How many shoppable procedure prices are published for Van Diest Medical Center?

Van Diest Medical Center in Webster City, IA currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Van Diest Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Van Diest Medical Center's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-02-05

Van Diest Medical Center

2350 Hospital Drive, Webster City, IA 50595 · 104 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.63×vs. Fair Market Price

Typical commercial prices here are 37% below the fair benchmark (0.63×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness85

Price Logic98

Peer Alignment65

Clean Billing71

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.63× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Van Diest Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.54× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 87 in IA · 2nd State Percentile#95 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 37% below peer Fair BaseRate (0.63×)
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 84% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.63× 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 0.54× Fair BaseRate (0.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.96×) jump +78% above the median procedure ratio (Q50 0.54×)
Unnegotiated chargemaster list prices average 5.3× Medicare (32¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER0.67× Divergence

0.4× Medicare

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

Quantile Tail Spread+78% Upper Tail

Q25 0.24× · Q50 0.54× · Q75 0.96×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

1.1× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Van Diest Medical Center

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
Sleep study (overnight, in lab) CPT Code: `95810`	$2,501	$2,501	$1,021	2.4×
Total hip replacement CPT Code: `27130`	$2,320	$2,320	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,320	$2,320	$13,523	0.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,936	$1,936	$448	4.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,488	$1,488	$303	4.9×
Bunion correction surgery CPT Code: `28296`	$2,456	$1,394	$3,446	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,303	$1,303	$258	5.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,152	$1,152	$168	6.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,150	$1,150	$169	6.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,070	$1,070	$583	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,019	$1,019	$511	2.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,776	$992	$6,109	0.2×
CT scan, sinuses CPT Code: `70486`	$944	$944	$166	5.7×
CT scan, pelvis CPT Code: `72192`	$917	$917	$163	5.6×
CT scan, chest (no contrast) CPT Code: `71250`	$910	$910	$167	5.4×
CT scan, head (with contrast) CPT Code: `70460`	$932	$932	$242	3.9×
MRI, brain (no contrast) CPT Code: `70551`	$951	$951	$343	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$820	$820	$369	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,453	$817	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,403	$785	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$1,299	$753	$3,875	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$727	$727	$160	4.5×
MRI, lower back (no contrast) CPT Code: `72148`	$714	$714	$338	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$661	$661	$272	2.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,073	$643	$1,256	0.5×
Blood transfusion CPT Code: `36430`	$590	$590	$498	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$908	$562	$987	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$839	$499	$981	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$423	$423	$134	3.2×
Ultrasound, pelvis CPT Code: `76856`	$367	$367	$130	2.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$302	$302	$126	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$315	$315	$132	2.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$268	$268	$148	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$242	$242	$123	2.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$239	$239	$151	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$178	$224	$185	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$290	$218	$181	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$184	$184	$86	2.1×
X-ray, lower back CPT Code: `72110`	$190	$190	$112	1.7×
X-ray, hand CPT Code: `73130`	$161	$161	$93	1.7×
Family therapy session CPT Code: `90847`	$142	$166	$173	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$179	$179	$201	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$119	$119	$35	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$116	$40	2.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$129	$129	$64	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$290	$146	$166	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$118	$118	$38	3.1×
X-ray, chest (two views) CPT Code: `71046`	$134	$134	$93	1.4×
Physical therapy (gait training) CPT Code: `97116`	$91	$91	$33	2.8×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$89	$34	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$86	$38	2.3×
Orthotic fitting and training CPT Code: `97760`	$105	$105	$51	2.1×
X-ray, hip CPT Code: `73502`	$130	$130	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$124	$124	$93	1.3×
X-ray, shoulder CPT Code: `73030`	$118	$118	$92	1.3×
X-ray, foot CPT Code: `73630`	$117	$117	$92	1.3×
X-ray, ankle CPT Code: `73610`	$117	$117	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$120	$120	$110	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$285	$117	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$286	$119	$123	1.0×
Prosthetic fitting and training CPT Code: `97761`	$83	$83	$45	1.8×
X-ray, chest (single view) CPT Code: `71045`	$92	$92	$92	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$298	$82	$87	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,234	$1,234	$347	3.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$259	$259	$203	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$158	$158	$11	14.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$157	$157	$111	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$182	$182	$140	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$113	$113	$9	12.6×
Hepatitis C antibody test CPT Code: `86803`	$94	$94	$15	6.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$119	$119	$19	6.3×
Blood test, liver function panel CPT Code: `80076`	$89	$89	$9	9.9×
Culture, blood CPT Code: `87040`	$86	$86	$11	7.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$88	$88	$14	6.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$87	$87	$14	6.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$110	$110	$18	6.1×
Blood test, vitamin D CPT Code: `82306`	$111	$111	$31	3.6×
Drug screening test HCPCS Code: `G0480`	$114	$114	$116	1.0×
Culture, bacterial CPT Code: `87070`	$82	$82	$9	9.1×
Blood test, vitamin B12 CPT Code: `82607`	$82	$82	$16	5.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$49	$5	9.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$51	$6	8.5×
Blood test, lipase CPT Code: `83690`	$58	$58	$7	8.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$64	$64	$8	8.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	8.3×
Blood test, calcium CPT Code: `82310`	$39	$39	$5	7.8×
Blood test, amylase CPT Code: `82150`	$51	$51	$7	7.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$68	$68	$14	4.9×
Blood antibody screen CPT Code: `86850`	$58	$58	$46	1.3×
Blood test, hemoglobin CPT Code: `85018`	$28	$28	$3	9.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	8.0×
Blood test, sodium CPT Code: `84295`	$37	$37	$5	7.4×
Blood test, magnesium CPT Code: `83735`	$51	$51	$7	7.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$62	$10	6.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$72	$72	$56	1.3×
Blood test, potassium CPT Code: `84132`	$35	$35	$5	7.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$34	$5	6.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$49	$39	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$46	$37	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$25	$25	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$36	$36	$48	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$51	$51	$86	0.6×
Group therapy session CPT Code: `90853`	$177	$43	$100	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	$12	$49	0.2×

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 70.0%

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

CMS CCN: 161361

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $2,501

Insurer Median $2,501

1. Amount on Your Bill or Quote ($) Pre-filled with Van Diest 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 501(r) AGB Cap: $2,188 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,188

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.0% of gross = $2,188).

Step 2 · Cash vs. Insurance Arbitrage Save $625 Paying Cash

Self-Pay Cash Rate ($2,501) Beats Your Bill

Van Diest Medical Center's published 45 CFR § 180 self-pay cash rate is $2,501 (vs. $2,501 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,105 Above Fair BaseRate

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

Your bill ($3,126) is $2,105 above the denoised Fair BaseRate ($1,021) and 3.6× 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) 501(c)(3) Nonprofit Hospital

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

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 (70.0% 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

CMS Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait104 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 Van Diest Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded
2024-08-16·administrative_or_closure
Closure Notice
Recorded
2024-07-09·cap_corrective_action
CAP Request
Recorded
2024-04-05·warning_notice
Warning Notice
Recorded
2023-01-24·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (117 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 Diest Medical Center.

Price Index: 1.14× regional baseline

Quality: 83/100 CMS composite

Median Household Income$71,750U.S. Census ACS

Local Uninsured Share4.3%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 161361

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161361) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileexport

Publication / Vintage2026-02-05 · 20.26 MB

Validated Rate Rows2,207 (CMS v3.0.0)

File Integrity Digestfe3ba69ecb65187c322b…

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.

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