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

Keokuk County Health Center in Sigourney, IA currently has 66 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Keokuk County Health Center's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 3/16/2026

Keokuk County Health Center

23019 Highway 149, Sigourney, IA 52591 · 66 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.99×vs. Fair Market Price

Typical commercial prices here are +99% above the fair benchmark (1.99×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 38% of the Time

File Completeness56

Price Logic45

Peer Alignment83

Clean Billing32

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Keokuk County Health Center concentrates commercial margin in outpatient surgical suites (3.5× Medicare) and specialty drug infusions (3.2× Medicare) relative to routine diagnostics (2.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#77 of 87 in IA · 87th State Percentile#3,067 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.44× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 38% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% 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 3.5× markup over Medicare rates
Commercial insurance median sits at 2.00× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 3.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 8.1× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.8× Medicare

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

Back-Door Captive & ER0.32× Divergence

0.9× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 1.44× · Q50 2.00× · Q75 2.28×

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

2.8× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.5× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

4.1× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

5.5× MedicareWatchout

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

3.2× MedicareElevated

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

38% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Keokuk 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 66 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$1,987	$2,853	$1,021	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,095	$1,330	$583	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,345	$1,041	$511	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,055	$875	$160	5.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,224	$875	$242	3.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,131	$875	$303	2.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,268	$875	$448	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$833	$756	$338	2.2×
MRI, brain (no contrast) CPT Code: `70551`	$838	$756	$343	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$872	$756	$369	2.0×
Ultrasound, pelvis CPT Code: `76856`	$354	$413	$130	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$472	$413	$134	3.1×
Blood transfusion CPT Code: `36430`	$394	$396	$498	0.8×
CT scan, pelvis CPT Code: `72192`	$1,104	$328	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,145	$328	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,203	$328	$167	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,308	$328	$168	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,233	$328	$169	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$343	$270	$126	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$312	$270	$132	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$192	$222	$86	2.6×
Screening mammogram (both breasts) CPT Code: `77067`	$184	$216	$123	1.8×
X-ray, chest (single view) CPT Code: `71045`	$96	$134	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$141	$134	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$208	$134	$93	1.4×
X-ray, hand CPT Code: `73130`	$153	$134	$93	1.4×
X-ray, hip CPT Code: `73502`	$155	$134	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$141	$134	$110	1.2×
X-ray, lower back CPT Code: `72110`	$169	$134	$112	1.2×
Physical therapy (gait training) CPT Code: `97116`	$65	$92	$33	2.8×
X-ray, shoulder CPT Code: `73030`	$81	$81	$92	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$88	$88	$34	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$167	$167	$11	15.2×
Blood test, vitamin D CPT Code: `82306`	$188	$188	$31	6.1×
Blood test, basic metabolic panel CPT Code: `80048`	$121	$121	$9	13.4×
Blood test, liver function panel CPT Code: `80076`	$107	$107	$9	11.9×
Culture, blood CPT Code: `87040`	$124	$124	$11	11.3×
Blood test, lipase CPT Code: `83690`	$79	$79	$7	11.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$104	$104	$14	7.4×
Blood test, amylase CPT Code: `82150`	$71	$71	$7	10.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$81	$81	$8	10.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$104	$104	$14	7.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$95	$95	$19	5.0×
Blood test, magnesium CPT Code: `83735`	$54	$54	$7	7.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$67	$10	6.7×
Hepatitis C antibody test CPT Code: `86803`	$92	$92	$15	6.1×
Blood test, vitamin B12 CPT Code: `82607`	$92	$92	$16	5.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$88	$88	$18	4.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$95	$95	$20	4.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$102	$78	$64	1.2×
X-ray, foot CPT Code: `73630`	$77	$77	$92	0.8×
X-ray, ankle CPT Code: `73610`	$74	$74	$93	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	8.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$50	$6	8.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$36	$5	7.2×
Occupational therapy (self-care training) CPT Code: `97535`	$50	$50	$38	1.3×
Blood antibody screen CPT Code: `86850`	$45	$49	$46	1.1×
Blood test, calcium CPT Code: `82310`	$58	$58	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	unverified
Blood test, potassium CPT Code: `84132`	$42	$42	$5	unverified
Blood test, sodium CPT Code: `84295`	$45	$45	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$41	$4	unverified
Speech therapy (group session) CPT Code: `92508`	$35	$35	$27	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$55	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$50	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$50	$50	$40	unverified

Showing top 25 high-impact procedures of 66 total

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

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

CMS CCN: 161315

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $1,987

Insurer Median $2,853

1. Amount on Your Bill or Quote ($) Pre-filled with Keokuk 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 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 $852 Paying Cash

Self-Pay Cash Rate ($1,987) Beats Your Bill

Keokuk County Health Center's published 45 CFR § 180 self-pay cash rate is $1,987 (vs. $2,853 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,818 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($2,839) is $1,818 above the denoised Fair BaseRate ($1,021) and 3.2× the $877 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 Keokuk County Health Center 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 Composite65/100

Left ER Before Seen0%

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

2026-04-02·administrative_or_closure
Closure Notice
Recorded
2026-03-13·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare. 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 Keokuk County Health Center.

Price Index: 1.15× regional baseline

Quality: 57/100 CMS composite

Median Household Income$60,856U.S. Census ACS

Local Uninsured Share3.3%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 61/100 · Caution CMS CCN 161315

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 161315) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/16/2026

Validated Rate Rows416 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161315

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