How many shoppable procedure prices are published for Kossuth Regional Health Center?

Kossuth Regional Health Center in Algona, IA currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kossuth Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kossuth Regional Health Center's median negotiated commercial rate is 4.3× the regionally adjusted fair BaseRate benchmark.

What is Kossuth Regional Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Kossuth Regional Health Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 24 Beds · rural Updated: 2026-07-16

Kossuth Regional Health Center

1515 South Phillips Street, Algona, IA 50511 · 109 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

High Markup · Shop Alternatives

4.32×vs. Fair Market Price

Typical commercial prices here are +332% above the fair benchmark (4.32×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness85

Price Logic43

Peer Alignment70

Clean Billing78

Real Cash Discount100

High Price · Lower Safety

1-Star CMS clinical quality rating paired with 4.32× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Kossuth Regional Health Center prices routine shoppable procedures near 4.1× Medicare (p50 2.77×) while skewing captive emergency, lab, and upper-quartile codes to 10.6× Medicare (p75 7.86×, +184% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#87 of 87 in IA · 98th State Percentile#3,379 of 3,385 in U.S. · 99th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.63× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 82% patient recommendation (73/100 safety score)
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 (4.32× 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.
Captive ER (1.5×) & laboratory (5.3×) services average 2.59× higher multiples than routine shoppable care (4.1×)
Upper-quartile procedures (Q75 7.86×) jump +184% above the median procedure ratio (Q50 2.77×)
Unnegotiated chargemaster list prices average 7.9× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.1× Medicare

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

Back-Door Captive & ER2.59× Divergence

10.6× Medicare

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

Quantile Tail Spread+184% Upper Tail

Q25 1.63× · Q50 2.77× · Q75 7.86×

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

4.1× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.3× MedicareWatchout

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

1.4× MedicareGood

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

45% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 73/100Fair

Procedure Prices at Kossuth Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	$19,432	—
Cataract surgery with lens implant CPT Code: `66984`	$4,570	$4,336	$2,540	unverified
C-section delivery (full package) CPT Code: `59510`	$3,740	$3,802	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$3,386	$3,432	$2,680	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,951	$2,800	$511	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,691	$2,553	$1,021	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,603	$2,470	$448	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,569	$2,437	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,569	$2,437	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,569	$2,437	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,322	$2,203	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,913	$1,815	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,687	$1,601	$169	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,702	$1,560	$6,109	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,624	$1,541	$168	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,610	$1,528	$583	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,499	$1,422	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,490	$1,413	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,490	$1,413	$167	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,458	$1,384	$242	unverified
CT scan, pelvis CPT Code: `72192`	$1,394	$1,323	$163	unverified
Inguinal hernia repair CPT Code: `49505`	$1,173	$1,242	$3,629	0.3×
Breast lump removal CPT Code: `19120`	$2,962	$991	$3,875	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,794	$996	$1,256	unverified
Blood transfusion CPT Code: `36430`	$884	$839	$498	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,044	$830	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,424	$724	$987	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$699	$663	$134	unverified
Group therapy session CPT Code: `90853`	$612	$650	$100	unverified
Ultrasound, pelvis CPT Code: `76856`	$528	$501	$130	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$890	$433	$272	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$464	$440	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$434	$412	$126	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$392	$372	$148	unverified
X-ray, lower back CPT Code: `72110`	$360	$342	$112	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$279	$297	$123	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$330	$287	$181	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$226	$240	$86	2.8×
Family therapy session CPT Code: `90847`	$260	$261	$173	1.5×
X-ray, shoulder CPT Code: `73030`	$260	$228	$92	2.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$250	$237	$93	unverified
X-ray, hip CPT Code: `73502`	$266	$253	$93	unverified
X-ray, foot CPT Code: `73630`	$262	$217	$92	2.4×
X-ray, ankle CPT Code: `73610`	$235	$216	$93	2.3×
X-ray, hand CPT Code: `73130`	$235	$206	$93	2.2×
X-ray, chest (two views) CPT Code: `71046`	$214	$203	$93	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$206	$194	$123	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$215	$209	$166	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$203	$216	$185	1.2×
X-ray, chest (single view) CPT Code: `71045`	$225	$213	$92	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$180	$170	$110	1.5×
X-ray, pelvis CPT Code: `72170`	$178	$169	$110	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$150	$160	$34	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$128	$127	$35	3.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$178	$142	$87	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$88	$94	$14	6.7×
Physical therapy (gait training) CPT Code: `97116`	$86	$91	$33	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$94	$101	$38	2.7×
Occupational therapy (self-care training) CPT Code: `97535`	$88	$94	$38	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$90	$95	$40	2.4×
Orthotic fitting and training CPT Code: `97760`	$105	$111	$51	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$114	$108	$64	1.7×
Prosthetic fitting and training CPT Code: `97761`	$76	$81	$45	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Typhoid vaccine HCPCS Code: `90675`	$1,134	$1,091	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$340	$200	$203	1.0×
Blood test, amylase CPT Code: `82150`	$194	$170	$7	24.3×
Drug screening test HCPCS Code: `G0480`	$158	$146	$116	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$157	$149	$11	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$160	$152	$19	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$160	$152	$20	unverified
Blood test, liver function panel CPT Code: `80076`	$127	$121	$9	13.4×
Blood test, vitamin D CPT Code: `82306`	$144	$137	$31	4.4×
Culture, bacterial CPT Code: `87070`	$110	$96	$9	10.7×
Blood test, basic metabolic panel CPT Code: `80048`	$98	$93	$9	10.3×
Blood antibody screen CPT Code: `86850`	$100	$95	$46	2.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$260	$120	$111	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$102	$97	$14	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$117	$111	$14	unverified
Blood test, lipase CPT Code: `83690`	$108	$102	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$126	$120	$18	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$95	$85	$56	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$113	$107	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$123	$116	$15	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$106	$100	$27	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$60	$57	$3	19.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$58	$55	$4	13.8×
Blood test, vitamin B12 CPT Code: `82607`	$82	$78	$16	4.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$69	$73	$38	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$90	$85	$10	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$78	$74	$6	unverified
Blood test, potassium CPT Code: `84132`	$50	$48	$5	9.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$47	$5	9.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$46	$5	9.2×
Blood test, magnesium CPT Code: `83735`	$58	$54	$7	7.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	$51	$61	$33	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$57	$35	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$94	$56	$37	1.5×
Psychological testing by technician CPT Code: `96138`	$85	$75	$395	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$34	$25	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$47	$37	$39	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$31	$37	$48	0.8×
Blood test, calcium CPT Code: `82310`	$62	$58	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$57	$54	$4	unverified
Blood test, sodium CPT Code: `84295`	$62	$58	$5	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$16	$23	$49	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$111	$19	$201	0.1×
Blood test, hemoglobin CPT Code: `85018`	$38	$36	$3	unverified
Culture, blood CPT Code: `87040`	$146	$60	$11	unverified

Showing top 25 high-impact procedures of 109 total

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

Audit a Bill or Quote at Kossuth Regional Health Center (Zero PHI Required)

CMS CCN: 161353

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $22,347

1. Amount on Your Bill or Quote ($) Pre-filled with Kossuth Regional 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Kossuth Regional 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 Target: $19,432 Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).

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 Kossuth Regional 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

CMS Overall1/5 Stars (1/5)

Safety Composite73/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)92%

Median ER Wait94 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Kossuth Regional Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded
2024-03-07·administrative_or_closure
Met Requirements
Recorded
2023-12-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (93 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 Kossuth Regional Health Center.

Price Index: 1.11× regional baseline

Quality: 37/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Sanford Health Plan

-62.3%

Blue Cross Blue Shield

-43.8%

Amerigroup

+79.6%

Molina

+90.0%

Median Household Income$65,656U.S. Census ACS

Local Uninsured Share3.9%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 73/100 · Corroborated CMS CCN 161353

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161353) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-16 · 27.91 MB

Validated Rate Rows1,555 (CMS v3.0.0)

File Integrity Digest72d397df4b5fa0997e9a…

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