How many shoppable procedure prices are published for Cherokee Regional Medical Center?

Cherokee Regional Medical Center in Cherokee, IA currently has 69 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cherokee Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cherokee Regional Medical Center's median negotiated commercial rate is 2.6× the regionally adjusted fair BaseRate benchmark.

What is Cherokee Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Cherokee Regional Medical Center 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: 3/31/2026

Cherokee Regional Medical Center

300 Sioux Valley Drive, Cherokee, IA 51012 · 69 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

2.56×vs. Fair Market Price

Typical commercial prices here are +156% above the fair benchmark (2.56×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 88% of the Time

File Completeness90

Price Logic69

Peer Alignment70

Clean Billing45

Real Cash Discount22

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 2.56× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +84% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Cherokee Regional Medical Center prices routine shoppable procedures at 4.1× Medicare (median 2.05× Fair BaseRate) while upper-quartile commercial rates jump +84% to 3.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#82 of 87 in IA · 93rd State Percentile#3,264 of 3,385 in U.S. · 96th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.58× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 88% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 70% patient recommendation (58/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (95.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 2.05× Fair BaseRate (4.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.78×) jump +84% above the median procedure ratio (Q50 2.05×)
Unnegotiated chargemaster list prices average 4.9× Medicare (35¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.1× Medicare

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

Back-Door Captive & ER0.37× Divergence

1.5× Medicare

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

Quantile Tail Spread+84% Upper Tail

Q25 1.58× · Q50 2.05× · Q75 3.78×

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

4.1× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.3× MedicareGood

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

88% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 58/100Elevated

Procedure Prices at Cherokee Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 69 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$4,428	$4,428	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,008	$4,008	$448	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,587	$3,985	$1,021	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,166	$3,166	$303	unverified
Trauma team activation HCPCS Code: `G0390`	$1,961	$2,179	$1,453	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,981	$2,201	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,958	$2,176	$338	unverified
Bunion correction surgery CPT Code: `28296`	$1,976	$1,976	$3,446	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,634	$1,816	$369	4.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,695	$1,695	$6,109	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,260	$1,400	$258	5.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,416	$1,416	$1,256	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,107	$1,230	$168	7.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,115	$1,239	$167	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,052	$1,169	$242	4.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,189	$1,189	$981	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,028	$1,142	$169	6.8×
CT scan, sinuses CPT Code: `70486`	$986	$1,095	$166	6.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,109	$1,109	$987	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$914	$1,016	$160	6.3×
CT scan, pelvis CPT Code: `72192`	$930	$1,033	$163	6.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$941	$1,046	$583	1.8×
Blood transfusion CPT Code: `36430`	$783	$870	$498	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$720	$800	$272	2.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$722	$722	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$735	$735	$181	unverified
Group therapy session CPT Code: `90853`	$702	$702	$100	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$452	$502	$134	3.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$428	$476	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$380	$422	$130	3.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$347	$386	$132	2.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$365	$405	$148	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$313	$348	$123	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$201	$224	$64	unverified
X-ray, chest (two views) CPT Code: `71046`	$146	$162	$93	1.7×
X-ray, hand CPT Code: `73130`	$144	$160	$93	1.7×
X-ray, lower back CPT Code: `72110`	$163	$181	$112	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$285	$195	$123	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$132	$147	$86	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$197	$146	$87	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$132	$147	$93	1.6×
X-ray, hip CPT Code: `73502`	$131	$145	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$129	$143	$92	1.6×
X-ray, ankle CPT Code: `73610`	$128	$142	$93	1.5×
X-ray, foot CPT Code: `73630`	$126	$140	$92	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$185	$146	$110	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$97	$108	$25	4.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$103	$114	$38	3.0×
Orthotic fitting and training CPT Code: `97760`	$95	$106	$51	2.1×
X-ray, chest (single view) CPT Code: `71045`	$104	$115	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$113	$126	$110	1.1×
Typhoid vaccine HCPCS Code: `90675`	$680	$680	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$276	$274	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$182	$182	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$144	$144	$37	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$110	$110	$18	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$67	$74	$35	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$77	$38	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$78	$40	1.9×
Physical therapy (gait training) CPT Code: `97116`	$58	$64	$33	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$58	$64	$34	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$58	$64	$38	1.7×
Blood antibody screen CPT Code: `86850`	$68	$75	$46	1.6×
Prosthetic fitting and training CPT Code: `97761`	$59	$66	$45	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$63	$70	$201	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$22	$25	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$40	$40	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$38	$5	unverified

Showing top 25 high-impact procedures of 69 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 95.0%

Audit a Bill or Quote at Cherokee Regional Medical Center (Zero PHI Required)

CMS CCN: 161362

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $4,428

Insurer Median $4,428

1. Amount on Your Bill or Quote ($) Pre-filled with Cherokee Regional Medical Center’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 501(r) AGB Cap: $4,674 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,674

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (95.0% of gross = $4,674).

Step 2 · Cash vs. Insurance Arbitrage Save $492 Paying Cash

Self-Pay Cash Rate ($4,428) Beats Your Bill

Cherokee Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $4,428 (vs. $4,428 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,409 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($4,920) is $4,409 above the denoised Fair BaseRate ($511) and 13.8× the $356 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) 501(c)(3) Nonprofit Hospital

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

EIN: 420707096

Filing Period: 194006

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (95.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite58/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait132 min

Left ER Before Seen0%

30-Day Mortality vs U.S.worse

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 Cherokee Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-10-24·administrative_or_closure
Closure Notice
Recorded
2024-09-05·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (85 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cherokee Regional Medical Center.

Price Index: 1.10× regional baseline

Quality: 33/100 CMS composite

Median Household Income$64,478U.S. Census ACS

Local Uninsured Share6.1%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 61/100 · Caution CMS CCN 161362 EIN 420707096

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161362) ↗ Verify IRS Form 990 (EIN 420707096) ↗ CMS HCRIS Cost Reports ↗

Published MRF File420707096_Sioux-Valley-Memorial-Hospital-Association_StandardCharges-6.csv

Publication / Vintage3/31/2026 · 28.61 MB

Validated Rate Rows2,553 (CMS v3.0.0)

File Integrity Digest2bd39f2969881b40f2c1…

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