How many shoppable procedure prices are published for Montgomery County Memorial Hospital?

Montgomery County Memorial Hospital in Red Oak, IA currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Montgomery County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Montgomery County Memorial Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 04/01/2026

Montgomery County Memorial Hospital

2301 Eastern Avenue, Red Oak, IA 51566 · 90 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.31×vs. Fair Market Price

Typical commercial prices here are +31% above the fair benchmark (1.31×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 44% of the Time

File Completeness66

Price Logic35

Peer Alignment70

Clean Billing82

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Montgomery County Memorial Hospital maintains elevated commercial insurance contracts (1.31× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 44% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#51 of 87 in IA · 57th State Percentile#2,272 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.09× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 44% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 66% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.31× 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 1.18× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.61×) jump +36% above the median procedure ratio (Q50 1.18×)
Unnegotiated chargemaster list prices average 5.7× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.60× Divergence

0.9× Medicare

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

Quantile Tail Spread+36% Upper Tail

Q25 1.09× · Q50 1.18× · Q75 1.61×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

1.0× MedicareGood

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

44% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Montgomery County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$14,939	$14,939	$30,775	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,983	$8,983	$19,087	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$8,920	$8,920	$19,432	0.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$8,153	$8,153	$17,936	0.5×
C-section delivery (full package) CPT Code: `59510`	$5,296	$5,296	$2,975	1.8×
Rabies immune globulin HCPCS Code: `90375`	$5,021	$5,021	$322	15.6×
Vaginal delivery (full package) CPT Code: `59400`	$4,601	$4,601	$2,680	1.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,605	$3,605	$8,223	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,509	$3,509	$3,372	unverified
Total knee replacement CPT Code: `27447`	$3,360	$3,360	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$3,290	$3,290	$13,413	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,960	$2,960	$2,540	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,013	$2,767	$1,021	2.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,510	$2,510	$6,109	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,904	$1,904	$3,629	0.5×
Bunion correction surgery CPT Code: `28296`	$1,540	$1,540	$3,446	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,159	$1,159	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,014	$1,014	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$952	$952	$987	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,867	$761	$369	2.1×
Blood transfusion CPT Code: `36430`	$413	$454	$498	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$661	$394	$272	1.4×
Breast lump removal CPT Code: `19120`	$397	$397	$3,875	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$174	$174	$25	7.0×
New patient office visit (30-44 min) CPT Code: `99203`	$193	$193	$110	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$246	$198	$123	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$249	$208	$148	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$378	$194	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	$197	$197	$231	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$165	$165	$123	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$111	$111	$87	1.3×
X-ray, shoulder CPT Code: `73030`	$199	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$172	$109	$92	1.2×
X-ray, hand CPT Code: `73130`	$172	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$211	$109	$93	1.2×
X-ray, ankle CPT Code: `73610`	$173	$109	$93	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$81	$81	$38	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$102	$102	$86	1.2×
Typhoid vaccine HCPCS Code: `90675`	$765	$382	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$358	$382	$203	unverified
Culture, blood CPT Code: `87040`	$109	$109	$11	9.9×
Blood test, vitamin D CPT Code: `82306`	$123	$123	$31	4.0×
Blood test, lipase CPT Code: `83690`	$75	$75	$7	10.7×
Blood test, liver function panel CPT Code: `80076`	$84	$84	$9	9.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$88	$88	$11	8.0×
Blood test, amylase CPT Code: `82150`	$59	$59	$7	8.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$83	$14	5.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$97	$97	$18	5.4×
Blood test, vitamin B12 CPT Code: `82607`	$82	$82	$16	5.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$90	$90	$19	4.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$36	$36	$5	7.2×
Blood test, magnesium CPT Code: `83735`	$49	$49	$7	7.0×
Culture, bacterial CPT Code: `87070`	$60	$60	$9	6.7×
Blood test, basic metabolic panel CPT Code: `80048`	$56	$56	$9	6.2×
Hepatitis C antibody test CPT Code: `86803`	$80	$80	$15	5.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$74	$14	5.3×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$84	$37	2.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$82	$84	$39	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$55	$55	$34	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$90	$79	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$64	$84	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$242	$84	$140	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$32	$3	10.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$52	$52	$8	6.5×
Blood test, hemoglobin CPT Code: `85018`	$25	$25	$3	8.3×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	8.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$30	$4	7.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood test, sodium CPT Code: `84295`	$31	$31	$5	6.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$52	$52	$10	5.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$41	$41	$14	2.9×
Speech therapy (group session) CPT Code: `92508`	$55	$55	$27	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$59	$59	$38	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$61	$61	$40	1.5×
Physical therapy (gait training) CPT Code: `97116`	$41	$41	$33	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$43	$43	$35	1.2×
Blood antibody screen CPT Code: `86850`	$57	$50	$46	1.1×
Orthotic fitting and training CPT Code: `97760`	$50	$50	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$53	$53	$56	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$22	$5	4.4×
Occupational therapy (self-care training) CPT Code: `97535`	$40	$40	$38	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$28	$28	$33	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$37	$41	$49	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$25	$25	$49	0.5×
Drug screening test HCPCS Code: `G0480`	$46	$46	$116	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$28	$28	$86	unverified

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Montgomery County Memorial Hospital (Zero PHI Required)

CMS CCN: 161363

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $14,939

Insurer Median $14,939

1. Amount on Your Bill or Quote ($) Pre-filled with Montgomery County Memorial Hospital’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $6,403 Paying Cash

Self-Pay Cash Rate ($14,939) Beats Your Bill

Montgomery County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $14,939 (vs. $14,939 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Montgomery County Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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

Safety Composite69/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait112 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (70 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Montgomery County Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 55/100 CMS composite

Median Household Income$63,190U.S. Census ACS

Local Uninsured Share2.6%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 68/100 · Caution CMS CCN 161363

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 161363) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows346 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161363

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