How many shoppable procedure prices are published for Hamilton Memorial Hospital?

Hamilton Memorial Hospital in McLeansboro, IL currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Hamilton Memorial Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Hamilton Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-06-11

Hamilton Memorial Hospital

611 S Marshall Avenue, McLeansboro, IL 62859 · 111 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.66×vs. Fair Market Price

Typical commercial prices here are 34% below the fair benchmark (0.66×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness100

Price Logic90

Peer Alignment55

Clean Billing80

Real Cash Discount70

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.66× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Hamilton Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.63× Fair BaseRate) and emergency/ancillary services (0.5× Medicare, p75 0.85× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 126 in IL · 3rd State Percentile#107 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 34% below peer Fair BaseRate (0.66×)
Self-pay cash beats commercial insurance on 46% of shoppable procedures (70/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 61% 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)

Even at low-cost facilities (0.66× 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 0.63× Fair BaseRate (0.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.85×) jump +35% above the median procedure ratio (Q50 0.63×)
Unnegotiated chargemaster list prices average 7.5× Medicare (26¢ 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 & ER0.71× Divergence

0.5× Medicare

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

Quantile Tail Spread+35% Upper Tail

Q25 0.38× · Q50 0.63× · Q75 0.85×

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

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.1× MedicareGood

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

46% Cash Edge · 70/100Fair

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Hamilton Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 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`	—	$2,660	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,358	$2,680	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,238	$1,238	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	—	$848	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,516	$628	$1,021	0.6×
Breast lump removal CPT Code: `19120`	$1,151	$572	$3,875	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$521	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$975	$531	$3,629	0.1×
Blood transfusion CPT Code: `36430`	$458	$458	$498	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$566	$457	$1,256	0.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$455	$2,540	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$520	$395	$987	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$697	$363	$981	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,112	$282	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,764	$299	$511	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$162	$162	$64	2.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$477	$170	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$517	$164	$181	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,046	$164	$258	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$809	$172	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,441	$174	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,243	$185	$343	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$2,243	$181	$338	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,243	$192	$369	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,025	$185	$583	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$166	$132	$123	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$232	$148	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$163	$119	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$231	$93	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$299	$115	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$606	$108	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$1,416	$126	$163	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$419	$102	$132	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,411	$126	$167	0.8×
Ultrasound, pelvis CPT Code: `76856`	$419	$99	$130	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,574	$124	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,680	$123	$168	0.7×
CT scan, sinuses CPT Code: `70486`	$1,411	$121	$166	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,828	$141	$242	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$337	$112	$166	0.7×
Family therapy session CPT Code: `90847`	$366	$109	$173	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$367	$81	$126	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,411	$101	$160	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$84	$84	$201	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$93	$231	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$308	$308	$11	28.0×
Blood test, liver function panel CPT Code: `80076`	$276	$276	$9	30.7×
Blood test, vitamin D CPT Code: `82306`	$243	$243	$31	7.8×
Blood test, basic metabolic panel CPT Code: `80048`	$214	$214	$9	23.8×
Pneumococcal vaccine HCPCS Code: `90732`	$239	$239	$140	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$196	$196	$203	1.0×
Culture, blood CPT Code: `87040`	$137	$137	$11	12.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$139	$139	$14	9.9×
Hepatitis C antibody test CPT Code: `86803`	$138	$138	$15	9.2×
Blood test, vitamin B12 CPT Code: `82607`	$145	$145	$16	9.1×
Culture, bacterial CPT Code: `87070`	$104	$104	$9	11.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$99	$99	$10	9.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$114	$114	$14	8.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$122	$122	$20	6.1×
Blood antibody screen CPT Code: `86850`	$113	$113	$46	2.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$83	$83	$8	10.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$104	$104	$19	5.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$102	$102	$56	1.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$71	$71	$5	14.2×
Blood test, amylase CPT Code: `82150`	$68	$68	$7	9.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$56	$56	$6	9.3×
Blood test, magnesium CPT Code: `83735`	$64	$64	$7	9.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$67	$67	$18	3.7×
Speech therapy (language evaluation) CPT Code: `92507`	$166	$74	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$75	$75	$111	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$37	$4	9.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$37	$37	$4	9.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$26	$3	8.7×
Blood test, calcium CPT Code: `82310`	$37	$37	$5	7.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$37	$5	7.4×
Blood test, potassium CPT Code: `84132`	$37	$37	$5	7.4×
Blood test, sodium CPT Code: `84295`	$37	$37	$5	7.4×
Blood test, lipase CPT Code: `83690`	$43	$43	$7	6.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$43	$43	$25	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$61	$61	$37	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$62	$62	$39	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$39	$35	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$34	$33	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$74	$44	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$34	$40	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$57	$32	$38	0.8×
X-ray, hip CPT Code: `73502`	$189	$46	$93	0.5×
X-ray, lower back CPT Code: `72110`	$301	$50	$112	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$240	$37	$93	0.4×
X-ray, hand CPT Code: `73130`	$168	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$168	$35	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$320	$34	$92	0.4×
X-ray, foot CPT Code: `73630`	$168	$32	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$220	$31	$93	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$42	$128	0.3×
Blood test, hemoglobin CPT Code: `85018`	$15	$15	$3	5.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$106	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$71	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$44	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$92	$27	$34	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$23	$23	$49	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$22	$22	$48	0.5×
Group therapy session CPT Code: `90853`	$366	$30	$100	0.3×
X-ray, chest (single view) CPT Code: `71045`	$174	$24	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$172	$27	$110	0.2×
Psychological testing by technician CPT Code: `96138`	—	$35	$395	0.1×

Showing top 25 high-impact procedures of 111 total

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

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

CMS CCN: 141326

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $2,660

1. Amount on Your Bill or Quote ($) Pre-filled with Hamilton 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 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Hamilton Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$3,409 Above Fair BaseRate

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

Your bill ($6,384) is $3,409 above the denoised Fair BaseRate ($2,975) and 2.6× 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 376019589

Public IRS & CMS ownership records classify Hamilton Memorial 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

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait122 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (94 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 Hamilton Memorial Hospital.

Price Index: 1.24× regional baseline

Quality: 56/100 CMS composite

Median Household Income$61,520U.S. Census ACS

Local Uninsured Share9.1%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 141326 EIN 376019589

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141326) ↗ Verify IRS Form 990 (EIN 376019589) ↗ CMS HCRIS Cost Reports ↗

Published MRF File376019589-1447257258_hamilton-memorial-hospital-district_standardcharges.csv

Publication / Vintage2026-06-11 · 86.72 MB

Validated Rate Rows5,845 (CMS v3.0.0)

File Integrity Digest0f47242b55e4af797d2d…

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