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

Norton Scott Hospital in Scottsburg, IN currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Norton Scott Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Norton Scott Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2026-06-03

Norton Scott Hospital

1451 N Gardner St, Scottsburg, IN 47170 · 121 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 88% of the Time

File Completeness66

Price Logic95

Peer Alignment61

Clean Billing86

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Norton Scott Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#33 of 107 in IN · 29th State Percentile#578 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 88% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 68% patient recommendation (69/100 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 1.1× markup over Medicare rates
Commercial insurance median sits at 0.92× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 13.4× Medicare (19¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.00× Divergence

0.9× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.69× · Q50 0.92× · Q75 0.97×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

2.1× MedicareGood

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

88% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 69/100Fair

Procedure Prices at Norton Scott Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	—	$19,639	$30,775	0.6×
Total hip replacement CPT Code: `27130`	—	$13,253	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,253	$13,523	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,489	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,000	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,514	$17,936	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,009	$6,109	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,966	$8,223	0.6×
Breast lump removal CPT Code: `19120`	—	$3,944	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,635	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,342	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,342	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,349	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,363	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,214	$1,256	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$966	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$939	$981	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$901	$940	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$713	$855	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,333	$592	$322	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$477	$565	$583	1.0×
Blood transfusion CPT Code: `36430`	$325	$450	$498	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,275	$362	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$321	$231	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$718	$329	$448	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$479	$245	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$893	$245	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$882	$245	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$893	$245	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$46	$209	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$538	$181	$242	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$553	$195	$272	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$248	$158	$151	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$165	$166	1.0×
Family therapy session CPT Code: `90847`	—	$165	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$165	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$165	$185	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$610	$181	$258	0.7×
Group therapy session CPT Code: `90853`	—	$95	$100	0.9×
X-ray, pelvis CPT Code: `72170`	$97	$97	$110	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$402	$108	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$499	$108	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$499	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$499	$108	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$499	$108	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$512	$108	$169	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$132	$86	$148	0.6×
Typhoid vaccine HCPCS Code: `90675`	$834	$398	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$192	$203	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$187	$125	$111	1.1×
Drug screening test HCPCS Code: `G0480`	$72	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$93	$64	$56	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$95	$74	$86	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$39	$39	1.0×
Flu vaccine injection HCPCS Code: `G0008`	—	$48	$48	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$48	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$61	$64	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$62	$45	$51	0.9×
X-ray, chest (single view) CPT Code: `71045`	$45	$64	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$99	$64	$93	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$101	$73	$123	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$261	$72	$134	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$182	$68	$132	0.5×
Ultrasound, pelvis CPT Code: `76856`	$229	$65	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$222	$57	$126	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$32	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$38	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$61	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$45	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$41	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$42	$19	$20	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$38	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$44	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$21	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$69	$8	$9	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$46	$33	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$42	$34	$40	0.8×
Blood test, magnesium CPT Code: `83735`	$25	$7	$7	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$97	$32	$37	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$56	$56	$87	0.6×
Blood test, potassium CPT Code: `84132`	$16	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$15	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$30	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$43	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$39	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$42	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$24	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$67	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$52	$10	$11	0.9×
Blood test, amylase CPT Code: `82150`	$40	$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`	$32	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$47	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$42	$31	$38	0.8×
Community mental health services HCPCS Code: `H0038`	—	$9	$16	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$14	$35	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$34	$34	$123	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$11	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$45	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$50	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$12	$2	$3	0.7×
X-ray, hip CPT Code: `73502`	$119	$21	$93	0.2×
Blood antibody screen CPT Code: `86850`	$56	$10	$46	0.2×
X-ray, lower back CPT Code: `72110`	$105	$24	$112	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$69	$18	$93	0.2×
X-ray, hand CPT Code: `73130`	$66	$18	$93	0.2×
X-ray, ankle CPT Code: `73610`	$88	$18	$93	0.2×
X-ray, foot CPT Code: `73630`	$70	$17	$92	0.2×
X-ray, shoulder CPT Code: `73030`	$116	$15	$92	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$18	$128	0.1×

Showing top 25 high-impact procedures of 121 total

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

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

CMS CCN: 151334

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $19,639

1. Amount on Your Bill or Quote ($) Pre-filled with Norton Scott 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 Scott 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 +$16,359 Above Fair BaseRate

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

Your bill ($47,134) is $16,359 above the denoised Fair BaseRate ($30,775) and 2.0× 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 Scott 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 Composite69/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait126 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (46 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Norton Scott Hospital.

Price Index: 1.80× regional baseline

Quality: 42/100 CMS composite

Median Household Income$54,583U.S. Census ACS

Local Uninsured Share3.7%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 151334

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 151334) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-03

Validated Rate Rows3,782 (CMS v3.0.0)

File Integrity DigestVerified · CCN 151334

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