How many shoppable procedure prices are published for Marion General Hospital?

Marion General Hospital in Marion, IN currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Marion General Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Marion General 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 95 Beds · rural Updated: 6/18/2026

Marion General Hospital

441 N Wabash Ave, Marion, IN 46952 · 119 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.43×vs. Fair Market Price

Typical commercial prices here are +43% above the fair benchmark (1.43×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness56

Price Logic85

Peer Alignment68

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.43× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Marion General Hospital concentrates commercial margin in outpatient surgical suites (5.3× Medicare) and specialty drug infusions (1.1× Medicare) relative to routine diagnostics (2.9×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#68 of 107 in IN · 62nd State Percentile#2,522 of 3,385 in U.S. · 74th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.01× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 58% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 5.3× markup over Medicare rates
Commercial insurance median sits at 1.43× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +17% above the median procedure ratio (Q50 1.43×)
Consolidated metro market (HHI 7,915) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.7× Medicare

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

Quantile Tail Spread+17% Upper Tail

Q25 1.01× · Q50 1.43× · Q75 1.67×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

5.3× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.1× MedicareGood

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

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Marion General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 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`	$27,054	$26,224	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$76,529	$26,040	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$49,376	$23,801	$17,936	1.3×
Total hip replacement CPT Code: `27130`	$86,574	$13,528	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$71,043	$13,528	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,023	$10,525	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$33,484	$6,134	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$29,809	$5,033	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$34,236	$3,710	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$31,799	$3,411	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$24,097	$3,411	$3,446	1.0×
C-section delivery (full package) CPT Code: `59510`	$2,108	$2,108	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$1,910	$1,910	$2,680	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,765	$1,240	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,107	$1,070	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$4,555	$986	$987	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$715	$899	$511	1.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,238	$910	$855	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$716	$850	$343	2.5×
MRI, lower back (no contrast) CPT Code: `72148`	$716	$850	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$716	$850	$369	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$943	$686	$258	2.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,490	$686	$448	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$826	$686	$242	unverified
Blood transfusion CPT Code: `36430`	$579	$575	$498	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,634	$576	$583	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$775	$354	$160	2.2×
CT scan, pelvis CPT Code: `72192`	$810	$354	$163	2.2×
CT scan, sinuses CPT Code: `70486`	$775	$354	$166	2.1×
CT scan, chest (no contrast) CPT Code: `71250`	$669	$354	$167	2.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$775	$354	$168	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,057	$354	$169	2.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,377	$354	$303	1.2×
Rabies immune globulin HCPCS Code: `90375`	$596	$362	$322	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$634	$325	$126	2.6×
Ultrasound, pelvis CPT Code: `76856`	$599	$325	$130	2.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$715	$325	$134	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$311	$311	$981	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$985	$254	$272	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$344	$215	$148	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$284	$174	$123	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$598	$168	$132	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$429	$179	$151	1.2×
X-ray, chest (single view) CPT Code: `71045`	$177	$177	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$177	$177	$93	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$146	$146	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$135	$135	$181	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$96	$35	2.7×
Speech therapy (language evaluation) CPT Code: `92507`	$188	$90	$86	1.0×
X-ray, pelvis CPT Code: `72170`	$125	$112	$110	1.0×
X-ray, shoulder CPT Code: `73030`	$224	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$266	$93	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$149	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$233	$112	$112	1.0×
X-ray, hand CPT Code: `73130`	$266	$93	$93	1.0×
X-ray, hip CPT Code: `73502`	$177	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$266	$93	$93	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$109	$109	$123	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$94	$94	$110	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$109	$109	$201	0.5×
Family therapy session CPT Code: `90847`	$91	$91	$173	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$91	$91	$166	unverified
Physical therapy (gait training) CPT Code: `97116`	$80	$80	$33	unverified
Typhoid vaccine HCPCS Code: `90675`	$528	$397	$347	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$158	$245	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$113	$104	$56	1.9×
Drug screening test HCPCS Code: `G0480`	$128	$128	$116	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$110	$110	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$106	$106	$140	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$71	$76	$39	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$77	$40	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$71	$71	$38	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$67	$38	1.8×
Orthotic fitting and training CPT Code: `97760`	$83	$54	$51	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$79	$79	$34	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$45	$45	$37	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$101	$62	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$77	$77	$87	0.9×
Neurobehavioral status check CPT Code: `96116`	$77	$77	$231	0.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$65	$51	$35	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$40	$49	$48	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$32	$49	$49	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$8	$12	$7	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$10	$6	1.7×
Culture, bacterial CPT Code: `87070`	$10	$15	$9	1.7×
Culture, blood CPT Code: `87040`	$11	$18	$11	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$20	$31	$19	1.6×
Blood test, vitamin D CPT Code: `82306`	$33	$50	$31	1.6×
Blood antibody screen CPT Code: `86850`	$67	$56	$46	1.2×
Blood test, calcium CPT Code: `82310`	$6	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$9	$5	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$17	$10	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$5	$3	1.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$15	$23	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$18	$11	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$17	$26	$16	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$13	$8	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$29	$18	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$40	$49	$49	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$37	$37	$86	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$50	$50	$25	unverified
Blood test, potassium CPT Code: `84132`	$5	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$5	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$16	$24	$15	1.6×
Blood test, amylase CPT Code: `82150`	$7	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$7	$11	$7	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$14	$9	1.6×
Blood test, liver function panel CPT Code: `80076`	$9	$14	$9	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$2	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$17	$19	$20	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$68	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$59	$22	$27	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$26	$26	$33	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$14	$14	$25	0.6×
Psychological testing evaluation CPT Code: `96136`	$35	$35	$128	0.3×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.2%

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

CMS CCN: 150011

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $27,054

Insurer Median $26,224

1. Amount on Your Bill or Quote ($) Pre-filled with Marion General 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: $15,421 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,421

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.2% of gross = $15,421).

Step 2 · Cash vs. Insurance Arbitrage Save $18,036 Paying Cash

Self-Pay Cash Rate ($27,054) Beats Your Bill

Marion General Hospital's published 45 CFR § 180 self-pay cash rate is $27,054 (vs. $26,224 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$26,003 Above Fair BaseRate

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

Your bill ($45,090) is $26,003 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) 501(c)(3) Nonprofit Hospital

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

EIN: 350868130

Filing Period: 194408

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 (34.2% 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 Composite64/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait126 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)

Central-Line Bloodstream Infectionsame

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 Marion General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-27·cap_corrective_action
CAP Request
Recorded
2026-02-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (550 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 Marion General Hospital.

Price Index: 1.00× regional baseline

Quality: 55/100 CMS composite

Median Household Income$54,007U.S. Census ACS

Local Uninsured Share7.2%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 150011 EIN 350868130

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 150011) ↗ Verify IRS Form 990 (EIN 350868130) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage6/18/2026

Validated Rate Rows4,532 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150011

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