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Critical Access HospitalGovernment - Local

Samaritan Memorial Hospital

Macon, MO

1205 North Missouri Street, Macon, MO 63552(660) 385-8700

2 of 5

CMS star rating

25

Beds

323

Inpatient discharges a year

$26.3M

Net patient revenue a year

27

In-network payers

About this hospital

Samaritan Memorial Hospital is a 25-bed government - local hospital in Macon, MO. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 248 disclosed rate categories.

  • 340B participant
  • ACO participant
CCN
261313
NPI
1548215106
Website
smhmo.org
County
Macon County
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
2001
Last CMS survey
2025

Prices for common services

The 24 services Samaritan 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, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$321 - $2,521

from 4 insurers · median $1,333

Aetna$321
Insurer A*$943
Insurer B*est.$1,722
Insurer C*est.$2,521
Medicare $356Nearby hospitals $82661% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,096 - $1,721

from 4 insurers · median $1,649

Blue Cross$1,721
Insurer A*est.$1,096
Insurer B*est.$1,604
Insurer C*est.$1,694
Medicare $558Nearby hospitals $1,12547% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$115 - $1,120

from 4 insurers · median $540

Aetna$115
Insurer A*$315
Insurer B*est.$765
Insurer C*est.$1,120
Medicare $107Nearby hospitals $32367% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$199 - $2,241

from 4 insurers · median $1,007

Aetna$199
Insurer A*$483
Insurer B*est.$1,531
Insurer C*est.$2,241
Medicare $244Nearby hospitals $436131% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Samaritan Memorial Hospital

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*22
372%
145
Insurer B*24
272%
516
Insurer C*23
252%
163
Insurer D*20
102%
89

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 Samaritan Memorial Hospital, 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

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-6003377Samaritan Memorial Hospital43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 38 more1548215106 Macon County Samaritan Hospital1699714303 Macon County Samaritan Hospital1437419199 Macon County Samaritan Hospitaland 8 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

1205 North Missouri Street, Macon, MO 63552

(660) 385-8700

Get directions

Frequently asked questions

About Samaritan Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Samaritan Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Samaritan Memorial Hospital range from $341 to $1,821 across 4 insurers. Aetna's rate is $341. The median at nearby comparable hospitals is $877. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Samaritan Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Samaritan Memorial Hospital range from $321 to $2,521 across 4 insurers. Aetna's rate is $321. The median at nearby comparable hospitals is $826. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Samaritan Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Samaritan Memorial Hospital range from $749 to $1,808 across 3 insurers. Blue Cross Blue Shield's rate is $1,101. The median at nearby comparable hospitals is $1,445. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Samaritan Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Samaritan Memorial Hospital range from $459 to $459 across 1 insurers. Blue Cross Blue Shield's rate is $459. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Samaritan Memorial Hospital's CMS star rating?

Samaritan Memorial Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-09-30). That is lower than 73% of US hospitals.

How many patients does Samaritan Memorial Hospital admit?

Samaritan Memorial Hospital reported 323 inpatient discharges and 2,700 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Samaritan Memorial Hospital have?

Samaritan Memorial Hospital reported 162 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Samaritan Memorial Hospital make?

Samaritan Memorial Hospital reported $26.3M in net patient revenue on $57.9M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -18.4%, and net income of $27,533.

How much charity and uncompensated care does Samaritan Memorial Hospital provide?

Samaritan Memorial Hospital reported $679,715 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $24,846 of charity care at cost.

What is Samaritan Memorial Hospital's tax ID (EIN)?

Insurers' price transparency files list Samaritan Memorial Hospital under employer identification number 43-6003377 (Samaritan Memorial Hospital). 43 health plans and networks list 43-6003377 for it.

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.

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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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  • 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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