Spencer, IA
4 of 5
CMS star rating
63
Beds
1,362
Inpatient discharges a year
$128.5M
Net patient revenue a year
31
In-network payers
Spencer Hospital is a 63-bed government - local hospital in Spencer, IA. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 219 disclosed rate categories.
The 24 services Spencer 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.
Childbirth · Inpatient
MS-DRG 807
$4,387 - $12,235
from 3 insurers · median $7,833
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 · Inpatient
MS-DRG 470
$12,551 - $39,486
from 3 insurers · median $20,540
63 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,709 - $5,919
from 3 insurers · median $5,610
21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$913 - $4,104
from 3 insurers · median $1,962
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$6,239 - $18,127
from 3 insurers · median $10,583
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Urology
CPT 50590
$6,480 - $14,014
from 3 insurers · median $13,635
189 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 70450
$913 - $1,326
from 3 insurers · median $1,031
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,267 - $2,188
from 3 insurers · median $1,858
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$6,471
negotiated rate
514 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 71275
$732 - $2,579
from 3 insurers · median $1,979
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$913 - $3,341
from 3 insurers · median $1,962
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$214 - $367
from 3 insurers · median $282
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$15,390
negotiated rate
59 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$3,707 - $7,453
from 3 insurers · median $4,492
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,090 - $3,422
from 3 insurers · median $2,042
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$18,283
negotiated rate
59 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$128 - $340
from 3 insurers · median $179
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,256 - $2,787
from 3 insurers · median $2,786
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,790
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$791 - $2,625
from 3 insurers · median $1,481
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,387 - $12,235
from 3 insurers · median $7,833
CMS lists this service as CPT 59610, 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
MRI imaging
CPT 70551
$791 - $2,721
from 3 insurers · median $2,042
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$791 - $2,730
from 3 insurers · median $1,663
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$3,823
negotiated rate
Common here, based on CMS Medicare volume
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 | 551% | 6 | 6 |
| Insurer B* | 24 | 427% | 19 | 1 |
| Insurer C* | 19 | 257% | 2 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 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 Spencer Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
No Medicare-funded residents
Finances
$128.5M net patient revenue
Ownership and leadership
Owned by City Of Spencer Iowa
The employer identification numbers (EINs) health plans and networks list for Spencer Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 42-6005883Spencer Municipal Hospital | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1255328621 Spencer Municipal Hospital1821619479 Spencer Municipal Hospital1982692414 Spencer Municipal Hospitaland 19 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.
1200 FIRST AVENUE EAST, Spencer, IA 51301
(712) 264-8300
How Spencer Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 9 measures
0 better, 8 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
81%
Higher than 82% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.13
Higher than 84% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
128 min
Lower than 66% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
92%
Higher than 98% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 1 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 81% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.13 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 128 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 92% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Spencer Hospital's inpatient payments for its readmissions, quality and cost results.
-0.40% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.04% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Spencer Hospital, beside the US median and the average of IA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 119 cases | 4.5 | 4.1 | 4.344 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 472 cases | 4.5 | 3.9 | 4.347 | Worse than 76% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.16 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.667 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 34 cases | 9 | 8.5 | 9.519 | Worse than 63% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 130 cases | 12.5 | 11 | 13.01 | Worse than 77% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 195 cases | 16.6 | 15.2 | 16.4 | Worse than 71% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 41 cases | 13 | 11.6 | 11.3 | Worse than 71% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,065 cases | 0.96 | 0.51 | 0.8413 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 187 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,448 cases | 0.2 | 0.2 | 0.2253 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,275 cases | 0.26 | 0.27 | 0.2856 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 461 cases | 2.25 | 2.29 | 2.411 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 253 cases | 1.62 | 1.63 | 1.697 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 252 cases | 9.58 | 8.88 | 9.791 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 490 cases | 4.13 | 3.4 | 3.742 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 233 cases | 5.57 | 5.105 | 5.374 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 65 cases | 1.74 | 1.72 | 1.73 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 176 cases | 1.01 | 1.02 | 1.043 | No Different Than the National Rate | Better than 53% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 0.915 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 132 cases | 10 | 1.25 | -4.234 | Worse than 62% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 199 cases | 4.4 | 3.85 | -6.738 | Worse than 51% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 850 cases | 12.5 | 12.9 | 12.89 | No Different Than the National Rate | Better than 75% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 121 cases | 8.9 | 10.7 | 10.07 | No Different Than the National Rate | Better than 95% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 121 cases | 6.5 | 5.3 | 5.881 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 668 cases | 1.1 | 1 | 1.024 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.3 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.58 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 36 cases | 19.7 | 19.8 | 19.68 | Better than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 117 cases | 20.9 | 21.3 | 21.18 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 107 cases | 5.5 | 5.8 | 5.704 | Better than 65% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 166 cases | 16.9 | 17.2 | 16.98 | Better than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1944 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.325 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 374 | 1,370 | 1,588 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.228 | 0.9835 | 1.519 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9457 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6257 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1513 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.026 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,338 | 1,799 | 1,799 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.673 | 1.377 | 1.992 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9688 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4956 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2281 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.002 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 39 | 61 | 88.39 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.995 | 1.591 | 2.285 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 1.758 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9152 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.131 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.328 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 92 | 38 | 55.45 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.702 | 0.328 | 0.474 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.4848 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.888 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2611 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.565 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 6,250 | 14,451 | 14,608 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.138 | 0.567 | 0.9252 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.6765 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6471 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1573 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.253 | 0.747 | 1.7 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,835 | 13,646 | 12,946 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.391 | 5.683 | 5.819 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 2.429 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.4308 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 312 cases | 77 | 73 | 78.08 | Better than 64% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 312 cases | 8 | 8 | 5.763 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 312 cases | 15 | 18 | 16.15 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 89 | 87 | 87.71 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 4 | 3.688 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 312 cases | 82 | 80 | 82.7 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 93 | 91 | 91.94 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 312 cases | 2 | 4 | 2.598 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 3 | 3.688 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 312 cases | 16 | 16 | 14.7 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 312 cases | 82 | 79 | 82.29 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 93 | 91 | 91.44 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 312 cases | 3 | 5 | 3.897 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 3 | 3.458 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 312 cases | 15 | 16 | 13.81 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 312 cases | 67 | 61 | 64.85 | Better than 76% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 82 | 77 | 78.21 | Better than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 312 cases | 14 | 19 | 15.07 | Better than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 3 | 3 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 312 cases | 19 | 19 | 20.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 91 | 86 | 87.9 | Better than 92% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 312 cases | 9 | 13 | 11.25 | Better than 84% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 312 cases | 5 | 3 | 3.875 | The top rating, shared by 8% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 312 cases | 91 | 87 | 88.75 | Better than 84% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 312 cases | 7 | 14 | 12.09 | Better than 95% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 312 cases | 93 | 86 | 87.91 | Better than 95% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 75 | 74 | 76.91 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 5 | 7 | 5.171 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 20 | 19 | 17.92 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 81 | 77 | 80.46 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 3 | 6 | 4.303 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 16 | 17 | 15.24 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 89 | 85 | 87.3 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 1 | 3 | 2.895 | Better than 91% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 10 | 11 | 9.803 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 312 cases | 5 | 8 | 5.68 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 312 cases | 11 | 20 | 16.62 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 312 cases | 84 | 72 | 77.7 | Better than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 92 | 88 | 89.17 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 3 | 3.625 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 312 cases | 81 | 74 | 75.21 | Better than 84% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 312 cases | 5 | 9 | 8.053 | Better than 86% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 312 cases | 14 | 16 | 16.74 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 76 | 75 | 76.58 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 4 | 5 | 3.974 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 312 cases | 20 | 20 | 19.45 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 79 | 77 | 79.34 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 1 | 4 | 3.092 | Better than 91% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 312 cases | 20 | 19 | 17.57 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 89 | 86 | 88.28 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 1 | 3 | 1.829 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 312 cases | 10 | 11 | 9.895 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 312 cases | 72 | 59 | 64.8 | Better than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 312 cases | 4 | 9 | 6.454 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 312 cases | 24 | 31 | 28.74 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 89 | 82 | 83.67 | Better than 93% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 312 cases | 5 | 3 | 3.667 | The top rating, shared by 11% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 312 cases | 2 | 5 | 3.505 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 312 cases | 81 | 71 | 75.76 | Better than 82% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 312 cases | 93 | 87 | 88.6 | Better than 90% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 312 cases | 17 | 23 | 20.73 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 312 cases | 5 | 4 | 4.021 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 312 cases | 53 | 47 | 50.74 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 312 cases | 23 | 30 | 24.91 | Better than 81% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 312 cases | 24 | 22 | 24.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 312 cases | 4 | 3 | 3.688 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 312 cases | 10 | 12 | 10.79 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 312 cases | 90 | 88 | 89.21 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.161 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.7059 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2727 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 907 cases | 35 | 79 | 78.77 | Worse than 95% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 379 cases | 134 | 154 | 133 | Better than 67% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 341 cases | 128 | 148 | 127 | Better than 66% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 30 cases | 268 | 247 | 233 | Worse than 57% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 266 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 8,567 cases | 0 | 1 | 1.253 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 65.73 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 196 cases | 99 | 97 | 96.7 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 66 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 346 cases | 14 | 15 | 16.26 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 100 cases | 92 | 65 | 62.54 | Better than 98% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 53 cases | 98 | 73 | 74.87 | Better than 96% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 100 | 88 | 83.88 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 100 cases | 95 | 82 | 79.3 | Better than 95% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 76 cases | 97 | 94 | 92.57 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.05 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 63.6 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.67 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 81.6 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 92.06 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.2 | 5 | 5.165 | Worse than 78% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.9 | 6.6 | 6.297 | Better than 72% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.9 | 0.99 | 0.943 | Better than 87% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 68.68 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 38.68 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 452 cases | 0.26 | 0.05 | 0.5408 | Better than 78% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 452 cases | 0.1 | 0.03 | 0.3008 | Better than 64% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 192 cases | 92 | 87 | 84.67 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 77.77 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 53 cases | 19 | 19.1 | 18.88 | No Different Than the National Rate | Better than 51% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 116 cases | 85 | 92 | 91.83 | Worse than 66% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 68 cases | 97 | 74 | 65 | Better than 86% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 67 cases | 69 | 81 | 56.75 | Worse than 64% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 128 cases | 55 | 77 | 71.75 | Worse than 71% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 128 cases | 36 | 56 | 43.13 | Worse than 70% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 110 cases | 88 | 64 | 44.6 | Better than 76% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 110 cases | 28 | 4 | 6.2 | Better than 73% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 414 cases | 100 | 77 | 71.33 | The best result, shared by 9% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 17.5 | 20 | 16.47 | Worse than 54% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.375 | 5 | 4.245 | Worse than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 38.89 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 10.19 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 77 | 34 | 34.52 | Better than 95% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 19.25 | 8.75 | 8.969 | Better than 94% of US hospitals | |
| VBP safety domain scoreFY 2026 | 70 | 40 | 42.15 | Better than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 17.5 | 10 | 10.68 | Better than 88% of US hospitals | |
| VBP total performance scoreFY 2026 | 58.63 | 29.5 | 33.13 | Better than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 2.5 | 5 | 36.67 | 25 | 35 | 17.5 |
| VBP clinical outcomes weighted domain score | 0.625 | 1.25 | 9.167 | 8.333 | 11.67 | 4.375 |
| VBP efficiency and cost reduction domain score | 70 | Not Available | 20 | 40 | 40 | 70 |
| VBP efficiency and cost reduction weighted domain score | 17.5 | Not Available | 5 | 13.33 | 13.33 | 17.5 |
| VBP person and community engagement domain score | 70 | Not Available | Not Available | 44 | 61 | 77 |
| VBP person and community engagement weighted domain score | 17.5 | Not Available | Not Available | 14.67 | 20.33 | 19.25 |
| VBP safety domain score | 75 | Not Available | Not Available | Not Available | Not Available | 70 |
| VBP safety weighted domain score | 18.75 | Not Available | Not Available | Not Available | Not Available | 17.5 |
| VBP total performance score | 54.38 | Not Available | Not Available | 36.33 | 45.33 | 58.63 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9747 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9586 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9687 | 0.9969 | 0.9798 | Better than 77% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 123 cases | 1.01 | 0.9983 | 0.9801 | Worse than 57% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8304 | 0.9916 | 0.9631 | Better than 90% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 178 cases | 1.033 | 0.9955 | 0.9632 | Worse than 71% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.091 | 1.059 | 1.022 | 0.9649 | 0.9495 | 0.9687 |
| READM-30-HF-HRRP | 1.043 | 0.9894 | 0.9976 | 1.009 | 0.9921 | 1.01 |
| READM-30-HIP-KNEE-HRRP | 0.7462 | 0.7729 | 0.8076 | 0.8815 | 0.8546 | 0.8304 |
| READM-30-PN-HRRP | 0.9673 | 0.9041 | 0.9532 | 0.9474 | 1.002 | 1.033 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Spencer Hospital | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.071 | 0.489 | 0.6165 | Worse than 88% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.392 | 0.346 | 0.6026 | Worse than 57% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.883 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5263 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.134 | 0.9628 | 1.094 | Worse than 84% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.343 | 0.7945 | 1.039 | Worse than 80% of US hospitals | |
| Total HAC scoreFY 2026 | 0.7954 | -0.0453 | 0.3567 | Worse than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | Yes |
| Total HAC score | 0.1623 | -0.6223 | 0 | 0.6429 | 0.7577 | 0.7954 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Not accredited (since 2022)
Accreditation
None
Medical school affiliation
Local
Ownership type
93
Medicare-certified beds
109
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Spencer Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
1,362
Inpatient discharges
Medicare 48%, Medicaid 10%
5,308
Inpatient days
30% of available bed days used
395
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841591). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Spencer Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,518 | 233 | 2,557 | 5,308 |
| Discharges | 653 | 141 | 568 | 1,362 |
| Average length of stay | 3.9 days | 1.7 days | 4.5 days | 3.9 days |
| Average daily census | 6.9 | 0.6 | 7.0 | 14.5 |
678
Medicare Advantage days
161 discharges
412
Medicaid managed care days
630
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 49 | 4,650 | 2,416 | 26% |
| Nursery | 476 | |||
| Subprovider - ipf | 14 | 1,998 | 252 | 39% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Spencer Hospital treats Medicare patients for most often, in 2024. 378 Medicare discharges in 16 published DRGs; 30% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 64 | $30,618 | $14,968 | $14,972 | 1.98 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 53 | $41,934 | $13,745 | $20,506 | 1.88 |
| Heart failure and shock with MCCMS-DRG 291, medical | 52 | $18,121 | $9,204 | $8,861 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $17,530 | $9,466 | $8,572 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $23,457 | $11,857 | $11,470 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 23 | $38,769 | $15,273 | $18,958 | 2.07 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $14,697 | $7,299 | $7,187 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $12,300 | $5,245 | $6,015 | 0.81 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $26,555 | $8,858 | $12,985 | 1.23 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $40,926 | $15,801 | $20,013 | 2.11 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $32,675 | $18,357 | $15,978 | 2.37 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $22,120 | $8,581 | $10,817 | 1.20 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $12,690 | $5,101 | $6,205 | 0.79 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $20,145 | $11,065 | $9,851 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 11 | $13,480 | $6,329 | $6,592 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $39,471 | $38,611 | $19,301 | 5.00 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Spencer Hospital billed Medicare for most in 2024: 1,856 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 514 | 311 | $6,890 | $1,578 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 189 | 178 | $37,855 | $9,511 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 189 | 144 | $13,726 | $2,375 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 137 | 125 | $11,018 | $1,866 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 120 | 111 | $14,946 | $3,497 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 73 | 59 | $10,340 | $1,387 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 71 | 69 | $25,875 | $4,739 | $5,339 |
| Level 2 Urology and Related ServicesAPC 5372 | 68 | 52 | $3,545 | $461 | $502 |
| Level 1 Nerve ProceduresAPC 5431 | 64 | 57 | $5,434 | $1,315 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 59 | 58 | $18,272 | $3,937 | $4,358 |
See all 23 Medicare outpatient services at Spencer Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Spencer Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 622 in 2020 to 639 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 51301 | 415 | 65% | 1,530 | $9.8M | 66% | 73% |
| 51351 | 35 | 5% | 125 | $765,461 | 19% | 18% |
| 51358 | 30 | 5% | 117 | $751,192 | 67% | 78% |
| 50536 | 29 | 5% | 130 | $1.2M | 14% | 18% |
| 51346 | 25 | 4% | 110 | $629,004 | 69% | 41% |
| 50585 | 22 | 3% | 78 | $479,538 | 100% | 100% |
| 51338 | 17 | 3% | 55 | $359,674 | 100% | 100% |
| 51357 | 17 | 3% | 73 | $489,151 | 100% | 100% |
| 51047 | 15 | 2% | 41 | $327,043 | 100% | |
| 51366 | 12 | 2% | 79 | $412,019 | 100% | |
| 51333 | 11 | 2% | 54 | $331,475 | 100% | |
| 51364 | 11 | 2% | 63 | $340,027 | 100% |
Source: CMS Hospital Service Area file. Shares are of the 639 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Spencer Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
6
Operating rooms
2
Endoscopy rooms
15
Psychiatric unit beds
1
Off-site locations
109
Registered nurses
3
Licensed practical nurses
2
Physicians
5
Nurse practitioners
7
Pharmacists
4
Respiratory therapists
3
Physical therapists
2
Occupational therapists
2
Speech pathologists and audiologists
14
Radiology technicians
1
Nuclear medicine technicians
8
Medical technologists
2
Dietitians
4
Social workers
249
Other personnel
Source: CMS Provider of Services file.
245 clinicians who bill Medicare list Spencer Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Charlotte Caligiuri, D.O.
Urology Physician
NPI 1497041172
See commercial rates for Charlotte Caligiuri, D.O.Bobbi Honkomp, ARNP
Nurse Practitioner
NPI 1649568825
See commercial rates for Bobbi Honkomp, ARNPAndrew Ridder, M.D.
Neurology Physician
NPI 1285993253
See commercial rates for Andrew Ridder, M.D.Nathan Rohling, D.O.
Diagnostic Radiology Physician
NPI 1043475866
See commercial rates for Nathan Rohling, D.O.Stephen Fox, M.D.
Ophthalmology Physician
NPI 1548221328
See commercial rates for Stephen Fox, M.D.Louis Roemhildt, M.D.
Diagnostic Radiology Physician
NPI 1386611556
See commercial rates for Louis Roemhildt, M.D.Timothy Hurst, MD
Body Imaging Physician
NPI 1295265304
See commercial rates for Timothy Hurst, MDJamie Westerman Billings, ARNP
Family Nurse Practitioner
NPI 1235229816
See commercial rates for Jamie Westerman Billings, ARNPOrvar Jonsson, MD
Advanced Heart Failure and Transplant Cardiology Physician
NPI 1831302009
See commercial rates for Orvar Jonsson, MDMatthew Johnson, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1962842864
See commercial rates for Matthew Johnson, M.D.Nicholas Olson, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1619267150
See commercial rates for Nicholas Olson, M.D.Garth Aasen, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1013159037
See commercial rates for Garth Aasen, MDPrasuna Muppa, M.B.B.S
Anatomic Pathology & Clinical Pathology Physician
NPI 1073977690
See commercial rates for Prasuna Muppa, M.B.B.SAmanda Rivera-Begeman, D.O.
Anatomic Pathology Physician
NPI 1376675371
See commercial rates for Amanda Rivera-Begeman, D.O.Michelle Bleile, M.D.
Hematology (Pathology) Physician
NPI 1205046851
See commercial rates for Michelle Bleile, M.D.Riyad Mohama, MD
Clinical Cardiac Electrophysiology Physician
NPI 1194778738
See commercial rates for Riyad Mohama, MDChristopher Fischer, M.D.
Nuclear Medicine Physician
NPI 1679736755
See commercial rates for Christopher Fischer, M.D.Thomas Waterbury, MD
Interventional Cardiology Physician
NPI 1225392160
See commercial rates for Thomas Waterbury, MDTarek Mahrous, MD
Interventional Cardiology Physician
NPI 1225046436
See commercial rates for Tarek Mahrous, MDJonathon Adams, MD
Clinical Cardiac Electrophysiology Physician
NPI 1578683249
See commercial rates for Jonathon Adams, MDChristopher Stanton, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1457323081
See commercial rates for Christopher Stanton, M.D.Dung Nguyen, M.D.
Radiation Oncology Physician
NPI 1891736625
See commercial rates for Dung Nguyen, M.D.Christopher Rierson, DO
Orthopaedic Surgery Physician
NPI 1912173741
See commercial rates for Christopher Rierson, DORhondel Mccann, MD
Physical Medicine & Rehabilitation Physician
NPI 1518076884
See commercial rates for Rhondel Mccann, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Spencer Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $286.1M | 222.7% |
| Inpatient | $41.3M | 32.1% |
| Outpatient | $244.8M | 190.6% |
| Contractual allowances and discounts | -$157.7M | -122.7% |
| Net patient revenue | $128.5M | 100.0% |
| Operating expenses | -$127M | -98.8% |
| Operating income from patient care | $1.5M | 1.2% |
| Other income | $10.4M | 8.1% |
| Contributions and donations | $791,316 | 0.6% |
| Investment income | $6.3M | 4.9% |
| Other | $3.3M | 2.6% |
| Other expenses | -$39,567 | -0.0% |
| Net income | $11.9M | 9.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $92.9M | 35.8% |
| Medicaid (including managed care) | $22.2M | 8.6% |
| Other payers and self-pay | $144M | 55.6% |
| Total charges | $259.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. 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 Spencer Hospital's latest cost report.
1.2%
Operating margin
Operating income from patient care / net patient revenue
8.6%
Total margin
Net income / net patient revenue plus other income
13.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.49
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.9%
Return on assets
Net income for a year / total assets
9.5%
Return on equity
Net income for a year / fund balance
0.10
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
5.36
Current ratio
Current assets / current liabilities
4.66
Quick ratio
Cash, temporary investments and net receivables / current liabilities
215 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
26 days
Days in patient receivables
Net patient receivables / daily net patient revenue
52 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.80
Asset turnover
Total revenue for a year / total assets
14.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Spencer Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $173M in total assets and a $125M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $71.1M | 41.1% |
| Patient receivables, net | $9.3M | 5.4% |
| Inventory | $5.2M | 3.0% |
| Total current assets | $92.4M | 53.4% |
| Property and equipment, net of depreciation | $47.1M | 27.2% |
| Investments and other assets | $33.5M | 19.4% |
| Total assets | $173M | 100.0% |
| Current liabilities | $17.2M | 10.0% |
| Long-term debt | $12.8M | 7.4% |
| Total liabilities | $48M | 27.7% |
| Fund balance (net assets) | $125M | 72.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Spencer Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$720,009
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.7M
Bad debt
Patient bills written off as uncollectible, at charges
$2.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$510
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$3.7M
Total unreimbursed and uncompensated care
2.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Spencer Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $93.6M | $103.3M | $108.4M | $108.7M | $117.9M | $128.5M |
| Operating expenses | $95.3M | $109.5M | $112.5M | $119.9M | $121.6M | $127M |
| Operating margin | -1.8% | -6.1% | -3.8% | -10.3% | -3.2% | 1.2% |
| Net income | $4.6M | $6.1M | $19,709 | -$2.2M | $5.8M | $11.9M |
| Total assets | $156.8M | $152.1M | $156.5M | $154.3M | $160.3M | $173M |
| Discharges | 1,662 | 1,386 | 1,308 | 1,446 | 1,441 | 1,362 |
| Inpatient days | 6,288 | 5,967 | 5,841 | 5,842 | 5,600 | 5,308 |
| Medicare Advantage days | 86 | 99 | 291 | 498 | 625 | 678 |
| Beds | 64 | 64 | 64 | 64 | 63 | 63 |
| Employees (FTE) | 382 | 404 | 395 | 389 | 400 | 395 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Spencer Hospital 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $1.6M | $16.7M | $36.3M | 0.46 | 3,430 |
| Operating room | $1.6M | $12.7M | $52.1M | 0.24 | 32,832 |
| Clinic | $217,859 | $10.8M | $21.9M | 0.49 | |
| Impl. dev. charged to patients | $6M | $15.2M | 0.40 | ||
| Recovery room | $1.8M | $4M | $8.7M | 0.45 | 4,302 |
| Emergency | $1.6M | $4M | $9.4M | 0.42 | 5,145 |
| Nwibj clinic | $67,986 | $3.5M | $4.5M | 0.78 | 12,549 |
| Laboratory | $868,208 | $3.3M | $14.2M | 0.23 | 3,711 |
| Renal dialysis | $765,941 | $3.3M | $14.4M | 0.23 | |
| Radiology oncology | $1.7M | $3.2M | $9.1M | 0.35 | 1,297 |
| Radiology-diagnostic | $1M | $2.6M | $9M | 0.29 | 10,878 |
| Medical oncology | $1.1M | $2.6M | $5.8M | 0.45 | |
| Ambulance services | $894,338 | $1.6M | $2.1M | 0.76 | 2,739 |
| Physical therapy | $706,140 | $1.4M | $3.6M | 0.39 | 7,326 |
| Home health agency | $643,038 | $1.3M | $936,346 | 1.40 | |
| Observation beds (non-distinct part | $1.1M | $923,974 | 1.19 | ||
| Ct scan | $345,630 | $1.1M | $11.2M | 0.10 | 926 |
| Enterostormal | $391,834 | $994,705 | $1.8M | 0.57 | 3,794 |
| Mri | $129,199 | $901,394 | $5.8M | 0.16 | |
| Respiratory therapy | $397,975 | $774,089 | $3M | 0.26 | 1,886 |
| Radioisotope | $106,521 | $663,162 | $2.9M | 0.23 | |
| Occupational therapy | $336,551 | $561,238 | $1.5M | 0.37 | 1,045 |
| Cardiac rehab | $236,876 | $485,381 | $711,151 | 0.68 | 4,407 |
| Infusion thearpy | $179,200 | $442,672 | $1.4M | 0.33 | 2,522 |
| Electrocardiology | $169,010 | $332,118 | $3.8M | 0.09 | |
| Speech pathology | $175,797 | $302,922 | $602,266 | 0.50 | 1,175 |
| Blood storing processing & trans. | $239,833 | $893,337 | 0.27 | 261 | |
| Delivery room & labor room | $215,746 | $1.9M | 0.12 | 740 | |
| Diabetic education | $106,951 | $199,996 | $203,977 | 0.98 | |
| Electroencephalography | $132,945 | $1M | 0.13 | 437 | |
| Telemetry | $59,371 | $108,391 | $44,957 | 2.41 | 380 |
| Bhs op counsel | $13,962 | $30,837 | $5,052 | 6.10 | 265 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.5M | $9.3M | $10.1M | 0.92 | 41,195 |
| Subprovider - ipf | $2M | $3.2M | $2.4M | 1.33 | 6,858 |
| Nursery | $657,829 | $963,100 | 0.68 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $492,874 | $11.6M | 11,118 | $44.33 | 4,801 |
| Administrative & general | $3.8M | $8.4M | 101,495 | $37.37 | 31,848 |
| Cap rel costs-mvble equip | $4.7M | ||||
| Nursing administration | $1.8M | $2.4M | 33,968 | $52.35 | 3,009 |
| Operation of plant | $982,243 | $2.3M | 30,031 | $33.63 | 82,495 |
| Cap rel costs-bldg & fixt | $1.1M | 334,217 | |||
| Housekeeping | $679,189 | $851,402 | 34,114 | $19.91 | 2,774 |
| Medical records & library | $672,491 | $820,770 | 27,107 | $24.81 | 2,672 |
| Dietary | $858,144 | $601,850 | 16,722 | $23.31 | 6,385 |
| Central services & supply | $291,022 | $290,967 | 12,635 | $23.03 | 9,884 |
| New cap rel costs-medical arts buil | $265,822 | ||||
| Laundry & linen service | $38,889 | $255,157 | 2,145 | $18.13 | 2,068 |
| Cafeteria | $250,238 | 20,098 | $23.31 | 2,561 | |
| New cap rel costs-spirit lake dialy | $166,685 | ||||
| Operation of plant- clinic | $27,555 | $109,641 | |||
| Social service | $105,578 | $105,578 | 3,145 | $33.57 | |
| New cap rel costs-abben cancer cent | $66,388 | ||||
| New cap rel costs-swhc building | $34,875 | ||||
| New cap rel costs-sioux rapids clin | $30,000 | ||||
| New cap rel costs-milford clinic | $7,365 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841591, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Spencer Hospital for an inpatient stay.
1.63
Case mix index
Higher than 44% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
15.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
664
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.62 | 1.62 | 1.70 | 1.68 | 1.65 | 1.63 | 1.63 |
| Wage index | 0.839 | 0.833 | 0.814 | 0.854 | 0.839 | 0.902 | 0.857 |
| Readmissions adjustment | -0.29% | -0.47% | -0.17% | -0.07% | -0.07% | -0.10% | -0.40% |
| Value-based purchasing adjustment | +1.29% | +1.49% | +1.49% | -0.35% | +1.45% | +2.06% | +2.04% |
| Medicare inpatient stays | 1,064 | 1,064 | 742 | 711 | 734 | 721 | 664 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Spencer Hospital reports to Medicare as owners or with operational control.
City Of Spencer Iowa
Operational/managerial control, 100%, since 1966
City Of Spencer Iowa
5% or greater direct ownership interest, 100%, since 1966
Sources: CMS Hospital All Owners.
The officers and board members on Spencer Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 7 of 10 are shown.
Accountable care organization (Medicare Shared Savings Program)
Caravan Health ACO 43 LLC
ACO A4974, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Spencer Hospital's legal name.
Helipad
Spencer Muni Hospital
FAA location ID 1IA3, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Spencer municipal hospital
CCN 16S112, certified 1984, Medicare prospective payment
Spencer municipal hospital
CCN 16U112, certified 2003, Medicare prospective payment
Spencer municipal hospital
CCN 16U112, certified 2003
Spencer municipal hospital
CCN 167030, certified 1984, Medicare prospective payment
Spencer municipal hospital
CCN 161533, certified 1994
Spencer municipal hospital
CCN 163516, certified 2018
Spirit lake dialysis
CCN 163513, certified 2002
Source: Worksheet S-2 Part I of Spencer Hospital's latest Medicare cost report (HCRIS).
About Spencer Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Spencer Hospital range from $1,090 to $3,422 across 3 insurers. Blue Cross Blue Shield's rate is $1,090. The median at nearby comparable hospitals is $2,410. 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 Spencer Hospital range from $913 to $4,104 across 3 insurers. Aetna's rate is $4,104. The median at nearby comparable hospitals is $1,283. 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 Spencer Hospital range from $3,790 to $3,790 across 1 insurers. Aetna's rate is $3,790. The median at nearby comparable hospitals is $3,290. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Spencer Hospital range from $4,387 to $12,235 across 3 insurers. UnitedHealthcare's rate is $4,387. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Spencer Hospital range from $214 to $367 across 3 insurers. Aetna's rate is $367. The median at nearby comparable hospitals is $279. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Spencer Hospital range from $12,551 to $39,486 across 3 insurers. Aetna's rate is $39,486. The median at nearby comparable hospitals is $29,452. What a patient pays depends on their plan's deductible, coinsurance and network status.
Spencer Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Spencer Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Spencer Hospital's base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (64 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (53 discharges), heart failure and shock with mcc (52 discharges).
Spencer Hospital's Medicare case mix index is 1.63 for fiscal year 2027, higher than 44% of hospitals paid under the inpatient prospective payment system.
Spencer Hospital reported 1,362 inpatient discharges and 5,308 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Spencer Hospital reported 395 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Spencer Hospital reported $128.5M in net patient revenue on $286.1M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 1.2%, and net income of $11.9M.
Spencer Hospital reported $3.7M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $720,009 of charity care at cost.
Insurers' price transparency files list Spencer Hospital under employer identification number 42-6005883 (Spencer Municipal Hospital). 56 health plans and networks list 42-6005883 for it.
245 clinicians who bill Medicare list Spencer Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (37), family medicine physician (36), nurse practitioner (19).
CMS's Provider of Services file lists no accrediting organization for Spencer Hospital; it is certified for Medicare through state survey.
In its Medicare enrollment, Spencer Hospital reports City Of Spencer Iowa as 5% or greater direct ownership interest (100%).
CMS lists 36 services at Spencer Hospital, including Adult Inpatient Psychiatric Care, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Spencer Hospital came from ZIP codes 51301 (415), 51351 (35), 51358 (30).
Spencer Hospital has 63 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 93 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Spencer Hospital is located at 1200 FIRST AVENUE EAST, Spencer, IA 51301. Its main phone number is (712) 264-8300.
Spencer Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 160112.
The National Provider Identifier (NPI) on file for Spencer Hospital is 1255328621.
Spencer Hospital lists 31 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
219 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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