How many shoppable procedure prices are published for Decatur County Memorial Hospital?

Decatur County Memorial Hospital in Greensburg, IN currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Decatur County Memorial Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Decatur County Memorial Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-09-02

Decatur County Memorial Hospital

720 North Lincoln Street, Greensburg, IN 47240 · 104 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 36% of the Time

File Completeness85

Price Logic60

Peer Alignment57

Clean Billing89

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +65% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Decatur County Memorial Hospital prices routine shoppable procedures at 1.3× Medicare (median 0.93× Fair BaseRate) while upper-quartile commercial rates jump +65% to 1.53× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#43 of 107 in IN · 39th State Percentile#1,373 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.30× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 36% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 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 (1.02× 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.
Commercial insurance median sits at 0.93× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.53×) jump +65% above the median procedure ratio (Q50 0.93×)
Consolidated metro market (HHI 10,000) 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 & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+65% Upper Tail

Q25 0.30× · Q50 0.93× · Q75 1.53×

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

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.0× MedicareGood

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

36% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Decatur County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 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`	$24,130	$22,824	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$62,794	$22,665	$19,432	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,418	$9,160	$8,223	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$4,890	$5,868	$2,540	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,995	$1,995	$1,021	2.0×
Vaginal delivery (full package) CPT Code: `59400`	$3,939	$1,988	$2,680	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,476	$1,962	$583	unverified
Blood transfusion CPT Code: `36430`	$1,282	$1,624	$498	3.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,610	$1,610	$6,109	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,323	$1,323	$448	3.0×
Breast lump removal CPT Code: `19120`	$911	$911	$3,875	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$609	$609	$272	2.2×
Rabies immune globulin HCPCS Code: `90375`	$7,113	$626	$322	1.9×
X-ray, lower back CPT Code: `72110`	$284	$284	$112	2.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$877	$301	$151	2.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$240	$321	$64	unverified
Family therapy session CPT Code: `90847`	$385	$285	$173	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$360	$269	$166	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$385	$288	$181	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$233	$233	$86	2.7×
Group therapy session CPT Code: `90853`	$303	$220	$100	2.2×
New patient office visit (30-44 min) CPT Code: `99203`	$213	$243	$110	unverified
X-ray, pelvis CPT Code: `72170`	$204	$204	$110	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$257	$200	$185	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$131	$164	$34	4.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$128	$163	$35	4.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$125	$160	$40	4.0×
X-ray, chest (two views) CPT Code: `71046`	$169	$169	$93	1.8×
X-ray, hip CPT Code: `73502`	$169	$169	$93	1.8×
X-ray, hand CPT Code: `73130`	$167	$167	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$165	$165	$93	1.8×
X-ray, shoulder CPT Code: `73030`	$162	$162	$92	1.8×
X-ray, foot CPT Code: `73630`	$161	$161	$92	1.8×
X-ray, ankle CPT Code: `73610`	$162	$162	$93	1.7×
X-ray, chest (single view) CPT Code: `71045`	$151	$151	$92	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$199	$176	$123	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$144	$144	$132	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$569	$154	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$682	$167	$1,256	0.1×
Physical therapy (gait training) CPT Code: `97116`	$117	$117	$33	3.5×
Occupational therapy (self-care training) CPT Code: `97535`	$121	$121	$38	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$119	$119	$38	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$112	$38	2.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,541	$115	$511	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$381	$116	$987	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$85	$85	$14	6.1×
Prosthetic fitting and training CPT Code: `97761`	$108	$108	$45	2.4×
Orthotic fitting and training CPT Code: `97760`	$104	$104	$51	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$102	$107	$87	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$67	$89	$201	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,181	$86	$303	0.3×
Typhoid vaccine HCPCS Code: `90675`	$907	$907	$347	2.6×
Drug screening test HCPCS Code: `G0480`	$241	$241	$116	2.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$103	$103	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$45	$57	$86	0.7×
Blood test, hemoglobin CPT Code: `85018`	$19	$19	$3	6.3×
Blood test, lipase CPT Code: `83690`	$30	$30	$7	4.3×
Blood test, vitamin B12 CPT Code: `82607`	$148	$30	$16	1.9×
CT scan, pelvis CPT Code: `72192`	$816	$54	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$781	$54	$167	0.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$148	$26	$14	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$123	$28	$18	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$116	$29	$19	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$44	$44	$37	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$826	$49	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$776	$49	$169	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,174	$74	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,108	$74	$343	0.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$289	$45	$148	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$128	$18	$11	1.6×
Culture, bacterial CPT Code: `87070`	$97	$11	$9	1.2×
Blood test, vitamin D CPT Code: `82306`	$95	$34	$31	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$776	$43	$160	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$478	$36	$134	0.3×
CT scan, sinuses CPT Code: `70486`	$820	$43	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,170	$64	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$969	$57	$242	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,096	$67	$369	0.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$124	$22	$14	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$188	$34	$123	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$87	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$85	$8	$7	1.1×
Ultrasound, pelvis CPT Code: `76856`	$399	$31	$130	0.2×
Blood test, calcium CPT Code: `82310`	$67	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$80	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$74	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$74	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$77	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$77	$11	$11	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$29	$30	$33	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$9	$10	0.9×
Hepatitis C antibody test CPT Code: `86803`	$65	$12	$15	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$61	$3	$4	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$53	$5	$8	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$3	$5	0.6×
Blood test, amylase CPT Code: `82150`	$50	$4	$7	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$107	$14	$25	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$47	$5	$9	0.6×
Blood test, liver function panel CPT Code: `80076`	$47	$5	$9	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$15	$20	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$15	$20	$49	0.4×
Blood antibody screen CPT Code: `86850`	$112	$15	$46	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$384	$26	$126	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$23	$3	unverified

Showing top 25 high-impact procedures of 104 total

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

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

CMS CCN: 151332

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $24,130

Insurer Median $22,824

1. Amount on Your Bill or Quote ($) Pre-filled with Decatur County 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 $8,044 Paying Cash

Self-Pay Cash Rate ($24,130) Beats Your Bill

Decatur County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $24,130 (vs. $22,824 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,087 Above Fair BaseRate

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

Your bill ($32,174) is $13,087 above the denoised Fair BaseRate ($19,087) and 2.3× 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 Decatur County 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

CMS Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait112 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-02-28·administrative_or_closure
Met Requirements
Recorded
2023-06-16·administrative_or_closure
Closure Notice
Recorded
2023-04-24·cap_corrective_action
CAP Request
Recorded
2023-01-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (92 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 Decatur County Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Median Household Income$74,228U.S. Census ACS

Local Uninsured Share4.0%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 77/100 · Corroborated CMS CCN 151332

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 151332) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-02 · 47.67 MB

Validated Rate Rows2,681 (CMS v3.0.0)

File Integrity Digestf9d7c3a68786490e404a…

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