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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Ssm Health-St. Marys Audrain

SSM Health · Mexico, MO

620 East Monroe Street, Mexico, MO 65265(573) 582-5000

60

Beds

230

Inpatient discharges a year

$9.7M

Net patient revenue a year

8

In-network payers

About this hospital

Ssm Health-St. Marys Audrain is a 60-bed voluntary non-profit - private hospital in Mexico, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 26 disclosed rate categories.

  • Helipad
CCN
260064
NPI
1952390122
Health system
SSM Health
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Cigna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Cigna

Outpatient

HCPCS Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very Low

Cigna

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

Very Low

Cigna

Facility

RC Cardiology

Range: 0480 - 0489

Negotiated

Very Low

Cigna

Facility

RC Clinic

Range: 0510 - 0519

Negotiated

Very Low

Cigna

Facility

RC Continuous Ambulatory Peritoneal Dialysis (CAPD)- Outpatient or Home

Range: 0840 - 0849

Percentage of Bill Charged

-

Cigna

Facility

RC Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home

Range: 0850 - 0859

Percentage of Bill Charged

-

Cigna

Facility

RC Coronary Care Unit

Range: 0210 - 0219

Negotiated

Very Low

Cigna

Facility

RC Freestanding Clinic

Range: 0520 - 0529

Negotiated

Very Low

Cigna

Facility

RC Hemodialysis - Outpatient or Home

Range: 0820 - 0829

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Cigna
Kaiser PermanenteMVP Health CareMedicaMedical MutualPriority HealthQuartz

More about this hospital

Location

620 East Monroe Street, Mexico, MO 65265

(573) 582-5000

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Frequently asked questions

About Ssm Health-St. Marys Audrain's rates and hospital price transparency.

How many patients does Ssm Health-St. Marys Audrain admit?

Ssm Health-St. Marys Audrain reported 230 inpatient discharges and 577 inpatient days from Jan 1, 2021 to Mar 15, 2021.

How many employees does Ssm Health-St. Marys Audrain have?

Ssm Health-St. Marys Audrain reported 146 full-time-equivalent employees on payroll from Jan 1, 2021 to Mar 15, 2021.

How much revenue does Ssm Health-St. Marys Audrain make?

Ssm Health-St. Marys Audrain reported $9.7M in net patient revenue on $24.6M of gross charges for Jan 1, 2021 to Mar 15, 2021, an operating margin of -16.3%, and net income of $1.4M.

How much charity and uncompensated care does Ssm Health-St. Marys Audrain provide?

Ssm Health-St. Marys Audrain reported $411,819 of unreimbursed and uncompensated care for Jan 1, 2021 to Mar 15, 2021.

Does Ssm Health-St. Marys Audrain participate in the 340B drug pricing program?

HRSA's 340B database lists Ssm Health-St. Marys Audrain (340B ID SCH260064-00) as no longer participating since 2020.

What services does Ssm Health-St. Marys Audrain offer?

CMS lists 31 services at Ssm Health-St. Marys Audrain, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.

How many beds does Ssm Health-St. Marys Audrain have?

Ssm Health-St. Marys Audrain has 60 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.

Where is Ssm Health-St. Marys Audrain and what is its phone number?

Ssm Health-St. Marys Audrain is located at 620 East Monroe Street, Mexico, MO 65265. Its main phone number is (573) 582-5000.

What is Ssm Health-St. Marys Audrain's CCN (Medicare provider number)?

Ssm Health-St. Marys Audrain's CMS Certification Number (CCN), also called its Medicare provider number, is 260064.

What is Ssm Health-St. Marys Audrain's NPI number?

The National Provider Identifier (NPI) on file for Ssm Health-St. Marys Audrain is 1952390122.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

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

Get your chargemaster right for billing and payer contracts

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

What a review covers

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