Mercy Health-Marcum and Wallace Hospital is a nonprofit critical access hospital in Irvine, Kentucky. Its CMS Certification Number (CCN) is 181301 and its NPI is 1487643821.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Irvine, KY
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. Kentucky hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $1601 rate | 24th percentile · state median $214, mean $202 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $3193 rates, all the same | 28th percentile · state median $337, mean $360 |
| MRI, brain, with and without contrast | 70553 | $7923 rates, all the same | 65th percentile · state median $746, mean $686 |
| Colonoscopy, diagnostic | 45378 | $506$279–$506 · 3 rates | 88th percentile · state median $455, mean $451 |
See UnitedHealthcare rates for every billing code at Mercy Health-Marcum and Wallace 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 better4 no different0 worsethan national
0 better5 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Mercy Health-Marcum & Wallace Hospital LLC
CCN 18Z301
Centerpoint Health - Georgetown
Georgetown, KY
Centerpoint Health - Paris
Paris, KY
Centerpoint Health - Versailles
Versailles, KY
CHI Saint Joseph Mount Sterling
Mt Sterling, KY
Clark Regional Medical Center
Winchester, KY
St Claire Regional Medical Center
Morehead, KY
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Mercy Health-Marcum and Wallace Hospital.
Mercy Health-Marcum and Wallace Hospital's CMS Certification Number (CCN) is 181301. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Mercy Health-Marcum and Wallace Hospital bills under National Provider Identifier (NPI) 1487643821.
Mercy Health-Marcum and Wallace Hospital bills insurers under tax ID (EIN) 61-0927491, held by MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Mercy Health-Marcum and Wallace Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Mercy Health-Marcum & Wallace Hospital LLC.
Mercy Health-Marcum and Wallace Hospital is at 60 Mercy Ct, Irvine, KY 40336.
Mercy Health-Marcum and Wallace 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. Mercy Health-Marcum and Wallace Hospital reports emergency services to CMS.
Yes. Mercy Health-Marcum and Wallace Hospital 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.