SSM Health St. Clare Hospital - Fenton is a nonprofit short-term acute care hospital in Fenton, Missouri. Its CMS Certification Number (CCN) is 260081 and its NPI is 1851496152.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Fenton, 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 | $181$156–$213 · 3 rates | 39th percentile · state median $188, mean $201 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $404$279–$438 · 9 rates | 74th percentile · state median $362, mean $427 |
| MRI, brain, with and without contrast | 70553 | $538$292–$558 · 9 rates | 65th percentile · state median $445, mean $568 |
| Colonoscopy, diagnostic | 45378 | $505$271–$835 · 7 rates | 64th percentile · state median $448, mean $484 |
See UnitedHealthcare rates for every billing code at SSM Health St. Clare Hospital - Fenton
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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
1 better6 no different0 worsethan national
1 better6 no different0 worsethan national
1 better7 no different0 worsethan national
Same legal entity in Medicare, or billing insurers under the same tax ID.
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about SSM Health St. Clare Hospital - Fenton.
SSM Health St. Clare Hospital - Fenton's CMS Certification Number (CCN) is 260081. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
SSM Health St. Clare Hospital - Fenton bills under National Provider Identifier (NPI) 1851496152.
SSM Health St. Clare Hospital - Fenton bills insurers under tax ID (EIN) 43-1343281, held by SSM HEALTH CARE ST LOUIS. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
SSM Health St. Clare Hospital - Fenton is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is SSM Health Care St Louis.
SSM Health St. Clare Hospital - Fenton is at 1015 Bowles Ave, Fenton, MO 63026.
SSM Health St. Clare Hospital - Fenton 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. SSM Health St. Clare Hospital - Fenton reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.