Nmc Health
NMC HEALTH in Newton, Kansas charges 3.8x the Medicare reimbursement rate across 18 analyzed procedures, representing typical pricing for a nonprofit-private hospital in the region.
Newton, KS 67114 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.8x
Charge / Medicare rate
Max markup
5.38x
Worst procedure
Procedures analyzed
18
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,964 | $11,982 | — | 5.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $35,617 | $17,808 | — | 5.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $29,989 | $14,995 | — | 4.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $27,766 | $13,883 | — | 4.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $33,371 | $16,686 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,060 | $16,530 | — | 4.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,792 | $9,896 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,478 | $9,239 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $22,811 | $11,406 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,236 | $8,618 | — | 3.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $37,578 | $18,789 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,020 | $10,010 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $40,895 | $20,448 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $34,983 | $17,492 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $26,564 | $13,282 | — | 3.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $36,839 | $18,420 | — | 2.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $34,558 | $17,279 | — | 2.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $57,209 | $28,605 | — | 2.4x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use