How many shoppable procedure prices are published for Hopedale Hospital?

Hopedale Hospital in Hopedale, IL currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 4/6/2026

Hopedale Hospital

107 Tremont Street, Hopedale, IL 61747 · 101 Priced Procedures · 99% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic100

Peer Alignment65

Clean Billing87

Real Cash Discount98

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Hopedale Hospital prices shoppable and inpatient services (6.5× to 8.3× Medicare, divergence 1.28×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in ILU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (98/100 Cash Honesty)
CMS clinical safety score (76/100 safety score) with 99% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (9.4×) & laboratory (12.3×) services average 1.28× higher multiples than routine shoppable care (6.5×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 4,837) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

6.5× Medicare

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

Back-Door Captive & ER1.28× Divergence

8.3× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.5× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

8.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

9.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

12.3× MedicareWatchout

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

1.6× MedicareGood

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

0% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 76/100Fair

Procedure Prices at Hopedale Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,065	$3,065	$448	6.8×
Total hip replacement CPT Code: `27130`	$3,029	$3,029	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,820	$2,820	$13,523	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,698	$2,698	$369	7.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,657	$2,657	$303	8.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,660	$2,660	$1,021	2.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,490	$2,490	$338	7.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,511	$2,511	$583	4.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,432	$2,432	$511	4.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,264	$2,264	$343	6.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,156	$2,156	$258	8.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,915	$1,915	$242	7.9×
CT scan, pelvis CPT Code: `72192`	$1,795	$1,795	$163	11.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,820	$1,820	$169	10.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,795	$1,795	$167	10.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,795	$1,795	$168	10.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,640	$1,640	$160	10.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,298	$1,298	$272	4.8×
Inguinal hernia repair CPT Code: `49505`	$1,301	$1,301	$3,629	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,268	$1,268	$3,372	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,207	$1,207	$6,109	0.2×
Breast lump removal CPT Code: `19120`	$1,026	$1,026	$3,875	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$951	$951	$134	7.1×
Blood transfusion CPT Code: `36430`	$964	$964	$498	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$939	$939	$1,256	0.7×
CT scan, sinuses CPT Code: `70486`	$895	$895	$166	5.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$795	$795	$981	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$708	$708	$126	5.6×
Ultrasound, pelvis CPT Code: `76856`	$708	$708	$130	5.4×
Upper endoscopy with biopsy CPT Code: `43239`	$711	$711	$987	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$469	$469	$132	3.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$470	$470	$148	3.2×
X-ray, lower back CPT Code: `72110`	$383	$383	$112	3.4×
Screening mammogram (both breasts) CPT Code: `77067`	$379	$379	$123	3.1×
Speech therapy (language evaluation) CPT Code: `92507`	$288	$288	$86	3.3×
X-ray, hip CPT Code: `73502`	$290	$290	$93	3.1×
X-ray, pelvis CPT Code: `72170`	$299	$299	$110	2.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$270	$270	$93	2.9×
X-ray, ankle CPT Code: `73610`	$264	$264	$93	2.8×
X-ray, foot CPT Code: `73630`	$257	$257	$92	2.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$265	$265	$201	1.3×
X-ray, shoulder CPT Code: `73030`	$223	$223	$92	2.4×
X-ray, hand CPT Code: `73130`	$191	$191	$93	2.1×
X-ray, chest (single view) CPT Code: `71045`	$180	$180	$92	2.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$144	$144	$14	10.3×
Physical therapy (manual therapy) CPT Code: `97140`	$145	$145	$34	4.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$139	$139	$35	4.0×
Physical therapy (gait training) CPT Code: `97116`	$130	$130	$33	3.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$140	$140	$38	3.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$137	$40	3.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$140	$140	$64	2.2×
X-ray, chest (two views) CPT Code: `71046`	$156	$156	$93	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$149	$149	$110	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$151	$151	$123	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$113	$113	$35	3.2×
Occupational therapy (self-care training) CPT Code: `97535`	$105	$105	$38	2.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$103	$103	$87	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$288	$288	$140	2.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$175	$175	$11	15.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$135	$135	$18	7.5×
Blood test, vitamin D CPT Code: `82306`	$139	$139	$31	4.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$159	$159	$203	0.8×
Blood test, amylase CPT Code: `82150`	$107	$107	$7	15.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$108	$108	$8	13.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$129	$129	$14	9.2×
Blood antibody screen CPT Code: `86850`	$132	$132	$46	2.9×
Culture, blood CPT Code: `87040`	$103	$103	$11	9.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$127	$127	$56	2.3×
Blood test, lipase CPT Code: `83690`	$73	$73	$7	10.4×
Blood test, liver function panel CPT Code: `80076`	$93	$93	$9	10.3×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$92	$9	10.2×
Culture, bacterial CPT Code: `87070`	$89	$89	$9	9.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$89	$10	8.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$94	$94	$14	6.7×
Blood test, vitamin B12 CPT Code: `82607`	$95	$95	$16	5.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$106	$106	$19	5.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$96	$96	$111	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$66	$66	$3	22.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$62	$62	$6	10.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$74	$74	$27	2.7×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$69	$37	1.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$69	$69	$49	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$75	$75	$86	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$35	$4	8.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	8.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, potassium CPT Code: `84132`	$37	$37	$5	7.4×
Blood test, calcium CPT Code: `82310`	$35	$35	$5	7.0×
Blood test, sodium CPT Code: `84295`	$35	$35	$5	7.0×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	6.7×
Blood test, magnesium CPT Code: `83735`	$41	$41	$7	5.9×
Hepatitis C antibody test CPT Code: `86803`	$37	$37	$15	2.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$55	$55	$25	2.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$41	$41	$25	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$53	$38	1.4×
Prosthetic fitting and training CPT Code: `97761`	$58	$58	$45	1.3×
Extended office visit (prolonged) HCPCS Code: `G2212`	$35	$35	$33	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$41	$41	$39	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$25	$25	$49	0.5×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 21.5%

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

CMS CCN: 141330

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $3,065

Insurer Median $3,065

1. Amount on Your Bill or Quote ($) Pre-filled with Hopedale 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: $942 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $942

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.5% of gross = $942).

Step 2 · Cash vs. Insurance Arbitrage Save $1,313 Paying Cash

Self-Pay Cash Rate ($3,065) Beats Your Bill

Hopedale Hospital's published 45 CFR § 180 self-pay cash rate is $3,065 (vs. $3,065 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,930 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($4,378) is $3,930 above the denoised Fair BaseRate ($448) and 12.3× the $356 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 (21.5% 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

Safety Composite76/100

Would Recommend99%

Rated 9 or 10 (HCAHPS)99%

Median ER Wait132 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (48 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 Pareto Frontier (Price + Quality)

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

Price Index: 0.86× regional baseline

Quality: 60/100 CMS composite

Median Household Income$76,704U.S. Census ACS

Local Uninsured Share5.1%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 84/100 · Corroborated CMS CCN 141330

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 141330) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/6/2026

Validated Rate Rows244 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141330

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