How many shoppable procedure prices are published for Perry County Memorial Hospital?

Perry County Memorial Hospital in Tell City, IN currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Perry County Memorial Hospital's commercial prices compare to the fair BaseRate?

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

What is Perry County Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Perry County Memorial 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 Voluntary non-profit - Other 25 Beds · rural Updated: 2026-06-08

Perry County Memorial Hospital

8885 Sr 237, Tell City, IN 47586 · 99 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness51

Price Logic88

Peer Alignment69

Clean Billing92

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Perry County Memorial Hospital prices shoppable and inpatient services (0.8× to 1.0× Medicare, divergence 1.25×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#37 of 107 in IN · 33rd State Percentile#1,037 of 3,385 in U.S. · 30th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 66% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.2×) & laboratory (2.2×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 9.6× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+1% Upper Tail

Q25 0.94× · Q50 0.96× · 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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.7× MedicareGood

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

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 72/100Fair

Procedure Prices at Perry County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, knee or other leg joint CPT Code: `73721`	$3,025	$3,025	$369	8.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,998	$2,998	$511	5.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,827	$2,827	$1,021	2.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,155	$2,155	$448	4.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,878	$1,878	$583	3.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,840	$1,840	$338	5.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,840	$1,840	$343	5.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,719	$1,719	$258	6.7×
Injection procedure for pain management HCPCS Code: `G0260`	$1,592	$1,592	$855	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,551	$1,551	$167	9.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,525	$1,525	$242	6.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,357	$1,357	$303	4.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,224	$1,224	$168	7.3×
CT scan, pelvis CPT Code: `72192`	$1,125	$1,125	$163	6.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,144	$1,144	$169	6.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,097	$1,097	$272	4.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,043	$1,043	$160	6.5×
CT scan, sinuses CPT Code: `70486`	$1,043	$1,043	$166	6.3×
Blood transfusion CPT Code: `36430`	$927	$927	$498	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$789	$789	$134	5.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$703	$703	$126	5.6×
Ultrasound, pelvis CPT Code: `76856`	$676	$676	$130	5.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$683	$683	$151	4.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$640	$640	$132	4.8×
X-ray, hip CPT Code: `73502`	$420	$420	$93	4.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$440	$440	$185	2.4×
X-ray, lower back CPT Code: `72110`	$410	$410	$112	3.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$394	$394	$201	2.0×
X-ray, shoulder CPT Code: `73030`	$355	$355	$92	3.9×
X-ray, foot CPT Code: `73630`	$355	$355	$92	3.9×
X-ray, ankle CPT Code: `73610`	$323	$323	$93	3.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$319	$319	$93	3.4×
X-ray, hand CPT Code: `73130`	$311	$311	$93	3.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$304	$304	$148	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$272	$272	$86	3.2×
X-ray, chest (two views) CPT Code: `71046`	$266	$266	$93	2.9×
X-ray, pelvis CPT Code: `72170`	$284	$284	$110	2.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$283	$283	$181	1.6×
Rabies immune globulin HCPCS Code: `90375`	$306	$306	$322	1.0×
Physical therapy (gait training) CPT Code: `97116`	$255	$255	$33	7.7×
Occupational therapy (self-care training) CPT Code: `97535`	$252	$252	$38	6.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$246	$246	$123	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$211	$211	$34	6.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$220	$220	$40	5.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$215	$215	$64	3.4×
X-ray, chest (single view) CPT Code: `71045`	$235	$235	$92	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$240	$240	$110	2.2×
Family therapy session CPT Code: `90847`	$218	$218	$173	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$174	$174	$38	4.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$158	$158	$87	1.8×
Group therapy session CPT Code: `90853`	$174	$174	$100	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$193	$193	$166	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$122	$122	$35	3.5×
Prosthetic fitting and training CPT Code: `97761`	$125	$125	$45	2.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$82	$82	$38	2.2×
Orthotic fitting and training CPT Code: `97760`	$103	$103	$51	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$413	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,225	$1,225	$347	3.5×
Drug screening test HCPCS Code: `G0480`	$154	$114	$116	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$131	$131	$203	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$87	$87	$56	1.6×
Pneumococcal vaccine HCPCS Code: `90732`	$106	$106	$140	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$78	$78	$14	5.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$84	$84	$111	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$53	$53	$25	2.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$60	$60	$35	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$43	$39	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$67	$67	$86	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$38	$38	$37	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$146	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$69	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$52	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$96	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$92	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$79	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$69	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$67	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$145	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$69	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$101	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$52	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$76	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$119	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$138	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$177	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$111	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$151	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$105	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$149	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$134	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$288	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$70	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$57	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$57	$2	$3	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$23	$23	$49	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$19	$19	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$18	$18	$48	0.4×
Blood antibody screen CPT Code: `86850`	$63	$10	$46	0.2×

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.0%

Audit a Bill or Quote at Perry County Memorial Hospital (Zero PHI Required)

CMS CCN: 151322

CPT 73721

Select Procedure to Audit:

Fair BaseRate™ $369

Medicare Rate $244

Self-Pay Cash $3,025

Insurer Median $3,025

1. Amount on Your Bill or Quote ($) Pre-filled with Perry County Memorial 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: $1,729 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,729

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.0% of gross = $1,729).

Step 2 · Cash vs. Insurance Arbitrage Save $1,296 Paying Cash

Self-Pay Cash Rate ($3,025) Beats Your Bill

Perry County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $3,025 (vs. $3,025 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,952 Above Fair BaseRate

Negotiate Toward $369 Fair BaseRate ($244 Medicare)

Your bill ($4,321) is $3,952 above the denoised Fair BaseRate ($369) and 17.7× the $244 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: 351121699

Filing Period: 197906

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 (40.0% 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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait140 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 Perry County Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-27·warning_notice
Warning Notice
Recorded
2025-11-10·administrative_or_closure
Closure Notice
Recorded
2025-09-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (124 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 Perry County Memorial Hospital.

Price Index: 2.15× regional baseline

Quality: 68/100 CMS composite

Median Household Income$61,099U.S. Census ACS

Local Uninsured Share5.5%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 79/100 · Corroborated CMS CCN 151322 EIN 351121699

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 151322) ↗ Verify IRS Form 990 (EIN 351121699) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-08

Validated Rate Rows32,609 (CMS v3.0.0)

File Integrity DigestVerified · CCN 151322

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