How many shoppable procedure prices are published for Memorial Hospital?

Memorial Hospital in Carthage, IL currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

CMS Care Compare assigns Memorial Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 18 Beds · rural Updated: 2026-04-22

Memorial Hospital

1454 N County Road 2050 E, Carthage, IL 62321 · 102 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

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.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness85

Price Logic92

Peer Alignment57

Clean Billing77

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Memorial Hospital prices shoppable and inpatient services (14.3× to 17.9× Medicare, divergence 1.25×) 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 62% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 86% patient recommendation (80/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (85.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Captive ER (1.9×) & laboratory (2.1×) services average 1.25× higher multiples than routine shoppable care (14.3×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 13.6× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

14.3× Medicare

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

Back-Door Captive & ER1.25× Divergence

17.9× 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

14.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.7× MedicareGood

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

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 80/100Good

Procedure Prices at Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$14,147	$14,147	$13,413	1.1×
Total knee replacement CPT Code: `27447`	$12,473	$12,473	$13,523	0.9×
C-section delivery (full package) CPT Code: `59510`	$7,962	$7,962	$2,975	2.7×
Vaginal delivery (full package) CPT Code: `59400`	$6,813	$6,813	$2,680	2.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$6,237	$6,237	$3,372	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,030	$6,030	$448	13.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,896	$5,896	$6,109	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$5,706	$5,706	$2,540	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,572	$5,572	$511	10.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,658	$4,658	$303	15.4×
Rabies immune globulin HCPCS Code: `90375`	$4,425	$4,425	$322	13.7×
MRI, lower back (no contrast) CPT Code: `72148`	$3,716	$3,716	$338	11.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,716	$3,716	$343	10.8×
MRI, knee or other leg joint CPT Code: `73721`	$3,716	$3,716	$369	10.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,502	$3,502	$258	13.6×
Inguinal hernia repair CPT Code: `49505`	$3,446	$3,446	$3,629	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$3,348	$3,348	$242	13.8×
Breast lump removal CPT Code: `19120`	$2,609	$2,609	$3,875	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,499	$2,499	$583	4.3×
CT scan, head (no contrast) CPT Code: `70450`	$2,434	$2,434	$160	15.2×
CT scan, pelvis CPT Code: `72192`	$2,434	$2,434	$163	14.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,434	$2,434	$167	14.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,434	$2,434	$168	14.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,434	$2,434	$169	14.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,308	$2,308	$1,021	2.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,328	$2,328	$1,256	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,234	$2,234	$272	8.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,142	$2,142	$981	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,770	$1,770	$987	1.8×
CT scan, sinuses CPT Code: `70486`	$1,674	$1,674	$166	10.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$955	$955	$134	7.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$782	$782	$126	6.2×
Ultrasound, pelvis CPT Code: `76856`	$782	$782	$130	6.0×
Blood transfusion CPT Code: `36430`	$759	$759	$498	1.5×
X-ray, lower back CPT Code: `72110`	$681	$681	$112	6.1×
Family therapy session CPT Code: `90847`	$448	$448	$173	2.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$426	$426	$181	2.4×
X-ray, shoulder CPT Code: `73030`	$389	$389	$92	4.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$388	$388	$132	2.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$400	$400	$148	2.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$360	$360	$93	3.9×
X-ray, chest (two views) CPT Code: `71046`	$351	$351	$93	3.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$322	$322	$25	12.9×
X-ray, hip CPT Code: `73502`	$334	$334	$93	3.6×
Group therapy session CPT Code: `90853`	$338	$338	$100	3.4×
Screening mammogram (both breasts) CPT Code: `77067`	$350	$350	$123	2.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$345	$345	$151	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$350	$350	$166	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$288	$288	$86	3.3×
X-ray, foot CPT Code: `73630`	$302	$302	$92	3.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$280	$280	$86	3.3×
X-ray, hand CPT Code: `73130`	$302	$302	$93	3.2×
X-ray, ankle CPT Code: `73610`	$302	$302	$93	3.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$236	$236	$64	3.7×
X-ray, chest (single view) CPT Code: `71045`	$249	$249	$92	2.7×
X-ray, pelvis CPT Code: `72170`	$248	$248	$110	2.3×
New patient office visit (30-44 min) CPT Code: `99203`	$179	$179	$110	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$160	$160	$123	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$134	$134	$87	1.5×
Physical therapy (gait training) CPT Code: `97116`	$108	$108	$33	3.3×
Physical therapy (manual therapy) CPT Code: `97140`	$108	$108	$34	3.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$108	$108	$35	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$108	$108	$38	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$108	$108	$38	2.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$108	$108	$40	2.7×
Prosthetic fitting and training CPT Code: `97761`	$108	$108	$45	2.4×
Orthotic fitting and training CPT Code: `97760`	$108	$108	$51	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$122	$122	$201	0.6×
Typhoid vaccine HCPCS Code: `90675`	$732	$732	$347	2.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$306	$306	$14	21.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$280	$280	$11	25.5×
Blood test, basic metabolic panel CPT Code: `80048`	$250	$250	$9	27.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$268	$268	$14	19.1×
Blood test, liver function panel CPT Code: `80076`	$217	$217	$9	24.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$239	$239	$10	23.9×
Culture, blood CPT Code: `87040`	$225	$225	$11	20.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$222	$222	$111	2.0×
Blood test, magnesium CPT Code: `83735`	$194	$194	$7	27.7×
Blood test, amylase CPT Code: `82150`	$178	$178	$7	25.4×
Blood test, vitamin B12 CPT Code: `82607`	$198	$198	$16	12.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$166	$166	$8	20.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$175	$175	$18	9.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$182	$182	$20	9.1×
Blood test, vitamin D CPT Code: `82306`	$174	$174	$31	5.6×
Blood antibody screen CPT Code: `86850`	$178	$178	$46	3.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$128	$128	$4	32.0×
Blood test, calcium CPT Code: `82310`	$132	$132	$5	26.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$126	$126	$5	25.2×
Blood test, lipase CPT Code: `83690`	$132	$132	$7	18.9×
Culture, bacterial CPT Code: `87070`	$149	$149	$9	16.6×
Hepatitis C antibody test CPT Code: `86803`	$155	$155	$15	10.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$146	$146	$56	2.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$104	$104	$3	34.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$83	$83	$4	20.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$96	$96	$5	19.2×
Blood test, potassium CPT Code: `84132`	$94	$94	$5	18.8×
Blood test, sodium CPT Code: `84295`	$94	$94	$5	18.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$109	$109	$6	18.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$119	$119	$19	6.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$116	$116	$39	3.0×
Blood test, hemoglobin CPT Code: `85018`	$58	$58	$3	19.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$16	$25	0.6×

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 85.0%

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

CMS CCN: 141305

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $14,147

Insurer Median $14,147

1. Amount on Your Bill or Quote ($) Pre-filled with 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 501(r) AGB Cap: $15,031 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,031

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (85.0% of gross = $15,031).

Step 2 · Cash vs. Insurance Arbitrage Save $3,537 Paying Cash

Self-Pay Cash Rate ($14,147) Beats Your Bill

Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $14,147 (vs. $14,147 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,271 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($17,684) is $4,271 above the denoised Fair BaseRate ($13,413) and 1.3× the $13,117 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 (85.0% 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

CMS Overall5/5 Stars (5/5)

Safety Composite80/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait147 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-08·administrative_or_closure
Closure Notice
Recorded
2025-06-04·warning_notice
Warning Notice
Recorded
2023-12-08·administrative_or_closure
Closure Notice
Recorded
2023-09-13·cap_corrective_action
CAP Request
Recorded
2023-05-31·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (121 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 Pareto Frontier (Price + Quality)

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

Price Index: 1.84× regional baseline

Quality: 84/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-42.7%

Median Household Income$65,044U.S. Census ACS

Local Uninsured Share6.5%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 83/100 · Corroborated CMS CCN 141305

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141305) ↗ CMS HCRIS Cost Reports ↗

Published MRF File000000000-1730139031_memorial-hospital_standardcharges.csv

Publication / Vintage2026-04-22 · 34.03 MB

Validated Rate Rows2,989 (CMS v3.0.0)

File Integrity Digest1eb00f8ef4c4c98adbdb…

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