Rushville, IN
36
In-network payers
172
Disclosed rate categories
25
Beds
Rush Memorial Hospital is a 25-bed government - local hospital in Rushville, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 172 disclosed rate categories.
CCN (Medicare provider number)
151304
NPI
1497726020
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Rush Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$312 - $2,445
from 4 insurers · median $1,101
Typical for a hospital with this service line
MRI imaging
CPT 70553
$236 - $4,094
from 4 insurers · median $2,826
Typical for a hospital with this service line
MRI imaging
CPT 70551
$221 - $4,094
from 4 insurers · median $2,826
Typical for a hospital with this service line
Ultrasound
CPT 76642
$77 - $1,515
from 3 insurers · median $1,387
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$110 - $1,601
from 4 insurers · median $1,387
Typical for a hospital with this service line
MRI imaging
CPT 72148
$196 - $2,118
from 4 insurers · median $1,946
Typical for a hospital with this service line
CT imaging
CPT 71250
$172 - $2,013
from 2 insurers · median $1,093
Typical for a hospital with this service line
CT imaging
CPT 71275
$260 - $2,445
from 4 insurers · median $863
Typical for a hospital with this service line
Ultrasound
CPT 76830
$909 - $1,274
from 4 insurers · median $1,102
Typical for a hospital with this service line
CT imaging
CPT 74176
$188 - $917
from 4 insurers · median $533
Typical for a hospital with this service line
Mammography
CPT 77067
$116 - $294
from 4 insurers · median $147
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,725 - $2,060
from 3 insurers · median $2,060
Hospital reports nuclear medicine services to CMS
Ultrasound
CPT 76815
$101 - $2,017
from 4 insurers · median $1,591
Typical for a hospital with this service line
Ultrasound
CPT 76770
$110 - $1,504
from 4 insurers · median $1,038
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$31 - $536
from 4 insurers · median $465
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$1,567 - $2,685
from 4 insurers · median $2,335
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$704 - $932
from 2 insurers · median $818
Typical for a hospital with this service line
MRI imaging
CPT 73721
$185 - $3,426
from 4 insurers · median $1,110
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$31 - $537
from 4 insurers · median $338
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$171 - $365
from 3 insurers · median $256
Typical for a hospital with this service line
X-ray and bone density
CPT 73564
$42 - $596
from 4 insurers · median $547
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$33 - $537
from 4 insurers · median $372
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$366 - $422
from 2 insurers · median $394
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$176 - $1,954
from 4 insurers · median $929
Typical for a hospital with this service line
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* | 19 | 801% | 16 | 0 |
| Insurer B* | 24 | 546% | 18 | 5 |
| Insurer C* | 24 | 162% | 2 | 5 |
| Insurer D* | 20 | 87% | 5 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Rush Memorial Hospital.
1300 North Main Street, Rushville, IN 46173
(765) 932-7513
The nearest hospitals of similar type and size. Their rates are compared with Rush Memorial Hospital for the same insurers and services above.
Decatur Co. Memorial Hospital
â–¼ Rates typically 24% lower than Rush Memorial Hospital (22 services)
Margaret Mary Community Hospital
â–² Rates typically 31% higher than Rush Memorial Hospital (19 services)
St. Vincent Jennings
â–¼ Rates typically 42% lower than Rush Memorial Hospital (24 services)
St. Vincent Randolph
â–¼ Rates typically 31% lower than Rush Memorial Hospital (24 services)
St. Vincent Mercy Hospital
â–¼ Rates typically 16% lower than Rush Memorial Hospital (23 services)
Iu Health Tipton Hospital
â–¼ Rates typically 52% lower than Rush Memorial Hospital (24 services)
Iu Health Bedford Hospital
Iu Health Jay Hospital
Sullivan County Community Hospital
Greene County General Hospital
About Rush Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Rush Memorial Hospital range from $236 to $4,094 across 4 insurers. Aetna's rate is $4,094. The median at nearby comparable hospitals is $803. 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 Rush Memorial Hospital range from $312 to $2,445 across 4 insurers. Blue Cross Blue Shield's rate is $1,272. The median at nearby comparable hospitals is $714. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Rush Memorial Hospital range from $704 to $932 across 2 insurers. Blue Cross Blue Shield's rate is $704. The median at nearby comparable hospitals is $8,302. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Rush Memorial Hospital range from $116 to $294 across 4 insurers. Cigna's rate is $121. The median at nearby comparable hospitals is $138. What a patient pays depends on their plan's deductible, coinsurance and network status.
Rush Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Rush Memorial Hospital is located at 1300 North Main Street, Rushville, IN 46173. Its main phone number is (765) 932-7513.
Rush Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151304.
The National Provider Identifier (NPI) on file for Rush Memorial Hospital is 1497726020.
Rush Memorial Hospital lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
172 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.
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{
"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