How many shoppable procedure prices are published for Clarke County Hospital?

Clarke County Hospital in Osceola, IA currently has 130 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Clarke County Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Clarke County Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-06-04

Clarke County Hospital

800 S Fillmore St, Osceola, IA 50213 · 130 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.82×vs. Fair Market Price

Typical commercial prices here are 18% below the fair benchmark (0.82×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 71% of the Time

File Completeness66

Price Logic78

Peer Alignment58

Clean Billing65

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.82× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Clarke County Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.82× Fair BaseRate) and emergency/ancillary services (1.5× Medicare, p75 1.05× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#12 of 87 in IA · 12th State Percentile#324 of 3,385 in U.S. · 9th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 18% below peer Fair BaseRate (0.82×)
Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 85% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.82× 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.
Captive ER (1.0×) & laboratory (1.1×) services average 2.14× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.05×) jump +28% above the median procedure ratio (Q50 0.82×)
Unnegotiated chargemaster list prices average 5.3× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER2.14× Divergence

1.5× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.43× · Q50 0.82× · Q75 1.05×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

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

0.5× MedicareGood

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

71% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at Clarke County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$43,744	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$41,518	$19,432	2.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$40,231	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$17,333	$8,223	2.1×
Trauma team activation HCPCS Code: `G0390`	$2,791	$2,791	$1,453	1.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,671	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,422	$2,680	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,640	$1,640	$6,109	0.3×
Behavioral health day treatment HCPCS Code: `H0010`	$763	$763	$343	2.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$562	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$564	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$547	$3,446	0.2×
Blood transfusion CPT Code: `36430`	$512	$512	$498	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,837	$518	$1,021	0.5×
Inguinal hernia repair CPT Code: `49505`	—	$533	$3,629	0.1×
Breast lump removal CPT Code: `19120`	—	$428	$3,875	0.1×
Rabies immune globulin HCPCS Code: `90375`	$364	$340	$322	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,388	$224	$448	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$198	$198	$151	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,925	$219	$511	0.4×
Behavioral health assessment HCPCS Code: `H0001`	$192	$192	$157	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$643	$189	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,160	$206	$1,256	0.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$351	$161	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$285	$152	$181	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$973	$155	$272	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	—	$124	$65	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,050	$145	$369	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$140	$94	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$192	$113	$148	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,255	$118	$258	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,775	$132	$343	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,590	$126	$338	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,462	$128	$583	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$966	$142	$987	0.1×
Behavioral health day program HCPCS Code: `H2012`	$214	$100	$100	1.0×
Care planning with family CPT Code: `90887`	—	$96	$107	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$140	$102	$123	0.8×
Family therapy session CPT Code: `90847`	$251	$116	$173	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$164	$82	$86	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$135	$86	$110	0.8×
Mental health services (assessment) HCPCS Code: `H0031`	—	$94	$140	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$187	$103	$166	0.6×
CT scan, sinuses CPT Code: `70486`	$896	$91	$166	0.5×
CT scan, pelvis CPT Code: `72192`	$1,463	$85	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,275	$86	$167	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,350	$87	$169	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,664	$86	$168	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,187	$99	$242	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,236	$106	$303	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$374	$80	$132	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$96	$96	$201	0.5×
Neurobehavioral status check CPT Code: `96116`	$599	$85	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$687	$384	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$329	$176	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$241	$119	$140	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$91	$111	0.8×
Drug screening test HCPCS Code: `G0480`	$115	$77	$116	0.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$52	$27	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$76	$50	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$76	$44	$45	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$123	$69	$87	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$248	$78	$134	0.6×
Ultrasound, pelvis CPT Code: `76856`	$371	$73	$130	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,161	$69	$160	0.4×
Blood test, vitamin D CPT Code: `82306`	$80	$42	$31	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$327	$60	$126	0.5×
X-ray, lower back CPT Code: `72110`	$94	$40	$112	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$6	$4	1.5×
Blood test, lipase CPT Code: `83690`	$37	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$27	$10	$7	1.4×
Blood test, calcium CPT Code: `82310`	$33	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$26	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$37	$7	$5	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$26	$19	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$46	$33	$33	1.0×
Physical therapy (gait training) CPT Code: `97116`	$33	$32	$33	1.0×
Speech therapy (group session) CPT Code: `92508`	$86	$26	$27	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$99	$38	$40	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$64	$46	$56	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$48	$48	$64	0.8×
Review of medical records for care CPT Code: `90889`	—	$50	$114	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$60	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$114	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$45	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$68	$12	$9	1.3×
X-ray, hip CPT Code: `73502`	$64	$37	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$5	$3	1.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$11	$8	1.4×
Culture, blood CPT Code: `87040`	$46	$15	$11	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$19	$14	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$58	$24	$18	1.3×
Hepatitis C antibody test CPT Code: `86803`	$47	$20	$15	1.3×
Culture, bacterial CPT Code: `87070`	$40	$12	$9	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$55	$21	$16	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$36	$7	$6	1.2×
Blood test, hemoglobin CPT Code: `85018`	$32	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$60	$19	$20	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$98	$36	$38	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$35	$38	0.9×
Blood test, amylase CPT Code: `82150`	$44	$9	$7	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$115	$32	$35	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$5	$4	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$35	$9	$10	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$80	$30	$34	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$30	$35	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$36	$27	$37	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$28	$39	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$86	$15	$25	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	—	$29	$49	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$13	$25	0.5×
Behavioral health living support HCPCS Code: `H2019`	$64	$15	$34	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$64	$29	$93	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$57	$26	$86	0.3×
X-ray, hand CPT Code: `73130`	$64	$28	$93	0.3×
X-ray, ankle CPT Code: `73610`	$64	$27	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$64	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$64	$26	$92	0.3×
Group therapy session CPT Code: `90853`	$390	$27	$100	0.3×
X-ray, chest (two views) CPT Code: `71046`	$113	$24	$93	0.3×
Psychological testing evaluation CPT Code: `96136`	$300	$25	$128	0.2×
X-ray, chest (single view) CPT Code: `71045`	$53	$17	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$64	$20	$110	0.2×
Psychological testing by technician CPT Code: `96138`	$763	$35	$395	0.1×
Blood antibody screen CPT Code: `86850`	$60	$7	$46	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$27	$27	$48	unverified

Showing top 25 high-impact procedures of 130 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 57.6%

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

CMS CCN: 161348

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $43,744

1. Amount on Your Bill or Quote ($) Pre-filled with Clarke County 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 501(r) AGB Cap: $60,440 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $60,440

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.6% of gross = $60,440).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Clarke County Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$85,899 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($104,986) is $85,899 above the denoised Fair BaseRate ($19,087) and 7.4× the $14,117 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)

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 (57.6% 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 Overall5/5 Stars (5/5)

Safety Composite73/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait104 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (54 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 Value & Quality Leader

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

Price Index: 0.76× regional baseline

Quality: 83/100 CMS composite

Median Household Income$66,821U.S. Census ACS

Local Uninsured Share5.3%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 73/100 · Corroborated CMS CCN 161348

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 161348) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-04

Validated Rate Rows4,135 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161348

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