How many shoppable procedure prices are published for Genesis Medical Center, Aledo?

Genesis Medical Center, Aledo in Aledo, IL currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Genesis Medical Center, Aledo's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Genesis Medical Center, Aledo's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 22 Beds · rural Updated: 2026-03-31

Genesis Medical Center, Aledo

409 Nw 9Th Avenue, Aledo, IL 61231 · 134 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.65×vs. Fair Market Price

Typical commercial prices here are +65% above the fair benchmark (1.65×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness95

Price Logic70

Peer Alignment68

Clean Billing71

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +39% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Genesis Medical Center, Aledo prices routine shoppable procedures at 2.1× Medicare (median 1.71× Fair BaseRate) while upper-quartile commercial rates jump +39% to 2.37× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#105 of 126 in IL · 82nd State Percentile#2,820 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.65× 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.
Commercial insurance median sits at 1.71× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.37×) jump +39% above the median procedure ratio (Q50 1.71×)
Consolidated metro market (HHI 4,369) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.86× Divergence

1.8× Medicare

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

Quantile Tail Spread+39% Upper Tail

Q25 1.19× · Q50 1.71× · Q75 2.37×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

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

0.7× MedicareGood

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

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Genesis Medical Center, Aledo

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$4,721	$7,065	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$4,264	$6,388	$2,680	unverified
Trauma team activation HCPCS Code: `G0390`	$3,680	$3,680	$1,453	unverified
Rabies immune globulin HCPCS Code: `90375`	$3,575	$3,575	$322	11.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,349	$2,540	0.9×
Total hip replacement CPT Code: `27130`	$1,772	$1,772	$13,413	unverified
Total knee replacement CPT Code: `27447`	$1,770	$1,770	$13,523	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,998	$1,669	$511	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,031	$1,633	$1,021	1.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,419	$257	5.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,419	$269	5.3×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,419	$364	3.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$1,403	$406	3.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,408	$1,408	$6,109	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$1,419	$343	unverified
Bunion correction surgery CPT Code: `28296`	$1,375	$1,375	$3,446	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$1,277	$100	unverified
Breast lump removal CPT Code: `19120`	$914	$914	$3,875	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,465	$885	$338	2.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,510	$829	$343	2.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,627	$823	$369	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$746	$855	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$755	$755	$3,372	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$639	$140	4.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$639	$157	4.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,509	$643	$258	2.5×
Inguinal hernia repair CPT Code: `49505`	$647	$647	$3,629	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,246	$514	$242	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,676	$507	$448	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$938	$508	$583	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$516	$516	$981	unverified
Blood transfusion CPT Code: `36430`	$474	$476	$498	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,199	$429	$160	2.7×
CT scan, pelvis CPT Code: `72192`	$1,171	$410	$163	2.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,145	$410	$167	2.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,415	$410	$168	2.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,436	$410	$169	2.4×
Psychological testing by technician CPT Code: `96138`	—	$430	$395	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$508	$400	$272	1.5×
CT scan, sinuses CPT Code: `70486`	$1,022	$356	$166	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$338	$338	$1,256	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$227	$324	$148	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$346	$34	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$346	$88	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$317	$317	$151	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$254	$65	3.9×
New patient office visit (30-44 min) CPT Code: `99203`	$146	$243	$110	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,240	$267	$303	0.9×
Ultrasound, pelvis CPT Code: `76856`	$344	$233	$130	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$332	$211	$126	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$137	$202	$123	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$205	$205	$987	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$217	$217	$185	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$154	$179	$123	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$709	$179	$134	1.3×
Speech therapy (group session) CPT Code: `92508`	$149	$149	$27	5.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$101	$155	$201	0.8×
Family therapy session CPT Code: `90847`	$174	$174	$173	unverified
Neurobehavioral status check CPT Code: `96116`	$180	$180	$231	unverified
X-ray, chest (single view) CPT Code: `71045`	$129	$148	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$191	$148	$93	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$118	$137	$87	1.6×
Review of medical records for care CPT Code: `90889`	$121	$121	$114	1.1×
X-ray, lower back CPT Code: `72110`	$355	$113	$112	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$351	$130	$132	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$146	$146	$181	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$114	$114	$166	unverified
Care planning with family CPT Code: `90887`	$121	$121	$107	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$50	$83	$33	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$76	$82	$40	2.0×
X-ray, shoulder CPT Code: `73030`	$200	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$187	$88	$92	1.0×
X-ray, hand CPT Code: `73130`	$176	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$187	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$223	$85	$93	0.9×
X-ray, hip CPT Code: `73502`	$188	$81	$93	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$100	$100	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$588	$371	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$337	$242	$203	1.2×
Drug screening test HCPCS Code: `G0480`	—	$132	$116	1.1×
Blood test, liver function panel CPT Code: `80076`	$59	$59	$9	6.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$95	$69	$25	2.8×
Physical therapy (manual therapy) CPT Code: `97140`	$59	$73	$34	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$75	$35	2.1×
Blood test, vitamin D CPT Code: `82306`	$102	$62	$31	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$68	$76	$38	2.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$69	$35	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$71	$74	$38	1.9×
Physical therapy (gait training) CPT Code: `97116`	$69	$61	$33	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$70	$68	$38	1.8×
Prosthetic fitting and training CPT Code: `97761`	$67	$75	$45	1.7×
Orthotic fitting and training CPT Code: `97760`	$53	$78	$51	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$181	$81	$111	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$66	$53	$39	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$96	$69	$56	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$121	$67	$64	1.0×
X-ray, pelvis CPT Code: `72170`	$173	$71	$110	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$140	$81	$140	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$31	$4	7.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$28	$4	7.0×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Blood test, potassium CPT Code: `84132`	$32	$32	$5	6.4×
Hepatitis B vaccine HCPCS Code: `90744`	$53	$54	$37	1.5×
Psychological testing evaluation CPT Code: `96136`	$53	$53	$128	unverified
Blood test, hemoglobin CPT Code: `85018`	$19	$19	$3	6.3×
Blood test, calcium CPT Code: `82310`	$27	$27	$5	5.4×
Culture, bacterial CPT Code: `87070`	$57	$22	$9	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$12	$5	2.4×
Blood test, basic metabolic panel CPT Code: `80048`	$33	$20	$9	2.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$10	$5	2.0×
Culture, blood CPT Code: `87040`	$106	$22	$11	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$63	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$108	$20	$11	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$53	$29	$16	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$44	$25	1.8×
Blood test, amylase CPT Code: `82150`	$45	$12	$7	1.7×
Blood test, lipase CPT Code: `83690`	$51	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$35	$12	$7	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$10	$6	1.7×
Hepatitis C antibody test CPT Code: `86803`	$77	$25	$15	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$79	$23	$14	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$36	$13	$8	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$63	$29	$18	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$43	$20	$14	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$68	$27	$19	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$64	$25	$20	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$33	$12	$10	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$30	$27	1.1×
Blood antibody screen CPT Code: `86850`	$39	$14	$46	0.3×
Group therapy session CPT Code: `90853`	$37	$37	$100	unverified
Flu vaccine injection HCPCS Code: `G0008`	$33	$33	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$33	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$33	$33	$49	unverified

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 46.9%

Audit a Bill or Quote at Genesis Medical Center, Aledo (Zero PHI Required)

CMS CCN: 141304

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $4,721

Insurer Median $7,065

1. Amount on Your Bill or Quote ($) Pre-filled with Genesis Medical Center, Aledo’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: $3,693 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,693

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.9% of gross = $3,693).

Step 2 · Cash vs. Insurance Arbitrage Save $3,148 Paying Cash

Self-Pay Cash Rate ($4,721) Beats Your Bill

Genesis Medical Center, Aledo's published 45 CFR § 180 self-pay cash rate is $4,721 (vs. $7,065 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,894 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($7,869) is $4,894 above the denoised Fair BaseRate ($2,975) and 3.2× the $2,473 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: 454475683

Filing Period: 201404

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 (46.9% 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

Median ER Wait84 min

Left ER Before Seen0%

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 Genesis Medical Center, Aledo. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. 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 Genesis Medical Center, Aledo.

Price Index: 1.09× regional baseline

Quality: 57/100 CMS composite

Median Household Income$71,710U.S. Census ACS

Local Uninsured Share5.2%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 80/100 · Corroborated CMS CCN 141304 EIN 454475683

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141304) ↗ Verify IRS Form 990 (EIN 454475683) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filegenesismedicalcenter!454475683_mercyone-genesis-aledo-medical-center_standardcharges.csv

Publication / Vintage2026-03-31 · 4.63 MB

Validated Rate Rows1,773 (CMS v3.0.0)

File Integrity Digest56e00793df62549915e1…

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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