How many shoppable procedure prices are published for Winnmed?

Winnmed in Decorah, IA currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Winnmed's commercial prices compare to the fair BaseRate?

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

What is Winnmed's CMS Care Compare overall star rating?

CMS Care Compare assigns Winnmed an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-17

Winnmed

901 Montgomery Street, Decorah, IA 52101 · 120 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.61×vs. Fair Market Price

Typical commercial prices here are 39% below the fair benchmark (0.61×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness85

Price Logic61

Peer Alignment63

Clean Billing58

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.61× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Winnmed maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.47× Fair BaseRate) and emergency/ancillary services (1.3× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#2 of 87 in IA · 1st State Percentile#82 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 39% below peer Fair BaseRate (0.61×)
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (74/100 safety score)
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 (0.61× 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 (1.0×) & laboratory (1.1×) services average 1.86× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.97×) jump +106% above the median procedure ratio (Q50 0.47×)
Unnegotiated chargemaster list prices average 6.4× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.86× Divergence

1.3× Medicare

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

Quantile Tail Spread+106% Upper Tail

Q25 0.30× · Q50 0.47× · Q75 0.97×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× 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

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Winnmed

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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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`	$24,172	$24,172	$19,432	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,026	$11,026	$8,223	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$10,487	$10,487	$19,087	0.5×
Total hip replacement CPT Code: `27130`	$3,705	$3,705	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$3,705	$3,705	$13,523	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,822	$2,822	$1,021	2.8×
C-section delivery (full package) CPT Code: `59510`	$4,597	$2,512	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$4,176	$2,275	$2,680	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,851	$1,851	$6,109	0.3×
Trauma team activation HCPCS Code: `G0390`	$1,180	$1,180	$1,453	0.8×
Blood transfusion CPT Code: `36430`	$958	$1,129	$498	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$821	$821	$272	3.0×
Cataract surgery with lens implant CPT Code: `66984`	$2,446	$810	$2,540	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$649	$649	$151	4.3×
Rabies immune globulin HCPCS Code: `90375`	$972	$613	$322	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$581	$581	$583	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,475	$587	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$2,132	$583	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$2,003	$560	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$1,409	$442	$3,875	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$2,341	$285	$1,256	0.2×
Neurobehavioral status check CPT Code: `96116`	$304	$304	$231	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,973	$238	$981	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,254	$186	$511	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$220	$143	$86	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$165	$149	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$172	$145	$181	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,713	$164	$987	0.2×
X-ray, pelvis CPT Code: `72170`	$110	$110	$110	1.0×
Family therapy session CPT Code: `90847`	$142	$116	$173	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,568	$127	$303	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,430	$121	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,448	$120	$343	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$140	$140	$201	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$200	$87	$25	3.5×
Physical therapy (gait training) CPT Code: `97116`	$81	$81	$33	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$183	$87	$64	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$162	$85	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$132	$90	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$222	$89	$148	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$165	$97	$166	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$993	$93	$258	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,303	$111	$369	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,749	$133	$448	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$806	$82	$242	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$301	$218	$203	1.1×
Typhoid vaccine HCPCS Code: `90675`	$502	$218	$347	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$144	$144	$20	7.2×
Blood test, liver function panel CPT Code: `80076`	$116	$116	$9	12.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$139	$139	$11	12.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$133	$133	$14	9.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$74	$74	$4	18.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$64	$64	$5	12.8×
Blood test, lipase CPT Code: `83690`	$80	$80	$7	11.4×
Blood test, basic metabolic panel CPT Code: `80048`	$95	$95	$9	10.6×
Culture, bacterial CPT Code: `87070`	$81	$81	$9	9.0×
Culture, blood CPT Code: `87040`	$85	$85	$11	7.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$101	$101	$14	7.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$55	$55	$3	18.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$55	$4	13.8×
Blood test, vitamin B12 CPT Code: `82607`	$80	$80	$16	5.0×
Blood test, potassium CPT Code: `84132`	$53	$53	$5	10.6×
Blood test, sodium CPT Code: `84295`	$48	$48	$5	9.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$65	$8	8.1×
Hepatitis C antibody test CPT Code: `86803`	$37	$37	$15	2.5×
Blood test, vitamin D CPT Code: `82306`	$54	$54	$31	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$51	$57	$37	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$51	$57	$39	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$105	$42	$40	1.1×
Prosthetic fitting and training CPT Code: `97761`	$107	$47	$45	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$57	$56	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$165	$67	$123	0.5×
CT scan, pelvis CPT Code: `72192`	$665	$79	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$807	$79	$167	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$885	$75	$169	0.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$48	$48	$5	9.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$784	$73	$168	0.4×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$436	$58	$134	0.4×
CT scan, sinuses CPT Code: `70486`	$672	$71	$166	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$662	$62	$160	0.4×
Ultrasound, pelvis CPT Code: `76856`	$308	$50	$130	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$312	$42	$126	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$320	$41	$132	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$14	$6	2.3×
Blood test, amylase CPT Code: `82150`	$76	$11	$7	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$20	$14	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$307	$38	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$37	$38	1.0×
Blood test, magnesium CPT Code: `83735`	$72	$11	$7	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$35	$25	1.4×
Orthotic fitting and training CPT Code: `97760`	$91	$37	$51	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$112	$61	$87	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$94	$10	$10	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$78	$29	$35	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$35	$49	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$168	$57	$111	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$164	$57	$140	0.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$119	$19	$18	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$144	$19	$19	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$38	$38	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$85	$33	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$74	$30	$34	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$16	$16	$33	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$35	$20	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$20	$49	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$25	$25	$86	0.3×
Group therapy session CPT Code: `90853`	$73	$29	$100	0.3×
X-ray, chest (single view) CPT Code: `71045`	$116	$20	$92	0.2×
Blood antibody screen CPT Code: `86850`	$79	$10	$46	0.2×
X-ray, chest (two views) CPT Code: `71046`	$111	$20	$93	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$114	$20	$93	0.2×
X-ray, hip CPT Code: `73502`	$118	$20	$93	0.2×
Psychological testing evaluation CPT Code: `96136`	$64	$27	$128	0.2×
X-ray, shoulder CPT Code: `73030`	$122	$18	$92	0.2×
X-ray, lower back CPT Code: `72110`	$169	$21	$112	0.2×
X-ray, hand CPT Code: `73130`	$105	$17	$93	0.2×
X-ray, ankle CPT Code: `73610`	$104	$17	$93	0.2×
X-ray, foot CPT Code: `73630`	$104	$16	$92	0.2×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	unverified

Showing top 25 high-impact procedures of 120 total

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

Audit a Bill or Quote at Winnmed (Zero PHI Required)

CMS CCN: 161371

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $24,172

Insurer Median $24,172

1. Amount on Your Bill or Quote ($) Pre-filled with Winnmed’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 $10,360 Paying Cash

Self-Pay Cash Rate ($24,172) Beats Your Bill

Winnmed's published 45 CFR § 180 self-pay cash rate is $24,172 (vs. $24,172 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$15,100 Above Fair BaseRate

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

Your bill ($34,532) is $15,100 above the denoised Fair BaseRate ($19,432) and 2.5× 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 Winnmed 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

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait124 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-04-01·administrative_or_closure
Met Requirements
Recorded
2023-06-01·administrative_or_closure
Closure Notice
Recorded
2023-02-17·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (232 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 Value & Quality Leader

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

Price Index: 0.51× regional baseline

Quality: 70/100 CMS composite

Median Household Income$75,652U.S. Census ACS

Local Uninsured Share2.9%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 73/100 · Corroborated CMS CCN 161371

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161371) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-17 · 60.08 MB

Validated Rate Rows1,820 (CMS v3.0.0)

File Integrity Digest86c9f8512bf0ae50eb2c…

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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