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

Davis County Hospital in Bloomfield, IA currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Davis County Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-24

Davis County Hospital

509 North Madison Street, Bloomfield, IA 52537 · 111 Priced Procedures · 87% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness95

Price Logic71

Peer Alignment65

Clean Billing84

Real Cash Discount6

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Davis County Hospital maintains disciplined commercial pricing across both elective shoppable care (1.1× Medicare) and captive emergency/ancillary departments (1.0× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.92× Fair BaseRate) without hidden ancillary cross-subsidization.

#30 of 87 in IA · 33rd State Percentile#774 of 3,385 in U.S. · 22nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (74/100 safety score) with 87% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 0.87× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.11×) jump +28% above the median procedure ratio (Q50 0.87×)
Unnegotiated chargemaster list prices average 6.3× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.71× · Q50 0.87× · Q75 1.11×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.3× MedicareGood

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

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 74/100Fair

Procedure Prices at Davis County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 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`	$25,992	$25,992	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$18,531	$18,531	$8,223	unverified
Total hip replacement CPT Code: `27130`	$4,198	$4,198	$13,413	0.3×
Trauma team activation HCPCS Code: `G0390`	$2,549	$2,549	$1,453	1.8×
Total knee replacement CPT Code: `27447`	$4,905	$2,557	$13,523	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,455	$2,455	$6,109	0.4×
Rabies immune globulin HCPCS Code: `90375`	$2,345	$2,345	$322	7.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,720	$945	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,885	$573	$583	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,597	$596	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$1,618	$576	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,286	$576	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$1,192	$525	$498	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,636	$531	$511	1.0×
Breast lump removal CPT Code: `19120`	$1,436	$465	$3,875	0.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,674	$395	$160	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,439	$395	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,740	$395	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,208	$395	$303	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,662	$395	$448	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$605	$415	$855	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$2,632	$310	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,596	$310	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,359	$310	$369	0.8×
Group therapy session CPT Code: `90853`	$310	$265	$100	2.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,029	$259	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,230	$281	$1,256	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$198	$198	$86	2.3×
Ultrasound, pelvis CPT Code: `76856`	$684	$207	$130	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,068	$207	$134	1.5×
Family therapy session CPT Code: `90847`	$386	$213	$173	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$175	$177	$110	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$170	$172	$123	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$361	$188	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$386	$188	$181	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,068	$207	$272	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$853	$196	$987	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$678	$133	$126	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$639	$133	$132	1.0×
CT scan, pelvis CPT Code: `72192`	$1,603	$144	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,622	$144	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,761	$144	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,911	$144	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,869	$144	$169	0.9×
Neurobehavioral status check CPT Code: `96116`	$168	$168	$231	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$117	$117	$38	3.1×
Physical therapy (gait training) CPT Code: `97116`	$98	$98	$33	3.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$108	$87	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$115	$115	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$119	$119	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$109	$109	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$119	$119	$40	unverified
Prosthetic fitting and training CPT Code: `97761`	$111	$111	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,073	$1,073	$347	3.1×
Pneumococcal vaccine HCPCS Code: `90732`	$305	$305	$140	2.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$380	$138	$203	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$71	$14	5.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$59	$49	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$102	$68	$201	0.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$74	$74	$38	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$239	$33	$25	1.3×
Extended office visit (prolonged) HCPCS Code: `G2212`	$90	$39	$33	1.2×
Orthotic fitting and training CPT Code: `97760`	$119	$45	$51	0.9×
X-ray, chest (single view) CPT Code: `71045`	$296	$69	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$307	$69	$92	0.8×
X-ray, foot CPT Code: `73630`	$307	$69	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$441	$69	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$282	$69	$93	0.7×
X-ray, hand CPT Code: `73130`	$307	$69	$93	0.7×
X-ray, hip CPT Code: `73502`	$337	$69	$93	0.7×
X-ray, ankle CPT Code: `73610`	$307	$69	$93	0.7×
X-ray, pelvis CPT Code: `72170`	$282	$69	$110	0.6×
X-ray, lower back CPT Code: `72110`	$494	$69	$112	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$395	$61	$123	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$616	$61	$148	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$73	$34	$39	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$163	$33	$64	0.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$230	$34	$111	0.3×
Blood test, hemoglobin CPT Code: `85018`	$30	$7	$3	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$37	$6	$4	1.5×
Blood test, calcium CPT Code: `82310`	$46	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$42	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$43	$6	$5	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$30	$25	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$77	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$72	$10	$9	1.1×
Blood test, vitamin D CPT Code: `82306`	$266	$33	$31	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$3	$3	1.0×
Culture, bacterial CPT Code: `87070`	$92	$9	$9	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$136	$15	$16	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$128	$13	$14	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$74	$34	$37	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$95	$10	$11	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$145	$34	$56	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$75	$7	$8	0.9×
Blood test, amylase CPT Code: `82150`	$62	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$76	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$62	$6	$7	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$143	$15	$18	0.8×
Culture, blood CPT Code: `87040`	$122	$9	$11	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$129	$12	$15	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$114	$10	$14	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$191	$13	$19	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$60	$4	$6	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$83	$6	$10	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$39	$24	$48	0.5×
Blood antibody screen CPT Code: `86850`	$130	$5	$46	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$27	$27	$86	unverified

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 53.0%

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

CMS CCN: 161327

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $25,992

Insurer Median $25,992

1. Amount on Your Bill or Quote ($) Pre-filled with Davis 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: $13,786 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,786

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.0% of gross = $13,786).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $25,992

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Davis County Hospital's published 45 CFR § 180 self-pay cash rate is $25,992 (vs. $25,992 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,905 Above Fair BaseRate

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

Your bill ($25,992) is $6,905 above the denoised Fair BaseRate ($19,087) and 1.8× 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)

EIN: 426006219

Filing Period: 197506

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 (53.0% 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

Safety Composite74/100

Would Recommend87%

Rated 9 or 10 (HCAHPS)90%

Median ER Wait101 min

Left ER Before Seen1%

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 Davis County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-10·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (32 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 Davis County Hospital.

Price Index: 1.12× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-52.7%

Amerigroup

+71.0%

Median Household Income$79,505U.S. Census ACS

Local Uninsured Share28.3%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 67/100 · Caution CMS CCN 161327 EIN 426006219

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161327) ↗ Verify IRS Form 990 (EIN 426006219) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-24 · 30.04 MB

Validated Rate Rows1,708 (CMS v3.0.0)

File Integrity Digest1c525da478243ad210fc…

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