Critical Access Hospital

SE Lackey Memorial Hospital

SE Lackey Memorial Hospital is a nonprofit critical access hospital in Forest, Mississippi. Its CMS Certification Number (CCN) is 251300 and its NPI is 1306909734.

CCN
251300

CMS Certification Number

NPI
1306909734

National Provider Identifier

Tax ID (EIN)
64-0770155

Billing entity in payer files

Ownership
Nonprofit

Forest, MS

Negotiated rates

What insurers pay physicians at SE Lackey Memorial Hospital

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.

ServiceCodePhysician ratevs. Mississippi hospitals
Emergency room visit, high severity99285
$165$141–$250 · 8 rates

37th percentile · state median $167, mean $175

CT scan, abdomen and pelvis, with contrast74177
$279$239–$500 · 26 rates

42nd percentile · state median $289, mean $325

MRI, brain, with and without contrast70553
$338$290–$1,239 · 26 rates

36th percentile · state median $408, mean $513

Colonoscopy, diagnostic45378
$346$152–$518 · 26 rates

40th percentile · state median $402, mean $452

See UnitedHealthcare rates for every billing code at SE Lackey Memorial Hospital

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The full rate file for SE Lackey Memorial Hospital, with a free MedReveal account

  • 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.

Hospital profile

From the hospital's Medicare enrollment record.

Hospital type
Critical Access Hospital
Ownership
Nonprofit
Legal business name
Independent Healthcare Management Inc
Tax ID (EIN) holder
INDEPENDENT HEALTHCARE MANAGEMENT INC
Organization type
Corporation
Incorporated
January 10, 1989 in MS
Medicare enrollment ID
O20120111000488
Practice location
Other Hospital Practice Location
County
Scott
Phone
(601) 469-4151

Address

330 N Broad St
Forest, MS 39074-3508
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Quality and services

From CMS Care Compare. Each measure is compared with the national rate.

Emergency services

CMS overall rating

Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.

MortalityDeaths within 30 days of care

0 better1 no different0 worsethan national

Safety of careInfections and complications

0 better1 no different0 worsethan national

ReadmissionsUnplanned returns to hospital

0 better2 no different0 worsethan national

Medicare-certified units

Units Medicare certifies separately, each with its own CCN.

  • Swing-bed unit

    SE Lackey Memorial Hospital

    CCN 25Z300

Hospitals near Forest

All hospitals in Mississippi →

See what insurers pay SE Lackey Memorial Hospital

Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.

Common questions

Quick answers about SE Lackey Memorial Hospital.

What is the CCN for SE Lackey Memorial Hospital?

SE Lackey Memorial Hospital's CMS Certification Number (CCN) is 251300. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.

What is the NPI number for SE Lackey Memorial Hospital?

SE Lackey Memorial Hospital bills under National Provider Identifier (NPI) 1306909734.

What is the tax ID (EIN) for SE Lackey Memorial Hospital?

SE Lackey Memorial Hospital bills insurers under tax ID (EIN) 64-0770155, held by INDEPENDENT HEALTHCARE MANAGEMENT INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.

What type of hospital is SE Lackey Memorial Hospital?

SE Lackey Memorial Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Independent Healthcare Management Inc.

Where is SE Lackey Memorial Hospital located?

SE Lackey Memorial Hospital is at 330 N Broad St, Forest, MS 39074.

Does SE Lackey Memorial Hospital have an emergency room?

Yes. SE Lackey Memorial Hospital reports emergency services to CMS.

Does SE Lackey Memorial Hospital have Medicare-certified units?

Yes. SE Lackey Memorial Hospital has 1 Medicare-certified unit: swing-bed unit.

Data sources

Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.