Kansas / Nmc Health
CMS certification 170103 · Newton, KS · 1 entry in CMS's price-transparency list
Nmc Health: charges and Medicare payments
Nmc Health reported 405 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 3.06 times what it was paid — mid-range in Kansas, number 23 of 36 hospitals with at least 100 stays (state median 3.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 58 stays at an average charge of $45,597, 50% below the national average. It also billed 1,141 outpatient services, charging 3.45 times what Medicare paid.
- 1Medicare inpatient stays 405
- 2Charge ÷ paid, inpatient 3.06×
- 3Rank in KS (highest ratio = 1) 23 of 36
- 4CMS price-transparency actions 1
Inpatient stays
For the 20 DRGs that can be compared with the national average, Nmc Health 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 | 58 | $45,597 | -50% | $14,382 |
| 291 Heart Failure and Shock with MCC | 44 | $25,398 | -55% | $9,619 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $28,434 | -44% | $7,841 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $17,789 | -52% | $6,040 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $21,207 | -56% | $7,260 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $48,628 | -52% | $15,368 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $26,689 | -55% | $9,443 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $17,339 | -55% | $6,141 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $19,307 | -49% | $6,558 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $41,945 | -59% | $14,760 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $20,526 | -49% | $5,883 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $21,016 | -57% | $7,420 |
| 683 Renal Failure with CC | 13 | $20,856 | -49% | $6,666 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $29,762 | -61% | $11,291 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $31,954 | -37% | $11,664 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $29,746 | -58% | $11,014 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $18,131 | -50% | $5,719 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $54,303 | -36% | $12,361 |
| 389 Gastrointestinal Obstruction with CC | 11 | $21,581 | -45% | $6,319 |
| 603 Cellulitis without MCC | 11 | $21,134 | -43% | $6,541 |
Outpatient services
Against the Kansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Nmc Health charged $45,597 on average, 47% less than the Kansas average of $85,277, and was paid $14,382 against a state average of $15,541. For Heart Failure and Shock with MCC (DRG 291), Nmc Health charged $25,398 on average, 52% less than the Kansas average of $52,685, and was paid $9,619 against a state average of $10,293. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Nmc Health charged $28,434 on average, 36% less than the Kansas average of $44,318, and was paid $7,841 against a state average of $8,963. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Nmc Health charged $17,789 on average, 53% less than the Kansas average of $37,901, and was paid $6,040 against a state average of $6,544. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,733 was 48% below the state average of $22,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $22,916 was 57% below the state average of $53,168. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,118 was 38% below the state average of $24,538. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $3,695 was 68% below the state average of $11,389.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Nmc Health in Newton, KS, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-02-25 (CMS case 7107)
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.