Guttenberg Municipal Hospital
200 Main Street, Guttenberg, IA 52052 · 70 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +213% above the fair benchmark (3.13×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Guttenberg Municipal Hospital prices routine shoppable procedures at 3.3× Medicare (median 3.18× Fair BaseRate) while upper-quartile commercial rates jump +15% to 3.66× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.08× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 27% of shoppable procedures (52/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 71% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (3.13× 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 3.18× Fair BaseRate (3.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.66×) jump +15% above the median procedure ratio (Q50 3.18×)
- Unnegotiated chargemaster list prices average 7.5× Medicare (29¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Guttenberg Municipal Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 70 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,938 | 9.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,392 | 9.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,630 | 12.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $3,181 | 5.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,093 | 9.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,726 | 8.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,126 | 12.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,070 | 0.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,022 | 12.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,851 | 11.6× |
| CT scan, sinuses CPT Code: 70486 | $1,826 | 11.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,748 | 10.5× |
| Inguinal hernia repair CPT Code: 49505 | $1,509 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,468 | 1.2× |
| Breast lump removal CPT Code: 19120 | $1,439 | 0.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,350 | 1.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $994 | 7.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $978 | 1.0× |
| CT scan, pelvis CPT Code: 72192 | $784 | 4.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $784 | 3.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $784 | 3.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $784 | 2.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $784 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $784 | 0.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $784 | 0.2× |
Audit a Bill or Quote at Guttenberg Municipal Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($4,938) Beats Your Bill
Guttenberg Municipal Hospital's published 45 CFR § 180 self-pay cash rate is $4,938 (vs. $4,938 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($6,172) is $5,661 above the denoised Fair BaseRate ($511) and 17.3× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Guttenberg Municipal 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Guttenberg Municipal Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-11-12·administrative_or_closure
Closure Notice
Recorded - 2025-07-11·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (46 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Guttenberg Municipal Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.