How many shoppable procedure prices are published for Community Hospital of Staunton?

Community Hospital of Staunton in Staunton, IL currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Community Hospital of Staunton's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Community Hospital of Staunton's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · urban Updated: 2026-02-09

Community Hospital of Staunton

400 N Caldwell St, Staunton, IL 62088 · 91 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.36×vs. Fair Market Price

Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 83% of the Time

File Completeness66

Price Logic64

Peer Alignment68

Clean Billing85

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Community Hospital of Staunton maintains elevated commercial insurance contracts (1.36× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 83% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#91 of 126 in IL · 71st State Percentile#2,377 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 83% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 79% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (61.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
Commercial insurance median sits at 1.33× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.75×) jump +32% above the median procedure ratio (Q50 1.33×)
Unnegotiated chargemaster list prices average 12.1× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.36× Divergence

0.8× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.87× · Q50 1.33× · Q75 1.75×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.7× MedicareWatchout

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

0.8× MedicareGood

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

83% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Community Hospital of Staunton

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

Sort:

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`	$3,342	$1,742	$1,021	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,533	$1,540	$448	3.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,969	$1,197	$303	4.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,515	$921	$258	3.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,276	$846	$511	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,273	$774	$169	4.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,196	$727	$242	3.0×
CT scan, pelvis CPT Code: `72192`	$1,134	$690	$163	4.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,118	$680	$168	4.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,072	$652	$160	4.1×
CT scan, sinuses CPT Code: `70486`	$1,072	$652	$166	3.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,020	$620	$167	3.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,759	$628	$338	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,659	$599	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,671	$607	$369	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,548	$566	$583	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$630	$383	$134	2.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$581	$353	$126	2.8×
Rabies immune globulin HCPCS Code: `90375`	$761	$373	$322	1.2×
Ultrasound, pelvis CPT Code: `76856`	$545	$332	$130	2.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$844	$345	$272	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$452	$275	$132	2.1×
X-ray, lower back CPT Code: `72110`	$369	$225	$112	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$336	$204	$148	1.4×
X-ray, chest (two views) CPT Code: `71046`	$253	$154	$93	1.7×
X-ray, hip CPT Code: `73502`	$236	$143	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$222	$135	$92	1.5×
X-ray, foot CPT Code: `73630`	$222	$135	$92	1.5×
X-ray, hand CPT Code: `73130`	$222	$135	$93	1.5×
X-ray, ankle CPT Code: `73610`	$222	$135	$93	1.5×
Blood transfusion CPT Code: `36430`	$348	$159	$498	0.3×
X-ray, chest (single view) CPT Code: `71045`	$219	$133	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$211	$128	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$222	$135	$110	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$333	$121	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$335	$140	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$210	$150	$185	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$123	$120	$110	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$168	$134	$181	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$80	$86	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$107	$90	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$314	$258	$347	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$123	$123	$19	6.5×
Blood test, vitamin D CPT Code: `82306`	$144	$144	$31	4.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$155	$155	$11	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$127	$127	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$148	$148	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$144	$144	$9	unverified
Culture, blood CPT Code: `87040`	$123	$123	$11	unverified
Blood test, lipase CPT Code: `83690`	$70	$70	$7	10.0×
Culture, bacterial CPT Code: `87070`	$84	$84	$9	9.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$88	$88	$10	8.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$89	$89	$14	6.4×
Hepatitis C antibody test CPT Code: `86803`	$92	$92	$15	6.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$97	$97	$18	5.4×
Blood test, vitamin B12 CPT Code: `82607`	$84	$84	$16	5.3×
Pneumococcal vaccine HCPCS Code: `90732`	$105	$99	$140	0.7×
Blood test, sodium CPT Code: `84295`	$53	$53	$5	10.6×
Blood test, magnesium CPT Code: `83735`	$63	$63	$7	9.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$85	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$54	$54	$5	10.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$59	$6	9.8×
Physical therapy (manual therapy) CPT Code: `97140`	$166	$54	$34	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$130	$77	$86	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$50	$35	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$54	$40	1.4×
Physical therapy (gait training) CPT Code: `97116`	$96	$43	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$43	$38	1.1×
Prosthetic fitting and training CPT Code: `97761`	$101	$50	$45	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$78	$41	$38	1.1×
Orthotic fitting and training CPT Code: `97760`	$78	$46	$51	0.9×
Blood antibody screen CPT Code: `86850`	$68	$41	$46	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$177	$57	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$60	$64	$87	0.7×
Family therapy session CPT Code: `90847`	$87	$65	$173	0.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$88	$33	$38	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$51	$34	$56	0.6×
Group therapy session CPT Code: `90853`	$134	$56	$100	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$52	$52	$3	unverified
Blood test, amylase CPT Code: `82150`	$67	$67	$7	unverified
Blood test, calcium CPT Code: `82310`	$56	$56	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$56	$56	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$56	$4	unverified
Blood test, potassium CPT Code: `84132`	$56	$56	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$56	$56	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$24	$24	$3	8.0×
Speech therapy (group session) CPT Code: `92508`	$42	$25	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$18	$25	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$31	$26	$37	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$21	$39	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$88	$31	$201	0.2×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 61.8%

Audit a Bill or Quote at Community Hospital of Staunton (Zero PHI Required)

CMS CCN: 141306

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $3,342

Insurer Median $1,742

1. Amount on Your Bill or Quote ($) Pre-filled with Community Hospital of Staunton’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: $4,130 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,130

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (61.8% of gross = $4,130).

Step 2 · Cash vs. Insurance Arbitrage Save $3,343 Paying Cash

Self-Pay Cash Rate ($3,342) Beats Your Bill

Community Hospital of Staunton's published 45 CFR § 180 self-pay cash rate is $3,342 (vs. $1,742 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,664 Above Fair BaseRate

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

Your bill ($6,685) is $5,664 above the denoised Fair BaseRate ($1,021) and 7.6× 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)

EIN: 370624255

Filing Period: 195207

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 (61.8% 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

Safety Composite69/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)76%

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (46 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 Community Hospital of Staunton.

Price Index: 1.29× regional baseline

Quality: 59/100 CMS composite

Median Household Income$68,518U.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 75/100 · Corroborated CMS CCN 141306 EIN 370624255

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 141306) ↗ Verify IRS Form 990 (EIN 370624255) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-09

Validated Rate Rows2,203 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141306

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