How many shoppable procedure prices are published for Hancock County Health System?

Hancock County Health System in Britt, IA currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hancock County Health System's commercial prices compare to the fair BaseRate?

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

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-06-30

Hancock County Health System

532 1St St Nw, Britt, IA 50423 · 108 Priced Procedures · 88% Patient Recommendation

CMS Overall Rating No CMS Rating

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.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness45

Price Logic58

Peer Alignment57

Clean Billing79

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +65% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hancock County Health System prices routine shoppable procedures at 2.0× Medicare (median 1.28× Fair BaseRate) while upper-quartile commercial rates jump +65% to 2.11× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#59 of 87 in IA · 66th State Percentile#2,663 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (74/100 safety score) with 88% 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 1.28× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.11×) jump +65% above the median procedure ratio (Q50 1.28×)
Unnegotiated chargemaster list prices average 8.9× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.60× Divergence

1.2× Medicare

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

Quantile Tail Spread+65% Upper Tail

Q25 1.05× · Q50 1.28× · Q75 2.11×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

0.7× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 74/100Fair

Procedure Prices at Hancock County Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Cataract surgery with lens implant CPT Code: `66984`	$4,125	$4,878	$2,540	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,824	$2,980	$1,021	2.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,078	$1,147	$511	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,716	$1,021	$583	1.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,443	$982	$6,109	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,480	$942	$160	5.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,005	$942	$242	3.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,096	$942	$258	3.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,209	$942	$303	3.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,735	$942	$448	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,696	$820	$338	2.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,627	$820	$343	2.4×
Trauma team activation HCPCS Code: `G0390`	$788	$788	$1,453	0.5×
Inguinal hernia repair CPT Code: `49505`	$881	$790	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$1,869	$638	$3,875	0.2×
Rabies immune globulin HCPCS Code: `90375`	$1,142	$488	$322	1.5×
Blood transfusion CPT Code: `36430`	$739	$489	$498	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$794	$425	$134	3.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,042	$425	$272	1.6×
CT scan, pelvis CPT Code: `72192`	$1,569	$354	$163	2.2×
CT scan, sinuses CPT Code: `70486`	$1,497	$354	$166	2.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,401	$354	$167	2.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,625	$354	$168	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,758	$354	$169	2.1×
X-ray, chest (two views) CPT Code: `71046`	$325	$325	$93	3.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$536	$273	$126	2.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$460	$273	$132	2.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$802	$267	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$963	$289	$1,256	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$235	$86	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$313	$224	$123	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$310	$224	$148	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$256	$219	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$227	$208	$185	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$803	$213	$987	0.2×
Family therapy session CPT Code: `90847`	$202	$166	$173	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$164	$133	$123	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$165	$148	$166	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$140	$140	$201	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$93	$93	$34	2.7×
Physical therapy (gait training) CPT Code: `97116`	$115	$83	$33	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$92	$92	$38	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$83	$83	$35	2.4×
Occupational therapy (self-care training) CPT Code: `97535`	$85	$83	$38	2.2×
Prosthetic fitting and training CPT Code: `97761`	$92	$92	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$92	$92	$51	1.8×
X-ray, chest (single view) CPT Code: `71045`	$225	$117	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$328	$117	$92	1.3×
X-ray, foot CPT Code: `73630`	$390	$117	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$272	$117	$93	1.3×
X-ray, hand CPT Code: `73130`	$283	$117	$93	1.3×
X-ray, hip CPT Code: `73502`	$350	$117	$93	1.3×
X-ray, ankle CPT Code: `73610`	$399	$117	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$223	$117	$110	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$154	$116	$110	1.1×
X-ray, lower back CPT Code: `72110`	$485	$117	$112	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$128	$85	$64	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$91	$87	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,135	$99	$369	0.3×
Typhoid vaccine HCPCS Code: `90675`	$804	$573	$347	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$284	$284	$11	25.8×
Blood test, basic metabolic panel CPT Code: `80048`	$164	$164	$9	18.2×
Culture, bacterial CPT Code: `87070`	$162	$162	$9	18.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$184	$184	$18	10.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$167	$167	$19	8.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$167	$167	$20	8.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$123	$123	$14	8.8×
Drug screening test HCPCS Code: `G0480`	$113	$133	$116	1.1×
Blood test, liver function panel CPT Code: `80076`	$143	$143	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$125	$125	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$88	$88	$3	29.3×
Blood test, lipase CPT Code: `83690`	$107	$107	$7	15.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$80	$80	$6	13.3×
Blood test, magnesium CPT Code: `83735`	$80	$80	$7	11.4×
Hepatitis C antibody test CPT Code: `86803`	$92	$92	$15	6.1×
Blood test, vitamin B12 CPT Code: `82607`	$98	$98	$16	6.1×
Blood test, vitamin D CPT Code: `82306`	$98	$98	$31	3.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$91	$56	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$75	$91	$111	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$111	$111	$203	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$91	$37	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$41	$4	10.3×
Blood test, sodium CPT Code: `84295`	$43	$43	$5	8.6×
Blood test, amylase CPT Code: `82150`	$60	$60	$7	8.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$58	$58	$27	2.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$52	$43	$33	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$52	$40	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$48	$48	$38	1.3×
Blood antibody screen CPT Code: `86850`	$116	$57	$46	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$65	$65	$140	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$68	$68	$86	unverified
Blood test, potassium CPT Code: `84132`	$41	$41	$5	8.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$35	$5	7.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$26	$4	6.5×
Blood test, calcium CPT Code: `82310`	$26	$26	$5	5.2×
Culture, blood CPT Code: `87040`	$132	$18	$11	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$42	$42	$39	1.1×
Group therapy session CPT Code: `90853`	$214	$40	$100	0.4×
Ultrasound, pelvis CPT Code: `76856`	$650	$51	$130	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$43	$43	$35	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$10	$8	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$95	$12	$10	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$119	$25	$25	1.0×
Blood test, hemoglobin CPT Code: `85018`	$87	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$14	$14	$49	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$8	$8	$48	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	unverified

Showing top 25 high-impact procedures of 108 total

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

Audit a Bill or Quote at Hancock County Health System (Zero PHI Required)

CMS CCN: 161307

CPT 66984

Select Procedure to Audit:

Fair BaseRate™ $2,540

Medicare Rate $2,358

Self-Pay Cash $4,125

Insurer Median $4,878

1. Amount on Your Bill or Quote ($) Pre-filled with Hancock County Health System’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 $1,375 Paying Cash

Self-Pay Cash Rate ($4,125) Beats Your Bill

Hancock County Health System's published 45 CFR § 180 self-pay cash rate is $4,125 (vs. $4,878 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,960 Above Fair BaseRate

Negotiate Toward $2,540 Fair BaseRate ($2,358 Medicare)

Your bill ($5,500) is $2,960 above the denoised Fair BaseRate ($2,540) and 2.3× the $2,358 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 Hancock County Health System 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 Composite74/100

Would Recommend88%

Rated 9 or 10 (HCAHPS)92%

Median ER Wait112 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 Hancock County Health System. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-10·administrative_or_closure
Met Requirements
Recorded
2024-06-14·administrative_or_closure
Closure Notice
Recorded
2024-06-06·cap_corrective_action
CAP Request
Recorded
2024-02-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (52 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 Hancock County Health System.

Price Index: 0.82× regional baseline

Quality: 61/100 CMS composite

Median Household Income$70,212U.S. Census ACS

Local Uninsured Share4.7%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 66/100 · Caution CMS CCN 161307

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161307) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-30 · 35.93 MB

Validated Rate Rows2,623 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161307

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