Hospital Profile Critical Access Hospitals Government - Local

Madison County Health Care System

300 W HUTCHINGS ST, Winterset, IA 50273

CMS Overall Rating No CMS Rating

How this hospital's prices compare 107 procedures scored

0.9×

the fair BaseRate, typically

about the fair price

Across 107 shoppable procedures, Madison County Health Care System typically charges about the fair BaseRate for the procedures it prices. 30 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Occupational therapy (self-care training) fair $64 → $127 2.0×
Office visit, established patient (30-39 min) fair $116 → $221 1.9×
Office visit, established patient (20-29 min) fair $85 → $162 1.9×

How we calculate the BaseRate →

Madison County Health Care System publishes prices for 108 shoppable procedures in Winterset, IA. It's classified by CMS as Critical Access Hospitals (Government - Local). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 225

Patient Experience

Recommendation Rate: 91% High Patient Rating: 95% ER Wait Time (Med): 113 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 108 codes Typical vs Fair BaseRate: 0.9× Price File In Index: Yes MRF Version: 3.0.0

Prices at Madison County Health Care System

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Occupational therapy (self-care training) CPT Code: `97535`	$101	$127	$64	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$274	$221	$116	1.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$183	$162	$85	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$237	$195	$109	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,494	$1,094	$706	1.5×
Group therapy session CPT Code: `90853`	$314	$170	$129	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,774	$1,094	$835	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,396	$891	$776	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$82	$65	$57	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,303	$1,075	$960	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,921	$1,094	$982	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,640	$1,094	$1,080	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,642	$329	$327	1.0×
Inguinal hernia repair CPT Code: `49505`	$3,642	$727	$728	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,758	$375	$376	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$340	$218	$220	1.0×
Breast lump removal CPT Code: `19120`	$2,159	$575	$582	1.0×
Bunion correction surgery CPT Code: `28296`	$4,802	$766	$781	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$219	$232	$242	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,796	$1,032	$1,101	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$426	$218	$233	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$225	$135	$150	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,668	$1,032	$1,149	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$360	$218	$250	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,598	$247	$285	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,787	$1,032	$1,198	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,486	$505	$599	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,090	$1,295	$1,577	0.8×
CT scan, sinuses CPT Code: `70486`	$1,458	$505	$618	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,871	$505	$629	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,195	$1,094	$1,365	0.8×
Ultrasound, pelvis CPT Code: `76856`	$644	$318	$397	0.8×
CT scan, pelvis CPT Code: `72192`	$1,526	$505	$632	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,766	$505	$633	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$248	$232	$291	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$694	$318	$432	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$511	$201	$278	0.7×
Drug screening test HCPCS Code: `G0480`	$97	$108	$152	0.7×
Rabies immune globulin HCPCS Code: `90375`	$5,672	$613	$871	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$430	$201	$338	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,740	$436	$741	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$203	$65	$116	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$899	$318	$597	0.5×
X-ray, chest (single view) CPT Code: `71045`	$195	$62	$125	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$216	$68	$165	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,381	$218	$617	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$186	$19	$57	0.3×
X-ray, chest (two views) CPT Code: `71046`	$194	$18	$56	0.3×
Family therapy session CPT Code: `90847`	$360	$85	$271	0.3×
X-ray, shoulder CPT Code: `73030`	$263	$16	$53	0.3×
X-ray, lower back CPT Code: `72110`	$295	$22	$75	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$119	$4	$21	0.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$93	—	$78	—
Blood test, lipase CPT Code: `83690`	$123	—	$34	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$77	—	$37	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$45	—	$47	—
Blood test, liver function panel CPT Code: `80076`	$150	—	$51	—
Physical therapy (functional capacity test) CPT Code: `97750`	$102	—	$75	—
Blood test, thyroid (TSH) CPT Code: `84443`	$113	—	$52	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$238	—	$61	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$99	—	$77	—
Extended office visit (prolonged) HCPCS Code: `G2212`	$48	—	$57	—
Flu vaccine (high dose) HCPCS Code: `90656`	$48	—	$34	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$100	—	$50	—
Blood test, potassium CPT Code: `84132`	$26	—	$26	—
X-ray, foot CPT Code: `73630`	$162	—	$51	—
X-ray, hand CPT Code: `73130`	$178	—	$60	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	—	$23	—
Orthotic fitting and training CPT Code: `97760`	$95	—	$80	—
Blood test, hemoglobin CPT Code: `85018`	$38	—	$17	—
Blood test, vitamin B12 CPT Code: `82607`	$102	—	$57	—
Speech therapy (group session) CPT Code: `92508`	$271	—	$69	—
Culture, blood CPT Code: `87040`	$232	—	$51	—
Blood antibody screen CPT Code: `86850`	$80	—	$44	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$16	—	$51	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$32	—	$45	—
X-ray, ankle CPT Code: `73610`	$174	—	$56	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	—	$20	—
Blood transfusion CPT Code: `36430`	$402	—	$526	—
Blood test, basic metabolic panel CPT Code: `80048`	$151	—	$54	—
Hepatitis B vaccine HCPCS Code: `90744`	$43	—	$45	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$104	—	$61	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$15,918	—	$20,675	—
Hepatitis C antibody test CPT Code: `86803`	$85	—	$55	—
Blood test, magnesium CPT Code: `83735`	$67	—	$33	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$92	—	$76	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	—	$45	—
Prosthetic fitting and training CPT Code: `97761`	$69	—	$74	—
Blood test, calcium CPT Code: `82310`	$27	—	$26	—
Trauma team activation HCPCS Code: `G0390`	$1,510	—	—	—
X-ray, pelvis CPT Code: `72170`	$125	—	$45	—
Total knee replacement CPT Code: `27447`	$2,725	—	$1,615	—
Blood test, clotting time (PTT) CPT Code: `85730`	$53	—	$33	—
Culture, bacterial CPT Code: `87070`	$65	—	$45	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	—	$24	—
Blood test, sodium CPT Code: `84295`	$24	—	$26	—
Physical therapy (gait training) CPT Code: `97116`	$101	—	$65	—
Blood test, amylase CPT Code: `82150`	$74	—	$35	—
Flu vaccine injection HCPCS Code: `G0008`	$16	—	$42	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$90	—	$76	—
Blood test, creatinine (kidney) CPT Code: `82565`	$30	—	$26	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$89	—	$58	—
Blood test, vitamin D CPT Code: `82306`	$92	—	$72	—
Electrical stimulation therapy HCPCS Code: `G0283`	$85	—	$56	—
Physical therapy (manual therapy) CPT Code: `97140`	$105	—	$79	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$100	—	$58	—
Breathing treatment (nebulizer) CPT Code: `94640`	$106	—	$48	—
Diagnostic procedure preparation HCPCS Code: `G0279`	$40	—	$53	—