How many shoppable procedure prices are published for Bluffton Regional Medical Center?

Bluffton Regional Medical Center in Bluffton, IN currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bluffton Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bluffton Regional Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Bluffton Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Bluffton Regional Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 45 Beds · urban Updated: 2026-04-01

Bluffton Regional Medical Center

303 S Main St, Bluffton, IN 46714 · 116 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 70% of the Time

File Completeness61

Price Logic54

Peer Alignment64

Clean Billing95

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Bluffton Regional Medical Center prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#42 of 107 in IN · 38th State Percentile#1,233 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 70% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 65% patient recommendation (68/100 safety score)
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 1.2× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.19×) jump +21% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 4,811) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.77× Divergence

1.0× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 0.88× · Q50 0.98× · Q75 1.19×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

2.2× MedicareFair

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

70% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at Bluffton Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,089	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,958	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,584	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,912	$8,223	1.0×
C-section delivery (full package) CPT Code: `59510`	$2,170	$1,454	$2,975	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$1,415	$1,258	$2,680	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$1,020	$1,020	$2,540	0.4×
Total knee replacement CPT Code: `27447`	$936	$936	$13,523	unverified
Total hip replacement CPT Code: `27130`	$904	$904	$13,413	0.1×
Blood transfusion CPT Code: `36430`	$1,160	$700	$498	1.4×
Bunion correction surgery CPT Code: `28296`	$702	$702	$3,446	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,139	$664	$511	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,692	$632	$448	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,229	$505	$369	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,093	$458	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,515	$464	$343	1.4×
Inguinal hernia repair CPT Code: `49505`	$460	$460	$3,629	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$459	$459	$6,109	0.1×
Breast lump removal CPT Code: `19120`	$423	$423	$3,875	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$220	$391	$272	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,092	$379	$303	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$365	$365	$1,021	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$379	$379	$3,372	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,552	$334	$258	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$346	$346	$1,256	0.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$108	$282	$185	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,238	$306	$242	1.3×
Rabies immune globulin HCPCS Code: `90375`	$3,552	$280	$322	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$387	$216	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	$151	$199	$130	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,137	$221	$160	1.4×
CT scan, sinuses CPT Code: `70486`	$1,537	$221	$166	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$243	$243	$987	0.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$238	$238	$981	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$125	$199	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$552	$199	$134	1.5×
CT scan, pelvis CPT Code: `72192`	$1,405	$199	$163	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,332	$199	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,485	$199	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,306	$199	$169	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$136	$132	$123	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$158	$157	$148	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$733	$138	$151	0.9×
X-ray, hand CPT Code: `73130`	$136	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$60	$111	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$139	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$219	$107	$92	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$128	$128	$583	0.2×
X-ray, hip CPT Code: `73502`	$134	$96	$93	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$95	$95	$181	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,169	$320	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$308	$267	$140	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$133	$77	$86	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$100	$28	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$67	$46	$51	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$37	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$45	$40	$45	0.9×
Care planning with family CPT Code: `90887`	$90	$59	$107	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$63	$63	$166	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$42	$37	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$47	$34	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$73	$49	$56	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$35	$40	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$33	$38	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$68	$49	$123	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$76	$54	$203	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$8	$10	$10	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$53	$33	$38	0.9×
Blood test, lipase CPT Code: `83690`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$12	$9	$9	1.0×
Culture, blood CPT Code: `87040`	$12	$10	$11	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$28	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$78	$29	$33	0.9×
Hepatitis C antibody test CPT Code: `86803`	$14	$13	$15	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$79	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$61	$28	$34	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$55	$35	$87	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$4	$5	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$12	$14	$18	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$42	$30	$39	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$65	$45	$110	0.4×
Blood test, vitamin B12 CPT Code: `82607`	$15	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$18	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$6	$8	$9	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$7	$9	$11	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$9	$9	$14	0.6×
X-ray, chest (single view) CPT Code: `71045`	$33	$33	$92	0.4×
X-ray, lower back CPT Code: `72110`	$40	$40	$112	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$4	$3	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$6	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$6	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$4	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$61	$13	$14	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$10	$15	$20	0.8×
Blood test, vitamin D CPT Code: `82306`	$23	$23	$31	0.7×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$35	$23	$35	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$13	$11	$19	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$17	$17	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$17	$49	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$17	$17	$49	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$21	$21	$64	0.3×
Blood antibody screen CPT Code: `86850`	$15	$15	$46	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$29	$29	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$28	$28	$93	0.3×
X-ray, pelvis CPT Code: `72170`	$20	$20	$110	0.2×
Blood test, magnesium CPT Code: `83735`	$5	$8	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$5	$8	$8	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$46	$28	$111	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$28	$28	$201	unverified

Showing top 25 high-impact procedures of 116 total

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

Audit a Bill or Quote at Bluffton Regional Medical Center (Zero PHI Required)

CMS CCN: 150075

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $19,089

1. Amount on Your Bill or Quote ($) Pre-filled with Bluffton Regional Medical Center’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 Bluffton Regional Medical Center'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 +$26,727 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($45,814) is $26,727 above the denoised Fair BaseRate ($19,087) and 3.2× the $14,117 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 Bluffton Regional Medical Center 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

CMS Overall4/5 Stars (4/5)

Safety Composite68/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait120 min

Left ER Before Seen1%

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 Bluffton Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-21·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (99 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 Bluffton Regional Medical Center.

Price Index: 0.85× regional baseline

Quality: 67/100 CMS composite

Median Household Income$69,741U.S. Census ACS

Local Uninsured Share6.6%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 150075

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 150075) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows30,144 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150075

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