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SPENCER MUNICIPAL HOSPITAL

Spencer, IA · CCN 160112 · Rates published

13,630 distinct procedures filed
40 distinct payers
186,051 rate rows
2026-09-21 last MRF observed

182,457 of 186,051 rate rows are consumer-grade (98.1%)

3,594 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,013
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 219
exceeds 10× this hospital's gross charge — excluded from medians 191
placeholder amount (≤ $0.02) — excluded from medians 131
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
exceeds 3× this hospital's gross charge for a DRG stay — excluded 16
percent-of-charges filed in the dollar field — excluded from medians 8
↓ Download audit trail (JSON)
Source MRF file https://www.spencerhospital.org/webres/File/Pricing/426005883_spencer-municipal-hospital_standardcharges%20(6).csv
Found on page https://www.spencerhospital.org/patients-visitors/patients/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint b6eb8b2facdeb979… · 4,399,707 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5914
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $453,663.16 $544,714.99 $497,117.83 nat. median
$162,342

outlier · 3.1×
5884
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 2 $382,520.41 $547,916.21 $459,430.33 nat. median
$247,214

1.9× median
5894
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $350,582.13 $581,360.80 $457,072.58 nat. median
$4,615

outlier · 99.0×
5893
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $243,169.09 $528,509.30 $373,967.57 nat. median
$71,350

outlier · 5.2×
5892
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $238,107.93 $480,463.39 $349,346.57 nat. median
$89,188

outlier · 3.9×
5883
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 2 $246,013.72 $417,409.60 $325,030.27 nat. median
$175,204

1.9× median
5934
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $248,999.29 $398,967.46 $318,290.62 nat. median
$151,838

outlier · 2.1×
5913
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $161,770.18 $453,714.41 $295,192.42 nat. median
$101,406

outlier · 2.9×
5882
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 2 $241,289.35 $306,429.89 $271,991.96 nat. median
$145,061

1.9× median
6024
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $193,288.35 $348,667.98 $264,785.98 nat. median
$118,620

outlier · 2.2×
1614
APR_DRG
Implantable Heart Assist Systems 2 $122,343.52 $416,710.30 $256,692.96 nat. median
$202,993

1.3× median
1624
APR_DRG
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $122,314.19 $412,648.13 $254,825.25 nat. median
$80,771

outlier · 3.2×
5834
APR_DRG
Neonate With Ecmo 2 $6,621.93 $534,354.63 $246,508.77 nat. median
$307,206

0.8× median
5912
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $98,507.25 $412,466.86 $241,647.86 nat. median
$82,129

outlier · 2.9×
6034
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $200,521.84 $257,741.83 $227,439.33 nat. median
$107,681

outlier · 2.1×
6114
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 $159,737.50 $283,858.57 $216,875.80 nat. median
$74,798

outlier · 2.9×
5881
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 2 $158,826.03 $265,994.48 $208,255.32 nat. median
$120,208

1.7× median
5933
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $174,701.40 $244,445.49 $207,197.98 nat. median
$108,695

1.9× median
1623
APR_DRG
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $82,008.89 $323,130.73 $191,970.15 nat. median
$52,675

outlier · 3.6×
8424
APR_DRG
Burns With Skin Graft Except Extensive Third Degree Burns 2 $119,472.33 $274,621.08 $190,529.55 nat. median
$82,180

outlier · 2.3×
5833
APR_DRG
Neonate With Ecmo 2 $4,633.02 $406,288.70 $187,208.27 nat. median
$244,017

0.8× median
6023
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $147,863.80 $229,935.18 $185,836.79 nat. median
$88,008

outlier · 2.1×
1613
APR_DRG
Implantable Heart Assist Systems 2 $57,264.64 $332,606.81 $182,670.20 nat. median
$120,517

1.5× median
6094
APR_DRG
Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $89,338.96 $287,883.79 $179,986.27 nat. median
$165,000

1.1× median
6074
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $127,621.17 $226,632.40 $173,201.23 nat. median
$96,883

1.8× median
8414
APR_DRG
Extensive Third Degree Burns With Skin Graft 2 $28,379.33 $330,540.15 $165,842.19 nat. median
$155,939

1.1× median
6314
APR_DRG
Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $141,989.75 $183,770.58 $161,624.21 nat. median
$133,164

1.2× median
4414
APR_DRG
Major Bladder Procedures 2 $84,064.87 $252,467.96 $160,985.20 nat. median
$55,176

outlier · 2.9×
1622
APR_DRG
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $64,969.34 $255,939.15 $152,059.34 nat. median
$38,631

outlier · 3.9×
6033
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $108,609.79 $195,545.81 $148,615.33 nat. median
$59,496

outlier · 2.5×
1621
APR_DRG
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $63,870.14 $241,531.99 $144,906.74 nat. median
$34,138

outlier · 4.2×
5832
APR_DRG
Neonate With Ecmo 2 $3,199.39 $300,104.28 $138,158.45 nat. median
$159,249

0.9× median
6084
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 $86,961.11 $193,864.45 $135,943.30 nat. median
$62,875

outlier · 2.2×
1612
APR_DRG
Implantable Heart Assist Systems 2 $33,990.58 $250,188.27 $132,408.47 nat. median
$84,880

1.6× median
6022
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $103,253.62 $162,433.88 $130,619.98 nat. median
$70,021

1.9× median
5891
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $88,381.40 $179,507.24 $130,199.26 nat. median
$93,998

1.4× median
4404
APR_DRG
Kidney Transplant 2 $27,302.49 $250,437.52 $128,842.89 nat. median
$78,303

1.6× median
5911
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $89,551.81 $166,403.20 $124,887.33 nat. median
$37,247

outlier · 3.4×
1794
APR_DRG
Defibrillator Implants 2 $99,866.68 $147,778.36 $122,096.14 nat. median
$44,987

outlier · 2.7×
1611
APR_DRG
Implantable Heart Assist Systems 2 $27,595.70 $235,096.38 $122,031.57 nat. median
$76,852

1.6× median
5831
APR_DRG
Neonate With Ecmo 2 $2,270.45 $258,907.83 $118,923.52 nat. median
$146,500

0.8× median
5932
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $81,963.24 $160,370.48 $117,973.86 nat. median
$85,331

1.4× median
3044
APR_DRG
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 $96,043.44 $142,661.49 $117,667.57 nat. median
$60,270

2.0× median
9124
APR_DRG
Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 $89,916.91 $147,186.03 $116,354.06 nat. median
$53,253

outlier · 2.2×
6073
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $105,801.67 $127,631.52 $116,206.48 nat. median
$69,181

1.7× median
1634
APR_DRG
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 $89,814.63 $141,659.52 $113,786.04 nat. median
$66,077

1.7× median
1694
APR_DRG
Major Abdominal Vascular Procedures 2 $107,063.92 $118,091.95 $112,562.67 nat. median
$51,151

outlier · 2.2×
6904
APR_DRG
Acute Leukemia 2 $93,857.81 $124,455.33 $108,193.02 nat. median
$58,094

1.9× median
6914
APR_DRG
Lymphoma, Myeloma And Non-acute Leukemia 2 $83,632.44 $136,635.43 $108,102.09 nat. median
$33,195

outlier · 3.3×
9114
APR_DRG
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 $81,976.52 $137,069.33 $107,388.45 nat. median
$52,094

outlier · 2.1×

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