How many shoppable procedure prices are published for Myrtue Medical Center?

Myrtue Medical Center in Harlan, IA currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Myrtue Medical Center's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-04-21

Myrtue Medical Center

1213 Garfield Avenue, Harlan, IA 51537 · 96 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.82×vs. Fair Market Price

Typical commercial prices here are +82% above the fair benchmark (1.82×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness50

Price Logic53

Peer Alignment63

Clean Billing81

Real Cash Discount100

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 1.82× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +78% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Myrtue Medical Center prices routine shoppable procedures at 2.6× Medicare (median 1.57× Fair BaseRate) while upper-quartile commercial rates jump +78% to 2.80× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#72 of 87 in IA · 81st State Percentile#2,969 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.68× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (81/100 safety score) with 79% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (48.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.57× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.80×) jump +78% above the median procedure ratio (Q50 1.57×)
Unnegotiated chargemaster list prices average 9.3× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.35× Divergence

0.9× Medicare

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

Quantile Tail Spread+78% Upper Tail

Q25 0.68× · Q50 1.57× · Q75 2.80×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

0.9× MedicareGood

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

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 81/100Good

Procedure Prices at Myrtue Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 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`	$9,276	$9,276	$19,087	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,421	$4,421	$8,223	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,489	$2,161	$987	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,673	$1,673	$151	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,544	$1,295	$511	2.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,621	$1,171	$1,021	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,830	$1,094	$303	3.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,214	$1,094	$448	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,024	$1,094	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$994	$1,094	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,384	$1,094	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,054	$1,032	$338	3.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,054	$1,032	$343	3.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,054	$1,032	$369	2.8×
Rabies immune globulin HCPCS Code: `90375`	$1,409	$613	$322	1.9×
Trauma team activation HCPCS Code: `G0390`	$586	$586	$1,453	0.4×
CT scan, pelvis CPT Code: `72192`	$1,055	$505	$163	3.1×
CT scan, sinuses CPT Code: `70486`	$1,058	$505	$166	3.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,027	$505	$167	3.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,186	$505	$168	3.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,177	$505	$169	3.0×
Blood transfusion CPT Code: `36430`	$405	$405	$498	unverified
Ultrasound, pelvis CPT Code: `76856`	$487	$318	$130	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$487	$318	$134	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$676	$318	$272	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$255	$232	$123	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$251	$232	$148	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$392	$201	$126	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$487	$201	$132	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$152	$135	$86	1.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$173	$87	$25	3.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$84	$87	$64	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$333	$218	$203	1.1×
Typhoid vaccine HCPCS Code: `90675`	$786	$218	$347	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$122	$122	$11	11.1×
Blood test, basic metabolic panel CPT Code: `80048`	$97	$97	$9	10.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$122	$122	$14	8.7×
Culture, blood CPT Code: `87040`	$93	$93	$11	8.5×
Drug screening test HCPCS Code: `G0480`	$119	$108	$116	0.9×
Blood test, calcium CPT Code: `82310`	$70	$70	$5	14.0×
Blood test, magnesium CPT Code: `83735`	$81	$81	$7	11.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$55	$4	13.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$55	$55	$5	11.0×
Blood test, potassium CPT Code: `84132`	$55	$55	$5	11.0×
Blood test, liver function panel CPT Code: `80076`	$80	$80	$9	8.9×
Culture, bacterial CPT Code: `87070`	$80	$80	$9	8.9×
Blood test, vitamin B12 CPT Code: `82607`	$96	$96	$16	6.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$81	$81	$20	4.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$53	$3	17.7×
Blood test, sodium CPT Code: `84295`	$52	$52	$5	10.4×
Blood test, amylase CPT Code: `82150`	$64	$64	$7	9.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$53	$53	$6	8.8×
Blood test, lipase CPT Code: `83690`	$60	$60	$7	8.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$68	$8	8.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	5.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	$68	$14	4.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$63	$63	$18	3.5×
Blood test, vitamin D CPT Code: `82306`	$72	$72	$31	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$70	$34	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$68	$68	$35	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$67	$38	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$65	$37	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$68	$40	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$64	$64	$38	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$65	$39	1.7×
Prosthetic fitting and training CPT Code: `97761`	$67	$67	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$67	$67	$51	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$84	$65	$56	1.2×
X-ray, chest (single view) CPT Code: `71045`	$124	$62	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$157	$62	$92	0.7×
X-ray, foot CPT Code: `73630`	$157	$62	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$133	$62	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$181	$62	$93	0.7×
X-ray, hand CPT Code: `73130`	$157	$62	$93	0.7×
X-ray, hip CPT Code: `73502`	$153	$62	$93	0.7×
X-ray, ankle CPT Code: `73610`	$157	$62	$93	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$167	$65	$111	0.6×
X-ray, pelvis CPT Code: `72170`	$162	$62	$110	0.6×
X-ray, lower back CPT Code: `72110`	$245	$62	$112	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$204	$65	$140	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$63	$63	$14	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$35	$4	8.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$32	$5	6.4×
Flu vaccine injection HCPCS Code: `G0008`	$21	$35	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$35	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$35	$49	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$30	$30	$87	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$39	$39	$123	0.3×
Blood test, hemoglobin CPT Code: `85018`	$41	$41	$3	unverified
Blood antibody screen CPT Code: `86850`	$57	$57	$46	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$30	$30	$110	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$35	$25	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$54	$54	$201	unverified
Physical therapy (gait training) CPT Code: `97116`	$68	$68	$33	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$22	$22	$35	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$45	$45	$86	unverified

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 48.4%

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

CMS CCN: 161374

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $9,276

Insurer Median $9,276

1. Amount on Your Bill or Quote ($) Pre-filled with Myrtue 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: $7,741 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,741

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.4% of gross = $7,741).

Step 2 · Cash vs. Insurance Arbitrage Save $6,717 Paying Cash

Self-Pay Cash Rate ($9,276) Beats Your Bill

Myrtue Medical Center's published 45 CFR § 180 self-pay cash rate is $9,276 (vs. $9,276 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: $19,087 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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 (48.4% 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 Overall5/5 Stars (5/5)

Safety Composite81/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait59 min

Left ER Before Seen0%

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

2024-03-15·administrative_or_closure
Met Requirements
Recorded
2023-01-19·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (101 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

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

Price Index: 0.97× regional baseline

Quality: 83/100 CMS composite

Median Household Income$67,690U.S. Census ACS

Local Uninsured Share3.2%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 67/100 · Caution CMS CCN 161374

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161374) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-04-21 · 17.65 MB

Validated Rate Rows638 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161374

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