Missouri / Northeast Regional Medical Center
CMS certification 260022 · Kirksville, MO · 1 entry in CMS's price-transparency list
Northeast Regional Medical Center: charges and Medicare payments
Northeast Regional Medical Center reported 312 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 4.39 times what it was paid — mid-range in Missouri, number 22 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: 162 stays at an average charge of $101,558, 12% above the national average. It also billed 428 outpatient services, charging 13.2 times what Medicare paid.
- 1Medicare inpatient stays 312
- 2Charge ÷ paid, inpatient 4.39×
- 3Rank in MO (highest ratio = 1) 22 of 59
- 4CMS price-transparency actions 1
Inpatient stays
For the 10 DRGs that can be compared with the national average, Northeast Regional Medical Center charged more than the national average in 9 (90%). 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 | 162 | $101,558 | +12% | $24,671 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $59,626 | +22% | $13,108 |
| 291 Heart Failure and Shock with MCC | 23 | $62,007 | +10% | $16,179 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $159,651 | +58% | $26,137 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $101,197 | +38% | $21,488 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $49,198 | +33% | $10,370 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $83,522 | +10% | $19,907 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $45,930 | -19% | $15,089 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $141,742 | +52% | $22,454 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $72,105 | +21% | $17,149 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 81 | $26,248 | $2,507 |
| Level 1 Intraocular Procedures | 79 | $14,058 | $2,134 |
| Level 1 Endovascular Procedures | 54 | $32,624 | $2,989 |
| Level 3 Musculoskeletal Procedures | 27 | $36,130 | $2,965 |
| Level 3 Vascular Procedures | 27 | $37,653 | $2,919 |
| Level 1 Laparoscopy and Related Services | 26 | $77,206 | $5,284 |
| Level 4 Musculoskeletal Procedures | 25 | $64,532 | $6,343 |
| Level 5 Musculoskeletal Procedures | 22 | $123,654 | $12,037 |
| Level 2 Musculoskeletal Procedures | 21 | $16,787 | $1,472 |
| Level 2 Laparoscopy and Related Services | 19 | $87,712 | $9,422 |
| Level 1 Nerve Procedures | 18 | $22,979 | $1,690 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $22,217 | $1,485 |
| Level 2 Vascular Procedures | 14 | $11,990 | $1,467 |
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northeast Regional Medical Center charged $101,558 on average, 39% more than the Missouri average of $72,886, and was paid $24,671 against a state average of $15,808. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Northeast Regional Medical Center charged $59,626 on average, 52% more than the Missouri average of $39,285, and was paid $13,108 against a state average of $8,750. For Heart Failure and Shock with MCC (DRG 291), Northeast Regional Medical Center charged $62,007 on average, 33% more than the Missouri average of $46,468, and was paid $16,179 against a state average of $10,539. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Northeast Regional Medical Center charged $159,651 on average, 100% more than the Missouri average of $79,806, and was paid $26,137 against a state average of $16,523. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,248 was 28% above the state average of $20,571. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,058 was 32% above the state average of $10,642. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,624 was 37% above the state average of $23,828. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $36,130 was 93% above the state average of $18,725.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northeast Regional Medical Center in Kirksville, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-01 (CMS case 3510)
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.