How many shoppable procedure prices are published for Washington County Hospital?

Washington County Hospital in Nashville, IL currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Washington County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Washington County Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 22 Beds · rural Updated: 2026-06-01

Washington County Hospital

705 S Grand Ave, Nashville, IL 62263 · 127 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.67×vs. Fair Market Price

Typical commercial prices here are 33% below the fair benchmark (0.67×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness50

Price Logic91

Peer Alignment58

Clean Billing84

Real Cash Discount100

Regional Value Leader

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

Washington County Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.67× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.86× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#6 of 126 in IL · 3rd State Percentile#114 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 33% below peer Fair BaseRate (0.67×)
Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (76/100 safety score) with 70% 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)

Even at low-cost facilities (0.67× 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 (0.4×) & laboratory (0.7×) services average 1.50× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 0.86×) jump +28% above the median procedure ratio (Q50 0.67×)
Unnegotiated chargemaster list prices average 11.6× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.50× Divergence

0.9× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.34× · Q50 0.67× · Q75 0.86×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

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

1.1× MedicareGood

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

14% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 76/100Fair

Procedure Prices at Washington County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	—	$2,860	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,521	$2,680	0.9×
Blood transfusion CPT Code: `36430`	$1,447	$1,447	$498	2.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$544	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$563	$3,629	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$508	$1,021	0.5×
Bunion correction surgery CPT Code: `28296`	—	$497	$3,446	0.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$447	$406	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$464	$2,540	0.2×
Breast lump removal CPT Code: `19120`	—	$444	$3,875	0.1×
X-ray, pelvis CPT Code: `72170`	$268	$268	$110	2.4×
Rabies immune globulin HCPCS Code: `90375`	$3,998	$286	$322	0.9×
Behavioral health residential care HCPCS Code: `H0011`	—	$281	$364	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$230	$230	$64	3.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$199	$199	$201	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,499	$200	$448	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,461	$196	$511	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,932	$175	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$2,266	$194	$1,256	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$135	$181	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$137	$185	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$952	$141	$272	0.5×
Family therapy session CPT Code: `90847`	—	$103	$173	0.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$123	$257	0.5×
Behavioral health day treatment HCPCS Code: `H0010`	—	$133	$343	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,120	$106	$258	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,029	$131	$369	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,898	$118	$343	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,474	$120	$583	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,372	$130	$987	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$245	$88	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$405	$102	$148	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$92	$166	0.6×
CT scan, sinuses CPT Code: `70486`	$1,899	$82	$166	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,120	$89	$242	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,898	$114	$338	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$369	$84	$123	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,980	$96	$303	0.3×
Typhoid vaccine HCPCS Code: `90675`	$651	$323	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$357	$167	$203	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$246	$133	$140	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$286	$74	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$187	$88	$111	0.8×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$66	$88	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$204	$76	$110	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$161	$60	$87	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$670	$76	$132	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,125	$71	$134	0.5×
Ultrasound, pelvis CPT Code: `76856`	$787	$67	$130	0.5×
CT scan, pelvis CPT Code: `72192`	$1,934	$77	$163	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,250	$78	$169	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$2,163	$77	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,250	$77	$168	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$692	$54	$126	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,904	$62	$160	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$74	$231	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$246	$10	$11	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$143	$18	$20	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$120	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$126	$44	$51	0.9×
Behavioral health day program HCPCS Code: `H2012`	—	$43	$100	0.4×
X-ray, hip CPT Code: `73502`	$405	$34	$93	0.4×
X-ray, lower back CPT Code: `72110`	$476	$38	$112	0.3×
Behavioral health assessment HCPCS Code: `H0001`	—	$40	$157	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$63	$63	$48	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$95	$6	$3	2.0×
Blood test, sodium CPT Code: `84295`	$49	$7	$5	1.4×
Blood test, calcium CPT Code: `82310`	$56	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$58	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$112	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$49	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$4	$4	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$107	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$178	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$179	$8	$9	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$186	$16	$18	0.9×
Blood test, amylase CPT Code: `82150`	$89	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$95	$6	$7	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$108	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$95	$28	$33	0.8×
Care planning with family CPT Code: `90887`	—	$42	$107	0.4×
Blood test, vitamin B12 CPT Code: `82607`	$143	$12	$16	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$122	$6	$8	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$191	$10	$14	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$130	$7	$10	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$143	$13	$19	0.7×
Blood test, vitamin D CPT Code: `82306`	$122	$21	$31	0.7×
Blood test, hemoglobin CPT Code: `85018`	$43	$2	$3	0.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$199	$9	$14	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$363	$27	$93	0.3×
X-ray, hand CPT Code: `73130`	$298	$27	$93	0.3×
X-ray, ankle CPT Code: `73610`	$303	$27	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$368	$25	$92	0.3×
X-ray, foot CPT Code: `73630`	$338	$24	$92	0.3×
Group therapy session CPT Code: `90853`	—	$25	$100	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$49	$49	$25	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$89	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$138	$14	$15	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$146	$39	$56	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$63	$49	unverified
Culture, blood CPT Code: `87040`	$208	$10	$11	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$104	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$108	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$151	$28	$35	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$146	$27	$34	0.8×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$11	$16	0.7×
Culture, bacterial CPT Code: `87070`	$116	$6	$9	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	—	$17	$37	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$15	$34	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$17	$39	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$35	$35	$86	0.4×
X-ray, chest (two views) CPT Code: `71046`	$294	$22	$93	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$32	$140	0.2×
Mental health services (therapy) HCPCS Code: `H0032`	—	$13	$65	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$22	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$35	$395	0.1×
Blood antibody screen CPT Code: `86850`	$93	$7	$46	0.2×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$29	$269	0.1×
Community mental health services HCPCS Code: `H0038`	—	$3	$16	0.2×
X-ray, chest (single view) CPT Code: `71045`	$190	$16	$92	0.2×

Showing top 25 high-impact procedures of 127 total

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

Audit a Bill or Quote at Washington County Hospital (Zero PHI Required)

CMS CCN: 141308

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $2,860

1. Amount on Your Bill or Quote ($) Pre-filled with Washington County 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Washington County Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$3,889 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($6,864) is $3,889 above the denoised Fair BaseRate ($2,975) and 2.8× the $2,473 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)

EIN: 376020408

Public IRS & CMS ownership records classify Washington County 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 Composite76/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait82 min

Left ER Before Seen0%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Washington County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-14·administrative_or_closure
Closure Notice
Recorded
2025-08-06·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (31 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Washington County Hospital.

Price Index: 0.78× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-40.4%

Median Household Income$75,652U.S. Census ACS

Local Uninsured Share3.3%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 76/100 · Corroborated CMS CCN 141308 EIN 376020408

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141308) ↗ Verify IRS Form 990 (EIN 376020408) ↗ CMS HCRIS Cost Reports ↗

Published MRF File376020408-1659321560_washington-county-hospital_standardcharges.csv

Publication / Vintage2026-06-01 · 98.08 MB

Validated Rate Rows5,205 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141308

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

Washington County Hospital

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Washington County Hospital

Audit a Bill or Quote at Washington County Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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