Loring Hospital
211 Highland Avenue Po Box 217, Sac City, IA 50583 · 76 Priced Procedures
Typical commercial prices here are +147% above the fair benchmark (2.47×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Loring Hospital prices routine shoppable procedures at 4.1× Medicare (median 2.33× Fair BaseRate) while upper-quartile commercial rates jump +30% to 3.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.79× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 41% of shoppable procedures (70/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (83.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 2.33× Fair BaseRate (4.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.03×) jump +30% above the median procedure ratio (Q50 2.33×)
- Unnegotiated chargemaster list prices average 5.7× Medicare (33¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Loring Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,120 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,541 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,137 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,718 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,367 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,115 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,775 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,763 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,706 | 2.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,666 | 4.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,666 | 4.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,633 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,598 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,514 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,388 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,358 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $724 | 2.7× |
| Blood transfusion CPT Code: 36430 | $668 | 1.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $444 | 3.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $375 | 3.0× |
| Ultrasound, pelvis CPT Code: 76856 | $378 | 2.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $396 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $337 | 2.6× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $353 | 2.4× |
| X-ray, lower back CPT Code: 72110 | $278 | 2.5× |
Audit a Bill or Quote at Loring Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,439
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (83.5% of gross = $3,439).
Self-Pay Cash Rate ($3,296) Beats Your Bill
Loring Hospital's published 45 CFR § 180 self-pay cash rate is $3,296 (vs. $4,120 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($4,120) is $3,099 above the denoised Fair BaseRate ($1,021) and 4.7× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (83.5% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Loring Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-27·warning_notice
Warning Notice
Recorded - 2025-02-13·administrative_or_closure
Closure Notice
Recorded - 2025-01-02·cap_corrective_action
CAP Request
Recorded - 2024-09-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Loring Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.