How many shoppable procedure prices are published for Norton Clark Hospital?

Norton Clark Hospital in Jeffersonville, IN currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Norton Clark Hospital's commercial prices compare to the fair BaseRate?

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

What is Norton Clark Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Norton Clark 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 - Other 153 Beds · urban Updated: 2026-06-03

Norton Clark Hospital

1220 Missouri Ave, Jeffersonville, IN 47130 · 122 Priced Procedures · 50% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness66

Price Logic98

Peer Alignment78

Clean Billing78

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Norton Clark Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#40 of 107 in IN · 36th State Percentile#1,231 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (56/100 safety score) with 50% 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)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.5× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 14.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 0.84× · Q50 0.96× · Q75 1.00×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

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

1.5× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 56/100Elevated

Procedure Prices at Norton Clark Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,474	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,338	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,716	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,095	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$13,883	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,883	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,732	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,112	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$4,011	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,808	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,501	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,501	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,461	$2,540	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,428	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,272	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,088	$1,066	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,012	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$984	$981	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$407	$747	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$524	$592	$583	1.0×
Blood transfusion CPT Code: `36430`	$299	$472	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$933	$407	$322	1.3×
Psychological testing by technician CPT Code: `96138`	—	$418	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$785	$374	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,021	$374	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$336	$231	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$233	$253	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$680	$253	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$578	$253	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$581	$253	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$578	$253	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$67	$219	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$318	$186	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$373	$186	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$173	$158	$151	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$173	$166	1.0×
Family therapy session CPT Code: `90847`	—	$173	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$83	$173	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$96	$173	$185	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$135	$128	1.1×
X-ray, pelvis CPT Code: `72170`	$75	$111	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$64	$92	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$63	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$66	$92	$92	1.0×
Group therapy session CPT Code: `90853`	—	$100	$100	1.0×
X-ray, lower back CPT Code: `72110`	$128	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$82	$92	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$66	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$66	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$94	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$66	$92	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$228	$111	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$146	$111	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$123	$111	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$295	$111	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$88	$88	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$432	$111	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$314	$111	$163	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$59	$100	$148	0.7×
CT scan, sinuses CPT Code: `70486`	$323	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$288	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$389	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$395	$111	$169	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$51	$82	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$584	$398	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$191	$203	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$131	$131	$111	1.2×
Drug screening test HCPCS Code: `G0480`	$50	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	$65	$56	1.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$74	$64	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$67	$67	$87	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$47	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$46	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$26	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$19	$7	$7	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$35	$19	$20	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$31	$15	$16	0.9×
Prosthetic fitting and training CPT Code: `97761`	$24	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$21	$45	$51	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$55	$13	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$18	$33	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$22	$34	$40	0.8×
Blood test, potassium CPT Code: `84132`	$13	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$13	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$39	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$35	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$36	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$49	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$68	$32	$37	0.9×
Blood test, amylase CPT Code: `82150`	$25	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$18	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$18	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$21	$31	$38	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$56	$56	$110	0.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$28	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$30	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$11	$2	$3	0.7×
Community mental health services HCPCS Code: `H0038`	—	$9	$16	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$14	$35	0.4×
Blood antibody screen CPT Code: `86850`	$27	$10	$46	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$8	$8	$86	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$42	$8	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$59	$11	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$91	$8	$9	unverified
Blood test, calcium CPT Code: `82310`	$14	$5	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	unverified
Culture, blood CPT Code: `87040`	$51	$10	$11	unverified

Showing top 25 high-impact procedures of 122 total

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

Audit a Bill or Quote at Norton Clark Hospital (Zero PHI Required)

CMS CCN: 150009

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,474

1. Amount on Your Bill or Quote ($) Pre-filled with Norton Clark 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Norton Clark Hospital'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 +$30,363 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($61,138) is $30,363 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 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 Norton Clark 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 Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend50%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait196 min

Left ER Before Seen3%

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 Infectionbetter

Source: CMS Hospital Care Compare (812 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 Norton Clark Hospital.

Price Index: 1.13× regional baseline

Quality: 43/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-42.1%

Median Household Income$72,298U.S. Census ACS

Local Uninsured Share6.3%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 84/100 · Corroborated CMS CCN 150009

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 150009) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-03

Validated Rate Rows2,895 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150009

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