How many shoppable procedure prices are published for Audubon County Memorial Hospital?

Audubon County Memorial Hospital in Audubon, IA currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Audubon County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Audubon County Memorial Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 17 Beds · rural Updated: 2026-09-14

Audubon County Memorial Hospital

515 Pacific Avenue, Audubon, IA 50025 · 98 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.53×vs. Fair Market Price

Typical commercial prices here are +53% above the fair benchmark (1.53×) even after accounting for local nurse/doctor wages and patient complexity.

56/100 · Caution

56/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness100

Price Logic49

Peer Alignment65

Clean Billing52

Real Cash Discount6

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +39% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Audubon County Memorial Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.40× Fair BaseRate) while upper-quartile commercial rates jump +39% to 1.95× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#62 of 87 in IA · 70th State Percentile#2,681 of 3,385 in U.S. · 79th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.07× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 9% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.53× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.40× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.95×) jump +39% above the median procedure ratio (Q50 1.40×)
Unnegotiated chargemaster list prices average 6.0× Medicare (32¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.53× Divergence

1.0× Medicare

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

Quantile Tail Spread+39% Upper Tail

Q25 1.07× · Q50 1.40× · Q75 1.95×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.5× MedicareGood

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

9% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Audubon County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$7,671	$7,671	$322	23.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$4,443	$4,443	$19,087	0.2×
Total knee replacement CPT Code: `27447`	$3,000	$2,854	$13,523	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,250	$2,250	$1,021	2.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,650	$1,502	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,475	$1,221	$3,372	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,300	$1,065	$511	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,500	$948	$583	1.6×
Breast lump removal CPT Code: `19120`	$1,400	$905	$3,875	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,400	$875	$160	5.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,500	$875	$303	2.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,000	$875	$448	2.0×
Trauma team activation HCPCS Code: `G0390`	$900	$900	$1,453	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,600	$761	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$3,150	$761	$343	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,000	$761	$369	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$660	$660	$242	2.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,255	$643	$1,256	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,080	$562	$987	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,050	$499	$981	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$430	$430	$258	1.7×
Ultrasound, pelvis CPT Code: `76856`	$400	$394	$130	3.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,165	$394	$272	1.4×
CT scan, pelvis CPT Code: `72192`	$1,200	$329	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,500	$329	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,500	$329	$167	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,225	$329	$168	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,500	$329	$169	1.9×
Blood transfusion CPT Code: `36430`	$325	$325	$498	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$550	$253	$132	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$215	$215	$86	2.5×
Screening mammogram (both breasts) CPT Code: `77067`	$365	$208	$123	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$318	$200	$126	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$209	$186	$123	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$400	$200	$134	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$415	$208	$148	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$135	$135	$40	3.4×
Orthotic fitting and training CPT Code: `97760`	$140	$140	$51	2.7×
New patient office visit (30-44 min) CPT Code: `99203`	$180	$161	$110	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$138	$138	$86	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$100	$100	$34	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$100	$100	$35	2.9×
Prosthetic fitting and training CPT Code: `97761`	$125	$125	$45	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$100	$100	$38	2.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$113	$113	$87	1.3×
X-ray, chest (single view) CPT Code: `71045`	$170	$109	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$165	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$175	$109	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$200	$109	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$290	$109	$93	1.2×
X-ray, hand CPT Code: `73130`	$205	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$215	$109	$93	1.2×
X-ray, ankle CPT Code: `73610`	$230	$109	$93	1.2×
X-ray, pelvis CPT Code: `72170`	$170	$109	$110	1.0×
X-ray, lower back CPT Code: `72110`	$285	$109	$112	1.0×
Typhoid vaccine HCPCS Code: `90675`	$945	$382	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$424	$382	$203	unverified
Blood test, vitamin D CPT Code: `82306`	$200	$200	$31	6.5×
Blood test, liver function panel CPT Code: `80076`	$110	$110	$9	12.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$125	$125	$14	8.9×
Hepatitis C antibody test CPT Code: `86803`	$130	$130	$15	8.7×
Blood test, vitamin B12 CPT Code: `82607`	$120	$120	$16	7.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$140	$140	$19	7.4×
Blood test, lipase CPT Code: `83690`	$90	$90	$7	12.9×
Blood test, amylase CPT Code: `82150`	$80	$80	$7	11.4×
Culture, bacterial CPT Code: `87070`	$100	$100	$9	11.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$85	$8	10.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$100	$100	$14	7.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$105	$105	$18	5.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$50	$3	16.7×
Blood test, calcium CPT Code: `82310`	$55	$55	$5	11.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$54	$5	10.8×
Blood test, basic metabolic panel CPT Code: `80048`	$65	$65	$9	7.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$75	$75	$11	6.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$100	$100	$20	5.0×
Drug screening test HCPCS Code: `G0480`	$270	$124	$116	1.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$55	$4	13.8×
Blood test, magnesium CPT Code: `83735`	$69	$69	$7	9.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$59	$6	9.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$75	$10	7.5×
Culture, blood CPT Code: `87040`	$80	$80	$11	7.3×
Physical therapy (gait training) CPT Code: `97116`	$100	$77	$33	2.3×
Hepatitis B vaccine HCPCS Code: `90744`	$78	$78	$37	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$120	$77	$38	2.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$77	$77	$39	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$120	$84	$56	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$151	$79	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$223	$84	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$277	$84	$140	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	10.5×
Blood test, hemoglobin CPT Code: `85018`	$31	$31	$3	10.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood antibody screen CPT Code: `86850`	$60	$53	$46	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$55	$55	$35	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$148	$28	$25	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$60	$40	$201	0.2×

Showing top 25 high-impact procedures of 98 total

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

Audit a Bill or Quote at Audubon County Memorial Hospital (Zero PHI Required)

CMS CCN: 161330

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $7,671

Insurer Median $7,671

1. Amount on Your Bill or Quote ($) Pre-filled with Audubon County Memorial 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 Published Cash: $7,671

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Audubon County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $7,671 (vs. $7,671 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,349 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($7,671) is $7,349 above the denoised Fair BaseRate ($322) and 27.9× the $275 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)

Public IRS & CMS ownership records classify Audubon County Memorial 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

Safety Composite69/100

Median ER Wait88 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Audubon County Memorial Hospital.

Price Index: 1.05× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Amerigroup

+100.2%

Median Household Income$54,152U.S. Census ACS

Local Uninsured Share3.3%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 56/100 · Caution CMS CCN 161330

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161330) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileurl

Publication / Vintage2026-09-14 · 8.87 MB

Validated Rate Rows554 (CMS v3.0.0)

File Integrity Digest2bc8728ad591b4bb26ce…

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