How many shoppable procedure prices are published for Sartori Memorial Hospital, Inc?

Sartori Memorial Hospital, Inc in Cedar Falls, IA currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sartori Memorial Hospital, Inc's commercial prices compare to the fair BaseRate?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 35 Beds · urban Updated: 2026-03-31

Sartori Memorial Hospital, Inc

515 College Street, Cedar Falls, IA 50613 · 104 Priced Procedures · 80% 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.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness66

Price Logic26

Peer Alignment73

Clean Billing77

Real Cash Discount83

Premium Quality Tier

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Sartori Memorial Hospital, Inc prices routine shoppable procedures near 1.1× Medicare (p50 1.11×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.82×, +64% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#50 of 87 in IA · 56th State Percentile#2,271 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 21% of shoppable procedures (83/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 80% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (0.5×) & laboratory (2.0×) services average 1.82× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.82×) jump +64% above the median procedure ratio (Q50 1.11×)
Consolidated metro market (HHI 4,475) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.82× Divergence

2.0× Medicare

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

Quantile Tail Spread+64% Upper Tail

Q25 0.84× · Q50 1.11× · Q75 1.82×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

1.2× MedicareGood

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

21% Cash Edge · 83/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Sartori Memorial Hospital, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 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`	$13,969	$22,255	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$64,346	$22,099	$19,432	1.1×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,183	$8,932	$8,223	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,149	$3,149	$151	unverified
Total hip replacement CPT Code: `27130`	$2,825	$2,825	$13,413	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$14,975	$2,358	$2,540	unverified
Trauma team activation HCPCS Code: `G0390`	$1,559	$1,559	$1,453	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,220	$1,220	$3,372	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Injection procedure for pain management HCPCS Code: `G0260`	$1,565	$721	$855	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$730	$730	$1,256	0.6×
Rabies immune globulin HCPCS Code: `90375`	$3,214	$533	$322	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,907	$532	$369	1.4×
Blood transfusion CPT Code: `36430`	$740	$451	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,554	$356	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,315	$356	$511	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$918	$244	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,267	$244	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,125	$244	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,068	$244	$343	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$490	$255	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$304	$211	$123	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$176	$224	$201	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$585	$181	$185	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,788	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,914	$179	$258	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$179	$583	0.3×
X-ray, chest (single view) CPT Code: `71045`	—	$195	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$372	$118	$86	1.4×
X-ray, foot CPT Code: `73630`	$380	$111	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$501	$107	$110	1.0×
X-ray, chest (two views) CPT Code: `71046`	$164	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$164	$89	$93	1.0×
X-ray, hip CPT Code: `73502`	—	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$560	$107	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$471	$107	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$875	$107	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$471	$107	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$688	$107	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,043	$107	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$866	$107	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,609	$107	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,035	$107	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,609	$107	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,609	$107	$169	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$671	$104	$981	0.1×
X-ray, shoulder CPT Code: `73030`	$380	$111	$92	unverified
X-ray, hand CPT Code: `73130`	$380	$111	$93	unverified
X-ray, ankle CPT Code: `73610`	$380	$111	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$136	$64	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$376	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$156	$183	$203	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$153	$153	$20	7.7×
Pneumococcal vaccine HCPCS Code: `90732`	$414	$133	$140	0.9×
Culture, bacterial CPT Code: `87070`	$72	$72	$9	8.0×
Orthotic fitting and training CPT Code: `97760`	$85	$70	$51	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$83	$95	$111	0.9×
Blood test, vitamin D CPT Code: `82306`	$245	$60	$31	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$50	$38	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$88	$49	$38	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$42	$34	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$48	$49	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$207	$49	$123	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$72	$72	$35	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	$16	$6	2.7×
Blood test, lipase CPT Code: `83690`	$65	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$113	$37	$19	1.9×
Blood test, potassium CPT Code: `84132`	$37	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	—	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$16	$8	2.0×
Hepatitis C antibody test CPT Code: `86803`	$119	$29	$15	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$139	$34	$18	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$53	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$77	$44	$33	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$46	$35	1.3×
Blood antibody screen CPT Code: `86850`	$163	$53	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$35	$48	$48	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$48	$49	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$232	$40	$56	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$140	$31	$87	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$31	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$8	$4	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$111	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$65	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$17	$9	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$73	$30	$16	1.9×
Blood test, amylase CPT Code: `82150`	$54	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$36	$13	$7	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$9	$5	1.8×
Blood test, liver function panel CPT Code: `80076`	$72	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	—	$5	$3	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$62	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$100	$32	$37	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$79	$12	$14	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$35	$30	$39	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$41	$41	$86	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Culture, blood CPT Code: `87040`	—	—	$11	unverified

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.5%

Audit a Bill or Quote at Sartori Memorial Hospital, Inc (Zero PHI Required)

CMS CCN: 160040

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $13,969

Insurer Median $22,255

1. Amount on Your Bill or Quote ($) Pre-filled with Sartori Memorial Hospital, Inc’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: $12,552 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,552

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.5% of gross = $12,552).

Step 2 · Cash vs. Insurance Arbitrage Save $39,443 Paying Cash

Self-Pay Cash Rate ($13,969) Beats Your Bill

Sartori Memorial Hospital, Inc's published 45 CFR § 180 self-pay cash rate is $13,969 (vs. $22,255 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$34,325 Above Fair BaseRate

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

Your bill ($53,412) is $34,325 above the denoised Fair BaseRate ($19,087) and 3.8× 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)

EIN: 420758901

Filing Period: 196406

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 (23.5% 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

Safety Composite71/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait99 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Source: CMS Hospital Care Compare (97 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 Sartori Memorial Hospital, Inc.

Price Index: 1.10× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

+74.0%

Median Household Income$64,581U.S. Census ACS

Local Uninsured Share4.4%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 62/100 · Caution CMS CCN 160040 EIN 420758901

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 160040) ↗ Verify IRS Form 990 (EIN 420758901) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows10,553 (CMS v3.0.0)

File Integrity DigestVerified · CCN 160040

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