42/100
#1,531 nationally
Phelps County Regional Medical Center
1000 W 10Th St, Rolla, MO 65401 · (573) 458-8899
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Phelps County Regional Medical Center billed $5.27 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.3x
- volume-weighted across all its priced work
- Procedures priced
- 68
- inpatient and outpatient combined
- Rank in MO
- #43
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 37% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 53% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
329 | $23,674 | $2,584 | +22% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
202 | $26,878 | $3,111 | +6% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
200 | $74,615 | $18,235 | +14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
185 | $71,130 | $12,232 | +14% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
173 | $12,179 | $2,176 | +4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
138 | $57,166 | $11,715 | +32% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
121 | $1,450 | $651 | -54% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
99 | $64,110 | $10,386 | -5% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
96 | $11,680 | $1,840 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
89 | $10,912 | $1,474 | +8% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$37,932 | $3,633 | +59% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$50,173 | $7,689 | +51% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$47,445 | $7,122 | +47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$67,343 | $11,954 | +45% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$78,732 | $17,010 | +43% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$44,634 | $7,442 | +41% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$26,136 | $2,953 | +37% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$24,021 | $2,708 | +36% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,450 | $651 | -54% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$3,421 | $1,454 | -47% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$89,185 | $31,263 | -40% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$11,783 | $2,846 | -38% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$7,894 | $1,618 | -31% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$18,753 | $4,982 | -23% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$77,631 | $16,678 | -19% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$34,520 | $8,938 | -16% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.