How many shoppable procedure prices are published for Carle Richland Memorial Hospital?

Carle Richland Memorial Hospital in Olney, IL currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Carle Richland Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Carle Richland Memorial Hospital's median negotiated commercial rate is 3.2× the regionally adjusted fair BaseRate benchmark.

What is Carle Richland Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Carle Richland Memorial Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private Updated: 2026-04-15

Carle Richland Memorial Hospital

800 East Locust Street, Olney, IL 62450 · 99 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

3.23×vs. Fair Market Price

Typical commercial prices here are +223% above the fair benchmark (3.23×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness51

Price Logic90

Peer Alignment51

Clean Billing95

Real Cash Discount12

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 3.23× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Carle Richland Memorial Hospital prices routine shoppable procedures near 4.1× Medicare (p50 3.38×) while skewing captive emergency, lab, and upper-quartile codes to 6.5× Medicare (p75 3.57×, +6% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#126 of 126 in IL · 99th State Percentile#3,359 of 3,385 in U.S. · 99th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.33× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 60% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (3.23× 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 (5.9×) & laboratory (10.4×) services average 1.59× higher multiples than routine shoppable care (4.1×)
Even at low-cost facilities (3.23× 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.
Unnegotiated chargemaster list prices average 17.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.1× Medicare

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

Back-Door Captive & ER1.59× Divergence

6.5× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 2.33× · Q50 3.38× · Q75 3.57×

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

4.1× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.8× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

5.9× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

10.4× MedicareWatchout

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

1.0× MedicareGood

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

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 65/100Fair

Procedure Prices at Carle Richland Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 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`	$6,353	$6,353	$1,021	6.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,817	$5,817	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	$4,274	$4,274	$3,629	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,633	$3,633	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,045	$3,045	$981	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,999	$2,999	$322	9.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,557	$2,557	$583	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,352	$2,352	$134	17.6×
Ultrasound, pelvis CPT Code: `76856`	$1,722	$1,722	$130	13.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,743	$1,743	$272	6.4×
Blood transfusion CPT Code: `36430`	$1,580	$1,580	$498	3.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,544	$1,544	$132	11.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,476	$1,476	$126	11.7×
X-ray, lower back CPT Code: `72110`	$1,376	$1,376	$112	12.3×
Injection procedure for pain management HCPCS Code: `G0260`	$1,386	$1,386	$855	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$5,219	$1,200	$338	3.6×
MRI, brain (no contrast) CPT Code: `70551`	$4,368	$1,200	$343	3.5×
MRI, knee or other leg joint CPT Code: `73721`	$3,560	$1,200	$369	3.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,891	$1,200	$511	2.3×
X-ray, hip CPT Code: `73502`	$1,092	$1,092	$93	11.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$956	$956	$93	10.3×
X-ray, shoulder CPT Code: `73030`	$945	$945	$92	10.3×
X-ray, hand CPT Code: `73130`	$735	$735	$93	7.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$735	$735	$148	5.0×
X-ray, foot CPT Code: `73630`	$693	$693	$92	7.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$693	$693	$151	4.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$664	$664	$35	19.0×
X-ray, ankle CPT Code: `73610`	$672	$672	$93	7.2×
X-ray, pelvis CPT Code: `72170`	$672	$672	$110	6.1×
CT scan, head (no contrast) CPT Code: `70450`	$2,783	$600	$160	3.8×
CT scan, pelvis CPT Code: `72192`	$3,581	$600	$163	3.7×
CT scan, sinuses CPT Code: `70486`	$2,940	$600	$166	3.6×
CT scan, chest (no contrast) CPT Code: `71250`	$3,528	$600	$167	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,520	$600	$168	3.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,484	$600	$169	3.6×
CT scan, head (with contrast) CPT Code: `70460`	$4,106	$600	$242	2.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,883	$600	$258	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,586	$600	$303	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,030	$600	$448	1.3×
X-ray, chest (two views) CPT Code: `71046`	$567	$567	$93	6.1×
Speech therapy (group session) CPT Code: `92508`	$520	$520	$27	19.3×
Screening mammogram (both breasts) CPT Code: `77067`	$520	$520	$123	4.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$478	$478	$64	7.5×
X-ray, chest (single view) CPT Code: `71045`	$483	$483	$92	5.3×
Physical therapy (gait training) CPT Code: `97116`	$385	$385	$33	11.7×
Speech therapy (language evaluation) CPT Code: `92507`	$385	$385	$86	4.5×
Physical therapy (manual therapy) CPT Code: `97140`	$240	$240	$34	7.1×
Occupational therapy (self-care training) CPT Code: `97535`	$258	$258	$38	6.8×
Orthotic fitting and training CPT Code: `97760`	$240	$240	$51	4.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$252	$252	$201	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$208	$208	$14	14.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$184	$184	$35	5.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$205	$205	$40	5.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$193	$193	$38	5.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$190	$190	$38	5.0×
Prosthetic fitting and training CPT Code: `97761`	$208	$208	$45	4.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$163	$82	$33	2.5×
Upper endoscopy with biopsy CPT Code: `43239`	$2,741	$82	$987	0.1×
Typhoid vaccine HCPCS Code: `90675`	$625	$625	$347	1.8×
Blood test, vitamin D CPT Code: `82306`	$509	$509	$31	16.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$478	$478	$11	43.5×
Blood test, liver function panel CPT Code: `80076`	$452	$452	$9	50.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$462	$462	$14	33.0×
Hepatitis C antibody test CPT Code: `86803`	$368	$368	$15	24.5×
Pneumococcal vaccine HCPCS Code: `90732`	$358	$358	$140	2.6×
Blood test, lipase CPT Code: `83690`	$320	$320	$7	45.7×
Blood test, basic metabolic panel CPT Code: `80048`	$305	$305	$9	33.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$310	$310	$10	31.0×
Blood test, vitamin B12 CPT Code: `82607`	$326	$326	$16	20.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$299	$299	$14	21.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$320	$320	$20	16.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$310	$310	$27	11.5×
Blood test, calcium CPT Code: `82310`	$260	$260	$5	52.0×
Blood test, amylase CPT Code: `82150`	$273	$273	$7	39.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$276	$276	$203	1.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$242	$242	$4	60.5×
Culture, bacterial CPT Code: `87070`	$252	$252	$9	28.0×
Culture, blood CPT Code: `87040`	$247	$247	$11	22.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$263	$263	$18	14.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$229	$229	$5	45.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$194	$194	$4	48.5×
Blood test, potassium CPT Code: `84132`	$179	$179	$5	35.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$142	$142	$3	47.3×
Blood test, sodium CPT Code: `84295`	$163	$163	$5	32.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$188	$188	$6	31.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$154	$154	$5	30.8×
Blood test, magnesium CPT Code: `83735`	$178	$178	$7	25.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$168	$168	$8	21.0×
Blood antibody screen CPT Code: `86850`	$168	$168	$46	3.7×
Colorectal cancer screening HCPCS Code: `G0010`	$168	$168	$49	3.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$141	$141	$111	1.3×
Blood test, hemoglobin CPT Code: `85018`	$110	$110	$3	36.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$99	$99	$19	5.2×
Flu vaccine injection HCPCS Code: `G0008`	$116	$116	$48	2.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$116	$116	$49	2.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$72	$72	$56	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$30	$25	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$43	$43	$37	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$44	$44	$39	1.1×

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.5%

Audit a Bill or Quote at Carle Richland Memorial Hospital (Zero PHI Required)

CMS CCN: 141355

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $6,353

Insurer Median $6,353

1. Amount on Your Bill or Quote ($) Pre-filled with Carle Richland Memorial 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: $1,495 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,495

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.5% of gross = $1,495).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $6,353

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Carle Richland Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $6,353 (vs. $6,353 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,332 Above Fair BaseRate

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

Your bill ($6,353) is $5,332 above the denoised Fair BaseRate ($1,021) and 7.2× 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 (23.5% 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait119 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 Carle Richland Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-26·warning_notice
Warning Notice
Recorded
2025-02-27·administrative_or_closure
Closure Notice
Recorded
2024-11-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (161 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 Carle Richland Memorial Hospital.

Price Index: 2.61× regional baseline

Quality: 55/100 CMS composite

Median Household Income$60,404U.S. Census ACS

Local Uninsured Share5.8%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 62/100 · Caution CMS CCN 141355

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 141355) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-15

Validated Rate Rows4,230 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141355

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