How many shoppable procedure prices are published for Methodist Jennie Edmundson?

Methodist Jennie Edmundson in Council Bluffs, IA currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Methodist Jennie Edmundson's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Methodist Jennie Edmundson's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Methodist Jennie Edmundson's CMS Care Compare overall star rating?

CMS Care Compare assigns Methodist Jennie Edmundson an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 127 Beds · urban Updated: 2026-02-15

Methodist Jennie Edmundson

933 East Pierce Street, Council Bluffs, IA 51503 · 105 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.55×vs. Fair Market Price

Typical commercial prices here are +55% above the fair benchmark (1.55×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 76% of the Time

File Completeness61

Price Logic69

Peer Alignment81

Clean Billing79

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.55× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Methodist Jennie Edmundson maintains elevated commercial insurance contracts (1.55× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 76% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#65 of 87 in IA · 73rd State Percentile#2,702 of 3,385 in U.S. · 79th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 76% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.55× 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 1.67× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.05×) jump +23% above the median procedure ratio (Q50 1.67×)
Unnegotiated chargemaster list prices average 8.1× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.81× Divergence

1.7× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 1.16× · Q50 1.67× · Q75 2.05×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

1.6× MedicareGood

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

76% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Methodist Jennie Edmundson

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

Sort:

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`	—	$21,501	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,350	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,514	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,629	$8,223	1.0×
Total hip replacement CPT Code: `27130`	$2,286	$7,619	$13,413	0.6×
Total knee replacement CPT Code: `27447`	$2,286	$7,619	$13,523	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,456	$6,177	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$2,139	$3,706	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,711	$3,421	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$1,711	$3,421	$3,446	1.0×
Breast lump removal CPT Code: `19120`	$1,711	$3,421	$3,875	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,881	$2,163	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,396	$2,163	$981	unverified
Trauma team activation HCPCS Code: `G0390`	$917	$1,636	$1,453	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$898	$1,530	$855	1.8×
Colonoscopy with biopsy CPT Code: `45380`	$728	$1,456	$1,256	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,394	$1,333	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,285	$1,285	$322	4.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,238	$1,266	$1,021	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,255	$1,255	$151	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$684	$1,229	$583	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,658	$1,068	$448	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$730	$1,035	$242	unverified
Blood transfusion CPT Code: `36430`	$1,053	$823	$498	1.7×
CT scan, pelvis CPT Code: `72192`	$549	$708	$163	unverified
CT scan, sinuses CPT Code: `70486`	$518	$667	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$601	$494	$167	3.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,145	$505	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$900	$514	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$900	$514	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$900	$521	$369	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$345	$452	$272	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$806	$426	$258	1.7×
Ultrasound, pelvis CPT Code: `76856`	$256	$359	$130	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$640	$286	$168	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$640	$286	$169	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$146	$251	$126	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$119	$244	$123	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$257	$236	$134	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$543	$258	$160	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$139	$260	$87	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$176	$209	$132	1.6×
Family therapy session CPT Code: `90847`	$109	$218	$173	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$114	$229	$185	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$91	$182	$110	1.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$88	$153	$64	2.4×
Speech therapy (language evaluation) CPT Code: `92507`	$111	$176	$86	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$100	$200	$148	1.4×
X-ray, foot CPT Code: `73630`	$141	$171	$92	1.9×
X-ray, shoulder CPT Code: `73030`	$162	$168	$92	1.8×
X-ray, hand CPT Code: `73130`	$162	$168	$93	1.8×
X-ray, ankle CPT Code: `73610`	$162	$168	$93	1.8×
X-ray, chest (single view) CPT Code: `71045`	$77	$154	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$95	$155	$93	1.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$94	$180	$201	0.9×
X-ray, hip CPT Code: `73502`	$92	$153	$93	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$76	$152	$123	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$97	$117	$93	1.3×
Group therapy session CPT Code: `90853`	$62	$124	$100	1.2×
X-ray, pelvis CPT Code: `72170`	$93	$124	$110	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$60	$85	$35	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$54	$84	$40	2.1×
Orthotic fitting and training CPT Code: `97760`	$53	$97	$51	1.9×
X-ray, lower back CPT Code: `72110`	$90	$121	$112	1.1×
Prosthetic fitting and training CPT Code: `97761`	$46	$85	$45	1.9×
Blood test, vitamin D CPT Code: `82306`	$110	$110	$31	3.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$61	$11	5.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$45	$79	$38	2.1×
Culture, bacterial CPT Code: `87070`	$45	$45	$9	5.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$50	$50	$14	3.6×
Physical therapy (gait training) CPT Code: `97116`	$44	$68	$33	2.1×
Drug screening test HCPCS Code: `G0480`	$26	$84	$116	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$36	$10	3.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$50	$14	3.6×
Blood test, vitamin B12 CPT Code: `82607`	$56	$56	$16	3.5×
Speech therapy (group session) CPT Code: `92508`	$42	$60	$27	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$77	$38	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$48	$68	$34	2.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$57	$67	$86	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$23	$5	4.6×
Blood test, lipase CPT Code: `83690`	$26	$26	$7	3.7×
Blood test, sodium CPT Code: `84295`	$18	$18	$5	3.6×
Blood test, magnesium CPT Code: `83735`	$25	$25	$7	3.6×
Blood test, potassium CPT Code: `84132`	$17	$17	$5	3.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$27	$27	$8	3.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$18	$6	3.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$41	$18	2.3×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$66	$38	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$24	$39	$19	2.1×
Flu vaccine injection HCPCS Code: `G0008`	$29	$59	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$56	$49	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$19	$19	$3	6.3×
Blood test, liver function panel CPT Code: `80076`	$30	$30	$9	3.3×
Blood test, amylase CPT Code: `82150`	$20	$20	$7	2.9×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$25	$9	2.8×
Blood antibody screen CPT Code: `86850`	$42	$42	$46	0.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$13	$5	2.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$10	$4	2.5×
Culture, blood CPT Code: `87040`	$27	$27	$11	2.5×
Hepatitis C antibody test CPT Code: `86803`	$34	$34	$15	2.3×
Blood test, hemoglobin CPT Code: `85018`	$14	$7	$3	2.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$9	$9	$4	2.3×
Blood test, calcium CPT Code: `82310`	$10	$10	$5	2.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$5	$5	$49	unverified

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.6%

Audit a Bill or Quote at Methodist Jennie Edmundson (Zero PHI Required)

CMS CCN: 160047

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $21,501

1. Amount on Your Bill or Quote ($) Pre-filled with Methodist Jennie Edmundson’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: $18,897 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $18,897

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.6% of gross = $18,897).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Methodist Jennie Edmundson'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 +$32,515 Above Fair BaseRate

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

Your bill ($51,602) is $32,515 above the denoised Fair BaseRate ($19,087) and 3.7× 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 (36.6% 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.

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 Composite70/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait149 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

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 Methodist Jennie Edmundson. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (917 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Methodist Jennie Edmundson.

Price Index: 1.12× regional baseline

Quality: 66/100 CMS composite

Median Household Income$71,446U.S. Census ACS

Local Uninsured Share4.8%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 76/100 · Corroborated CMS CCN 160047

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 160047) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-15

Validated Rate Rows3,707 (CMS v3.0.0)

File Integrity DigestVerified · CCN 160047

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