Orange City Area Health System
1000 Lincoln Circle Se, Orange City, IA 51041 · 100 Priced Procedures · 89% Patient Recommendation
Typical commercial prices here are 30% below the fair benchmark (0.70×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 0.70× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Orange City Area Health System maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.57× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 1.08× 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 30% below peer Fair BaseRate (0.70×)
- Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (83/100 safety score) with 89% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.70× 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 0.57× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.08×) jump +89% above the median procedure ratio (Q50 0.57×)
- Unnegotiated chargemaster list prices average 4.1× Medicare (29¢ 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 Orange City Area Health System
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
Audit a Bill or Quote at Orange City Area Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,787
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.8% of gross = $5,787).
Self-Pay Cash Rate ($9,897) Beats Your Bill
Orange City Area Health System's published 45 CFR § 180 self-pay cash rate is $9,897 (vs. $9,897 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (46.8% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Orange City Area Health System. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-03-18·administrative_or_closure
Met Requirements
Recorded - 2023-12-06·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (159 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 Orange City Area Health System.
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.