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Hospital Profile Critical Access Hospital Voluntary non-profit - Private 17 Beds · rural Updated: 2026-09-28

Rochelle Community Hospital

900 N 2Nd St, Rochelle, IL 61068 · 80 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.32×vs. Fair Market Price
Position vs. 1.00× Fair Price+32% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).72/100 · Corroborated
72/100Self-Pay Cash Beats Insurance 7% of the Time
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic91Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment77Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing84Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score71/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait96 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Rochelle Community Hospital commands a 1.32× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#89 of 126 in IL · 69th State Percentile#2,290 of 3,385 in U.S. · 67th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (71/100 safety score) with 76% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.4% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
  • Commercial insurance median sits at 1.25× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.56×) jump +25% above the median procedure ratio (Q50 1.25×)
  • Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
1.6× Medicare

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

Back-Door Captive & ER0.94× Divergence
1.5× Medicare

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

Quantile Tail Spread+25% Upper Tail
Q25 1.05× · Q50 1.25× · Q75 1.56×

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
1.6× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.0× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.9× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.6× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
7% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 71/100Fair

Procedure Prices at Rochelle Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $748 1.3×
Blood transfusion
CPT Code: 36430
 $698 1.4×
MRI, brain (with and without contrast)
CPT Code: 70553
 $703 1.4×
CT scan, head (with and without contrast)
CPT Code: 70470
 $525 2.0×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $525 1.7×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $525 1.2×
CT scan, head (no contrast)
CPT Code: 70450
 $525 unverified
CT scan, head (with contrast)
CPT Code: 70460
 $525 unverified
MRI, lower back (no contrast)
CPT Code: 72148
 $417 1.2×
MRI, brain (no contrast)
CPT Code: 70551
 $417 1.2×
MRI, knee or other leg joint
CPT Code: 73721
 $417 1.1×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $291 2.2×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $291 1.1×
Ultrasound, pelvis
CPT Code: 76856
 $291 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
 $189 1.5×
Ultrasound, thyroid and neck
CPT Code: 76536
 $189 1.4×
CT scan, pelvis
CPT Code: 72192
 $184 1.1×
CT scan, sinuses
CPT Code: 70486
 $184 1.1×
CT scan, chest (no contrast)
CPT Code: 71250
 $184 1.1×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $184 1.1×
CT scan, neck (cervical spine)
CPT Code: 72125
 $184 1.1×
X-ray, chest (single view)
CPT Code: 71045
 $97 1.1×
X-ray, shoulder
CPT Code: 73030
 $97 1.1×
X-ray, foot
CPT Code: 73630
 $97 1.1×
X-ray, chest (two views)
CPT Code: 71046
 $97 1.0×
Showing top 25 high-impact procedures of 80 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.4%

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

CMS CCN: 141312
CPT 93306
Fair BaseRate™ $583
Medicare Rate $558
Self-Pay Cash $4,032
Insurer Median $748
Pre-filled with Rochelle Community Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,468 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,468

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.4% of gross = $1,468).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $4,032

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Rochelle Community Hospital's published 45 CFR § 180 self-pay cash rate is $4,032 (vs. $748 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,449 Above Fair BaseRate

Negotiate Toward $583 Fair BaseRate ($558 Medicare)

Your bill ($4,032) is $3,449 above the denoised Fair BaseRate ($583) and 7.2× the $558 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 (36.4% 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 Composite71/100
Would Recommend76%
Rated 9 or 10 (HCAHPS)85%
Median ER Wait96 min
Left ER Before Seen2%
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 Rochelle Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

  • 2024-02-27·administrative_or_closure

    Met Requirements

    Recorded
  • 2023-03-22·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (50 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 Rochelle Community Hospital.

Price Index: 1.00× regional baseline
Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
-54.4%
Median Household Income$79,244U.S. Census ACS
Local Uninsured Share4.3%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 72/100 · Corroborated CMS CCN 141312

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141312) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileReports.aspx
Publication / Vintage2026-09-28 · 29.00 MB
Validated Rate Rows2,964 (CMS v3.0.0)
File Integrity Digest9bae08c55514be6a2902…

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