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

Massac Memorial Hospital in Metropolis, IL currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Massac Memorial Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Massac 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 Government - Hospital District or Authority 25 Beds · rural Updated: 2026-09-03

Massac Memorial Hospital

28 Chick Street, Po Box 850, Metropolis, IL 62960 · 96 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.59×vs. Fair Market Price

Typical commercial prices here are +59% above the fair benchmark (1.59×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness90

Price Logic77

Peer Alignment69

Clean Billing85

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.59× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 8,896), Massac Memorial Hospital commands a 1.59× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#103 of 126 in IL · 80th State Percentile#2,758 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.35× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 85% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.48× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.86×) jump +26% above the median procedure ratio (Q50 1.48×)
Consolidated metro market (HHI 8,896) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.7× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 1.35× · Q50 1.48× · Q75 1.86×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.5× MedicareGood

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

45% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 73/100Fair

Procedure Prices at Massac Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$9,338	$9,338	$322	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$4,683	$4,683	$19,087	0.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,190	$4,190	$8,223	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,934	$1,776	$1,021	1.7×
Blood transfusion CPT Code: `36430`	$1,280	$907	$498	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,055	$915	$511	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,568	$683	$160	4.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,673	$683	$242	2.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,218	$683	$258	2.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,404	$683	$303	2.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,790	$683	$448	1.5×
Cataract surgery with lens implant CPT Code: `66984`	$4,311	$600	$2,540	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,286	$542	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,283	$542	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,261	$542	$369	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$909	$378	$134	2.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,712	$378	$272	1.4×
Ultrasound, pelvis CPT Code: `76856`	$767	$378	$130	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$290	$290	$583	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$789	$246	$126	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$944	$246	$132	1.9×
CT scan, pelvis CPT Code: `72192`	$1,988	$240	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$1,603	$240	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,689	$240	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,988	$240	$168	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$185	$263	$185	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,988	$240	$169	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$232	$232	$181	unverified
Family therapy session CPT Code: `90847`	$240	$240	$173	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$178	$178	$166	unverified
Group therapy session CPT Code: `90853`	$188	$188	$100	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$196	$196	$86	unverified
X-ray, shoulder CPT Code: `73030`	$469	$126	$92	1.4×
X-ray, foot CPT Code: `73630`	$424	$126	$92	1.4×
X-ray, chest (two views) CPT Code: `71046`	$209	$126	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$401	$126	$93	1.4×
X-ray, hand CPT Code: `73130`	$469	$126	$93	1.4×
X-ray, hip CPT Code: `73502`	$338	$126	$93	1.4×
X-ray, ankle CPT Code: `73610`	$424	$126	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$414	$126	$110	1.1×
X-ray, lower back CPT Code: `72110`	$401	$126	$112	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$93	$81	$35	2.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$141	$81	$38	2.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$101	$81	$38	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$132	$81	$40	2.0×
Prosthetic fitting and training CPT Code: `97761`	$74	$81	$45	1.8×
Orthotic fitting and training CPT Code: `97760`	$97	$81	$51	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$81	$87	$87	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$118	$107	$123	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$127	$101	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$265	$107	$148	0.7×
X-ray, chest (single view) CPT Code: `71045`	$152	$126	$92	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$134	$87	$110	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$146	$81	$34	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$359	$253	$203	1.2×
Typhoid vaccine HCPCS Code: `90675`	$1,091	$253	$347	0.7×
Physical therapy (gait training) CPT Code: `97116`	$92	$68	$33	2.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$42	$48	$25	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$116	$68	$38	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$85	$87	$48	unverified
Blood test, vitamin D CPT Code: `82306`	$169	$51	$31	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$251	$58	$64	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$104	$48	$56	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$139	$48	$140	0.3×
Blood test, hemoglobin CPT Code: `85018`	$16	$16	$3	5.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$10	$4	2.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$10	$4	2.5×
Culture, bacterial CPT Code: `87070`	$120	$19	$9	2.1×
Blood test, calcium CPT Code: `82310`	$47	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$10	$5	2.0×
Blood test, potassium CPT Code: `84132`	$41	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$44	$10	$5	2.0×
Blood test, basic metabolic panel CPT Code: `80048`	$60	$16	$9	1.8×
Blood test, liver function panel CPT Code: `80076`	$51	$16	$9	1.8×
Culture, blood CPT Code: `87040`	$127	$19	$11	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$99	$22	$14	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$97	$24	$16	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$48	$16	$11	1.5×
Blood test, amylase CPT Code: `82150`	$97	$10	$7	1.4×
Blood test, lipase CPT Code: `83690`	$113	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$80	$10	$7	1.4×
Hepatitis C antibody test CPT Code: `86803`	$137	$21	$15	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$50	$11	$8	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$135	$24	$18	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$91	$8	$6	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$22	$19	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$54	$16	$14	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$46	$21	$20	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$64	$10	$10	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$13	$13	$39	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$35	$35	$201	0.2×
Blood antibody screen CPT Code: `86850`	$106	$8	$46	0.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$6	$6	$111	0.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$24	$49	unverified

Showing top 25 high-impact procedures of 96 total

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

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

CMS CCN: 141323

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $9,338

Insurer Median $9,338

1. Amount on Your Bill or Quote ($) Pre-filled with Massac 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 Save $4,003 Paying Cash

Self-Pay Cash Rate ($9,338) Beats Your Bill

Massac Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $9,338 (vs. $9,338 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,019 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($13,341) is $13,019 above the denoised Fair BaseRate ($322) and 48.5× the $275 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)

Public IRS & CMS ownership records classify Massac 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 Overall2/5 Stars (2/5)

Safety Composite73/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)94%

Median ER Wait107 min

30-Day Mortality vs U.S.same

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 Massac Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-01-14·administrative_or_closure
Closure Notice
Recorded
2024-09-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (65 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 Quality & Price Benchmark

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

Price Index: 1.00× regional baseline

Quality: 48/100 CMS composite

Median Household Income$62,584U.S. Census ACS

Local Uninsured Share9.0%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 141323

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141323) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-03 · 28.89 MB

Validated Rate Rows2,889 (CMS v3.0.0)

File Integrity Digest918838f6a6c1f00f4f06…

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