Mercy Hospital Carthage is a nonprofit critical access hospital in Carthage, Missouri. Its CMS Certification Number (CCN) is 261338 and its NPI is 1003201955.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Carthage, MO
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. Missouri hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $239$160–$239 · 4 rates | 77th percentile · state median $188, mean $201 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $362$273–$362 · 12 rates | 51st percentile · state median $362, mean $427 |
| MRI, brain, with and without contrast | 70553 | $405$306–$405 · 12 rates | 39th percentile · state median $445, mean $568 |
| Colonoscopy, diagnostic | 45378 | $583$279–$695 · 12 rates | 79th percentile · state median $448, mean $484 |
See UnitedHealthcare rates for every billing code at Mercy Hospital Carthage
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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 better3 no different0 worsethan national
0 better2 no different0 worsethan national
1 better4 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Mercy Hospital Carthage
CCN 26Z338
Freeman Health System
Joplin, MO
Freeman Neosho Hospital
Neosho, MO
Landmark Hospital of Joplin LLC
Joplin, MO
Mercy Hospital Joplin
Joplin, MO
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Mercy Hospital Carthage.
Mercy Hospital Carthage's CMS Certification Number (CCN) is 261338. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Mercy Hospital Carthage bills under National Provider Identifier (NPI) 1003201955.
Mercy Hospital Carthage bills insurers under tax ID (EIN) 45-3808607, held by MERCY HOSPITAL CARTHAGE. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Mercy Hospital Carthage is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Mercy Hospital Carthage.
Mercy Hospital Carthage is at 3125 Dr Russell Smith Way, Carthage, MO 64836.
Mercy Hospital Carthage 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 Hospital Carthage reports emergency services to CMS.
Yes. Mercy Hospital Carthage 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.