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Short Term Acute Care HospitalGovernment - Local

Witham Memorial Hospital

Witham Health Services · Lebanon, IN

2605 North Lebanon Street, Lebanon, IN 46052(765) 485-8000

4 of 5

CMS star rating

78

Beds

2,187

Inpatient discharges a year

$184.9M

Net patient revenue a year

30

In-network payers

About this hospital

Witham Memorial Hospital is a 78-bed government - local hospital in Lebanon, IN, affiliated with Witham Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 280 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
CCN
150104
NPI
1699757401
Health system
Witham Health Services
Teaching
No Medicare-funded residents
County
Boone County
Metro area
Indianapolis-Carmel-Greenwood, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2003

Prices for common services

The 24 services Witham Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,700 - $18,463

from 4 insurers · median $9,163

Cigna$7,700
Insurer A*$7,830
Insurer B*$10,495
Insurer C*$18,463

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$629 - $5,356

from 4 insurers · median $4,916

Aetna$5,101
Insurer A*$629
Insurer B*$4,731
Insurer C*$5,356
Medicare $339Nearby hospitals $743562% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,457 - $18,944

from 4 insurers · median $12,900

Cigna$10,457
Insurer A*$10,793
Insurer B*$15,007
Insurer C*$18,944

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$22,638 - $71,838

from 4 insurers · median $44,156

Blue Cross$29,895
Insurer A*$22,638
Insurer B*$58,417
Insurer C*est.$71,838
Medicare $13,664Nearby hospitals $31,37141% above nearby hospitals

12 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Witham Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
568%
153
Insurer B*20
517%
125
Insurer C*18
448%
105
Insurer D*23
174%
37

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 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 Witham Memorial Hospital, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 117 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.85%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 34 services
    • 282 affiliated clinicians
    See doctors and services
  • Finances

    $184.9M net patient revenue

    • Operating margin on patient care -12.3%
    • $14.6M unreimbursed and uncompensated care
    • -$5.3M net income
    See finances
  • Ownership and leadership

    Owned by Witham Memorial Hospital

    • Local
    • Kelly Braverman, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-1151208Witham Memorial Hospital49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1699757401 Witham Memorial Hospital1124360367 Witham Memorial Hospital1144564626 Witham Memorial Hospitaland 49 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2605 North Lebanon Street, Lebanon, IN 46052

(765) 485-8000

Get directions

Frequently asked questions

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

How much does an MRI cost at Witham Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Witham Memorial Hospital range from $629 to $3,877 across 4 insurers. Aetna's rate is $2,769. The median at nearby comparable hospitals is $730. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Witham Memorial Hospital range from $629 to $5,356 across 4 insurers. Aetna's rate is $5,101. The median at nearby comparable hospitals is $743. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Witham Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Witham Memorial Hospital range from $1,159 to $9,000 across 4 insurers. UnitedHealthcare's rate is $1,159. The median at nearby comparable hospitals is $3,137. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Witham Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Witham Memorial Hospital range from $7,700 to $18,463 across 4 insurers. Cigna's rate is $7,700. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Witham Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Witham Memorial Hospital range from $155 to $325 across 4 insurers. UnitedHealthcare's rate is $278. The median at nearby comparable hospitals is $227. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Witham Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Witham Memorial Hospital range from $22,638 to $71,838 across 4 insurers. Blue Cross Blue Shield's rate is $29,895. The median at nearby comparable hospitals is $31,371. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Witham Memorial Hospital's CMS star rating?

Witham Memorial 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.

Is Witham Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Witham Memorial Hospital for fiscal year 2027.

Does Medicare penalize Witham Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Witham Memorial Hospital's base inpatient payments by an estimated 0.85% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Witham Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (59 discharges), heart failure and shock with mcc (27 discharges), respiratory infections and inflammations with mcc (25 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

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Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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