How many shoppable procedure prices are published for Henry County Health Center?

Henry County Health Center in Mount Pleasant, IA currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Henry County Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Henry County Health Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Physician 25 Beds · rural Updated: 2026-06-04

Henry County Health Center

407 S White St, Mount Pleasant, IA 52641 · 141 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness90

Price Logic74

Peer Alignment66

Clean Billing76

Real Cash Discount50

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Henry County Health Center prices routine shoppable procedures near 0.9× Medicare (p50 0.70×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.38×, +97% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#25 of 87 in IA · 27th State Percentile#581 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 70% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (0.4×) services average 2.00× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.38×) jump +97% above the median procedure ratio (Q50 0.70×)
Unnegotiated chargemaster list prices average 6.0× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER2.00× Divergence

1.8× Medicare

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

Quantile Tail Spread+97% Upper Tail

Q25 0.47× · Q50 0.70× · Q75 1.38×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

1.1× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Henry County Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,073	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,069	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,978	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,862	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,245	$8,223	0.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,168	$2,680	unverified
C-section delivery (full package) CPT Code: `59510`	—	$4,111	$2,975	unverified
Total hip replacement CPT Code: `27130`	—	$2,406	$13,413	0.2×
Total knee replacement CPT Code: `27447`	—	$2,402	$13,523	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,265	$6,109	0.2×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,225	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,168	$269	unverified
Bunion correction surgery CPT Code: `28296`	—	$1,099	$3,446	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,034	$3,372	0.3×
Behavioral health day treatment HCPCS Code: `H0010`	—	$1,043	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$1,043	$364	unverified
Inguinal hernia repair CPT Code: `49505`	—	$1,008	$3,629	0.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$980	$2,540	0.4×
Breast lump removal CPT Code: `19120`	—	$862	$3,875	0.2×
Trauma team activation HCPCS Code: `G0390`	—	$704	$1,453	0.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$464	$1,256	0.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$391	$855	0.5×
Psychological testing by technician CPT Code: `96138`	—	—	$395	—
Residential mental health treatment HCPCS Code: `H2036`	—	—	$406	—
Colonoscopy (diagnostic) CPT Code: `45378`	—	$363	$981	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$337	$987	0.3×
Rabies immune globulin HCPCS Code: `90375`	—	$280	$322	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$263	$511	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$272	$1,021	0.3×
Blood transfusion CPT Code: `36430`	—	$244	$498	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$214	$448	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$180	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$174	$303	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	—	$167	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	—	$169	$343	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$184	$583	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
Mental health services (therapy) HCPCS Code: `H0032`	—	$142	$65	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	—	$133	$86	1.5×
MRI, knee or other leg joint CPT Code: `73721`	—	$151	$369	0.4×
Care planning with family CPT Code: `90887`	—	$121	$107	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$138	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$143	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$146	$185	0.8×
Mental health services (assessment) HCPCS Code: `H0031`	—	$114	$140	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$107	$134	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$119	$157	0.8×
Ultrasound, pelvis CPT Code: `76856`	—	$94	$130	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	—	$88	$123	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$93	$132	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$102	$148	0.7×
CT scan, pelvis CPT Code: `72192`	—	$109	$163	0.7×
Family therapy session CPT Code: `90847`	—	$113	$173	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	—	$108	$167	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$127	$258	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$82	$35	2.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$84	$38	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$84	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$86	$40	2.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$103	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$103	$123	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$80	$126	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$99	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$100	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$100	$169	0.6×
CT scan, sinuses CPT Code: `70486`	—	$90	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$109	$231	0.5×
CT scan, head (with contrast) CPT Code: `70460`	—	$113	$242	0.5×
Review of medical records for care CPT Code: `90889`	—	—	$114	—
Speech therapy (group session) CPT Code: `92508`	—	$80	$27	3.0×
CT scan, head (no contrast) CPT Code: `70450`	—	$85	$160	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$325	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$181	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Behavioral health living support HCPCS Code: `H2019`	—	$66	$34	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$88	$111	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$39	$14	2.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$62	$39	1.6×
Culture, bacterial CPT Code: `87070`	—	$21	$9	2.3×
Culture, blood CPT Code: `87040`	—	$25	$11	2.3×
X-ray, lower back CPT Code: `72110`	—	$46	$112	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$12	$6	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$35	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$8	$3	2.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$19	$8	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$26	$11	2.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$9	$4	2.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$9	$4	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$20	$9	2.2×
Blood test, potassium CPT Code: `84132`	—	$11	$5	2.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$9	$5	1.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$32	$20	1.6×
Physical therapy (gait training) CPT Code: `97116`	—	$47	$33	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$49	$38	1.3×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$69	$88	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$42	$33	1.3×
Orthotic fitting and training CPT Code: `97760`	—	$54	$51	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$70	$87	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$43	$35	1.2×
Blood test, hemoglobin CPT Code: `85018`	—	$5	$3	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$29	$18	1.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$28	$25	1.1×
Prosthetic fitting and training CPT Code: `97761`	—	$42	$45	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$16	$16	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	—	$29	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$20	$25	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$39	$56	0.7×
Blood antibody screen CPT Code: `86850`	—	$30	$46	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	—	$31	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	—	$30	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$30	$49	0.6×
Psychological testing evaluation CPT Code: `96136`	—	$45	$128	0.4×
Community mental health services HCPCS Code: `H0038`	—	$9	$16	0.6×
X-ray, chest (two views) CPT Code: `71046`	—	$31	$93	0.3×
X-ray, hip CPT Code: `73502`	—	$30	$93	0.3×
Group therapy session CPT Code: `90853`	—	$29	$100	0.3×
X-ray, ankle CPT Code: `73610`	—	$24	$93	0.3×
X-ray, hand CPT Code: `73130`	—	$23	$93	0.2×
X-ray, foot CPT Code: `73630`	—	$22	$92	0.2×
X-ray, pelvis CPT Code: `72170`	—	$26	$110	0.2×
X-ray, shoulder CPT Code: `73030`	—	$21	$92	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$14	$64	0.2×
Behavioral health day program HCPCS Code: `H2012`	—	$20	$100	0.2×
X-ray, chest (single view) CPT Code: `71045`	—	$18	$92	0.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	unverified

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.2%

Audit a Bill or Quote at Henry County Health Center (Zero PHI Required)

CMS CCN: 161356

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,073

1. Amount on Your Bill or Quote ($) Pre-filled with Henry County Health 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 501(r) AGB Cap: $31,387 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $31,387

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.2% of gross = $31,387).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Henry County Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$29,400 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($60,175) is $29,400 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 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 (52.2% 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 Recommend70%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait93 min

Left ER Before Seen1%

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 Henry County Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-11-26·administrative_or_closure
Closure Notice
Recorded
2024-09-11·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (66 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 Henry County Health Center.

Price Index: 0.65× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-58.5%

Elap

+70.2%

Humana

+83.3%

Median Household Income$64,604U.S. Census ACS

Local Uninsured Share4.5%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 72/100 · Corroborated CMS CCN 161356

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161356) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filehenrycounty

Publication / Vintage2026-06-04 · 210.28 MB

Validated Rate Rows5,004 (CMS v3.0.0)

File Integrity Digest53a4591cb89522d2cd18…

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