Mercyone Centerville Medical Center
One St Joseph's Drive, Centerville, IA 52544 · 111 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are 26% below the fair benchmark (0.74×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Mercyone Centerville Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.76× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 26% below peer Fair BaseRate (0.74×)
- Self-pay cash beats commercial insurance on 15% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (70/100 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 (33.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.74× 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 (0.6×) & laboratory (2.3×) services average 2.00× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 0.93×) jump +22% above the median procedure ratio (Q50 0.76×)
- Unnegotiated chargemaster list prices average 8.5× Medicare (17¢ 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 Mercyone Centerville Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,695 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,797 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,528 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $6,002 | 5.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,637 | 12.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,549 | 10.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $5,004 | 13.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,696 | 15.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,998 | 11.8× |
| Trauma team activation HCPCS Code: G0390 | $3,875 | 2.7× |
| Inguinal hernia repair CPT Code: 49505 | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $3,534 | 10.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | — | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $3,149 | 20.9× |
| Total hip replacement CPT Code: 27130 | $2,858 | 0.2× |
| Total knee replacement CPT Code: 27447 | $2,835 | 0.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,688 | 10.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,334 | 13.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,317 | 13.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,218 | 13.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,105 | 13.2× |
| CT scan, pelvis CPT Code: 72192 | $1,986 | 12.2× |
| CT scan, sinuses CPT Code: 70486 | $1,962 | 11.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,444 | 1.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,451 | 0.2× |
Audit a Bill or Quote at Mercyone Centerville Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $19,108
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.6% of gross = $19,108).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Mercyone Centerville Medical Center's published 45 CFR § 180 self-pay cash rate is $91,385 (vs. $23,695 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($56,868) is $37,436 above the denoised Fair BaseRate ($19,432) and 4.0× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (33.6% 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
Source: CMS Hospital Care Compare (56 completed HCAHPS patient surveys). 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 Mercyone Centerville Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.