How many shoppable procedure prices are published for Northwest Health - Starke?

Northwest Health - Starke in Knox, IN currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwest Health - Starke's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwest Health - Starke's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Northwest Health - Starke's CMS Care Compare overall star rating?

CMS Care Compare assigns Northwest Health - Starke an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 15 Beds · rural Updated: 2026-04-01

Northwest Health - Starke

102 E Culver Rd, Knox, IN 46534 · 98 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness56

Price Logic78

Peer Alignment64

Clean Billing86

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 1.16× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Northwest Health - Starke concentrates commercial margin in outpatient surgical suites (4.2× Medicare) and specialty drug infusions (1.2× Medicare) relative to routine diagnostics (2.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#53 of 107 in IN · 48th State Percentile#1,885 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 76% patient recommendation (71/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 4.2× markup over Medicare rates
Commercial insurance median sits at 1.06× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.40×) jump +32% above the median procedure ratio (Q50 1.06×)
Unnegotiated chargemaster list prices average 11.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.1× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.95× · Q50 1.06× · Q75 1.40×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

4.2× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

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

1.2× MedicareGood

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

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 71/100Fair

Procedure Prices at Northwest Health - Starke

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
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,521	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,372	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,584	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,320	$8,223	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$6,766	$4,316	$2,540	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$12,386	$3,708	$3,372	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$4,868	$2,441	$1,256	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,995	$1,897	$981	1.9×
Upper endoscopy with biopsy CPT Code: `43239`	$5,509	$1,850	$987	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,315	$789	$583	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,898	$712	$511	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,423	$632	$448	1.4×
Blood transfusion CPT Code: `36430`	$600	$625	$498	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$961	$541	$272	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,581	$500	$369	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,581	$458	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,581	$464	$343	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,581	$378	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$481	$350	$303	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,509	$306	$242	1.3×
Rabies immune globulin HCPCS Code: `90375`	$4,326	$280	$322	0.9×
CT scan, sinuses CPT Code: `70486`	$1,265	$237	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$463	$237	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,265	$237	$168	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$446	$217	$160	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$446	$237	$169	unverified
CT scan, pelvis CPT Code: `72192`	$1,265	$237	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$600	$213	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$814	$213	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$651	$213	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$721	$213	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$273	$162	$148	1.1×
X-ray, chest (two views) CPT Code: `71046`	$226	$186	$93	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$210	$132	$123	1.1×
X-ray, shoulder CPT Code: `73030`	$218	$99	$92	1.1×
X-ray, foot CPT Code: `73630`	$81	$99	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$81	$118	$110	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$218	$99	$93	1.1×
X-ray, hand CPT Code: `73130`	$80	$99	$93	1.1×
X-ray, hip CPT Code: `73502`	$176	$99	$93	1.1×
X-ray, ankle CPT Code: `73610`	$193	$99	$93	1.1×
X-ray, lower back CPT Code: `72110`	$360	$118	$112	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,678	$138	$151	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$84	$84	$201	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$602	$669	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,401	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$289	$279	$111	2.5×
Pneumococcal vaccine HCPCS Code: `90732`	$377	$284	$140	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$159	$140	$56	2.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$117	$97	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$96	$71	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$52	$39	$25	1.6×
Blood antibody screen CPT Code: `86850`	$42	$59	$46	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$98	$77	$64	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$164	$74	$86	0.9×
X-ray, chest (single view) CPT Code: `71045`	$53	$53	$92	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$57	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$38	$30	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$83	$44	$51	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$21	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$14	$14	1.0×
Prosthetic fitting and training CPT Code: `97761`	$78	$39	$45	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$11	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$22	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$25	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$8	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$11	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$36	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$4	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$30	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$8	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$31	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$60	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$61	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$57	$10	$11	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$73	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$81	$34	$40	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$34	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$75	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	$70	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$67	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$35	$6	$7	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$28	$29	$35	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$75	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$76	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$83	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$17	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$21	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$21	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$21	$49	0.4×
Blood test, lipase CPT Code: `83690`	$21	$7	$7	unverified

Showing top 25 high-impact procedures of 98 total

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

Audit a Bill or Quote at Northwest Health - Starke (Zero PHI Required)

CMS CCN: 150102

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $22,521

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Health - Starke’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Northwest Health - Starke's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$34,963 Above Fair BaseRate

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

Your bill ($54,050) is $34,963 above the denoised Fair BaseRate ($19,087) and 3.8× 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 Northwest Health - Starke 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 Overall1/5 Stars (1/5)

Safety Composite71/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait120 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-07-17·administrative_or_closure
Met Requirements
Recorded
2023-01-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (65 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northwest Health - Starke.

Price Index: 1.11× regional baseline

Quality: 36/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-53.1%

Blue Cross Blue Shield

-44.9%

Median Household Income$62,933U.S. Census ACS

Local Uninsured Share6.5%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 150102

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 150102) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows9,325 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150102

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