How many shoppable procedure prices are published for Community Hospital?

Community Hospital in Munster, IN currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Community Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Community Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 405 Beds · urban Updated: 4/1/2026

Community Hospital

901 Macarthur Blvd, Munster, IN 46321 · 98 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.47×vs. Fair Market Price

Typical commercial prices here are +47% above the fair benchmark (1.47×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 44% of the Time

File Completeness51

Price Logic70

Peer Alignment78

Clean Billing91

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.47× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Community Hospital maintains elevated commercial insurance contracts (1.47× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 44% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#76 of 107 in IN · 70th State Percentile#2,580 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 44% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 75% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (27.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.47× 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 (2.3×) & laboratory (2.6×) services average 1.25× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.89×) jump +20% above the median procedure ratio (Q50 1.57×)
Unnegotiated chargemaster list prices average 10.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.25× Divergence

2.0× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 0.99× · Q50 1.57× · Q75 1.89×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

1.4× MedicareGood

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

44% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$65,676	$48,911	$30,775	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$36,591	$31,876	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$35,737	$31,653	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$50,592	$28,931	$17,936	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,034	$12,318	$8,223	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,794	$2,794	$151	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,978	$1,503	$1,021	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,939	$1,400	$987	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$807	$758	$86	8.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,710	$693	$511	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,806	$633	$448	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,491	$578	$583	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,369	$472	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,341	$475	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,363	$490	$369	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,398	$458	$272	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,292	$440	$303	1.5×
Blood transfusion CPT Code: `36430`	$818	$425	$498	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,625	$386	$258	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$307	$327	$148	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,301	$317	$242	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$224	$270	$123	2.2×
CT scan, pelvis CPT Code: `72192`	$1,139	$263	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$1,030	$265	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,153	$264	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,193	$264	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,193	$264	$169	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,030	$239	$160	1.5×
Speech therapy (group session) CPT Code: `92508`	$230	$230	$27	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$227	$185	$86	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$868	$141	$87	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$946	$159	$123	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$228	$159	$166	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$284	$159	$181	0.9×
X-ray, chest (single view) CPT Code: `71045`	$154	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$459	$111	$112	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$624	$118	$134	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$140	$140	$201	0.7×
Prosthetic fitting and training CPT Code: `97761`	$82	$92	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$82	$88	$51	1.7×
X-ray, chest (two views) CPT Code: `71046`	$290	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$305	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$382	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$305	$87	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$560	$111	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$560	$113	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$557	$111	$132	0.8×
X-ray, ankle CPT Code: `73610`	$305	$84	$93	0.9×
Group therapy session CPT Code: `90853`	$103	$80	$100	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,220	$320	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$666	$230	$203	1.1×
Drug screening test HCPCS Code: `G0480`	$174	$174	$116	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$384	$117	$111	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$75	$10	7.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$77	$38	2.0×
Blood test, vitamin D CPT Code: `82306`	$113	$59	$31	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$63	$38	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$80	$56	$35	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$275	$62	$64	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$104	$34	$18	1.9×
Physical therapy (gait training) CPT Code: `97116`	$80	$56	$33	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$67	$40	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$62	$38	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$92	$53	$34	1.6×
X-ray, foot CPT Code: `73630`	$305	$78	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$305	$77	$92	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$105	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$105	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$106	$50	$49	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$128	$37	$39	0.9×
X-ray, pelvis CPT Code: `72170`	$262	$59	$110	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$6	$3	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$73	$16	$8	2.0×
Hepatitis C antibody test CPT Code: `86803`	$148	$29	$15	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$246	$21	$11	1.9×
Culture, blood CPT Code: `87040`	$66	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$17	$9	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$128	$33	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$196	$40	$56	0.7×
Blood test, magnesium CPT Code: `83735`	$56	$13	$7	1.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$37	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$23	$5	$3	1.7×
Blood test, lipase CPT Code: `83690`	$73	$11	$7	1.6×
Blood antibody screen CPT Code: `86850`	$126	$24	$46	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$146	$27	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$246	$16	$9	unverified
Blood test, amylase CPT Code: `82150`	$78	$13	$7	unverified
Blood test, calcium CPT Code: `82310`	$44	$10	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$10	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$140	$30	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$105	$27	$14	unverified
Blood test, potassium CPT Code: `84132`	$45	$10	$5	unverified
Blood test, sodium CPT Code: `84295`	$45	$10	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$9	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$12	$6	unverified
Culture, bacterial CPT Code: `87070`	$44	$17	$9	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 27.5%

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

CMS CCN: 150125

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $65,676

Insurer Median $48,911

1. Amount on Your Bill or Quote ($) Pre-filled with Community 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: $30,112 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $30,112

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (27.5% of gross = $30,112).

Step 2 · Cash vs. Insurance Arbitrage Save $43,784 Paying Cash

Self-Pay Cash Rate ($65,676) Beats Your Bill

Community Hospital's published 45 CFR § 180 self-pay cash rate is $65,676 (vs. $48,911 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$78,685 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($109,460) is $78,685 above the denoised Fair BaseRate ($30,775) and 4.7× the $23,504 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: 351107009

Filing Period: 200209

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 (27.5% 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

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait141 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2026-04-30·administrative_or_closure
Closure Notice
Recorded
2026-01-28·warning_notice
Warning Notice
Recorded
2025-06-12·administrative_or_closure
Closure Notice
Recorded
2025-05-14·cap_corrective_action
CAP Request
Recorded
2025-02-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (565 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.20× regional baseline

Quality: 60/100 CMS composite

Median Household Income$68,985U.S. Census ACS

Local Uninsured Share6.8%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 150125 EIN 351107009

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 150125) ↗ Verify IRS Form 990 (EIN 351107009) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows4,999 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150125

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