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

Regional Medical Center in Manchester, IA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2/20/2026

Regional Medical Center

709 W Main Street, Manchester, IA 52057 · 114 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

52/100 · Caution

52/100Self-Pay Cash Beats Insurance 100% of the Time

File Completeness60

Price Logic0

Peer Alignment65

Clean Billing57

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Regional Medical Center prices shoppable and inpatient services (5.4× to 4.1× Medicare, divergence 0.76×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in IAU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 100% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (5.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 6.1× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

5.4× Medicare

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

Back-Door Captive & ER0.76× Divergence

4.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

5.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.4× MedicareGood

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

100% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$13,386	$13,386	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$12,796	$12,796	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,050	$9,050	$6,109	1.5×
C-section delivery (full package) CPT Code: `59510`	$5,529	$5,529	$2,975	unverified
Inguinal hernia repair CPT Code: `49505`	$5,380	$5,380	$3,629	1.5×
Vaginal delivery (full package) CPT Code: `59400`	$4,984	$4,984	$2,680	1.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,758	$4,758	$3,372	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$4,367	$4,367	$2,540	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,195	$4,195	$511	8.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,256	$3,256	$981	3.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,219	$3,219	$448	7.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,842	$2,842	$338	8.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,842	$2,842	$343	8.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,842	$2,842	$369	7.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,435	$2,435	$303	8.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,858	$1,858	$1,256	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,740	$1,740	$169	10.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,743	$1,743	$258	6.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,612	$1,612	$242	6.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,441	$1,441	$168	8.6×
Trauma team activation HCPCS Code: `G0390`	$1,443	$1,443	$1,453	1.0×
Breast lump removal CPT Code: `19120`	$1,323	$1,323	$3,875	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,244	$1,244	$160	7.8×
CT scan, pelvis CPT Code: `72192`	$1,249	$1,249	$163	7.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,208	$1,208	$86	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,094	$1,094	$167	6.6×
CT scan, sinuses CPT Code: `70486`	$1,080	$1,080	$166	6.5×
Rabies immune globulin HCPCS Code: `90375`	$852	$852	$322	2.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$821	$821	$272	unverified
Blood transfusion CPT Code: `36430`	$734	$734	$498	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$705	$705	$134	unverified
Group therapy session CPT Code: `90853`	$630	$630	$100	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$588	$588	$583	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$511	$511	$987	0.5×
Ultrasound, pelvis CPT Code: `76856`	$503	$503	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$488	$488	$148	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$450	$450	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$450	$450	$126	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$400	$400	$1,021	0.4×
X-ray, lower back CPT Code: `72110`	$388	$388	$112	unverified
X-ray, shoulder CPT Code: `73030`	$354	$354	$92	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$310	$310	$93	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$322	$322	$123	unverified
Family therapy session CPT Code: `90847`	$332	$332	$173	unverified
X-ray, hand CPT Code: `73130`	$273	$273	$93	unverified
X-ray, hip CPT Code: `73502`	$269	$269	$93	unverified
X-ray, ankle CPT Code: `73610`	$263	$263	$93	unverified
X-ray, foot CPT Code: `73630`	$268	$268	$92	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$258	$258	$181	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$198	$198	$151	1.3×
X-ray, chest (single view) CPT Code: `71045`	$208	$208	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$220	$220	$93	unverified
X-ray, pelvis CPT Code: `72170`	$186	$186	$110	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$181	$181	$185	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$185	$185	$86	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$150	$150	$166	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$172	$172	$64	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$138	$138	$35	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$147	$147	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$143	$143	$123	unverified
Physical therapy (gait training) CPT Code: `97116`	$116	$116	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$116	$116	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$116	$40	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$90	$90	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$94	$94	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$92	$92	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$106	$106	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$106	$106	$45	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$99	$99	$87	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$80	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$485	$485	$347	1.4×
Drug screening test HCPCS Code: `G0480`	$256	$256	$116	unverified
Blood test, vitamin D CPT Code: `82306`	$150	$150	$31	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$122	$122	$11	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$118	$118	$19	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$132	$132	$203	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$106	$106	$18	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$118	$118	$20	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$80	$80	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$86	$86	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$82	$82	$9	unverified
Blood test, vitamin B12 CPT Code: `82607`	$103	$103	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$94	$94	$14	unverified
Blood test, lipase CPT Code: `83690`	$67	$67	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$88	$88	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$107	$107	$111	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$111	$111	$140	unverified
Culture, blood CPT Code: `87040`	$74	$74	$11	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$38	$3	unverified
Blood test, amylase CPT Code: `82150`	$40	$40	$7	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$63	$10	unverified
Blood test, calcium CPT Code: `82310`	$34	$34	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	unverified
Blood test, magnesium CPT Code: `83735`	$44	$44	$7	unverified
Culture, bacterial CPT Code: `87070`	$61	$61	$9	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$60	$60	$39	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$73	$73	$201	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$56	$56	$35	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$26	$4	unverified
Blood test, potassium CPT Code: `84132`	$30	$30	$5	unverified
Blood test, sodium CPT Code: `84295`	$30	$30	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	unverified
Blood antibody screen CPT Code: `86850`	$46	$46	$46	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	$65	$56	unverified
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$29	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$38	$6	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$20	$20	$25	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$27	$27	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$24	$49	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$47	$47	$33	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	unverified

Showing top 25 high-impact procedures of 114 total

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

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

CMS CCN: 161343

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $13,386

Insurer Median $13,386

1. Amount on Your Bill or Quote ($) Pre-filled with Regional 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 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 $3,346 Paying Cash

Self-Pay Cash Rate ($13,386) Beats Your Bill

Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $13,386 (vs. $13,386 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,319 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($16,732) is $3,319 above the denoised Fair BaseRate ($13,413) and 1.3× the $13,117 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Regional Medical Center 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

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait147 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

Source: CMS Hospital Care Compare (175 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 Regional Medical Center.

Price Index: 1.69× regional baseline

Quality: 71/100 CMS composite

Median Household Income$76,205U.S. Census ACS

Local Uninsured Share4.0%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 52/100 · Caution CMS CCN 161343

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161343) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage2/20/2026 · 35.94 MB

Validated Rate Rows10 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161343

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