Great River Health Systems · Fort Madison, IA
50
Beds
826
Inpatient discharges a year
$49.4M
Net patient revenue a year
2
In-network payers
Southeast Iowa Regional Medical Center is a 50-bed voluntary non-profit - private hospital in Fort Madison, IA, affiliated with Great River Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 2 in-network payers.
The 24 services Southeast Iowa 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
$196 - $923
from 3 insurers · median $205
Typical for a hospital with this service line
Mammography
CPT 77067
$118 - $213
from 3 insurers · median $124
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$66 - $152
from 3 insurers · median $145
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$95 - $127
from 3 insurers · median $122
Typical for a hospital with this service line
Gynecology
CPT 58571
$13,100
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$621 - $2,625
from 3 insurers · median $651
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$3,641
negotiated rate
Hospital reports pet scan services to CMS
Medicine & Surgery
CPT 47562
$8,671
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 70450
$91 - $923
from 3 insurers · median $95
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$523 - $2,625
from 3 insurers · median $548
Typical for a hospital with this service line
CT imaging
CPT 74176
$187 - $923
from 3 insurers · median $196
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$32 - $79
from 3 insurers · median $76
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$339 - $2,350
from 3 insurers · median $356
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,287 - $4,624
from 3 insurers · median $1,349
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,113
negotiated rate
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 74183
$853 - $1,130
from 3 insurers · median $895
Typical for a hospital with this service line
CT imaging
CPT 71275
$196 - $791
from 3 insurers · median $205
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$158 - $790
from 3 insurers · median $166
Typical for a hospital with this service line
MRI imaging
CPT 72148
$435 - $802
from 3 insurers · median $456
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$95 - $178
from 3 insurers · median $170
Typical for a hospital with this service line
MRI imaging
CPT 73721
$489 - $802
from 3 insurers · median $512
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$7,346
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$95 - $192
from 3 insurers · median $183
Typical for a hospital with this service line
Ultrasound
CPT 76705
$147 - $260
from 3 insurers · median $154
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* | 24 | 237% | 2 | 21 |
| Insurer B* | 19 | 134% | 2 | 17 |
| Insurer C* | 19 | 128% | 2 | 17 |
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 Southeast Iowa 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.
Doctors and services
40 services
See doctors and servicesFinances
$49.4M net patient revenue
5445 Avenue 'o', Fort Madison, IA 52627
(319) 372-6530
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Southeast Iowa Regional Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2020 to Jun 30, 2021.
826
Inpatient discharges
Medicare 37%, Medicaid 20%
2,880
Inpatient days
16% of available bed days used
451
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 766446). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Southeast Iowa Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,057 | 667 | 1,156 | 2,880 |
| Discharges | 305 | 167 | 354 | 826 |
| Average length of stay | 3.5 days | 4.0 days | 3.3 days | 3.5 days |
| Average daily census | 2.9 | 1.8 | 3.2 | 7.9 |
167
Medicare Advantage days
48 discharges
174
Medicaid managed care days
806
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 47 | 2,122 | 859 | 12% |
| Intensive care unit | 3 | 205 | 198 | 19% |
| Nursery | 553 |
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income Southeast Iowa Regional Medical Center reported to Medicare for Jul 1, 2020 to Jun 30, 2021. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $155.1M | 313.8% |
| Inpatient | $18M | 36.5% |
| Outpatient | $137M | 277.3% |
| Contractual allowances and discounts | -$105.7M | -213.8% |
| Net patient revenue | $49.4M | 100.0% |
| Operating expenses | -$58.1M | -117.5% |
| Operating income from patient care | -$8.6M | -17.5% |
| Other income | $10.9M | 22.1% |
| Net income | $2.3M | 4.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $37.4M | 29.2% |
| Medicaid (including managed care) | $28.1M | 22.0% |
| Other payers and self-pay | $62.4M | 48.8% |
| Total charges | $127.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. 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 Southeast Iowa Regional Medical Center's latest cost report.
-17.5%
Operating margin
Operating income from patient care / net patient revenue
3.8%
Total margin
Net income / net patient revenue plus other income
10.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.67
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.9%
Return on assets
Net income for a year / total assets
4.6%
Return on equity
Net income for a year / fund balance
3.01
Current ratio
Current assets / current liabilities
2.82
Quick ratio
Cash, temporary investments and net receivables / current liabilities
159 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-11 days
Days in patient receivables
Net patient receivables / daily net patient revenue
53 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.03
Asset turnover
Total revenue for a year / total assets
1.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Southeast Iowa Regional Medical Center owned and owed at the end of its reporting period (Jun 2021), across all fund types: $58.3M in total assets and a $49.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $23.5M | 40.4% |
| Patient receivables, net | -$1.5M | -2.5% |
| Inventory | $504,087 | 0.9% |
| Total current assets | $23.6M | 40.4% |
| Property and equipment, net of depreciation | $19.4M | 33.3% |
| Investments and other assets | $15.4M | 26.4% |
| Total assets | $58.3M | 100.0% |
| Current liabilities | $7.8M | 13.4% |
| Total liabilities | $8.5M | 14.6% |
| Fund balance (net assets) | $49.8M | 85.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Southeast Iowa Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$604,719
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.2M
Bad debt
Patient bills written off as uncollectible, at charges
$4.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5.6M
Total unreimbursed and uncompensated care
9.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$14,587
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Southeast Iowa Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2019 | Jun 2021 |
|---|---|---|
| Net patient revenue | $57.1M | $49.4M |
| Operating expenses | $59.9M | $58.1M |
| Operating margin | -5.0% | -17.5% |
| Net income | -$2M | $2.3M |
| Total assets | $57M | $58.3M |
| Discharges | 963 | 826 |
| Inpatient days | 3,301 | 2,880 |
| Medicare Advantage days | 75 | 167 |
| Beds | 50 | 50 |
| Employees (FTE) | 392 | 451 |
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Southeast Iowa 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 |
|---|---|---|---|---|---|
| Clinic | $9.8M | $8.5M | $10.8M | 0.78 | 19,455 |
| Radiology-diagnostic | $1.1M | $4.7M | $23.4M | 0.20 | 10,813 |
| Laboratory | $948,731 | $3.9M | $20M | 0.20 | 1,495 |
| Operating room | $960,518 | $3.8M | $24.4M | 0.16 | 9,802 |
| Drugs charged to patients | $3.2M | $7.6M | 0.42 | ||
| Physical therapy | $1M | $2.7M | $8.3M | 0.33 | 13,946 |
| Emergency | $1.1M | $2.5M | $15.6M | 0.16 | 4,391 |
| Impl. dev. charged to patients | $1.7M | $2.3M | 0.77 | ||
| Observation beds (non-distinct part | $1.3M | $1.8M | 0.73 | ||
| Medical supplies charged to patient | $1.3M | $908,345 | 1.42 | ||
| Home health agency | $524,767 | $1.2M | $1.1M | 1.12 | |
| Respiratory therapy | $330,883 | $691,615 | $1.3M | 0.52 | |
| Wound care | $322,302 | $617,851 | $1.1M | 0.58 | |
| Electrocardiology | $125,618 | $366,458 | $1.6M | 0.22 | 2,130 |
| Alternative services | $87,485 | $288,856 | $1M | 0.29 | 2,612 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2M | $4.9M | $5M | 0.98 | 19,460 |
| Nursery | $1M | $591,157 | 1.73 | 1,396 | |
| Intensive care unit | $2,052 | $235,348 | $387,252 | 0.61 | 1,478 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.6M | $7.9M | 107,862 | $23.49 | 14,232 |
| Employee benefits department | $92,830 | $5.4M | 3,045 | $30.49 | |
| Cap rel costs-mvble equip | $2.9M | ||||
| Maintenance & repairs | $329,162 | $1.9M | 11,757 | $28.00 | 7,976 |
| Cap rel costs-bldg & fixt | $1.3M | 121,994 | |||
| Pharmacy | $727,811 | $832,880 | 15,104 | $48.19 | 1,430 |
| Housekeeping | $513,853 | $623,554 | 31,901 | $16.11 | 667 |
| Nursing administration | $488,447 | $571,493 | 11,642 | $41.96 | 553 |
| Dietary | $304,737 | $413,977 | 17,499 | $17.41 | 5,531 |
| Medical records & library | $136,927 | $222,226 | 7,699 | $17.79 | 1,508 |
| Laundry & linen service | $83,906 | ||||
| Central services & supply | $62,199 | $75,355 | 4,055 | $15.34 | 2,811 |
| Capital related cost - pob | $9,957 |
Source: CMS cost report (HCRIS, Form 2552-10), report 766446, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Organizations Southeast Iowa Regional Medical Center reports to Medicare as owners or with operational control.
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
340B drug pricing program
Not participating
340B ID DSH160122, registered as a disproportionate share hospital. Authorizing official: Daniel Earl Linhart, Vice President Of Finance/cfo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Fort madison community hospital
CCN 16U122, certified 1984, Medicare prospective payment
Fort madison community hospital
CCN 16U122, certified 1984
Fort madison community hosp hha
CCN 167281, certified 1997, Medicare prospective payment
Fort madison community hospice
CCN 161611, certified 2018
Source: Worksheet S-2 Part I of Southeast Iowa Regional Medical Center's latest Medicare cost report (HCRIS).
About Southeast Iowa Regional Medical Center's rates and hospital price transparency.
For MRI of the abdomen, before and after contrast (CPT 74183), published negotiated rates at Southeast Iowa Regional Medical Center range from $853 to $1,130 across 3 insurers. Aetna's rate is $895. The median at nearby comparable hospitals is $3,108. 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 Southeast Iowa Regional Medical Center range from $196 to $923 across 3 insurers. Blue Cross Blue Shield's rate is $923. The median at nearby comparable hospitals is $2,489. 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 Southeast Iowa Regional Medical Center range from $621 to $2,625 across 3 insurers. Blue Cross Blue Shield's rate is $2,625. The median at nearby comparable hospitals is $3,850. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southeast Iowa Regional Medical Center range from $118 to $213 across 3 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $248. What a patient pays depends on their plan's deductible, coinsurance and network status.
Southeast Iowa Regional Medical Center reported 826 inpatient discharges and 2,880 inpatient days from Jul 1, 2020 to Jun 30, 2021.
Southeast Iowa Regional Medical Center reported 451 full-time-equivalent employees on payroll from Jul 1, 2020 to Jun 30, 2021.
Southeast Iowa Regional Medical Center reported $49.4M in net patient revenue on $155.1M of gross charges for Jul 1, 2020 to Jun 30, 2021, an operating margin of -17.5%, and net income of $2.3M.
Southeast Iowa Regional Medical Center reported $5.6M of unreimbursed and uncompensated care for Jul 1, 2020 to Jun 30, 2021, including $604,719 of charity care at cost.
HRSA's 340B database lists Southeast Iowa Regional Medical Center (340B ID DSH160122) as no longer participating since 2021.
CMS lists 40 services at Southeast Iowa Regional Medical Center, including Anesthesia, Chemotherapy, Clinical Laboratory, Coronary Care Unit, CT Scan, Designated Trauma Center.
Southeast Iowa Regional Medical Center has 50 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Southeast Iowa Regional Medical Center is located at 5445 Avenue 'o', Fort Madison, IA 52627. Its main phone number is (319) 372-6530.
Southeast Iowa Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 160122.
The National Provider Identifier (NPI) on file for Southeast Iowa Regional Medical Center is 1902810856.
Southeast Iowa Regional Medical Center is affiliated with Great River Health Systems.
Southeast Iowa Regional Medical Center lists 2 in-network payers, including Kaiser Permanente, MagnaCare, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
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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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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{
"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