How many shoppable procedure prices are published for Greater Regional Medical Center?

Greater Regional Medical Center in Creston, IA currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Greater Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Greater Regional 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: 3/31/2026

Greater Regional Medical Center

1700 West Townline Street, Creston, IA 50801 · 100 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness56

Price Logic72

Peer Alignment65

Clean Billing68

Real Cash Discount97

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Greater Regional Medical Center prices shoppable and inpatient services (4.3× to 6.0× Medicare, divergence 1.40×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in IAU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (97/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 67% 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 1.7× markup over Medicare rates
Captive ER (2.0×) & laboratory (9.5×) services average 1.40× higher multiples than routine shoppable care (4.3×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 6.3× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.3× Medicare

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

Back-Door Captive & ER1.40× Divergence

6.0× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

4.3× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

9.5× MedicareWatchout

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

1.6× MedicareGood

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

48% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Greater Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$4,838	$4,838	$2,975	1.6×
Vaginal delivery (full package) CPT Code: `59400`	$4,002	$4,002	$2,680	1.5×
Total hip replacement CPT Code: `27130`	$2,914	$2,914	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,909	$2,909	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$1,961	$1,961	$1,453	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,647	$1,647	$1,021	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,531	$1,531	$6,109	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,442	$1,442	$1,256	1.1×
Bunion correction surgery CPT Code: `28296`	$1,449	$1,449	$3,446	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,245	$1,245	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,216	$1,216	$3,629	0.3×
Breast lump removal CPT Code: `19120`	$1,152	$1,152	$3,875	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,095	$1,095	$448	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,000	$1,000	$303	3.3×
CT scan, pelvis CPT Code: `72192`	$963	$963	$163	5.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$961	$961	$511	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$916	$916	$343	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	$867	$867	$987	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$810	$810	$258	3.1×
MRI, lower back (no contrast) CPT Code: `72148`	$794	$794	$338	2.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$783	$783	$981	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$735	$735	$369	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$754	$754	$583	1.3×
Rabies immune globulin HCPCS Code: `90375`	$649	$649	$322	2.0×
Blood transfusion CPT Code: `36430`	$648	$648	$498	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$603	$603	$242	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$581	$581	$272	2.1×
CT scan, head (no contrast) CPT Code: `70450`	$539	$539	$160	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$546	$546	$167	3.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$548	$548	$169	3.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$544	$544	$168	3.2×
CT scan, sinuses CPT Code: `70486`	$536	$536	$166	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$434	$434	$134	3.2×
Ultrasound, pelvis CPT Code: `76856`	$347	$347	$130	2.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$322	$322	$126	2.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$272	$272	$132	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$178	$178	$86	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$182	$182	$148	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$155	$155	$123	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$168	$168	$201	0.8×
Orthotic fitting and training CPT Code: `97760`	$114	$114	$51	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$132	$132	$87	1.5×
X-ray, chest (two views) CPT Code: `71046`	$106	$106	$93	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$80	$80	$25	3.2×
Physical therapy (gait training) CPT Code: `97116`	$86	$86	$33	2.6×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$85	$34	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$90	$90	$38	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$85	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$85	$40	2.1×
X-ray, hip CPT Code: `73502`	$105	$105	$93	1.1×
X-ray, lower back CPT Code: `72110`	$118	$118	$112	1.1×
X-ray, shoulder CPT Code: `73030`	$89	$89	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$89	$89	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$82	$82	$92	0.9×
X-ray, ankle CPT Code: `73610`	$82	$82	$93	0.9×
X-ray, foot CPT Code: `73630`	$81	$81	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$80	$80	$110	0.7×
Typhoid vaccine HCPCS Code: `90675`	$679	$679	$347	2.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$472	$472	$203	2.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$282	$282	$111	2.5×
Culture, blood CPT Code: `87040`	$176	$176	$11	16.0×
Blood test, lipase CPT Code: `83690`	$130	$130	$7	18.6×
Hepatitis B vaccine HCPCS Code: `90744`	$146	$146	$37	3.9×
Blood test, amylase CPT Code: `82150`	$84	$84	$7	12.0×
Blood test, liver function panel CPT Code: `80076`	$106	$106	$9	11.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$92	$92	$8	11.5×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$78	$9	8.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$94	$94	$11	8.5×
Blood antibody screen CPT Code: `86850`	$92	$92	$46	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$64	$64	$6	10.7×
Blood test, magnesium CPT Code: `83735`	$64	$64	$7	9.1×
Culture, bacterial CPT Code: `87070`	$74	$74	$9	8.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$63	$63	$20	3.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$62	$64	1.0×
X-ray, hand CPT Code: `73130`	$76	$76	$93	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$48	$3	16.0×
Blood test, hemoglobin CPT Code: `85018`	$34	$34	$3	11.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$36	$4	9.0×
Blood test, potassium CPT Code: `84132`	$36	$36	$5	7.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$35	$35	$5	7.0×
Blood test, calcium CPT Code: `82310`	$34	$34	$5	6.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$57	$57	$10	5.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$26	$4	6.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$44	$44	$14	3.1×
Blood test, vitamin B12 CPT Code: `82607`	$48	$48	$16	3.0×
Hepatitis C antibody test CPT Code: `86803`	$44	$44	$15	2.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$41	$41	$14	2.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$52	$19	2.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$49	$49	$18	2.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$71	$71	$35	2.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$58	$58	$39	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$54	$38	1.4×
Prosthetic fitting and training CPT Code: `97761`	$62	$62	$45	1.4×
Blood test, vitamin D CPT Code: `82306`	$33	$33	$31	1.1×
Drug screening test HCPCS Code: `G0480`	$53	$53	$116	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$25	$25	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$50	$50	$86	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$16	$16	$110	0.1×

Showing top 25 high-impact procedures of 100 total

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

Audit a Bill or Quote at Greater Regional Medical Center (Zero PHI Required)

CMS CCN: 161365

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $4,838

Insurer Median $4,838

1. Amount on Your Bill or Quote ($) Pre-filled with Greater Regional 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 $2,074 Paying Cash

Self-Pay Cash Rate ($4,838) Beats Your Bill

Greater Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $4,838 (vs. $4,838 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,937 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($6,912) is $3,937 above the denoised Fair BaseRate ($2,975) and 2.8× the $2,473 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 Greater Regional 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 Overall4/5 Stars (4/5)

Safety Composite64/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait98 min

Left ER Before Seen0%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Greater Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-10-11·administrative_or_closure
Closure Notice
Recorded
2024-09-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (148 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 Quality & Price Benchmark

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

Price Index: 1.16× regional baseline

Quality: 54/100 CMS composite

Median Household Income$56,813U.S. Census ACS

Local Uninsured Share7.9%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 71/100 · Corroborated CMS CCN 161365

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 161365) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/31/2026

Validated Rate Rows815 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161365

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