Missouri / Hannibal Regional Hospital
CMS certification 260025 · Hannibal, MO · 2 entries in CMS's price-transparency list
Hannibal Regional Hospital: charges and Medicare payments
Hannibal Regional Hospital reported 1,231 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 3.31 times what it was paid — among the lower ratios in Missouri, number 43 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 263 stays at an average charge of $56,162, 38% below the national average. It also billed 1,318 outpatient services, charging 8.92 times what Medicare paid.
- 1Medicare inpatient stays 1,231
- 2Charge ÷ paid, inpatient 3.31×
- 3Rank in MO (highest ratio = 1) 43 of 59
- 4CMS price-transparency actions 2
Inpatient stays
For the 35 DRGs that can be compared with the national average, Hannibal Regional Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 263 | $56,162 | -38% | $16,491 |
| 291 Heart Failure and Shock with MCC | 121 | $28,766 | -49% | $10,398 |
| 177 Respiratory Infections and Inflammations with MCC | 91 | $40,668 | -42% | $13,641 |
| 193 Simple Pneumonia and Pleurisy with MCC | 74 | $29,658 | -50% | $10,699 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $30,539 | -47% | $10,025 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $33,055 | -56% | $12,967 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $35,507 | -28% | $8,313 |
| 690 Kidney and Urinary Tract Infections without MCC | 40 | $24,636 | -35% | $6,532 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $26,677 | -47% | $8,949 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 32 | $20,380 | -49% | $6,889 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $32,269 | -37% | $9,531 |
| 683 Renal Failure with CC | 25 | $23,745 | -42% | $7,243 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 24 | $91,719 | -2% | $15,167 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $25,179 | -32% | $6,313 |
| 389 Gastrointestinal Obstruction with CC | 22 | $31,442 | -19% | $6,475 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $42,008 | -58% | $16,098 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $19,100 | -50% | $6,665 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $21,521 | -40% | $6,004 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $123,371 | -46% | $40,033 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $41,993 | -14% | $8,150 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $25,376 | -37% | $6,356 |
| 682 Renal Failure with MCC | 18 | $28,669 | -57% | $12,038 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $59,122 | -47% | $17,497 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $77,792 | -43% | $21,769 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $26,067 | -48% | $7,412 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $27,590 | -54% | $10,607 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $44,156 | -21% | $8,212 |
| 186 Pleural Effusion with MCC | 13 | $35,051 | -51% | $12,555 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $32,135 | -43% | $9,714 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $76,863 | -24% | $16,685 |
| 603 Cellulitis without MCC | 13 | $30,386 | -19% | $7,193 |
| 312 Syncope and Collapse | 12 | $29,876 | -34% | $6,993 |
| 638 Diabetes with CC | 12 | $24,194 | -42% | $7,302 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $33,203 | -65% | $16,991 |
| 439 Disorders of Pancreas except Malignancy with CC | 11 | $32,395 | -26% | $6,947 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hannibal Regional Hospital charged $56,162 on average, 23% less than the Missouri average of $72,886, and was paid $16,491 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Hannibal Regional Hospital charged $28,766 on average, 38% less than the Missouri average of $46,468, and was paid $10,398 against a state average of $10,539. For Respiratory Infections and Inflammations with MCC (DRG 177), Hannibal Regional Hospital charged $40,668 on average, 30% less than the Missouri average of $58,162, and was paid $13,641 against a state average of $13,151. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hannibal Regional Hospital charged $29,658 on average, 38% less than the Missouri average of $47,966, and was paid $10,699 against a state average of $10,821. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,232 was 3% above the state average of $20,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $84,168 was 61% above the state average of $52,262. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,351 was 36% above the state average of $23,828. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,671 was 0% below the state average of $10,642.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hannibal Regional Hospital in Hannibal, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2023-06-27 (CMS case 291)
- Closure Notice — 2023-08-30 (CMS case 291)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.