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Hospital Profile Critical Access Hospitals Government - Hospital District or Authority

Sarah D Culbertson Memorial Hospital

238 S CONGRESS ST, Rushville, IL 62681

CMS Overall Rating No CMS Rating
Factual Overview

Sarah D Culbertson Memorial Hospital is a Critical Access Hospitals (Government - Hospital District or Authority) operating in Rushville, IL. Mapped commercial insurance prices across 86 procedures average 8.53x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 22 Beds Teaching Status: Non-Teaching Annual Discharges: 181

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 120 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 86 codes Avg Markup vs Medicare: 8.53x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $1,071 Calc
Blood transfusion
CPT Code: 36430
 $1,018 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,538 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,757 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,934 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $5,076 Calc
Inguinal hernia repair
CPT Code: 49505
 $3,499 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,328 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,381 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,768 Calc
CT scan, sinuses
CPT Code: 70486
 $1,388 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,069 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,805 Calc
X-ray, chest (single view)
CPT Code: 71045
 $211 Calc
X-ray, chest (two views)
CPT Code: 71046
 $259 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,155 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $273 Calc
X-ray, lower back
CPT Code: 72110
 $407 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,684 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,568 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,918 Calc
X-ray, pelvis
CPT Code: 72170
 $229 Calc
CT scan, pelvis
CPT Code: 72192
 $1,293 Calc
X-ray, shoulder
CPT Code: 73030
 $273 Calc
X-ray, hand
CPT Code: 73130
 $257 Calc
X-ray, hip
CPT Code: 73502
 $280 Calc
X-ray, ankle
CPT Code: 73610
 $257 Calc
X-ray, foot
CPT Code: 73630
 $257 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,007 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,538 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,057 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $600 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $834 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $811 Calc
Ultrasound, pelvis
CPT Code: 76856
 $517 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $426 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $328 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $187 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $257 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $229 Calc
Blood test, liver function panel
CPT Code: 80076
 $202 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $66 Calc
Blood test, amylase
CPT Code: 82150
 $158 Calc
Blood test, vitamin D
CPT Code: 82306
 $262 Calc
Blood test, calcium
CPT Code: 82310
 $90 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $86 Calc
Blood test, vitamin B12
CPT Code: 82607
 $182 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $194 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $90 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $147 Calc
Blood test, lipase
CPT Code: 83690
 $187 Calc
Blood test, magnesium
CPT Code: 83735
 $113 Calc
Blood test, potassium
CPT Code: 84132
 $71 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $239 Calc
Blood test, sodium
CPT Code: 84295
 $71 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $229 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $80 Calc
Blood test, hemoglobin
CPT Code: 85018
 $73 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $122 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $83 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $127 Calc
Hepatitis C antibody test
CPT Code: 86803
 $256 Calc
Blood antibody screen
CPT Code: 86850
 $131 Calc
Culture, blood
CPT Code: 87040
 $281 Calc
Culture, bacterial
CPT Code: 87070
 $232 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $305 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $229 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $305 Calc
Family therapy session
CPT Code: 90847
 $305 Calc
Group therapy session
CPT Code: 90853
 $181 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $340 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $287 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,726 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,706 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $48 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $175 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $167 Calc
Physical therapy (gait training)
CPT Code: 97116
 $162 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $154 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $158 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $161 Calc
Orthotic fitting and training
CPT Code: 97760
 $154 Calc
Prosthetic fitting and training
CPT Code: 97761
 $148 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $245 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $190 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $220 Calc