How many shoppable procedure prices are published for Sarah D Culbertson Memorial Hospital?

Sarah D Culbertson Memorial Hospital in Rushville, IL currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sarah D Culbertson Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sarah D Culbertson Memorial Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 22 Beds · rural Updated: 2026-05-26

Sarah D Culbertson Memorial Hospital

238 South Congress Street, Rushville, IL 62681 · 100 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.38×vs. Fair Market Price

Typical commercial prices here are +38% above the fair benchmark (1.38×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Caution

70/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness100

Price Logic59

Peer Alignment63

Clean Billing81

Real Cash Discount44

High-Markup · Check Safety

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Sarah D Culbertson Memorial Hospital prices routine shoppable procedures near 1.4× Medicare (p50 1.34×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 1.99×, +49% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#92 of 126 in IL · 72nd State Percentile#2,414 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.43× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 31% of shoppable procedures (44/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
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 1.8× markup over Medicare rates
Captive ER (0.6×) & laboratory (1.2×) services average 1.36× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.99×) jump +49% above the median procedure ratio (Q50 1.34×)
Unnegotiated chargemaster list prices average 10.5× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER1.36× Divergence

1.9× Medicare

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

Quantile Tail Spread+49% Upper Tail

Q25 0.43× · Q50 1.34× · Q75 1.99×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

0.5× MedicareGood

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

31% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Sarah D Culbertson Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 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`	$9,051	$9,051	$322	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,076	$5,076	$6,109	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,706	$1,706	$272	6.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,726	$1,414	$583	unverified
Blood transfusion CPT Code: `36430`	$1,018	$1,131	$498	unverified
Inguinal hernia repair CPT Code: `49505`	$3,499	$531	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$1,071	$505	$3,875	0.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,568	$319	$168	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,381	$326	$242	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$340	$340	$86	unverified
X-ray, hip CPT Code: `73502`	$280	$280	$93	3.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,805	$297	$511	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$305	$305	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$305	$305	$181	unverified
Family therapy session CPT Code: `90847`	$305	$305	$173	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,684	$257	$169	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,328	$233	$160	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$229	$229	$166	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$245	$220	$110	unverified
Ultrasound, pelvis CPT Code: `76856`	$517	$186	$130	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$811	$168	$126	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,768	$186	$258	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,757	$202	$981	0.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,057	$165	$448	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,934	$181	$1,256	0.1×
X-ray, lower back CPT Code: `72110`	$407	$183	$112	unverified
X-ray, shoulder CPT Code: `73030`	$273	$183	$92	unverified
X-ray, foot CPT Code: `73630`	$257	$183	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$329	$156	$123	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$426	$156	$148	1.1×
Group therapy session CPT Code: `90853`	$181	$181	$100	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$154	$118	$34	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$175	$118	$35	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$167	$118	$38	3.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,538	$141	$303	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,538	$151	$987	0.2×
Physical therapy (gait training) CPT Code: `97116`	$162	$99	$33	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$158	$118	$40	3.0×
Prosthetic fitting and training CPT Code: `97761`	$148	$118	$45	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$161	$99	$38	2.6×
Orthotic fitting and training CPT Code: `97760`	$154	$118	$51	2.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$287	$84	$64	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$190	$87	$87	1.0×
X-ray, ankle CPT Code: `73610`	$257	$91	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$273	$89	$93	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$220	$103	$123	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,069	$91	$343	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$98	$98	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,719	$367	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$826	$367	$203	unverified
Culture, blood CPT Code: `87040`	$281	$281	$11	25.5×
Blood test, vitamin D CPT Code: `82306`	$262	$262	$31	8.5×
Culture, bacterial CPT Code: `87070`	$232	$232	$9	25.8×
Blood test, lipase CPT Code: `83690`	$187	$187	$7	26.7×
Blood test, liver function panel CPT Code: `80076`	$203	$203	$9	22.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$194	$194	$14	13.9×
Blood test, amylase CPT Code: `82150`	$158	$158	$7	22.6×
Blood test, vitamin B12 CPT Code: `82607`	$182	$182	$16	11.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$164	$164	$27	6.1×
Blood test, hemoglobin CPT Code: `85018`	$73	$73	$3	24.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$90	$90	$4	22.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$80	$80	$4	20.0×
Blood test, calcium CPT Code: `82310`	$90	$90	$5	18.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$86	$86	$5	17.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$83	$83	$5	16.6×
Blood test, potassium CPT Code: `84132`	$71	$71	$5	14.2×
Blood test, sodium CPT Code: `84295`	$71	$71	$5	14.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$55	$55	$25	2.2×
Hepatitis B vaccine HCPCS Code: `90744`	$146	$69	$37	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$210	$69	$39	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$130	$69	$56	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$502	$69	$111	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$600	$72	$132	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$834	$72	$134	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$664	$69	$140	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$79	$79	$49	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$187	$24	$9	2.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$257	$24	$11	2.2×
X-ray, chest (two views) CPT Code: `71046`	$259	$40	$93	0.4×
CT scan, sinuses CPT Code: `70486`	$1,388	$64	$166	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,918	$71	$338	0.2×
Blood test, magnesium CPT Code: `83735`	$113	$14	$7	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$122	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$127	$12	$6	2.0×
Hepatitis C antibody test CPT Code: `86803`	$256	$30	$15	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$229	$35	$18	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$229	$24	$14	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$239	$32	$19	1.7×
X-ray, chest (single view) CPT Code: `71045`	$211	$35	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$229	$40	$110	0.4×
CT scan, pelvis CPT Code: `72192`	$1,293	$50	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,155	$49	$167	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$48	$201	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,007	$63	$369	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$55	$55	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$55	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$66	$8	$3	2.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$147	$14	$10	1.4×
Blood antibody screen CPT Code: `86850`	$131	$12	$46	0.3×
X-ray, hand CPT Code: `73130`	$257	$23	$93	0.2×

Showing top 25 high-impact procedures of 100 total

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

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

CMS CCN: 141333

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $9,051

Insurer Median $9,051

1. Amount on Your Bill or Quote ($) Pre-filled with Sarah D Culbertson 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 $1,006 Paying Cash

Self-Pay Cash Rate ($9,051) Beats Your Bill

Sarah D Culbertson Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $9,051 (vs. $9,051 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$9,735 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($10,057) is $9,735 above the denoised Fair BaseRate ($322) and 36.6× 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 Sarah D Culbertson 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

Safety Composite69/100

Median ER Wait120 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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

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

Price Index: 1.13× regional baseline

Quality: 56/100 CMS composite

Median Household Income$66,059U.S. Census ACS

Local Uninsured Share8.1%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 70/100 · Caution CMS CCN 141333

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141333) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-05-26 · 52.26 MB

Validated Rate Rows2,950 (CMS v3.0.0)

File Integrity Digest8fbe8fab8a947014e7e6…

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