How many shoppable procedure prices are published for Franklin General Hospital?

Franklin General Hospital in Hampton, IA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Franklin General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Franklin General Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-16

Franklin General Hospital

1720 Central Avenue East, Hampton, IA 50441 · 102 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.73×vs. Fair Market Price

Typical commercial prices here are +73% above the fair benchmark (1.73×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness90

Price Logic53

Peer Alignment70

Clean Billing85

Real Cash Discount44

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +62% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Franklin General Hospital prices routine shoppable procedures at 2.5× Medicare (median 1.57× Fair BaseRate) while upper-quartile commercial rates jump +62% to 2.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#70 of 87 in IA · 79th State Percentile#2,904 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.68× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 15% of shoppable procedures (44/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 79% 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)

Outpatient surgery & OR suites carry a 3.1× markup over Medicare rates
Commercial insurance median sits at 1.57× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.54×) jump +62% above the median procedure ratio (Q50 1.57×)
Unnegotiated chargemaster list prices average 8.8× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER0.76× Divergence

1.9× Medicare

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

Quantile Tail Spread+62% Upper Tail

Q25 0.68× · Q50 1.57× · Q75 2.54×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.1× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.7× MedicareGood

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

15% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Franklin General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,066	$2,066	$6,109	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,318	$1,295	$511	2.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,326	$1,171	$1,021	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,742	$1,094	$160	6.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,115	$1,094	$242	4.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,143	$1,094	$258	4.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,416	$1,094	$303	3.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,896	$1,094	$448	2.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,841	$1,032	$338	3.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,615	$1,032	$343	3.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,731	$1,032	$369	2.8×
Blood transfusion CPT Code: `36430`	$990	$990	$498	unverified
Trauma team activation HCPCS Code: `G0390`	$923	$923	$1,453	0.6×
Rabies immune globulin HCPCS Code: `90375`	$1,015	$613	$322	1.9×
CT scan, pelvis CPT Code: `72192`	$1,688	$505	$163	3.1×
CT scan, sinuses CPT Code: `70486`	$1,601	$505	$166	3.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,674	$505	$167	3.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,774	$505	$168	3.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,857	$505	$169	3.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,494	$436	$583	0.7×
Ultrasound, pelvis CPT Code: `76856`	$733	$318	$130	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$878	$318	$134	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,130	$318	$272	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$336	$232	$123	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$402	$232	$148	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$231	$251	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$220	$220	$123	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$572	$201	$126	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$635	$201	$132	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$441	$218	$166	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$474	$218	$181	1.2×
Group therapy session CPT Code: `90853`	$372	$170	$100	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$112	$112	$34	3.3×
Speech therapy (language evaluation) CPT Code: `92507`	$275	$135	$86	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$149	$149	$87	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$106	$106	$14	7.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$97	$35	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$104	$104	$38	2.7×
Prosthetic fitting and training CPT Code: `97761`	$122	$122	$45	2.7×
Occupational therapy (self-care training) CPT Code: `97535`	$101	$101	$38	2.7×
Orthotic fitting and training CPT Code: `97760`	$115	$115	$51	2.3×
Physical therapy (gait training) CPT Code: `97116`	$80	$80	$33	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$94	$94	$40	2.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$85	$85	$38	2.2×
Family therapy session CPT Code: `90847`	$474	$85	$173	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$93	$93	$201	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$333	$333	$11	30.3×
Pneumococcal vaccine HCPCS Code: `90732`	$236	$203	$140	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$258	$218	$203	1.1×
Typhoid vaccine HCPCS Code: `90675`	$945	$218	$347	0.6×
Blood test, liver function panel CPT Code: `80076`	$176	$176	$9	19.6×
Blood test, basic metabolic panel CPT Code: `80048`	$161	$161	$9	17.9×
Culture, blood CPT Code: `87040`	$159	$159	$11	14.5×
Blood test, vitamin D CPT Code: `82306`	$179	$179	$31	5.8×
Blood test, lipase CPT Code: `83690`	$153	$153	$7	21.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$125	$125	$8	15.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$138	$138	$14	9.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$158	$158	$19	8.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$130	$130	$14	9.3×
Drug screening test HCPCS Code: `G0480`	$193	$148	$116	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$136	$136	$27	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$97	$97	$3	32.3×
Blood test, amylase CPT Code: `82150`	$104	$104	$7	14.9×
Culture, bacterial CPT Code: `87070`	$104	$104	$9	11.6×
Blood test, vitamin B12 CPT Code: `82607`	$127	$127	$16	7.9×
Hepatitis C antibody test CPT Code: `86803`	$106	$106	$15	7.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$117	$117	$20	unverified
Blood test, magnesium CPT Code: `83735`	$79	$79	$7	11.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$93	$93	$10	9.3×
Hepatitis B vaccine HCPCS Code: `90744`	$95	$87	$37	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$59	$4	14.8×
Blood test, calcium CPT Code: `82310`	$59	$59	$5	11.8×
Blood test, potassium CPT Code: `84132`	$55	$55	$5	11.0×
Blood test, sodium CPT Code: `84295`	$52	$52	$5	10.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$87	$65	$39	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$147	$38	$18	2.1×
Blood antibody screen CPT Code: `86850`	$119	$55	$46	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$131	$65	$56	1.2×
X-ray, chest (single view) CPT Code: `71045`	$232	$62	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$367	$62	$92	0.7×
X-ray, foot CPT Code: `73630`	$324	$62	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$240	$62	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$259	$62	$93	0.7×
X-ray, hand CPT Code: `73130`	$315	$62	$93	0.7×
X-ray, hip CPT Code: `73502`	$230	$62	$93	0.7×
X-ray, ankle CPT Code: `73610`	$367	$62	$93	0.7×
X-ray, pelvis CPT Code: `72170`	$203	$62	$110	0.6×
X-ray, lower back CPT Code: `72110`	$403	$62	$112	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$98	$16	$6	2.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$40	$25	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$171	$65	$111	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$77	$77	$25	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$63	$63	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$59	$59	$35	unverified
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$50	$5	unverified
Flu vaccine injection HCPCS Code: `G0008`	$63	$63	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$63	$49	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$60	$60	$86	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$12	$5	2.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$45	$10	$64	0.2×

Showing top 25 high-impact procedures of 102 total

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

Audit a Bill or Quote at Franklin General Hospital (Zero PHI Required)

CMS CCN: 161308

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $2,066

Insurer Median $2,066

1. Amount on Your Bill or Quote ($) Pre-filled with Franklin General 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 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 $229 Paying Cash

Self-Pay Cash Rate ($2,066) Beats Your Bill

Franklin General Hospital's published 45 CFR § 180 self-pay cash rate is $2,066 (vs. $2,066 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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 Franklin General Hospital 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

Safety Composite71/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait129 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 Franklin General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-10·administrative_or_closure
Met Requirements
Recorded
2024-02-29·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (29 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 Franklin General Hospital.

Price Index: 1.28× regional baseline

Quality: 58/100 CMS composite

Median Household Income$63,648U.S. Census ACS

Local Uninsured Share10.7%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 68/100 · Caution CMS CCN 161308

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161308) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-16 · 45.39 MB

Validated Rate Rows2,314 (CMS v3.0.0)

File Integrity Digestfffa7170a16c1e72e240…

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