Rush Memorial Hospital
1300 N Main St, Rushville, IN 46173 · 105 Priced Procedures · 61% Patient Recommendation
Typical commercial prices here are 67% below the fair benchmark (0.33×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Rush Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.28× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.45× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 67% below peer Fair BaseRate (0.33×)
- Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 61% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.33× 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 (0.6×) & laboratory (0.6×) services average 1.80× higher multiples than routine shoppable care (0.5×)
- Upper-quartile procedures (Q75 0.45×) jump +61% above the median procedure ratio (Q50 0.28×)
- Unnegotiated chargemaster list prices average 8.6× Medicare (19¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Rush 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.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Injection procedure for pain management HCPCS Code: G0260 | $2,415 | 2.8× |
| Total knee replacement CPT Code: 27447 | $2,062 | 0.2× |
| Total hip replacement CPT Code: 27130 | $1,758 | 0.1× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $1,689 | 18.2× |
| X-ray, chest (single view) CPT Code: 71045 | $1,307 | 14.2× |
| X-ray, chest (two views) CPT Code: 71046 | $1,310 | 14.1× |
| X-ray, pelvis CPT Code: 72170 | $1,228 | 11.2× |
| Bunion correction surgery CPT Code: 28296 | $858 | 0.2× |
| Physical therapy (manual therapy) CPT Code: 97140 | $492 | 14.5× |
| X-ray, foot CPT Code: 73630 | $503 | 5.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $505 | 0.1× |
| Inguinal hernia repair CPT Code: 49505 | $504 | 0.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $499 | 0.1× |
| Speech therapy (language evaluation) CPT Code: 92507 | $428 | 5.0× |
| Group therapy session CPT Code: 90853 | $446 | 4.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $465 | 0.8× |
| X-ray, hip CPT Code: 73502 | $301 | 3.2× |
| X-ray, hand CPT Code: 73130 | $290 | 3.1× |
| X-ray, shoulder CPT Code: 73030 | $274 | 3.0× |
| X-ray, ankle CPT Code: 73610 | $270 | 2.9× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $257 | 1.3× |
| Physical therapy (gait training) CPT Code: 97116 | $182 | 5.5× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $189 | 5.4× |
| Electrical stimulation therapy HCPCS Code: G0283 | $158 | 11.3× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $183 | 4.8× |
Audit a Bill or Quote at Rush Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($2,415) Beats Your Bill
Rush Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $2,415 (vs. $2,415 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $855 Fair BaseRate ($721 Medicare)
Your bill ($3,220) is $2,365 above the denoised Fair BaseRate ($855) and 4.5× the $721 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Rush Memorial 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Rush Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-05-24·administrative_or_closure
Closure Notice
Recorded - 2024-02-21·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (41 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rush Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.