

Inpatient discharges a year

$559.3M

Net patient revenue a year

29

In-network payers

About this hospital

Reid Hospital And Health Care Services is a 227-bed voluntary non-profit - private hospital in Richmond, IN, affiliated with Reid Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 160 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
150048
NPI
1063457380
Health system
Reid Health
Teaching
Teaching hospital
County
Wayne County
Metro area
Richmond, IN MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2011

Prices for common services

The 24 services Reid Hospital And Health Care Services 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

CT abdomen and pelvis with contrast

CPT 74177

$5,183

negotiated rate

Aetna$5,183
Medicare $353Nearby hospitals $725615% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,850 - $6,559

from 2 insurers · median $4,204

Aetna$6,559
Insurer A*$1,850
Medicare $3,273Nearby hospitals $7,68445% below nearby hospitals

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,247

negotiated rate

Blue Cross$7,247

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$5,500 - $16,412

from 2 insurers · median $10,956

UnitedHealthcare$5,500
Insurer A*$16,412
Medicare $6,112Nearby hospitals $14,44124% below nearby hospitals

76 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Reid Hospital And Health Care Services

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*1
916%
00
Insurer B*21
338%
165
Insurer C*9
89%
09
Insurer D*3
-
01

How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Reid Hospital And Health Care Services, 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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    2 of 5 stars

    • 171 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.50%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • Teaching hospital
    • 43 services
    • 538 affiliated clinicians
    See doctors and services
  • Finances

    $559.3M net patient revenue

    • Operating margin on patient care 12.4%
    • $39.2M unreimbursed and uncompensated care
    • $171.1M net income
    See finances
  • Ownership and leadership

    Owned by Reid Hospital & Health Care Services Inc

    • Private (not for profit)
    • Craig Kinyon, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Reid Hospital And Health Care Services in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-0892672(multi-state) Reid Health54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 49 more1063457380 Reid Hospital & Health Care Services Inc1891724142 Reid Hospital & Health Care Services Inc.1265461511 Reid Hospital & Health Care Services Incand 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.

Location

1100 Reid Parkway, Richmond, IN 47374

(765) 983-3000

Get directions

Frequently asked questions

About Reid Hospital And Health Care Services's rates and hospital price transparency.

How much does an MRI cost at Reid Hospital And Health Care Services?

For MRI of the pelvis, before and after contrast (CPT 72197), published negotiated rates at Reid Hospital And Health Care Services range from $3,200 to $3,264 across 2 insurers. Cigna's rate is $3,264. The median at nearby comparable hospitals is $794. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Reid Hospital And Health Care Services?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Reid Hospital And Health Care Services range from $5,183 to $5,183 across 1 insurers. Aetna's rate is $5,183. The median at nearby comparable hospitals is $725. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Reid Hospital And Health Care Services?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Reid Hospital And Health Care Services range from $900 to $1,513 across 2 insurers. UnitedHealthcare's rate is $900. The median at nearby comparable hospitals is $5,377. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Reid Hospital And Health Care Services?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Reid Hospital And Health Care Services range from $7,247 to $7,247 across 1 insurers. Blue Cross Blue Shield's rate is $7,247. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Reid Hospital And Health Care Services?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Reid Hospital And Health Care Services range from $265 to $265 across 1 insurers. The median at nearby comparable hospitals is $164. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Reid Hospital And Health Care Services's CMS star rating?

Reid Hospital And Health Care Services 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 Reid Hospital And Health Care Services a teaching hospital?

Yes. CMS counts 0.09 Medicare-funded residents per bed at Reid Hospital And Health Care Services for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Reid Hospital And Health Care Services for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Reid Hospital And Health Care Services's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Reid Hospital And Health Care Services?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (467 discharges), heart failure and shock with mcc (226 discharges), percutaneous and other intracardiac procedures without mcc (111 discharges).

What is Reid Hospital And Health Care Services's case mix index?

Reid Hospital And Health Care Services's Medicare case mix index is 1.77 for fiscal year 2027, higher than 59% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

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

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster