How many shoppable procedure prices are published for Thomas H Boyd Memorial Hospital?

Thomas H Boyd Memorial Hospital in Carrollton, IL currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Thomas H Boyd Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Thomas H Boyd Memorial Hospital's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-07

Thomas H Boyd Memorial Hospital

800 School St, Carrollton, IL 62016 · 96 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.64×vs. Fair Market Price

Typical commercial prices here are 36% below the fair benchmark (0.64×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness85

Price Logic44

Peer Alignment65

Clean Billing79

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Thomas H Boyd Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.54× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 126 in IL · 1st State Percentile#96 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 36% below peer Fair BaseRate (0.64×)
Self-pay cash beats commercial insurance on 37% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (51.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.64× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (1.3×) services average 1.71× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.00×) jump +85% above the median procedure ratio (Q50 0.54×)
Unnegotiated chargemaster list prices average 9.1× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.71× Divergence

1.2× Medicare

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

Quantile Tail Spread+85% Upper Tail

Q25 0.27× · Q50 0.54× · Q75 1.00×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

1.1× MedicareGood

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

37% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Thomas H Boyd Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Blood transfusion CPT Code: `36430`	$990	$990	$498	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$978	$978	$181	unverified
Group therapy session CPT Code: `90853`	$978	$978	$100	unverified
Family therapy session CPT Code: `90847`	$911	$911	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$794	$794	$151	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$807	$807	$166	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$763	$763	$272	2.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$642	$642	$8,223	0.1×
Speech therapy (language evaluation) CPT Code: `92507`	$256	$256	$86	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,304	$214	$511	0.4×
X-ray, hip CPT Code: `73502`	$162	$162	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$168	$168	$110	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$200	$181	$123	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$218	$134	$64	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,348	$140	$258	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,723	$141	$303	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,888	$165	$448	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,279	$149	$583	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$237	$109	$148	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,090	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,415	$109	$169	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,013	$125	$242	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$129	$129	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$147	$147	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$143	$143	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$158	$158	$14	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$138	$138	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$90	$87	$87	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$88	$86	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$922	$93	$160	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,470	$91	$343	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$106	$106	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$103	$103	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$110	$110	$40	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$143	$81	$110	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$101	$101	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,221	$585	$347	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$498	$585	$203	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$235	$235	$11	21.4×
Blood test, vitamin D CPT Code: `82306`	$234	$234	$31	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$204	$204	$19	10.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$151	$151	$4	37.8×
Blood test, lipase CPT Code: `83690`	$120	$120	$7	17.1×
Hepatitis C antibody test CPT Code: `86803`	$144	$144	$15	9.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$160	$160	$18	8.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$169	$169	$20	8.4×
Blood test, amylase CPT Code: `82150`	$108	$108	$7	15.4×
Blood test, liver function panel CPT Code: `80076`	$118	$118	$9	13.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$138	$138	$14	9.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$137	$137	$14	9.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$86	$86	$6	14.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$102	$102	$8	12.8×
Blood test, vitamin B12 CPT Code: `82607`	$111	$111	$16	6.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$168	$111	$56	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$266	$111	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$319	$111	$140	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$381	$111	$37	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$107	$107	$27	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$71	$71	$4	17.8×
Blood test, calcium CPT Code: `82310`	$85	$85	$5	17.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$70	$70	$5	14.0×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$92	$9	10.2×
Blood test, sodium CPT Code: `84295`	$64	$64	$5	12.8×
Ultrasound, pelvis CPT Code: `76856`	$422	$77	$130	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$573	$72	$134	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, potassium CPT Code: `84132`	$65	$65	$5	13.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$65	$65	$10	6.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$118	$66	$126	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$145	$40	$35	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$437	$63	$132	0.5×
CT scan, sinuses CPT Code: `70486`	$934	$64	$166	0.4×
CT scan, pelvis CPT Code: `72192`	$978	$51	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,001	$50	$167	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$452	$71	$338	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,775	$64	$369	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$56	$56	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$58	$58	$39	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$77	$77	$201	unverified
Culture, blood CPT Code: `87040`	$145	$24	$11	2.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$40	$40	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$40	$40	$49	unverified
Blood test, magnesium CPT Code: `83735`	$102	$9	$7	1.3×
Culture, bacterial CPT Code: `87070`	$90	$10	$9	1.1×
Blood antibody screen CPT Code: `86850`	$66	$19	$46	0.4×
X-ray, chest (two views) CPT Code: `71046`	$176	$24	$93	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$197	$23	$93	0.2×
X-ray, lower back CPT Code: `72110`	$314	$26	$112	0.2×
X-ray, chest (single view) CPT Code: `71045`	$152	$20	$92	0.2×
X-ray, shoulder CPT Code: `73030`	$173	$19	$92	0.2×
X-ray, hand CPT Code: `73130`	$160	$18	$93	0.2×
X-ray, ankle CPT Code: `73610`	$143	$18	$93	0.2×
Blood test, hemoglobin CPT Code: `85018`	$38	$38	$3	unverified
Flu vaccine injection HCPCS Code: `G0008`	$40	$40	$48	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$61	$4	$5	0.8×
X-ray, foot CPT Code: `73630`	$152	$17	$92	0.2×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 51.5%

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

CMS CCN: 141300

CPT 36430

Select Procedure to Audit:

Fair BaseRate™ $498

Medicare Rate $451

Self-Pay Cash $990

Insurer Median $990

1. Amount on Your Bill or Quote ($) Pre-filled with Thomas H Boyd 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: $637 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $637

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (51.5% of gross = $637).

Step 2 · Cash vs. Insurance Arbitrage Save $247 Paying Cash

Self-Pay Cash Rate ($990) Beats Your Bill

Thomas H Boyd Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $990 (vs. $990 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$739 Above Fair BaseRate

Negotiate Toward $498 Fair BaseRate ($451 Medicare)

Your bill ($1,237) is $739 above the denoised Fair BaseRate ($498) and 2.7× the $451 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: 370673461

Filing Period: 194308

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 (51.5% 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 Composite65/100

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 Thomas H Boyd Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-07-09·administrative_or_closure
Closure Notice
Recorded
2024-04-03·warning_notice
Warning Notice
Recorded
2023-01-31·administrative_or_closure
Met Requirements
Recorded

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

Regional Quality & Price Benchmark

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

Price Index: 0.77× regional baseline

Quality: 54/100 CMS composite

Median Household Income$60,976U.S. Census ACS

Local Uninsured Share4.7%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 73/100 · Corroborated CMS CCN 141300 EIN 370673461

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141300) ↗ Verify IRS Form 990 (EIN 370673461) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-07 · 51.47 MB

Validated Rate Rows2,153 (CMS v3.0.0)

File Integrity Digest5faf29dfc2c95573dd77…

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.

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