How many shoppable procedure prices are published for Washington County Hospital and Clinics?

Washington County Hospital and Clinics in Washington, IA currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Washington County Hospital and Clinics's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Washington County Hospital and Clinics's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 22 Beds · rural Updated: 2026-09-08

Washington County Hospital and Clinics

400 East Polk Street, Washington, IA 52353 · 106 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.72×vs. Fair Market Price

Typical commercial prices here are 28% below the fair benchmark (0.72×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 22% of the Time

File Completeness85

Price Logic51

Peer Alignment68

Clean Billing63

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Washington County Hospital and Clinics maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.87× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 87 in IA · 4th State Percentile#145 of 3,385 in U.S. · 4th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 28% below peer Fair BaseRate (0.72×)
Self-pay cash beats commercial insurance on 22% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 83% 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 (0.72× 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.
Captive ER (0.5×) & laboratory (1.1×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.87×) jump +18% above the median procedure ratio (Q50 0.74×)
Consolidated metro market (HHI 9,832) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 0.43× · Q50 0.74× · Q75 0.87×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× 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

1.1× MedicareGood

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

1.1× MedicareGood

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

22% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Washington County Hospital and Clinics

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 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`	$10,650	$10,650	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,603	$7,839	$8,223	1.0×
Total hip replacement CPT Code: `27130`	$2,381	$2,381	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,378	$2,378	$13,523	0.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,571	$1,571	$151	10.4×
Rabies immune globulin HCPCS Code: `90375`	$1,482	$1,482	$322	4.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,223	$1,081	$6,109	0.2×
Trauma team activation HCPCS Code: `G0390`	$1,050	$1,050	$1,453	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,008	$856	$3,372	0.3×
Inguinal hernia repair CPT Code: `49505`	$967	$859	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$836	$377	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,942	$351	$511	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$857	$334	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$719	$307	$981	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,046	$267	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,301	$254	$303	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,512	$267	$448	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$291	$291	$583	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,902	$228	$343	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,902	$221	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,902	$209	$369	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$743	$230	$987	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$237	$237	$1,021	0.2×
CT scan, sinuses CPT Code: `70486`	$1,151	$169	$166	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,303	$190	$258	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$236	$205	$35	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$253	$154	$148	1.0×
CT scan, pelvis CPT Code: `72192`	$1,151	$162	$163	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,151	$157	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,587	$144	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,151	$144	$169	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$254	$153	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,198	$167	$242	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$179	$118	$123	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$202	$113	$123	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$566	$121	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,151	$128	$160	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$248	$138	$181	0.8×
Family therapy session CPT Code: `90847`	$212	$116	$173	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$80	$40	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$86	$86	$86	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$151	$96	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$472	$103	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$331	$89	$126	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$353	$83	$132	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$164	$94	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$95	$95	$201	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$80	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$80	$80	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$880	$880	$347	2.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$245	$176	$203	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$122	$122	$16	7.6×
Blood test, vitamin D CPT Code: `82306`	$134	$134	$31	4.3×
Culture, blood CPT Code: `87040`	$122	$122	$11	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$85	$85	$6	14.2×
Blood test, lipase CPT Code: `83690`	$80	$80	$7	11.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$104	$104	$14	7.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$54	$54	$4	13.5×
Blood test, basic metabolic panel CPT Code: `80048`	$77	$77	$9	8.6×
Blood test, liver function panel CPT Code: `80076`	$77	$77	$9	8.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$77	$77	$11	7.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$87	$87	$14	6.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$93	$93	$20	4.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$80	$18	4.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$48	$3	16.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$54	$4	13.5×
Blood test, calcium CPT Code: `82310`	$65	$65	$5	13.0×
Blood test, potassium CPT Code: `84132`	$54	$54	$5	10.8×
Blood test, sodium CPT Code: `84295`	$54	$54	$5	10.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$76	$76	$8	9.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$75	$35	2.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$48	$48	$5	9.6×
Blood test, magnesium CPT Code: `83735`	$65	$65	$7	9.3×
Culture, bacterial CPT Code: `87070`	$76	$76	$9	8.4×
Physical therapy (manual therapy) CPT Code: `97140`	$71	$71	$34	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$59	$71	$37	1.9×
Orthotic fitting and training CPT Code: `97760`	$78	$78	$51	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$97	$71	$56	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$136	$75	$87	0.9×
Drug screening test HCPCS Code: `G0480`	$86	$86	$116	0.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$56	$56	$5	11.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$194	$71	$111	0.6×
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	10.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$46	$35	$39	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$46	$39	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$39	$49	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$163	$50	$64	0.8×
X-ray, hip CPT Code: `73502`	$155	$45	$93	0.5×
X-ray, lower back CPT Code: `72110`	$260	$48	$112	0.4×
Blood test, amylase CPT Code: `82150`	$72	$72	$7	unverified
Physical therapy (gait training) CPT Code: `97116`	$69	$69	$33	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$57	$36	$33	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$32	$20	$25	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$36	$49	0.7×
X-ray, chest (two views) CPT Code: `71046`	$172	$35	$93	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$149	$35	$93	0.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$60	$60	$10	unverified
Blood antibody screen CPT Code: `86850`	$114	$32	$46	0.7×
X-ray, shoulder CPT Code: `73030`	$155	$31	$92	0.3×
X-ray, chest (single view) CPT Code: `71045`	$140	$29	$92	0.3×
X-ray, hand CPT Code: `73130`	$147	$26	$93	0.3×
X-ray, ankle CPT Code: `73610`	$147	$26	$93	0.3×
X-ray, foot CPT Code: `73630`	$147	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$135	$28	$110	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$33	$33	$14	unverified

Showing top 25 high-impact procedures of 106 total

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

Audit a Bill or Quote at Washington County Hospital and Clinics (Zero PHI Required)

CMS CCN: 161344

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $10,650

Insurer Median $10,650

1. Amount on Your Bill or Quote ($) Pre-filled with Washington County Hospital and Clinics’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 $3,550 Paying Cash

Self-Pay Cash Rate ($10,650) Beats Your Bill

Washington County Hospital and Clinics's published 45 CFR § 180 self-pay cash rate is $10,650 (vs. $10,650 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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 Washington County Hospital and Clinics 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 Composite73/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait87 min

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 Washington County Hospital and Clinics. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-11·administrative_or_closure
Closure Notice
Recorded
2025-02-11·cap_corrective_action
CAP Request
Recorded
2024-10-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (73 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

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.49× regional baseline

Quality: 57/100 CMS composite

Median Household Income$71,339U.S. Census ACS

Local Uninsured Share7.2%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 72/100 · Corroborated CMS CCN 161344

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161344) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-08 · 28.83 MB

Validated Rate Rows1,408 (CMS v3.0.0)

File Integrity Digestc0f18ec31bea0ef976dc…

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