Dukes Memorial Hospital
275 W 12Th St, Peru, IN 46970 · 115 Priced Procedures · 55% Patient Recommendation
Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.07× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Dukes Memorial Hospital maintains elevated commercial insurance contracts (1.07× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 46% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.65× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 55% patient recommendation (65/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.07× 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 1.06× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.33×) jump +25% above the median procedure ratio (Q50 1.06×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Dukes Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $7,742 | 24.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $4,414 | 0.5× |
| Total knee replacement CPT Code: 27447 | $1,848 | 0.1× |
| Total hip replacement CPT Code: 27130 | $1,784 | 0.1× |
| Blood transfusion CPT Code: 36430 | $1,746 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $1,603 | 0.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,605 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,250 | 2.4× |
| Vaginal delivery (full package) CPT Code: 59400 | $1,061 | 0.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,058 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $913 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $887 | 2.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $817 | 2.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $790 | 0.2× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $794 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $720 | 2.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $695 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $665 | 4.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $678 | 0.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $602 | 3.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $610 | 2.5× |
| CT scan, pelvis CPT Code: 72192 | $542 | 3.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $556 | 0.2× |
| Bunion correction surgery CPT Code: 28296 | $527 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $527 | 0.1× |
Audit a Bill or Quote at Dukes Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($7,742) Beats Your Bill
Dukes Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $7,742 (vs. $7,742 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($14,746) is $14,424 above the denoised Fair BaseRate ($322) and 53.6× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Dukes 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Dukes Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-04·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (86 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Dukes Memorial Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.