How many shoppable procedure prices are published for Story County Hospital?

Story County Hospital in Nevada, IA currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Story County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Story County Hospital's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 17 Beds · urban Updated: 3/30/2026

Story County Hospital

640 South 19Th Street, Nevada, IA 50201 · 101 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.04×vs. Fair Market Price

Typical commercial prices here are +104% above the fair benchmark (2.04×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 47% of the Time

File Completeness56

Price Logic45

Peer Alignment64

Clean Billing87

Real Cash Discount97

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +67% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Story County Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.80× Fair BaseRate) while upper-quartile commercial rates jump +67% to 3.01× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#78 of 87 in IA · 88th State Percentile#3,096 of 3,385 in U.S. · 91st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 47% of shoppable procedures (97/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.04× 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 1.80× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.01×) jump +67% above the median procedure ratio (Q50 1.80×)
Consolidated metro market (HHI 9,131) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.48× Divergence

1.1× Medicare

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

Quantile Tail Spread+67% Upper Tail

Q25 0.87× · Q50 1.80× · Q75 3.01×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

0.9× MedicareGood

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

47% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Story County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$4,740	$4,740	$1,021	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,026	$3,783	$511	7.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,784	$3,784	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,426	$3,426	$303	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,891	$2,891	$338	8.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,202	$2,753	$583	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,566	$2,566	$343	7.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,529	$2,529	$6,109	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,840	$1,840	$258	7.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,487	$1,859	$369	5.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,737	$1,737	$242	7.2×
CT scan, sinuses CPT Code: `70486`	$1,699	$1,699	$166	10.2×
CT scan, pelvis CPT Code: `72192`	$1,714	$1,714	$163	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,628	$1,628	$167	9.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,628	$1,628	$168	9.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,628	$1,628	$169	9.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,582	$1,582	$160	9.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,327	$1,327	$272	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$957	$957	$134	unverified
Rabies immune globulin HCPCS Code: `90375`	$560	$642	$322	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$662	$662	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$656	$656	$126	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,556	$619	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$1,357	$611	$3,446	0.2×
Blood transfusion CPT Code: `36430`	$457	$571	$498	1.1×
Ultrasound, pelvis CPT Code: `76856`	$543	$543	$130	4.2×
Inguinal hernia repair CPT Code: `49505`	$1,228	$464	$3,629	0.1×
Total hip replacement CPT Code: `27130`	$484	$484	$13,413	0.0×
Total knee replacement CPT Code: `27447`	$485	$485	$13,523	0.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$260	$325	$93	3.5×
X-ray, lower back CPT Code: `72110`	$279	$349	$112	3.1×
X-ray, chest (two views) CPT Code: `71046`	$241	$301	$93	3.2×
X-ray, hand CPT Code: `73130`	$230	$288	$93	3.1×
X-ray, foot CPT Code: `73630`	$224	$280	$92	3.0×
X-ray, ankle CPT Code: `73610`	$224	$280	$93	3.0×
X-ray, shoulder CPT Code: `73030`	$218	$272	$92	3.0×
X-ray, chest (single view) CPT Code: `71045`	$212	$265	$92	2.9×
Speech therapy (language evaluation) CPT Code: `92507`	$192	$240	$86	2.8×
X-ray, pelvis CPT Code: `72170`	$177	$221	$110	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$186	$232	$185	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$157	$196	$181	1.1×
X-ray, hip CPT Code: `73502`	$136	$170	$93	1.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$141	$176	$166	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$791	$165	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,008	$179	$1,256	0.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$102	$127	$38	3.3×
Physical therapy (manual therapy) CPT Code: `97140`	$88	$110	$34	3.2×
Upper endoscopy with biopsy CPT Code: `43239`	$762	$124	$987	0.1×
Physical therapy (gait training) CPT Code: `97116`	$78	$98	$33	3.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$92	$35	2.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$77	$96	$38	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$64	$80	$38	2.1×
Orthotic fitting and training CPT Code: `97760`	$72	$90	$51	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$90	$95	$64	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$178	$109	$123	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$181	$90	$110	0.8×
Typhoid vaccine HCPCS Code: `90675`	$688	$688	$347	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$349	$436	$111	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$176	$176	$18	9.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$158	$198	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$111	$139	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$122	$153	$140	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$137	$171	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$78	$98	$37	2.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$83	$88	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$84	$105	$39	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$70	$40	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	$50	$62	$49	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$60	$75	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$126	$60	$87	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$60	$67	$201	0.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$87	$87	$20	unverified
Hepatitis C antibody test CPT Code: `86803`	$60	$60	$15	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$17	$3	5.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$18	$4	4.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$22	$6	3.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$14	$4	3.5×
Blood test, lipase CPT Code: `83690`	$24	$24	$7	3.4×
Blood test, calcium CPT Code: `82310`	$17	$17	$5	3.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$26	$26	$8	3.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$32	$32	$10	3.2×
Blood antibody screen CPT Code: `86850`	$45	$57	$46	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$27	$27	$9	3.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$33	$33	$11	3.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$42	$14	3.0×
Blood test, liver function panel CPT Code: `80076`	$26	$26	$9	2.9×
Blood test, vitamin B12 CPT Code: `82607`	$46	$46	$16	2.9×
Flu vaccine injection HCPCS Code: `G0008`	$33	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$42	$49	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$59	$59	$14	unverified
Blood test, sodium CPT Code: `84295`	$16	$16	$5	3.2×
Blood test, magnesium CPT Code: `83735`	$22	$22	$7	3.1×
Blood test, potassium CPT Code: `84132`	$15	$15	$5	3.0×
Blood test, hemoglobin CPT Code: `85018`	$9	$9	$3	3.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$15	$5	3.0×
Blood test, amylase CPT Code: `82150`	$20	$20	$7	2.9×
Culture, blood CPT Code: `87040`	$27	$27	$11	2.5×
Culture, bacterial CPT Code: `87070`	$22	$22	$9	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$12	$5	2.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$20	$25	$19	1.3×
Blood test, vitamin D CPT Code: `82306`	$18	$23	$31	0.7×

Showing top 25 high-impact procedures of 101 total

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

Audit a Bill or Quote at Story County Hospital (Zero PHI Required)

CMS CCN: 161333

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $4,740

Insurer Median $4,740

1. Amount on Your Bill or Quote ($) Pre-filled with Story County Hospital’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 $1,185 Paying Cash

Self-Pay Cash Rate ($4,740) Beats Your Bill

Story County Hospital's published 45 CFR § 180 self-pay cash rate is $4,740 (vs. $4,740 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,904 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($5,925) is $4,904 above the denoised Fair BaseRate ($1,021) and 6.8× the $877 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 Story County Hospital 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

Safety Composite69/100

Median ER Wait103 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Story County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-12-18·administrative_or_closure
Closure Notice
Recorded
2025-09-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Story County Hospital.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Median Household Income$69,006U.S. Census ACS

Local Uninsured Share4.6%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 161333

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 161333) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/30/2026

Validated Rate Rows1,989 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161333

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