How many shoppable procedure prices are published for Pulaski Memorial Hospital?

Pulaski Memorial Hospital in Winamac, IN currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Pulaski Memorial Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-07-07

Pulaski Memorial Hospital

616 E 13Th St, Winamac, IN 46996 · 105 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.84×vs. Fair Market Price

Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness85

Price Logic59

Peer Alignment53

Clean Billing87

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Pulaski Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.3× Medicare, p50 0.94× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#29 of 107 in IN · 26th State Percentile#384 of 3,385 in U.S. · 11th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 80% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.84× 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 9.9× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.77× Divergence

1.0× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.37× · Q50 0.94× · Q75 0.99×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.6× MedicareGood

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

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Pulaski Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,836	$2,836	$583	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,430	$2,430	$6,109	0.4×
Total knee replacement CPT Code: `27447`	$2,024	$2,024	$13,523	0.1×
Blood transfusion CPT Code: `36430`	$1,333	$1,905	$498	unverified
Breast lump removal CPT Code: `19120`	$866	$866	$3,875	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$757	$757	$272	2.8×
Rabies immune globulin HCPCS Code: `90375`	$5,145	$715	$322	2.2×
Cataract surgery with lens implant CPT Code: `66984`	$644	$492	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$741	$494	$3,372	0.1×
Group therapy session CPT Code: `90853`	$359	$513	$100	unverified
Inguinal hernia repair CPT Code: `49505`	$1,390	$469	$3,629	0.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$401	$401	$185	unverified
Family therapy session CPT Code: `90847`	$287	$411	$173	unverified
X-ray, lower back CPT Code: `72110`	$384	$384	$112	3.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$263	$376	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$383	$383	$181	unverified
X-ray, chest (two views) CPT Code: `71046`	$274	$274	$93	2.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$920	$235	$981	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$177	$254	$64	unverified
X-ray, hip CPT Code: `73502`	$196	$196	$93	2.1×
X-ray, hand CPT Code: `73130`	$178	$178	$93	1.9×
X-ray, foot CPT Code: `73630`	$162	$162	$92	1.8×
X-ray, shoulder CPT Code: `73030`	$161	$161	$92	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$140	$140	$93	1.5×
X-ray, pelvis CPT Code: `72170`	$164	$164	$110	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,750	$165	$511	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$970	$184	$1,256	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$202	$202	$86	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$141	$40	3.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$179	$166	$151	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$131	$120	$86	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$92	$131	$201	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$107	$152	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$125	$125	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$98	$141	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$164	$164	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$107	$152	$51	unverified
X-ray, chest (single view) CPT Code: `71045`	$111	$111	$92	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$299	$101	$123	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,153	$107	$369	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$372	$126	$987	0.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,200	$89	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,164	$88	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,121	$88	$169	0.5×
CT scan, sinuses CPT Code: `70486`	$166	$81	$166	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,410	$97	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$4,044	$119	$343	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,094	$113	$338	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,809	$90	$303	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,070	$105	$448	0.2×
Physical therapy (gait training) CPT Code: `97116`	$107	$107	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$125	$125	$34	unverified
Prosthetic fitting and training CPT Code: `97761`	$125	$125	$45	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$195	$84	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$180	$85	$110	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$518	$740	$111	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,391	$456	$347	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$283	$283	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$241	$241	$39	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$680	$201	$203	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$196	$196	$37	unverified
Drug screening test HCPCS Code: `G0480`	$257	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$574	$123	$140	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$103	$103	$27	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$32	$45	$25	1.8×
CT scan, pelvis CPT Code: `72192`	$1,152	$67	$163	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$273	$56	$148	0.4×
Blood test, vitamin D CPT Code: `82306`	$220	$30	$31	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$719	$50	$134	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$936	$57	$160	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,203	$78	$242	0.3×
X-ray, ankle CPT Code: `73610`	$34	$34	$93	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$190	$42	$123	0.3×
Ultrasound, pelvis CPT Code: `76856`	$492	$43	$130	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$358	$37	$126	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$213	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$89	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$68	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$187	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$53	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$109	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$160	$13	$14	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$352	$35	$132	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$71	$3	$3	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$123	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$142	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$93	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$71	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$62	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$62	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$75	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$151	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$164	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$164	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$151	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$90	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$196	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$160	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$169	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$124	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$4	$5	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$96	$27	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$48	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$71	$10	$46	0.2×

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 35.9%

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

CMS CCN: 151305

CPT 93306

Select Procedure to Audit:

Fair BaseRate™ $583

Medicare Rate $558

Self-Pay Cash $2,836

Insurer Median $2,836

1. Amount on Your Bill or Quote ($) Pre-filled with Pulaski 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: $1,456 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,456

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.9% of gross = $1,456).

Step 2 · Cash vs. Insurance Arbitrage Save $1,215 Paying Cash

Self-Pay Cash Rate ($2,836) Beats Your Bill

Pulaski Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $2,836 (vs. $2,836 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,468 Above Fair BaseRate

Negotiate Toward $583 Fair BaseRate ($558 Medicare)

Your bill ($4,051) is $3,468 above the denoised Fair BaseRate ($583) and 7.3× the $558 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: 351097674

Filing Period: 198311

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 (35.9% 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

Safety Composite72/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait122 min

Left ER Before Seen0%

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 Pulaski Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-02-29·administrative_or_closure
Met Requirements
Recorded
2022-06-22·administrative_or_closure
Closure Notice
Recorded
2021-10-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (58 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 Pulaski Memorial Hospital.

Price Index: 1.09× regional baseline

Quality: 59/100 CMS composite

Median Household Income$59,956U.S. Census ACS

Local Uninsured Share7.5%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 151305 EIN 351097674

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 151305) ↗ Verify IRS Form 990 (EIN 351097674) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-07 · 126.51 MB

Validated Rate Rows5,216 (CMS v3.0.0)

File Integrity Digest274cdb900c2bd1502126…

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