How many shoppable procedure prices are published for Franciscan Health Rensselaer, Inc?

Franciscan Health Rensselaer, Inc in Rensselaer, IN currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Franciscan Health Rensselaer, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Franciscan Health Rensselaer, Inc's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 1/1/2026

Franciscan Health Rensselaer, Inc

1104 E Grace St, Rensselaer, IN 47978 · 108 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.57×vs. Fair Market Price

Typical commercial prices here are +57% above the fair benchmark (1.57×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 74% of the Time

File Completeness66

Price Logic80

Peer Alignment76

Clean Billing92

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +29% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Franciscan Health Rensselaer, Inc prices routine shoppable procedures at 2.3× Medicare (median 1.67× Fair BaseRate) while upper-quartile commercial rates jump +29% to 2.15× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#82 of 107 in IN · 75th State Percentile#2,735 of 3,385 in U.S. · 80th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 74% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.2× markup over Medicare rates
Commercial insurance median sits at 1.67× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.15×) jump +29% above the median procedure ratio (Q50 1.67×)
Unnegotiated chargemaster list prices average 9.3× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 0.98× · Q50 1.67× · Q75 2.15×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.2× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.9× MedicareWatchout

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

1.1× MedicareGood

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

74% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Franciscan Health Rensselaer, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$36,638	$31,165	$13,413	2.3×
Total knee replacement CPT Code: `27447`	$37,912	$31,165	$13,523	2.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$15,216	$14,675	$6,109	2.4×
Inguinal hernia repair CPT Code: `49505`	$20,273	$13,134	$3,629	unverified
Breast lump removal CPT Code: `19120`	$3,423	$9,504	$3,875	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$8,410	$7,943	$3,372	2.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$6,173	$6,173	$19,087	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$3,419	$2,905	$1,256	2.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$2,380	$2,380	$8,223	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,952	$2,318	$981	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	$3,262	$2,297	$987	2.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,583	$2,085	$1,021	2.0×
Rabies immune globulin HCPCS Code: `90375`	$1,749	$1,749	$322	5.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$532	$1,326	$583	2.3×
Blood transfusion CPT Code: `36430`	$1,106	$1,071	$498	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,253	$847	$448	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$887	$847	$511	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$358	$595	$272	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,039	$579	$303	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$703	$579	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$703	$579	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$703	$579	$369	1.6×
Group therapy session CPT Code: `90853`	$406	$406	$100	4.1×
CT scan, head (with contrast) CPT Code: `70460`	$575	$426	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$785	$426	$258	1.7×
CT scan, sinuses CPT Code: `70486`	$552	$337	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$552	$324	$167	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$592	$327	$169	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$592	$325	$168	1.9×
X-ray, lower back CPT Code: `72110`	$154	$254	$112	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$312	$271	$134	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$156	$254	$126	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$209	$260	$132	2.0×
Ultrasound, pelvis CPT Code: `76856`	$188	$254	$130	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$148	$266	$148	1.8×
CT scan, pelvis CPT Code: `72192`	$552	$265	$163	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$552	$254	$160	1.6×
Family therapy session CPT Code: `90847`	$252	$252	$173	1.5×
X-ray, pelvis CPT Code: `72170`	$124	$254	$110	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$104	$211	$93	2.3×
Screening mammogram (both breasts) CPT Code: `77067`	$127	$219	$123	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$213	$213	$181	1.2×
X-ray, chest (two views) CPT Code: `71046`	$107	$232	$93	unverified
X-ray, shoulder CPT Code: `73030`	$163	$211	$92	unverified
X-ray, hand CPT Code: `73130`	$135	$211	$93	unverified
X-ray, hip CPT Code: `73502`	$88	$211	$93	unverified
X-ray, ankle CPT Code: `73610`	$132	$211	$93	unverified
X-ray, foot CPT Code: `73630`	$128	$211	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$110	$143	$64	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	$96	$144	$86	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$148	$153	$123	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$88	$128	$110	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$153	$153	$185	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$123	$104	$87	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$81	$81	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,295	$640	$347	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$194	$194	$111	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$388	$213	$203	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$117	$174	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$90	$90	$39	2.3×
Hepatitis B vaccine HCPCS Code: `90744`	$92	$66	$37	1.8×
Blood antibody screen CPT Code: `86850`	$88	$79	$46	1.7×
Prosthetic fitting and training CPT Code: `97761`	$78	$77	$45	1.7×
Speech therapy (group session) CPT Code: `92508`	$212	$45	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$36	$55	$33	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$42	$63	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$41	$66	$40	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$47	$61	$38	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$45	$61	$38	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$33	$33	$14	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$55	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$57	$52	$34	1.5×
X-ray, chest (single view) CPT Code: `71045`	$42	$42	$92	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$88	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$28	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$64	$30	$31	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$48	$201	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$29	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$23	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$116	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$34	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$43	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$66	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$23	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$35	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$49	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$88	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$76	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$67	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$25	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$170	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$55	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$16	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$63	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$72	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$13	$13	$25	0.5×
Orthotic fitting and training CPT Code: `97760`	$25	$25	$51	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$22	$22	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$22	$22	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$18	$18	$49	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$27	$27	$140	0.2×

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 53.5%

Audit a Bill or Quote at Franciscan Health Rensselaer, Inc (Zero PHI Required)

CMS CCN: 151324

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $36,638

Insurer Median $31,165

1. Amount on Your Bill or Quote ($) Pre-filled with Franciscan Health Rensselaer, Inc’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: $54,752 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $54,752

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.5% of gross = $54,752).

Step 2 · Cash vs. Insurance Arbitrage Save $65,703 Paying Cash

Self-Pay Cash Rate ($36,638) Beats Your Bill

Franciscan Health Rensselaer, Inc's published 45 CFR § 180 self-pay cash rate is $36,638 (vs. $31,165 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$88,928 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($102,341) is $88,928 above the denoised Fair BaseRate ($13,413) and 7.8× the $13,117 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) 501(c)(3) Nonprofit Hospital

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

EIN: 473825106

Filing Period: 194603

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 (53.5% 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

Safety Composite70/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait91 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (68 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 Franciscan Health Rensselaer, Inc.

Price Index: 1.20× regional baseline

Quality: 57/100 CMS composite

Median Household Income$79,634U.S. Census ACS

Local Uninsured Share4.4%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 82/100 · Corroborated CMS CCN 151324 EIN 473825106

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 151324) ↗ Verify IRS Form 990 (EIN 473825106) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows2,666 (CMS v3.0.0)

File Integrity DigestVerified · CCN 151324

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