How many shoppable procedure prices are published for Midwest Medical Center?

Midwest Medical Center in Galena, IL currently has 95 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: 9/1/26

Midwest Medical Center

1 Medical Center Drive, Galena, IL 61036 · 95 Priced Procedures · 91% 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.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness100

Price Logic93

Peer Alignment63

Clean Billing76

Real Cash Discount43

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

Midwest Medical Center prices shoppable and inpatient services (6.7× to 5.0× Medicare, divergence 0.75×) 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 21% of shoppable procedures (43/100 Cash Honesty)
5-Star CMS clinical rating with 91% patient recommendation (79/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (80.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 8.0× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

6.7× Medicare

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

Back-Door Captive & ER0.75× Divergence

5.0× 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

6.7× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.6× MedicareGood

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

21% Cash Edge · 43/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 79/100Fair

Procedure Prices at Midwest Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 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`	$5,385	$5,385	$448	12.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,173	$4,173	$303	13.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,367	$3,367	$1,021	3.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,166	$3,166	$511	6.2×
CT scan, chest (no contrast) CPT Code: `71250`	$2,736	$2,736	$167	16.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,663	$2,663	$583	4.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,493	$2,493	$258	9.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,245	$2,245	$338	6.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,160	$2,160	$343	6.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,097	$2,097	$369	5.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,040	$2,040	$242	8.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,930	$1,930	$168	11.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,930	$1,930	$169	11.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,702	$1,702	$160	10.6×
CT scan, pelvis CPT Code: `72192`	$1,702	$1,702	$163	10.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,675	$1,675	$1,256	1.3×
CT scan, sinuses CPT Code: `70486`	$1,548	$1,548	$166	9.3×
Breast lump removal CPT Code: `19120`	$1,534	$1,534	$3,875	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,502	$1,502	$272	5.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,491	$1,491	$981	1.5×
Blood transfusion CPT Code: `36430`	$948	$948	$498	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$881	$881	$134	6.6×
Rabies immune globulin HCPCS Code: `90375`	$720	$720	$322	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$637	$637	$126	5.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$627	$627	$132	4.8×
X-ray, lower back CPT Code: `72110`	$383	$383	$112	3.4×
Ultrasound, pelvis CPT Code: `76856`	$348	$348	$130	2.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$366	$366	$148	2.5×
Screening mammogram (both breasts) CPT Code: `77067`	$321	$321	$123	2.6×
Neurobehavioral status check CPT Code: `96116`	$299	$299	$231	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$263	$263	$86	3.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$275	$275	$93	3.0×
X-ray, chest (two views) CPT Code: `71046`	$263	$263	$93	2.8×
X-ray, hip CPT Code: `73502`	$260	$260	$93	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$233	$233	$64	3.6×
X-ray, shoulder CPT Code: `73030`	$234	$234	$92	2.5×
X-ray, foot CPT Code: `73630`	$218	$218	$92	2.4×
X-ray, hand CPT Code: `73130`	$218	$218	$93	2.3×
X-ray, ankle CPT Code: `73610`	$218	$218	$93	2.3×
X-ray, chest (single view) CPT Code: `71045`	$206	$206	$92	2.2×
New patient office visit (30-44 min) CPT Code: `99203`	$219	$219	$110	2.0×
X-ray, pelvis CPT Code: `72170`	$213	$213	$110	1.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$169	$169	$25	6.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$193	$193	$123	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$122	$122	$38	3.2×
Orthotic fitting and training CPT Code: `97760`	$126	$126	$51	2.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$143	$143	$201	0.7×
Physical therapy (gait training) CPT Code: `97116`	$101	$101	$33	3.1×
Physical therapy (manual therapy) CPT Code: `97140`	$104	$104	$34	3.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$101	$35	2.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$104	$104	$38	2.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$104	$104	$40	2.6×
Prosthetic fitting and training CPT Code: `97761`	$110	$110	$45	2.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$129	$129	$87	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$91	$91	$38	2.4×
Typhoid vaccine HCPCS Code: `90675`	$444	$444	$347	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$244	$244	$140	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$263	$263	$203	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$194	$194	$20	9.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$167	$167	$18	9.3×
Hepatitis B vaccine HCPCS Code: `90744`	$183	$183	$37	4.9×
Drug screening test HCPCS Code: `G0480`	$206	$206	$116	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$190	$190	$111	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$143	$143	$19	7.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$140	$140	$39	3.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$98	$98	$6	16.3×
Blood test, lipase CPT Code: `83690`	$112	$112	$7	16.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$126	$126	$8	15.8×
Blood test, liver function panel CPT Code: `80076`	$141	$141	$9	15.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$149	$149	$14	10.6×
Culture, bacterial CPT Code: `87070`	$115	$115	$9	12.8×
Blood antibody screen CPT Code: `86850`	$136	$136	$46	3.0×
Blood test, calcium CPT Code: `82310`	$84	$84	$5	16.8×
Blood test, magnesium CPT Code: `83735`	$109	$109	$7	15.6×
Blood test, amylase CPT Code: `82150`	$106	$106	$7	15.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$98	$98	$10	9.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$77	$77	$14	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$83	$83	$16	5.2×
Blood test, vitamin D CPT Code: `82306`	$99	$99	$31	3.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$50	$3	16.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$64	$64	$4	16.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$64	$64	$4	16.0×
Blood test, sodium CPT Code: `84295`	$78	$78	$5	15.6×
Blood test, hemoglobin CPT Code: `85018`	$39	$39	$3	13.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$57	$57	$11	5.2×
Culture, blood CPT Code: `87040`	$56	$56	$11	5.1×
Hepatitis C antibody test CPT Code: `86803`	$57	$57	$15	3.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$31	$5	6.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$27	$5	5.4×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$44	$9	4.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$55	$55	$35	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$50	$50	$49	1.0×
Blood test, potassium CPT Code: `84132`	$23	$23	$5	4.6×
Flu vaccine injection HCPCS Code: `G0008`	$48	$48	$48	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$45	$45	$49	0.9×

Showing top 25 high-impact procedures of 95 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 80.0%

Audit a Bill or Quote at Midwest Medical Center (Zero PHI Required)

CMS CCN: 141302

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $5,385

Insurer Median $5,385

1. Amount on Your Bill or Quote ($) Pre-filled with Midwest Medical Center’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: $4,734 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,734

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (80.0% of gross = $4,734).

Step 2 · Cash vs. Insurance Arbitrage Save $532 Paying Cash

Self-Pay Cash Rate ($5,385) Beats Your Bill

Midwest Medical Center's published 45 CFR § 180 self-pay cash rate is $5,385 (vs. $5,385 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,469 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($5,917) is $5,469 above the denoised Fair BaseRate ($448) and 16.6× 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)

EIN: 204560540

Filing Period: 200608

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 (80.0% 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 Composite79/100

Would Recommend91%

Rated 9 or 10 (HCAHPS)93%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

Source: CMS Hospital Care Compare (118 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 Midwest Medical Center.

Price Index: 1.70× regional baseline

Quality: 82/100 CMS composite

Median Household Income$74,954U.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 78/100 · Corroborated CMS CCN 141302 EIN 204560540

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141302) ↗ Verify IRS Form 990 (EIN 204560540) ↗ CMS HCRIS Cost Reports ↗

Published MRF File204560540_midwest-medical-center_standardcharges.csv

Publication / Vintage9/1/26 · 12.90 MB

Validated Rate Rows4,072 (CMS v3.0.0)

File Integrity Digest7c1c949629f78a951f85…

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