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

Wayne County Hospital in Corydon, IA currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Wayne County Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-06-10

Wayne County Hospital

417 South East Street, Corydon, IA 50060 · 109 Priced Procedures · 91% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.05×vs. Fair Market Price

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness50

Price Logic72

Peer Alignment69

Clean Billing84

Real Cash Discount6

Regional Benchmark Tier

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Wayne County Hospital prices routine shoppable procedures near 0.9× Medicare (p50 0.92×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.54×, +67% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#39 of 87 in IA · 43rd State Percentile#1,511 of 3,385 in U.S. · 44th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.49× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 91% 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)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (0.6×) & laboratory (1.9×) services average 1.78× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.54×) jump +67% above the median procedure ratio (Q50 0.92×)
Unnegotiated chargemaster list prices average 7.2× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.78× Divergence

1.6× Medicare

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

Quantile Tail Spread+67% Upper Tail

Q25 0.49× · Q50 0.92× · Q75 1.54×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

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

0.6× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Wayne County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$37,395	$18,682	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,744	$12,744	$19,087	0.7×
Rabies immune globulin HCPCS Code: `90375`	$9,897	$9,897	$322	30.7×
C-section delivery (full package) CPT Code: `59510`	$5,580	$3,532	$2,975	1.2×
Vaginal delivery (full package) CPT Code: `59400`	$4,099	$2,488	$2,680	0.9×
Total hip replacement CPT Code: `27130`	$5,649	$2,430	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$6,033	$2,426	$13,523	0.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$1,519	$1,519	$8,223	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,864	$1,179	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,120	$947	$3,372	0.3×
Inguinal hernia repair CPT Code: `49505`	$1,987	$937	$3,629	0.3×
Bunion correction surgery CPT Code: `28296`	$3,579	$899	$3,446	0.3×
Breast lump removal CPT Code: `19120`	$1,376	$837	$3,875	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,480	$605	$1,021	0.6×
Blood transfusion CPT Code: `36430`	$411	$411	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,901	$408	$511	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,386	$397	$583	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$385	$385	$86	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,898	$357	$1,256	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,658	$305	$448	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,591	$328	$981	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,696	$299	$303	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,847	$235	$160	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,995	$255	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,295	$265	$258	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$266	$238	$123	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$3,579	$250	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,745	$250	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,733	$240	$369	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,390	$246	$987	0.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$154	$154	$38	4.1×
Speech therapy (language evaluation) CPT Code: `92507`	$537	$177	$86	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,297	$160	$272	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$126	$35	3.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$126	$126	$38	3.3×
Physical therapy (gait training) CPT Code: `97116`	$106	$106	$33	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$116	$40	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	$127	$110	$38	2.9×
Prosthetic fitting and training CPT Code: `97761`	$121	$121	$45	2.7×
Orthotic fitting and training CPT Code: `97760`	$131	$131	$51	2.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$534	$143	$134	1.1×
CT scan, pelvis CPT Code: `72192`	$1,789	$148	$163	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,978	$147	$167	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$151	$93	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$354	$116	$110	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,869	$141	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,881	$141	$169	0.8×
CT scan, sinuses CPT Code: `70486`	$2,041	$125	$166	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$387	$97	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$703	$96	$132	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$625	$94	$148	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,772	$1,772	$347	5.1×
Pneumococcal vaccine HCPCS Code: `90732`	$458	$458	$140	unverified
Drug screening test HCPCS Code: `G0480`	$376	$173	$116	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$729	$127	$203	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$520	$79	$123	0.6×
Ultrasound, pelvis CPT Code: `76856`	$327	$78	$130	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$61	$46	$25	1.8×
Blood test, vitamin D CPT Code: `82306`	$215	$51	$31	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$271	$56	$35	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$115	$21	$14	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$43	$43	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$43	$43	$49	0.9×
X-ray, chest (two views) CPT Code: `71046`	$160	$45	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$220	$45	$93	0.5×
X-ray, hip CPT Code: `73502`	$228	$45	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$264	$43	$92	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$216	$17	$11	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$42	$42	$49	0.9×
X-ray, chest (single view) CPT Code: `71045`	$104	$42	$92	0.5×
X-ray, hand CPT Code: `73130`	$239	$42	$93	0.5×
X-ray, ankle CPT Code: `73610`	$239	$42	$93	0.5×
X-ray, foot CPT Code: `73630`	$220	$41	$92	0.4×
X-ray, lower back CPT Code: `72110`	$327	$48	$112	0.4×
X-ray, pelvis CPT Code: `72170`	$202	$42	$110	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$95	$62	$201	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$8	$4	2.0×
Blood test, hemoglobin CPT Code: `85018`	$23	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$79	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$9	$5	1.8×
Blood test, potassium CPT Code: `84132`	$67	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$50	$9	$5	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$198	$15	$9	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$5	$3	1.7×
Blood test, amylase CPT Code: `82150`	$70	$11	$7	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$135	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$96	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$93	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$157	$25	$16	1.6×
Blood test, liver function panel CPT Code: `80076`	$123	$14	$9	1.6×
Culture, bacterial CPT Code: `87070`	$59	$14	$9	1.6×
Hepatitis C antibody test CPT Code: `86803`	$144	$23	$15	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$170	$27	$18	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$79	$9	$6	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$185	$28	$19	1.5×
Culture, blood CPT Code: `87040`	$129	$16	$11	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$185	$29	$20	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$76	$14	$10	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$43	$7	$5	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$67	$31	$25	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$131	$39	$34	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$78	$31	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$114	$31	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$199	$31	$56	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$139	$27	$64	0.4×
Blood antibody screen CPT Code: `86850`	$90	$14	$46	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$340	$31	$111	0.3×

Showing top 25 high-impact procedures of 109 total

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

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

CMS CCN: 161358

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $37,395

Insurer Median $18,682

1. Amount on Your Bill or Quote ($) Pre-filled with Wayne 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 Published Cash: $37,395

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Wayne County Hospital's published 45 CFR § 180 self-pay cash rate is $37,395 (vs. $18,682 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$17,963 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($37,395) is $17,963 above the denoised Fair BaseRate ($19,432) and 2.7× the $14,044 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 Wayne 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 Composite67/100

Would Recommend91%

Rated 9 or 10 (HCAHPS)90%

Median ER Wait149 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.5%

CMS Price Transparency Administrative Enforcement Log

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

2024-12-23·administrative_or_closure
Closure Notice
Recorded
2024-09-17·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (86 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 Wayne County Hospital.

Price Index: 0.43× regional baseline

Quality: 56/100 CMS composite

Median Household Income$59,118U.S. Census ACS

Local Uninsured Share12.5%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 58/100 · Caution CMS CCN 161358

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161358) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-10 · 11.71 MB

Validated Rate Rows656 (CMS v3.0.0)

File Integrity DigestVerified · CCN 161358

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