# 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.

Web page: https://www.med-reveal.com/hospitals/mississippi/se-lackey-memorial-hospital-251300

## Profile

| Field | Value |
| --- | --- |
| Legal business name | Independent Healthcare Management Inc |
| Hospital type | Critical Access Hospital |
| Ownership | Nonprofit |
| CCN | 251300 |
| NPI | 1306909734 |
| Tax ID (EIN) | 64-0770155 (INDEPENDENT HEALTHCARE MANAGEMENT INC) |
| Address | 330 N Broad St, Forest, MS 39074 |
| County | Scott |
| Phone | (601) 469-4151 |

## Quality

- CMS overall star rating: Not rated
- Emergency services: Yes
- Mortality: 0 better, 1 no different, 0 worse than national
- Safety of care: 0 better, 1 no different, 0 worse than national
- Readmissions: 0 better, 2 no different, 0 worse than national

## UnitedHealthcare physician rates

Median in-network rate for clinicians billing at this hospital (professional, global, no modifier), compared with the Mississippi median across hospitals.

| Service | Code | Median | Range | Mississippi percentile | Mississippi median |
| --- | --- | --- | --- | --- | --- |
| Emergency room visit, high severity | 99285 | $165 | $141–$250, 8 rates | 37th | $167 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $279 | $239–$500, 26 rates | 42nd | $289 |
| MRI, brain, with and without contrast | 70553 | $338 | $290–$1,239, 26 rates | 36th | $408 |
| Colonoscopy, diagnostic | 45378 | $346 | $152–$518, 26 rates | 40th | $402 |

Full rates for every billing code, facility and professional, inpatient and outpatient, across UnitedHealthcare, Aetna, Cigna and BCBS: https://www.med-reveal.com/login

## Medicare-certified units

- SE Lackey Memorial Hospital (Swing-bed unit), CCN 25Z300

## Sources

- CMS Hospital Enrollments (PECOS): CCN, NPI, type, ownership, address, units. https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments
- CMS Hospital General Information: star rating, emergency services, quality measures. https://data.cms.gov/provider-data/dataset/xubh-q36u
- UnitedHealthcare Transparency in Coverage files: physician (professional) negotiated rates, global (no modifier). https://transparency-in-coverage.uhc.com/