Spencer Municipal Hospital is a nonprofit short-term acute care hospital in Spencer, Iowa. Its CMS Certification Number (CCN) is 160112 and its NPI is 1255328621.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Spencer, 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 | $282$203–$443 · 7 rates | 56th percentile · state median $251, mean $268 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $396$320–$610 · 21 rates | 61st percentile · state median $367, mean $419 |
| MRI, brain, with and without contrast | 70553 | $680$408–$919 · 21 rates | 68th percentile · state median $628, mean $640 |
| Colonoscopy, diagnostic | 45378 | $510$273–$926 · 21 rates | 49th percentile · state median $525, mean $587 |
See UnitedHealthcare rates for every billing code at Spencer Municipal Hospital
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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
4 out of 5 stars
0 better5 no different0 worsethan national
0 better3 no different0 worsethan national
0 better8 no different1 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Spencer Municipal Hospital
CCN 16U112
Psychiatric unit
Spencer Municipal Hospital
CCN 16S112
Avera Holy Family Hospital
Estherville, IA
Lakes Regional Healthcare
Spirit Lake, IA
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Spencer Municipal Hospital.
Spencer Municipal Hospital's CMS Certification Number (CCN) is 160112. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Spencer Municipal Hospital bills under National Provider Identifier (NPI) 1255328621.
Spencer Municipal Hospital bills insurers under tax ID (EIN) 42-6005883, held by SPENCER MUNICIPAL HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Spencer Municipal Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Spencer Municipal Hospital.
Spencer Municipal Hospital is at 1200 1st Ave E, Spencer, IA 51301.
Spencer Municipal Hospital has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Spencer Municipal Hospital reports emergency services to CMS.
Yes. Spencer Municipal Hospital has 2 Medicare-certified units: swing-bed unit, psychiatric unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.