How many shoppable procedure prices are published for Hawarden Regional Healthcare?

Hawarden Regional Healthcare in Hawarden, IA currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hawarden Regional Healthcare's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hawarden Regional Healthcare's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 4/24/2026

Hawarden Regional Healthcare

1111 11Th Street, Hawarden, IA 51023 · 108 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.39×vs. Fair Market Price

Typical commercial prices here are +39% above the fair benchmark (1.39×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 52% of the Time

File Completeness51

Price Logic58

Peer Alignment69

Clean Billing81

Real Cash Discount90

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +75% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hawarden Regional Healthcare prices routine shoppable procedures at 2.3× Medicare (median 1.16× Fair BaseRate) while upper-quartile commercial rates jump +75% to 2.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#54 of 87 in IA · 60th State Percentile#2,431 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.82× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 52% of shoppable procedures (90/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 82% 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 1.1× markup over Medicare rates
Commercial insurance median sits at 1.16× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.03×) jump +75% above the median procedure ratio (Q50 1.16×)
Unnegotiated chargemaster list prices average 5.0× Medicare (29¢ true HCRIS cost per $1 gross)

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+75% Upper Tail

Q25 0.82× · Q50 1.16× · Q75 2.03×

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

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

1.5× MedicareGood

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

52% Cash Edge · 90/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Hawarden Regional Healthcare

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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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Inguinal hernia repair CPT Code: `49505`	$9,442	$5,608	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,334	$5,259	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,654	$2,764	$3,372	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,194	$1,897	$448	4.2×
Breast lump removal CPT Code: `19120`	$3,121	$1,853	$3,875	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,910	$1,728	$303	5.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,424	$1,440	$511	2.8×
Trauma team activation HCPCS Code: `G0390`	$2,357	$1,400	$1,453	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,139	$1,271	$343	3.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,041	$1,212	$369	3.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,997	$1,186	$338	3.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,991	$1,182	$1,021	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,676	$995	$981	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,702	$1,011	$1,256	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,597	$949	$258	3.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,619	$961	$987	1.0×
CT scan, pelvis CPT Code: `72192`	$1,455	$864	$163	5.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,455	$864	$168	5.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,455	$864	$169	5.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,381	$820	$167	4.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,400	$831	$242	3.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,285	$763	$160	4.8×
CT scan, sinuses CPT Code: `70486`	$1,285	$763	$166	4.6×
Rabies immune globulin HCPCS Code: `90375`	$1,326	$787	$322	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$928	$551	$272	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$859	$510	$583	0.9×
Family therapy session CPT Code: `90847`	$718	$427	$173	unverified
Blood transfusion CPT Code: `36430`	$598	$355	$498	0.7×
Group therapy session CPT Code: `90853`	$625	$371	$100	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$439	$261	$134	1.9×
Ultrasound, pelvis CPT Code: `76856`	$401	$238	$130	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$425	$252	$181	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$351	$208	$126	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$343	$204	$132	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$353	$209	$148	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$386	$229	$166	1.4×
X-ray, lower back CPT Code: `72110`	$278	$165	$112	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$170	$101	$64	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$180	$107	$86	1.2×
X-ray, shoulder CPT Code: `73030`	$188	$112	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$190	$113	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$189	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	$178	$106	$93	1.1×
X-ray, hip CPT Code: `73502`	$178	$106	$93	1.1×
X-ray, ankle CPT Code: `73610`	$177	$105	$93	1.1×
X-ray, foot CPT Code: `73630`	$163	$97	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$192	$114	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$158	$94	$92	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$185	$115	$123	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$179	$97	$110	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$196	$116	$185	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$345	$82	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$785	$466	$347	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$274	$163	$203	0.8×
Hepatitis C antibody test CPT Code: `86803`	$98	$98	$15	6.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$107	$107	$18	5.9×
Blood test, vitamin B12 CPT Code: `82607`	$87	$87	$16	5.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$72	$14	5.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$54	$54	$11	4.9×
Blood test, liver function panel CPT Code: `80076`	$44	$44	$9	4.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	$68	$14	4.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$78	$78	$20	3.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$81	$81	$27	3.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$141	$84	$111	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$124	$73	$201	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$34	$3	11.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$44	$44	$6	7.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$27	$4	6.8×
Blood test, calcium CPT Code: `82310`	$29	$29	$5	5.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$29	$5	5.8×
Blood test, potassium CPT Code: `84132`	$27	$27	$5	5.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$50	$10	5.0×
Culture, blood CPT Code: `87040`	$54	$54	$11	4.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$112	$67	$25	2.7×
Drug screening test HCPCS Code: `G0480`	$67	$67	$116	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$36	$21	$14	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$67	$36	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$67	$36	$49	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$120	$56	$87	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$21	$4	5.3×
Blood test, lipase CPT Code: `83690`	$35	$35	$7	5.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$38	$8	4.8×
Culture, bacterial CPT Code: `87070`	$42	$42	$9	4.7×
Blood test, amylase CPT Code: `82150`	$31	$31	$7	4.4×
Blood test, magnesium CPT Code: `83735`	$29	$29	$7	4.1×
Blood test, vitamin D CPT Code: `82306`	$90	$54	$31	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$41	$35	1.2×
Blood test, hemoglobin CPT Code: `85018`	$13	$13	$3	4.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	$20	$5	4.0×
Blood test, basic metabolic panel CPT Code: `80048`	$43	$25	$9	2.8×
Physical therapy (gait training) CPT Code: `97116`	$64	$38	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$64	$38	$34	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$64	$38	$38	1.0×
Blood test, sodium CPT Code: `84295`	$17	$10	$5	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$30	$19	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$64	$38	$40	0.9×
Prosthetic fitting and training CPT Code: `97761`	$64	$38	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$32	$38	0.8×
Orthotic fitting and training CPT Code: `97760`	$64	$38	$51	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$45	$26	$38	0.7×
Blood antibody screen CPT Code: `86850`	$47	$28	$46	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$47	$28	$56	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$20	$12	$25	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$23	$49	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$29	$17	$37	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$29	$17	$39	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$33	$86	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$37	$37	$140	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 Hawarden Regional Healthcare (Zero PHI Required)

CMS CCN: 161311

CPT 49505

Select Procedure to Audit:

Fair BaseRate™ $3,629

Medicare Rate $3,658

Self-Pay Cash $9,442

Insurer Median $5,608

1. Amount on Your Bill or Quote ($) Pre-filled with Hawarden Regional Healthcare’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 $1,666 Paying Cash

Self-Pay Cash Rate ($9,442) Beats Your Bill

Hawarden Regional Healthcare's published 45 CFR § 180 self-pay cash rate is $9,442 (vs. $5,608 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,479 Above Fair BaseRate

Negotiate Toward $3,629 Fair BaseRate ($3,658 Medicare)

Your bill ($11,108) is $7,479 above the denoised Fair BaseRate ($3,629) and 3.0× the $3,658 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 Hawarden Regional Healthcare 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 Recommend82%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait158 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 Hawarden Regional Healthcare. Prior administrative notices do not necessarily reflect current compliance status.

2025-12-18·administrative_or_closure
Closure Notice
Recorded
2025-10-30·cap_corrective_action
CAP Request
Recorded
2025-07-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (34 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 Hawarden Regional Healthcare.

Price Index: 1.12× regional baseline

Quality: 59/100 CMS composite

Median Household Income$84,736U.S. Census ACS

Local Uninsured Share5.7%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 161311

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 161311) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/24/2026

Validated Rate Rows838 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161311

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