How many shoppable procedure prices are published for Northwest Florida Community Hospital?

Northwest Florida Community Hospital in Chipley, FL currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwest Florida Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwest Florida Community Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Northwest Florida Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Northwest Florida Community Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-05-19

Northwest Florida Community Hospital

1360 Brickyard Rd, Chipley, FL 32428 · 108 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.72×vs. Fair Market Price

Typical commercial prices here are +72% above the fair benchmark (1.72×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness85

Price Logic56

Peer Alignment56

Clean Billing77

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.72× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +174% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Northwest Florida Community Hospital prices routine shoppable procedures at 2.4× Medicare (median 1.14× Fair BaseRate) while upper-quartile commercial rates jump +174% to 3.12× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#149 of 165 in FL · 89th State Percentile#2,899 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.60× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (64/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
Commercial insurance median sits at 1.14× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.12×) jump +174% above the median procedure ratio (Q50 1.14×)
Consolidated metro market (HHI 4,475) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.04× Divergence

2.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+174% Upper Tail

Q25 0.60× · Q50 1.14× · Q75 3.12×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.8× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 64/100Elevated

Procedure Prices at Northwest Florida Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hepatitis B immune globulin HCPCS Code: `90371`	$3,218	$3,218	$151	21.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,221	$2,625	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,064	$2,064	$322	6.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,650	$1,650	$3,372	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,686	$1,443	$448	3.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,482	$1,312	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,167	$1,222	$303	4.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,485	$1,182	$343	3.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,761	$1,182	$369	3.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,009	$1,009	$6,109	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,637	$747	$258	2.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$738	$738	$583	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,237	$710	$1,021	0.7×
CT scan, pelvis CPT Code: `72192`	$1,990	$624	$163	3.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,286	$624	$167	3.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,451	$624	$169	3.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,431	$624	$168	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,637	$598	$242	2.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,455	$499	$160	3.1×
CT scan, sinuses CPT Code: `70486`	$1,747	$499	$166	3.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,096	$467	$272	1.7×
Blood transfusion CPT Code: `36430`	$478	$478	$498	1.0×
Breast lump removal CPT Code: `19120`	$471	$471	$3,875	0.1×
Inguinal hernia repair CPT Code: `49505`	$718	$375	$3,629	0.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$300	$300	$148	2.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$256	$256	$25	10.2×
Screening mammogram (both breasts) CPT Code: `77067`	$274	$274	$123	2.2×
Family therapy session CPT Code: `90847`	$262	$262	$173	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$236	$236	$185	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$845	$208	$134	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$208	$208	$181	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$416	$212	$981	0.2×
Group therapy session CPT Code: `90853`	$159	$159	$100	1.6×
Ultrasound, pelvis CPT Code: `76856`	$680	$162	$130	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$180	$180	$166	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$529	$150	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$520	$150	$132	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$289	$159	$987	0.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$106	$106	$35	3.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$234	$114	$64	1.8×
Colonoscopy with biopsy CPT Code: `45380`	$525	$135	$1,256	0.1×
Speech therapy (language evaluation) CPT Code: `92507`	$83	$83	$86	1.0×
X-ray, lower back CPT Code: `72110`	$594	$97	$112	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$86	$86	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$848	$848	$347	2.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$206	$206	$56	3.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$172	$172	$11	15.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$137	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$110	$110	$6	18.3×
Blood test, magnesium CPT Code: `83735`	$80	$80	$7	11.4×
Blood test, liver function panel CPT Code: `80076`	$100	$100	$9	11.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$123	$123	$14	8.8×
Blood test, lipase CPT Code: `83690`	$85	$85	$7	12.1×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$74	$9	8.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$96	$96	$14	6.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$88	$88	$25	3.5×
Blood antibody screen CPT Code: `86850`	$87	$87	$46	1.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$86	$86	$19	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$49	$49	$3	16.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$57	$4	14.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$56	$56	$5	11.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$56	$5	11.2×
Blood test, potassium CPT Code: `84132`	$54	$54	$5	10.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$66	$66	$8	8.3×
Blood test, amylase CPT Code: `82150`	$50	$50	$7	7.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	5.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$45	$45	$14	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$48	$48	$34	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$47	$47	$38	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$60	$60	$203	0.3×
Blood test, hemoglobin CPT Code: `85018`	$17	$17	$3	5.7×
Blood test, sodium CPT Code: `84295`	$25	$25	$5	5.0×
Physical therapy (gait training) CPT Code: `97116`	$47	$47	$33	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$47	$47	$35	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$47	$47	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$47	$47	$40	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$44	$44	$38	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$51	$51	$49	1.0×
X-ray, chest (two views) CPT Code: `71046`	$350	$64	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$379	$64	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$412	$61	$92	0.7×
X-ray, hip CPT Code: `73502`	$417	$61	$93	0.7×
X-ray, foot CPT Code: `73630`	$404	$56	$92	0.6×
X-ray, hand CPT Code: `73130`	$424	$56	$93	0.6×
X-ray, ankle CPT Code: `73610`	$420	$56	$93	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$59	$49	$87	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$92	$61	$123	0.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$30	$4	7.5×
Blood test, calcium CPT Code: `82310`	$30	$30	$5	6.0×
Culture, bacterial CPT Code: `87070`	$18	$18	$9	2.0×
Hepatitis B vaccine HCPCS Code: `90744`	$42	$42	$37	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$42	$22	$20	1.1×
Prosthetic fitting and training CPT Code: `97761`	$47	$47	$45	1.0×
Speech therapy (group session) CPT Code: `92508`	$26	$26	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$47	$51	0.9×
X-ray, chest (single view) CPT Code: `71045`	$268	$50	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$454	$55	$110	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$110	$51	$110	0.5×
Blood test, vitamin D CPT Code: `82306`	$56	$56	$31	unverified
Blood test, vitamin B12 CPT Code: `82607`	$65	$65	$16	unverified
Hepatitis C antibody test CPT Code: `86803`	$13	$13	$15	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$36	$36	$49	0.7×
Culture, blood CPT Code: `87040`	$9	$9	$11	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$21	$21	$39	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$17	$17	$48	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$28	$28	$86	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$30	$30	$140	0.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$17	$17	$111	0.2×

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Northwest Florida Community Hospital (Zero PHI Required)

CMS CCN: 101308

CPT 90371

Select Procedure to Audit:

Fair BaseRate™ $151

Medicare Rate $140

Self-Pay Cash $3,218

Insurer Median $3,218

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Florida Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $805 Paying Cash

Self-Pay Cash Rate ($3,218) Beats Your Bill

Northwest Florida Community Hospital's published 45 CFR § 180 self-pay cash rate is $3,218 (vs. $3,218 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,872 Above Fair BaseRate

Negotiate Toward $151 Fair BaseRate ($140 Medicare)

Your bill ($4,023) is $3,872 above the denoised Fair BaseRate ($151) and 28.7× the $140 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 596002711

Public IRS & CMS ownership records classify Northwest Florida Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite64/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)61%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Northwest Florida Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-12-22·administrative_or_closure
Closure Notice
Recorded
2025-12-12·cap_corrective_action
CAP Request
Recorded
2025-09-10·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (86 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northwest Florida Community Hospital.

Price Index: 0.85× regional baseline

Quality: 42/100 CMS composite

Median Household Income$52,723U.S. Census ACS

Local Uninsured Share14.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 74/100 · Corroborated CMS CCN 101308 EIN 596002711

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 101308) ↗ Verify IRS Form 990 (EIN 596002711) ↗ CMS HCRIS Cost Reports ↗

Published MRF File596002711_northwest-florida-community-hospital_standardcharges.csv

Publication / Vintage2026-05-19 · 19.84 MB

Validated Rate Rows763 (CMS v3.0.0)

File Integrity Digestb8ff21b4ae7bcb2b6c9b…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy