How many shoppable procedure prices are published for Mercyone Clinton Medical Center?

Mercyone Clinton Medical Center in Clinton, IA currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercyone Clinton Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercyone Clinton Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Mercyone Clinton Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercyone Clinton Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 107 Beds · rural Updated: 2026-03-31

Mercyone Clinton Medical Center

1410 North 4Th Street, Clinton, IA 52732 · 109 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 30% of the Time

File Completeness51

Price Logic41

Peer Alignment73

Clean Billing72

Real Cash Discount67

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.93× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Mercyone Clinton Medical Center prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#32 of 87 in IA · 35th State Percentile#846 of 3,385 in U.S. · 24th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 30% of shoppable procedures (67/100 Cash Honesty)
4-Star CMS clinical rating with 65% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.93× 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.
Commercial insurance median sits at 0.95× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.93× 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.
Consolidated metro market (HHI 9,481) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.79× · Q50 0.95× · Q75 0.98×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

0.8× MedicareGood

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

30% Cash Edge · 67/100Fair

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Mercyone Clinton Medical 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
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$22,917	$20,749	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$38,331	$20,608	$19,432	1.1×
Total hip replacement CPT Code: `27130`	$42,088	$13,117	$13,413	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,717	$8,677	$8,223	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,149	$3,149	$151	unverified
Total knee replacement CPT Code: `27447`	$2,821	$2,821	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$2,492	$2,492	$1,453	1.7×
Cataract surgery with lens implant CPT Code: `66984`	$11,667	$2,358	$2,540	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,451	$1,451	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,220	$1,220	$3,372	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Vaginal delivery (full package) CPT Code: `59400`	$6,388	$955	$2,680	0.4×
C-section delivery (full package) CPT Code: `59510`	$5,860	$775	$2,975	0.3×
Inguinal hernia repair CPT Code: `49505`	$764	$764	$3,629	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$2,810	$721	$855	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$730	$730	$1,256	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,996	$558	$583	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,785	$544	$1,021	0.5×
Rabies immune globulin HCPCS Code: `90375`	$3,214	$533	$322	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,864	$427	$369	1.2×
Blood transfusion CPT Code: `36430`	—	$451	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,538	$356	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,358	$356	$511	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$366	$224	$201	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$863	$244	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,090	$244	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,599	$244	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,944	$244	$343	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,064	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,090	$179	$258	0.7×
X-ray, chest (single view) CPT Code: `71045`	—	$195	$92	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$433	$143	$148	1.0×
X-ray, foot CPT Code: `73630`	$400	$136	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$89	$64	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$140	$100	$86	1.2×
X-ray, pelvis CPT Code: `72170`	$254	$107	$110	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$344	$116	$123	0.9×
X-ray, shoulder CPT Code: `73030`	$353	$89	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$335	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$89	$93	1.0×
X-ray, hand CPT Code: `73130`	$316	$89	$93	1.0×
X-ray, hip CPT Code: `73502`	$224	$89	$93	1.0×
X-ray, ankle CPT Code: `73610`	$334	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$585	$107	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$624	$107	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$796	$107	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$587	$107	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,084	$107	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,633	$107	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,780	$107	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,462	$107	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,877	$107	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,057	$107	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,035	$107	$169	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$104	$981	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$86	$86	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,334	$312	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$242	$176	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$414	$133	$140	0.9×
Orthotic fitting and training CPT Code: `97760`	$77	$73	$51	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$156	$91	$111	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$56	$40	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$209	$79	$123	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$53	$38	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$82	$24	$14	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	—	$46	$34	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$47	$35	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	—	$47	$38	1.2×
Blood antibody screen CPT Code: `86850`	$129	$53	$46	1.2×
Physical therapy (gait training) CPT Code: `97116`	—	$38	$33	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$75	$46	$56	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$180	$66	$110	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$49	$49	$35	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$118	$22	$20	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$89	$30	$39	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$141	$54	$87	0.6×
Blood test, calcium CPT Code: `82310`	—	$9	$5	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$57	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$145	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$71	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	—	$30	$31	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$100	$32	$37	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$42	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$175	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$109	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$191	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$255	$8	$9	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$71	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$51	$6	$7	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$81	$25	$33	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$30	$49	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$9	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$57	$27	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$57	$25	$48	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Culture, blood CPT Code: `87040`	—	—	$11	unverified
Culture, bacterial CPT Code: `87070`	—	—	$9	unverified

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.0%

Audit a Bill or Quote at Mercyone Clinton Medical Center (Zero PHI Required)

CMS CCN: 160080

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $22,917

Insurer Median $20,749

1. Amount on Your Bill or Quote ($) Pre-filled with Mercyone Clinton Medical 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 501(r) AGB Cap: $16,936 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $16,936

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.0% of gross = $16,936).

Step 2 · Cash vs. Insurance Arbitrage Save $26,881 Paying Cash

Self-Pay Cash Rate ($22,917) Beats Your Bill

Mercyone Clinton Medical Center's published 45 CFR § 180 self-pay cash rate is $22,917 (vs. $20,749 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$30,711 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($49,798) is $30,711 above the denoised Fair BaseRate ($19,087) and 3.5× the $14,117 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.0% 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.

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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait121 min

Left ER Before Seen2%

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 Mercyone Clinton Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-18·administrative_or_closure
Closure Notice
Recorded
2025-04-16·warning_notice
Warning Notice
Recorded
2023-07-24·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (390 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercyone Clinton Medical Center.

Price Index: 0.93× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Kaiser Permanente

-48.8%

Blue Cross Blue Shield

-44.1%

Medica

+77.7%

Median Household Income$65,177U.S. Census ACS

Local Uninsured Share5.0%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 59/100 · Caution CMS CCN 160080

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 160080) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows16,871 (CMS v3.0.0)

File Integrity DigestVerified · CCN 160080

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