Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

St Anthony Regional Hospital & Nursing Home

311 S CLARK ST, Carroll, IA 51401

CMS Overall Rating ★★☆☆☆
Factual Overview

St Anthony Regional Hospital & Nursing Home is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Carroll, IA. Mapped commercial insurance prices across 96 procedures average 2.13x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 78%.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: 78% High Patient Rating: 81% ER Wait Time (Med): 132 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 96 codes Avg Markup vs Medicare: 2.13x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
$1,180 Calc
Total hip replacement
CPT Code: 27130
$3,674 Calc
Total knee replacement
CPT Code: 27447
$3,670 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
$1,571 Calc
Blood transfusion
CPT Code: 36430
$1,488 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$16,252 Calc
Upper endoscopy with biopsy
CPT Code: 43239
$1,127 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
$1,065 Calc
Colonoscopy with biopsy
CPT Code: 45380
$1,380 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$71,063 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
$1,894 Calc
Inguinal hernia repair
CPT Code: 49505
$1,505 Calc
Vaginal delivery (full package)
CPT Code: 59400
$5,620 Calc
C-section delivery (full package)
CPT Code: 59510
$4,955 Calc
CT scan, head (no contrast)
CPT Code: 70450
$2,120 Calc
CT scan, head (with contrast)
CPT Code: 70460
$3,176 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
$2,754 Calc
CT scan, sinuses
CPT Code: 70486
$2,078 Calc
MRI, brain (no contrast)
CPT Code: 70551
$4,139 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
$6,896 Calc
X-ray, chest (single view)
CPT Code: 71045
$76 Calc
X-ray, chest (two views)
CPT Code: 71046
$97 Calc
CT scan, chest (no contrast)
CPT Code: 71250
$2,262 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
$113 Calc
X-ray, lower back
CPT Code: 72110
$144 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
$2,667 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
$2,458 Calc
MRI, lower back (no contrast)
CPT Code: 72148
$3,963 Calc
X-ray, pelvis
CPT Code: 72170
$343 Calc
CT scan, pelvis
CPT Code: 72192
$2,106 Calc
X-ray, shoulder
CPT Code: 73030
$99 Calc
X-ray, hand
CPT Code: 73130
$105 Calc
X-ray, hip
CPT Code: 73502
$135 Calc
X-ray, ankle
CPT Code: 73610
$105 Calc
X-ray, foot
CPT Code: 73630
$100 Calc
MRI, knee or other leg joint
CPT Code: 73721
$3,545 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$4,337 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$5,405 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
$332 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
$345 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
$257 Calc
Ultrasound, pelvis
CPT Code: 76856
$312 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
$533 Calc
Screening mammogram (both breasts)
CPT Code: 77067
$480 Calc
Blood test, basic metabolic panel
CPT Code: 80048
$13 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
$32 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
$20 Calc
Blood test, liver function panel
CPT Code: 80076
$25 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
$8 Calc
Blood test, amylase
CPT Code: 82150
$14 Calc
Blood test, vitamin D
CPT Code: 82306
$43 Calc
Blood test, calcium
CPT Code: 82310
$15 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
$12 Calc
Blood test, vitamin B12
CPT Code: 82607
$21 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
$20 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
$10 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
$15 Calc
Blood test, lipase
CPT Code: 83690
$16 Calc
Blood test, magnesium
CPT Code: 83735
$11 Calc
Blood test, potassium
CPT Code: 84132
$11 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
$28 Calc
Blood test, sodium
CPT Code: 84295
$11 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
$25 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
$10 Calc
Blood test, hemoglobin
CPT Code: 85018
$5 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
$18 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
$10 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
$10 Calc
Hepatitis C antibody test
CPT Code: 86803
$43 Calc
Blood antibody screen
CPT Code: 86850
$14 Calc
Culture, blood
CPT Code: 87040
$15 Calc
Culture, bacterial
CPT Code: 87070
$13 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$22,399 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
$154 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
$98 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
$145 Calc
Family therapy session
CPT Code: 90847
$107 Calc
Group therapy session
CPT Code: 90853
$137 Calc
Speech therapy (language evaluation)
CPT Code: 92507
$314 Calc
Speech therapy (group session)
CPT Code: 92508
$288 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
$43 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$147 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
$2,470 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
$559 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
$211 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
$134 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$135 Calc
Physical therapy (gait training)
CPT Code: 97116
$139 Calc
Physical therapy (manual therapy)
CPT Code: 97140
$136 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
$135 Calc
Occupational therapy (self-care training)
CPT Code: 97535
$146 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
$114 Calc
Orthotic fitting and training
CPT Code: 97760
$156 Calc
New patient office visit (30-44 min)
CPT Code: 99203
$176 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
$153 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
$216 Calc