How many shoppable procedure prices are published for Floyd County Medical Center?

Floyd County Medical Center in Charles City, IA currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Floyd County Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Floyd County Medical Center's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Floyd County Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Floyd County Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-03-02

Floyd County Medical Center

800 11Th St, Charles City, IA 50616 · 113 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness51

Price Logic55

Peer Alignment69

Clean Billing73

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +69% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Floyd County Medical Center prices routine shoppable procedures at 2.1× Medicare (median 1.27× Fair BaseRate) while upper-quartile commercial rates jump +69% to 2.15× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#60 of 87 in IA · 67th State Percentile#2,664 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 85% 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 (1.52× 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 1.27× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.15×) jump +69% above the median procedure ratio (Q50 1.27×)
Unnegotiated chargemaster list prices average 7.8× Medicare (19¢ 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 & ER0.81× Divergence

1.7× Medicare

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

Quantile Tail Spread+69% Upper Tail

Q25 0.98× · Q50 1.27× · Q75 2.15×

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

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

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

0.8× MedicareGood

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

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Floyd County Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$20,492	$20,492	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$11,141	$11,141	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,654	$9,654	$8,223	1.2×
C-section delivery (full package) CPT Code: `59510`	$2,276	$3,074	$2,975	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,502	$2,912	$1,021	2.9×
Vaginal delivery (full package) CPT Code: `59400`	$1,890	$1,890	$2,680	unverified
Total hip replacement CPT Code: `27130`	$1,181	$1,181	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$1,180	$1,180	$13,523	0.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,658	$1,120	$511	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$819	$997	$583	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$883	$920	$160	5.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,014	$920	$242	3.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,055	$920	$258	3.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,703	$920	$303	3.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,025	$920	$448	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,329	$801	$338	2.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,196	$801	$343	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,177	$801	$369	2.2×
Breast lump removal CPT Code: `19120`	$382	$775	$3,875	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$504	$613	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$477	$588	$3,629	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$601	$601	$6,109	0.1×
Blood transfusion CPT Code: `36430`	$454	$477	$498	1.0×
Trauma team activation HCPCS Code: `G0390`	$480	$480	$1,453	0.3×
Ultrasound, pelvis CPT Code: `76856`	$212	$415	$130	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$267	$415	$134	3.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$304	$415	$272	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$186	$391	$1,256	0.3×
CT scan, pelvis CPT Code: `72192`	$883	$346	$163	2.1×
CT scan, sinuses CPT Code: `70486`	$910	$346	$166	2.1×
CT scan, chest (no contrast) CPT Code: `71250`	$883	$346	$167	2.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$883	$346	$168	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$910	$346	$169	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$170	$360	$981	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$237	$267	$132	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$127	$274	$181	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$128	$252	$987	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$267	$267	$86	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$115	$230	$86	2.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$147	$164	$185	0.9×
X-ray, chest (single view) CPT Code: `71045`	$84	$114	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$98	$114	$92	1.2×
X-ray, foot CPT Code: `73630`	$96	$114	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$98	$114	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$94	$114	$93	1.2×
X-ray, hand CPT Code: `73130`	$145	$114	$93	1.2×
X-ray, hip CPT Code: `73502`	$117	$114	$93	1.2×
X-ray, ankle CPT Code: `73610`	$96	$114	$93	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$100	$122	$110	1.1×
X-ray, pelvis CPT Code: `72170`	$84	$114	$110	1.0×
X-ray, lower back CPT Code: `72110`	$181	$114	$112	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$106	$124	$123	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$40	$83	$25	3.3×
Physical therapy (gait training) CPT Code: `97116`	$58	$82	$33	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$40	$82	$38	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$116	$83	$64	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$74	$85	$87	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$228	$90	$148	0.6×
Family therapy session CPT Code: `90847`	$97	$97	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$86	$86	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$450	$402	$347	1.2×
Drug screening test HCPCS Code: `G0480`	$180	$180	$116	unverified
Blood test, vitamin D CPT Code: `82306`	$139	$139	$31	4.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$102	$102	$11	9.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$123	$123	$14	8.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$111	$111	$14	7.9×
Blood test, liver function panel CPT Code: `80076`	$70	$70	$9	7.8×
Blood test, basic metabolic panel CPT Code: `80048`	$69	$69	$9	7.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$96	$89	$111	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$63	$63	$8	7.9×
Culture, blood CPT Code: `87040`	$82	$82	$11	7.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$86	$86	$19	4.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$86	$86	$20	4.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$58	$89	$56	1.6×
Pneumococcal vaccine HCPCS Code: `90732`	$42	$99	$140	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$95	$95	$203	unverified
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$47	$10	4.7×
Blood test, vitamin B12 CPT Code: `82607`	$57	$57	$16	3.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$66	$66	$35	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$63	$34	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$61	$38	1.6×
Prosthetic fitting and training CPT Code: `97761`	$58	$58	$45	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$200	$68	$123	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$24	$3	8.0×
Blood test, hemoglobin CPT Code: `85018`	$15	$15	$3	5.0×
Blood test, amylase CPT Code: `82150`	$34	$34	$7	4.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$23	$5	4.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$246	$48	$126	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$18	$4	4.5×
Blood test, lipase CPT Code: `83690`	$31	$31	$7	4.4×
Blood test, potassium CPT Code: `84132`	$21	$21	$5	4.2×
Blood test, sodium CPT Code: `84295`	$21	$21	$5	4.2×
Blood test, calcium CPT Code: `82310`	$20	$20	$5	4.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	$20	$5	4.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$41	$41	$14	2.9×
Culture, bacterial CPT Code: `87070`	$44	$23	$9	2.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$50	$42	$18	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$50	$39	$40	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$11	$6	1.8×
Hepatitis C antibody test CPT Code: `86803`	$22	$26	$15	1.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$31	$31	$27	1.1×
Blood antibody screen CPT Code: `86850`	$60	$35	$46	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$25	$25	$33	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$40	$40	$35	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$11	$11	$49	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$10	$10	$49	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$35	$35	$201	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$27	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$34	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$33	$33	$37	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$2	$4	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$4	$4	$48	0.1×

Showing top 25 high-impact procedures of 113 total

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

Audit a Bill or Quote at Floyd County Medical Center (Zero PHI Required)

CMS CCN: 161347

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $20,492

Insurer Median $20,492

1. Amount on Your Bill or Quote ($) Pre-filled with Floyd County 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 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 $30,738 Paying Cash

Self-Pay Cash Rate ($20,492) Beats Your Bill

Floyd County Medical Center's published 45 CFR § 180 self-pay cash rate is $20,492 (vs. $20,492 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,798 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($51,230) is $31,798 above the denoised Fair BaseRate ($19,432) and 3.6× the $14,044 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 Floyd County Medical 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 Overall3/5 Stars (3/5)

Safety Composite72/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait153 min

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 Floyd County Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-05-30·administrative_or_closure
Closure Notice
Recorded
2024-02-23·warning_notice
Warning Notice
Recorded
2023-07-17·administrative_or_closure
Closure Notice
Recorded
2023-05-17·cap_corrective_action
CAP Request
Recorded
2023-02-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (94 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 Floyd County Medical Center.

Price Index: 0.76× regional baseline

Quality: 59/100 CMS composite

Median Household Income$64,500U.S. Census ACS

Local Uninsured Share4.1%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 67/100 · Caution CMS CCN 161347

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 161347) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-02

Validated Rate Rows664 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161347

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