How many shoppable procedure prices are published for Clarinda Regional Health Center?

Clarinda Regional Health Center in Clarinda, IA currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Clarinda Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Clarinda Regional Health Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Clarinda Regional Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Clarinda Regional Health Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-13

Clarinda Regional Health Center

220 Essie Davison Drive, Clarinda, IA 51632 · 115 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.67×vs. Fair Market Price

Typical commercial prices here are +67% above the fair benchmark (1.67×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness100

Price Logic52

Peer Alignment63

Clean Billing77

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.67× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Clarinda Regional Health Center maintains elevated commercial insurance contracts (1.67× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 41% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#68 of 87 in IA · 77th State Percentile#2,850 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 76% patient recommendation (69/100 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)

Even at low-cost facilities (1.67× 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 1.67× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.09×) jump +25% above the median procedure ratio (Q50 1.67×)
Unnegotiated chargemaster list prices average 7.3× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.48× Divergence

1.0× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.95× · Q50 1.67× · Q75 2.09×

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

2.1× 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

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.6× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at Clarinda Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$2,032	$2,961	$1,021	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,690	$2,690	$322	8.4×
Total knee replacement CPT Code: `27447`	$2,590	$2,528	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$3,305	$2,437	$13,413	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,382	$2,382	$6,109	0.4×
C-section delivery (full package) CPT Code: `59510`	$3,559	$2,198	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	$2,828	$1,988	$2,680	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,012	$1,419	$583	2.4×
Bunion correction surgery CPT Code: `28296`	$1,344	$1,344	$3,446	0.4×
Trauma team activation HCPCS Code: `G0390`	$1,102	$1,102	$1,453	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,922	$1,038	$511	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,078	$868	$160	5.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,087	$868	$242	3.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,312	$868	$258	3.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,023	$868	$303	2.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,548	$868	$448	1.9×
Breast lump removal CPT Code: `19120`	$870	$870	$3,875	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,798	$772	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,873	$772	$343	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,657	$772	$369	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,967	$476	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$1,292	$460	$3,629	0.1×
Ultrasound, pelvis CPT Code: `76856`	$413	$416	$130	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$562	$416	$134	3.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$618	$416	$272	1.5×
Blood transfusion CPT Code: `36430`	$701	$392	$498	0.8×
CT scan, pelvis CPT Code: `72192`	$1,050	$324	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,008	$324	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$2,024	$324	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,228	$324	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,199	$324	$169	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$347	$279	$126	2.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$300	$279	$132	2.1×
Neurobehavioral status check CPT Code: `96116`	$197	$279	$231	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$170	$230	$86	2.7×
Care planning with family CPT Code: `90887`	$166	$234	$107	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$251	$226	$123	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$262	$226	$148	1.5×
Family therapy session CPT Code: `90847`	$184	$234	$173	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$184	$234	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$203	$223	$185	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$139	$236	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$139	$236	$123	unverified
X-ray, chest (single view) CPT Code: `71045`	$179	$155	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$153	$155	$92	1.7×
X-ray, foot CPT Code: `73630`	$173	$155	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$202	$155	$93	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$183	$155	$93	1.7×
X-ray, hand CPT Code: `73130`	$163	$155	$93	1.7×
X-ray, hip CPT Code: `73502`	$153	$155	$93	1.7×
X-ray, ankle CPT Code: `73610`	$173	$155	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$153	$155	$110	1.4×
X-ray, lower back CPT Code: `72110`	$219	$155	$112	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$847	$156	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$956	$168	$1,256	0.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$103	$173	$87	unverified
Physical therapy (gait training) CPT Code: `97116`	$60	$101	$33	3.1×
Psychological testing evaluation CPT Code: `96136`	$115	$115	$128	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$129	$129	$166	0.8×
Review of medical records for care CPT Code: `90889`	$93	$93	$114	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$674	$117	$987	0.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$96	$96	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$784	$330	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$160	$160	$203	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$91	$91	$11	8.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$113	$113	$18	6.3×
Blood test, vitamin B12 CPT Code: `82607`	$100	$100	$16	6.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$113	$113	$20	5.7×
Culture, blood CPT Code: `87040`	$85	$85	$11	7.7×
Hepatitis C antibody test CPT Code: `86803`	$84	$84	$15	5.6×
Blood test, vitamin D CPT Code: `82306`	$107	$107	$31	3.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$104	$104	$19	unverified
Blood test, lipase CPT Code: `83690`	$69	$69	$7	9.9×
Psychological testing by technician CPT Code: `96138`	$71	$71	$395	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$88	$88	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$103	$103	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$74	$74	$10	7.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$89	$89	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$41	$3	13.7×
Blood test, amylase CPT Code: `82150`	$58	$58	$7	8.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	$58	$8	7.3×
Blood test, liver function panel CPT Code: `80076`	$50	$50	$9	5.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$27	$5	5.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$52	$52	$14	3.7×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$75	$37	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$56	$56	$38	1.5×
Blood antibody screen CPT Code: `86850`	$69	$66	$46	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$61	$75	$56	1.3×
Orthotic fitting and training CPT Code: `97760`	$64	$64	$51	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$45	$76	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$92	$75	$111	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$140	$75	$140	0.5×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$70	$70	$35	unverified
Blood test, magnesium CPT Code: `83735`	$39	$39	$7	5.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$63	$63	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$66	$66	$34	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$76	$26	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$36	$36	$39	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$40	$40	$201	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	0.2×
Blood test, calcium CPT Code: `82310`	$33	$33	$5	unverified
Blood test, potassium CPT Code: `84132`	$31	$31	$5	unverified
Speech therapy (group session) CPT Code: `92508`	$56	$56	$27	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$63	$63	$40	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$27	$26	$33	0.8×
Blood test, sodium CPT Code: `84295`	$29	$29	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$49	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$37	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$24	$2	$3	0.7×
Behavioral health living support HCPCS Code: `H2019`	$15	$15	$34	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$9	$9	$49	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$24	$24	$25	unverified

Showing top 25 high-impact procedures of 115 total

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

Audit a Bill or Quote at Clarinda Regional Health Center (Zero PHI Required)

CMS CCN: 161352

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $2,032

Insurer Median $2,961

1. Amount on Your Bill or Quote ($) Pre-filled with Clarinda Regional Health 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 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 $1,411 Paying Cash

Self-Pay Cash Rate ($2,032) Beats Your Bill

Clarinda Regional Health Center's published 45 CFR § 180 self-pay cash rate is $2,032 (vs. $2,961 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,422 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($3,443) is $2,422 above the denoised Fair BaseRate ($1,021) and 3.9× the $877 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 Clarinda Regional Health Center 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 Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait152 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (41 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.10× regional baseline

Quality: 71/100 CMS composite

Median Household Income$57,752U.S. Census ACS

Local Uninsured Share4.8%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 77/100 · Corroborated CMS CCN 161352

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161352) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-13 · 54.00 MB

Validated Rate Rows1,796 (CMS v3.0.0)

File Integrity Digest0eea6c5df59e7ade5515…

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