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

Guthrie County Hospital in Guthrie Center, IA currently has 76 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-09-26

Guthrie County Hospital

710 North 12Th Street, Guthrie Center, IA 50115 · 76 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.53×vs. Fair Market Price

Typical commercial prices here are +53% above the fair benchmark (1.53×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness90

Price Logic72

Peer Alignment59

Clean Billing53

Real Cash Discount6

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +81% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Guthrie County Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.44× Fair BaseRate) while upper-quartile commercial rates jump +81% to 2.60× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#61 of 87 in IA · 68th State Percentile#2,680 of 3,385 in U.S. · 79th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.67× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (67.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.53× 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 1.44× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.60×) jump +81% above the median procedure ratio (Q50 1.44×)
Consolidated metro market (HHI 4,157) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.74× Divergence

1.7× Medicare

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

Quantile Tail Spread+81% Upper Tail

Q25 0.67× · Q50 1.44× · Q75 2.60×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

0.7× MedicareGood

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

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Guthrie County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 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`	$23,656	$23,656	$19,087	unverified
Total knee replacement CPT Code: `27447`	$4,311	$4,311	$13,523	0.3×
Total hip replacement CPT Code: `27130`	$3,933	$3,933	$13,413	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,146	$2,146	$6,109	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,643	$1,295	$511	2.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,699	$1,171	$1,021	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,183	$1,094	$303	3.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,879	$1,094	$448	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,587	$1,094	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,077	$1,094	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,367	$1,094	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,247	$1,032	$338	3.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,714	$1,032	$343	3.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,666	$1,032	$369	2.8×
Rabies immune globulin HCPCS Code: `90375`	$4,930	$613	$322	1.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$608	$608	$86	unverified
CT scan, pelvis CPT Code: `72192`	$1,760	$505	$163	3.1×
CT scan, sinuses CPT Code: `70486`	$1,639	$505	$166	3.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,649	$505	$167	3.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,714	$505	$168	3.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,714	$505	$169	3.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,698	$476	$3,372	0.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,339	$436	$583	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$1,777	$439	$2,540	0.2×
Inguinal hernia repair CPT Code: `49505`	$2,356	$456	$3,629	0.1×
Ultrasound, pelvis CPT Code: `76856`	$690	$318	$130	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$658	$318	$134	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,073	$318	$272	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$602	$232	$123	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$769	$232	$148	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$803	$201	$126	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$468	$201	$132	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,560	$156	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,718	$168	$1,256	0.1×
Speech therapy (language evaluation) CPT Code: `92507`	$220	$135	$86	1.6×
Orthotic fitting and training CPT Code: `97760`	$98	$98	$51	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$315	$120	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$271	$124	$123	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$116	$116	$201	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,138	$117	$987	0.1×
Blood transfusion CPT Code: `36430`	$132	$132	$498	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$80	$14	5.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$295	$87	$25	3.5×
Prosthetic fitting and training CPT Code: `97761`	$86	$86	$45	1.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$258	$87	$64	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$211	$81	$87	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$102	$102	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$104	$104	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$100	$100	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$82	$82	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$92	$92	$40	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$322	$322	$203	1.6×
Pneumococcal vaccine HCPCS Code: `90732`	$255	$255	$140	1.8×
Typhoid vaccine HCPCS Code: `90675`	$747	$218	$347	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$188	$188	$111	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$117	$117	$8	14.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$106	$106	$20	5.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$61	$61	$5	12.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$104	$65	$39	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$81	$81	$49	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$81	$81	$49	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$194	$65	$56	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$40	$40	$37	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$49	$49	$48	1.0×
X-ray, chest (single view) CPT Code: `71045`	$179	$62	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$254	$62	$92	0.7×
X-ray, foot CPT Code: `73630`	$179	$62	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$207	$62	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$276	$62	$93	0.7×
X-ray, hand CPT Code: `73130`	$216	$62	$93	0.7×
X-ray, hip CPT Code: `73502`	$204	$62	$93	0.7×
X-ray, ankle CPT Code: `73610`	$183	$62	$93	0.7×
X-ray, pelvis CPT Code: `72170`	$287	$62	$110	0.6×
X-ray, lower back CPT Code: `72110`	$407	$62	$112	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$130	$65	$25	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$71	$71	$38	unverified

Showing top 25 high-impact procedures of 76 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 67.0%

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

CMS CCN: 161314

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $23,656

Insurer Median $23,656

1. Amount on Your Bill or Quote ($) Pre-filled with Guthrie 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: $15,850 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,850

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (67.0% of gross = $15,850).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $23,656

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Guthrie County Hospital's published 45 CFR § 180 self-pay cash rate is $23,656 (vs. $23,656 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,569 Above Fair BaseRate

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

Your bill ($23,656) is $4,569 above the denoised Fair BaseRate ($19,087) and 1.7× 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 (67.0% 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 Composite70/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait118 min

Left ER Before Seen0%

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

2024-06-03·administrative_or_closure
Closure Notice
Recorded
2024-02-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (40 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 Guthrie County Hospital.

Price Index: 1.01× regional baseline

Quality: 57/100 CMS composite

Median Household Income$79,981U.S. Census ACS

Local Uninsured Share3.4%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 59/100 · Caution CMS CCN 161314

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161314) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-26 · 6.06 MB

Validated Rate Rows694 (CMS v3.0.0)

File Integrity Digest9fe87974d343a23adce1…

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