How many shoppable procedure prices are published for Van Buren County Hospital?

Van Buren County Hospital in Keosauqua, IA currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Van Buren County Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-20

Van Buren County Hospital

304 Franklin Street, Keosauqua, IA 52565 · 105 Priced Procedures · 88% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 39% of the Time

File Completeness95

Price Logic76

Peer Alignment66

Clean Billing91

Real Cash Discount100

Premium Quality Tier

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Van Buren County Hospital prices routine shoppable procedures at 1.9× Medicare (median 0.99× Fair BaseRate) while upper-quartile commercial rates jump +52% to 1.50× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#46 of 87 in IA · 51st State Percentile#1,886 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 39% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 88% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.16× 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 0.99× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.50×) jump +52% above the median procedure ratio (Q50 0.99×)
Unnegotiated chargemaster list prices average 8.0× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.53× Divergence

1.0× Medicare

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

Quantile Tail Spread+52% Upper Tail

Q25 0.93× · Q50 0.99× · Q75 1.50×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.6× MedicareGood

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

39% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Van Buren County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$4,347	$4,347	$322	13.5×
Total knee replacement CPT Code: `27447`	$4,200	$4,200	$13,523	0.3×
C-section delivery (full package) CPT Code: `59510`	$5,594	$3,369	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	$4,683	$3,033	$2,680	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,315	$1,081	$6,109	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,940	$985	$511	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$814	$876	$583	1.5×
Inguinal hernia repair CPT Code: `49505`	$1,401	$859	$3,629	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,461	$809	$160	5.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,555	$809	$242	3.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,767	$809	$258	3.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,225	$809	$303	2.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,532	$809	$448	1.8×
Breast lump removal CPT Code: `19120`	$1,305	$757	$3,875	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,396	$704	$338	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,596	$704	$343	2.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,396	$704	$369	1.9×
Blood transfusion CPT Code: `36430`	$480	$420	$498	0.8×
Ultrasound, pelvis CPT Code: `76856`	$640	$364	$130	2.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$768	$364	$134	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,204	$364	$272	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,366	$383	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,183	$352	$981	0.4×
CT scan, pelvis CPT Code: `72192`	$1,767	$304	$163	1.9×
CT scan, sinuses CPT Code: `70486`	$1,245	$304	$166	1.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,767	$304	$167	1.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,767	$304	$168	1.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,767	$304	$169	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,747	$263	$987	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$579	$234	$126	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$253	$234	$132	1.8×
Family therapy session CPT Code: `90847`	$520	$240	$173	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$190	$202	$86	2.3×
Group therapy session CPT Code: `90853`	$570	$144	$100	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$234	$160	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$389	$154	$181	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$127	$127	$123	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$171	$117	$123	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$127	$127	$148	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$136	$136	$201	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$97	$97	$38	2.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$97	$97	$40	2.4×
X-ray, chest (single view) CPT Code: `71045`	$110	$101	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$171	$101	$92	1.1×
X-ray, foot CPT Code: `73630`	$200	$101	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$206	$101	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$303	$101	$93	1.1×
X-ray, hand CPT Code: `73130`	$205	$101	$93	1.1×
X-ray, hip CPT Code: `73502`	$182	$101	$93	1.1×
X-ray, ankle CPT Code: `73610`	$200	$101	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$186	$101	$110	0.9×
X-ray, lower back CPT Code: `72110`	$365	$101	$112	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$185	$99	$110	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$345	$105	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	$311	$353	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$156	$201	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$115	$114	$116	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$78	$78	$14	5.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$212	$73	$25	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$77	$77	$35	2.2×
Physical therapy (gait training) CPT Code: `97116`	$74	$72	$33	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$74	$74	$34	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$74	$38	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$72	$38	1.9×
Prosthetic fitting and training CPT Code: `97761`	$78	$78	$45	1.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$195	$73	$64	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$110	$79	$87	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$95	$98	$111	0.9×
Blood test, vitamin D CPT Code: `82306`	$59	$59	$31	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$83	$83	$140	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$38	$37	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$47	$51	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$40	$35	$39	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$54	$48	$56	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$135	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$46	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$72	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$63	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$99	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$50	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$63	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$79	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$91	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$84	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$66	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$64	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$112	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$89	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$74	$6	$7	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$21	$25	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$25	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$56	$10	$46	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$8	$8	$49	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$6	$6	$48	0.1×

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 64.0%

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

CMS CCN: 161337

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $4,347

Insurer Median $4,347

1. Amount on Your Bill or Quote ($) Pre-filled with Van Buren 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 501(r) AGB Cap: $3,975 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,975

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.0% of gross = $3,975).

Step 2 · Cash vs. Insurance Arbitrage Save $1,864 Paying Cash

Self-Pay Cash Rate ($4,347) Beats Your Bill

Van Buren County Hospital's published 45 CFR § 180 self-pay cash rate is $4,347 (vs. $4,347 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,889 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($6,211) is $5,889 above the denoised Fair BaseRate ($322) and 22.6× the $275 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: 426037829

Filing Period: 200103

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 (64.0% 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 Composite73/100

Would Recommend88%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait142 min

Left ER Before Seen0%

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 Van Buren County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-10·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (25 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 Van Buren County Hospital.

Price Index: 1.03× regional baseline

Quality: 61/100 CMS composite

Median Household Income$60,183U.S. Census ACS

Local Uninsured Share12.2%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 85/100 · Corroborated CMS CCN 161337 EIN 426037829

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161337) ↗ Verify IRS Form 990 (EIN 426037829) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-20 · 8.99 MB

Validated Rate Rows1,159 (CMS v3.0.0)

File Integrity Digesta216898e91337486cf45…

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