Madison County Health Care System is a nonprofit critical access hospital in Winterset, Iowa. Its CMS Certification Number (CCN) is 161326 and its NPI is 1831104611.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Winterset, IA
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Iowa hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $206$174–$310 · 4 rates | 38th percentile · state median $251, mean $268 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $337$306–$354 · 12 rates | 27th percentile · state median $367, mean $419 |
| MRI, brain, with and without contrast | 70553 | $767$342–$1,016 · 12 rates | 79th percentile · state median $628, mean $640 |
| Colonoscopy, diagnostic | 45378 | $536$302–$796 · 12 rates | 51st percentile · state median $525, mean $587 |
See UnitedHealthcare rates for every billing code at Madison County Health Care System
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better2 no different0 worsethan national
0 better3 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Madison County Health Care System
CCN 16Z326
Clarke County Hospital
Osceola, IA
Dallas County Hospital
Perry, IA
Mercyone Newton Medical Center
Newton, IA
Pella Regional Health Center
Pella, IA
Story County Medical Center
Nevada, IA
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Madison County Health Care System.
Madison County Health Care System's CMS Certification Number (CCN) is 161326. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Madison County Health Care System bills under National Provider Identifier (NPI) 1831104611.
Madison County Health Care System bills insurers under tax ID (EIN) 42-6037706, held by MADISON COUNTY MEMORIAL HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Madison County Health Care System is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Madison County Memorial Hospital.
Madison County Health Care System is at 300 W Hutchings St, Winterset, IA 50273.
Yes. Madison County Health Care System reports emergency services to CMS.
Yes. Madison County Health Care System has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.