How many shoppable procedure prices are published for Schneck Medical Center?

Schneck Medical Center in Seymour, IN currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Schneck Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Schneck Medical Center's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Schneck Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Schneck Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 52 Beds · rural Updated: 1/24/2024

Schneck Medical Center

411 W Tipton St, Seymour, IN 47274 · 121 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.08×vs. Fair Market Price

Typical commercial prices here are +108% above the fair benchmark (2.08×) even after accounting for local nurse/doctor wages and patient complexity.

44/100 · Quarantined

44/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness66

Price Logic21

Peer Alignment44

Clean Billing0

Real Cash Discount95

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.08× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +134% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Schneck Medical Center prices routine shoppable procedures at 4.5× Medicare (median 1.54× Fair BaseRate) while upper-quartile commercial rates jump +134% to 3.60× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#104 of 107 in IN · 96th State Percentile#3,120 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.66× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 86% of shoppable procedures (95/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (72/100 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 1.6× markup over Medicare rates
Commercial insurance median sits at 1.54× Fair BaseRate (4.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.60×) jump +134% above the median procedure ratio (Q50 1.54×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.5× Medicare

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

Back-Door Captive & ER0.29× Divergence

1.3× Medicare

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

Quantile Tail Spread+134% Upper Tail

Q25 0.66× · Q50 1.54× · Q75 3.60×

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

4.5× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

7.3× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

6.5× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

5.3× MedicareWatchout

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

2.2× MedicareFair

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

86% Cash Edge · 95/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Schneck Medical Center

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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,648	$8,223	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,648	$17,936	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,648	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,648	$19,432	0.7×
Total hip replacement CPT Code: `27130`	$12,019	$12,019	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$4,922	$4,922	$13,523	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,874	$2,874	$3,372	unverified
C-section delivery (full package) CPT Code: `59510`	$2,786	$2,786	$2,975	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,623	$2,623	$448	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,130	$2,130	$322	6.6×
Vaginal delivery (full package) CPT Code: `59400`	$2,146	$2,146	$2,680	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,012	$2,012	$303	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,905	$1,905	$369	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,785	$1,785	$6,109	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,563	$1,563	$583	2.7×
Bunion correction surgery CPT Code: `28296`	$1,428	$1,428	$3,446	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,407	$1,407	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,236	$1,236	$169	unverified
CT scan, sinuses CPT Code: `70486`	$1,164	$1,164	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,177	$1,177	$168	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,139	$1,139	$511	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,125	$1,125	$167	unverified
Inguinal hernia repair CPT Code: `49505`	$1,000	$1,000	$3,629	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,017	$1,017	$160	unverified
CT scan, pelvis CPT Code: `72192`	$1,014	$1,014	$163	unverified
CT scan, head (with contrast) CPT Code: `70460`	$981	$981	$242	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$952	$952	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$858	$858	$343	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$758	$758	$1,021	0.7×
Breast lump removal CPT Code: `19120`	$638	$638	$3,875	unverified
Colonoscopy with biopsy CPT Code: `45380`	$607	$607	$1,256	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$660	$482	$134	3.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$478	$478	$151	3.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$500	$500	$981	0.5×
Blood transfusion CPT Code: `36430`	$517	$517	$498	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$541	$482	$132	3.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$379	$482	$126	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$454	$454	$987	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$416	$416	$185	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$310	$310	$148	2.1×
Family therapy session CPT Code: `90847`	$304	$304	$173	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$288	$288	$181	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$243	$243	$123	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$242	$242	$166	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$201	$201	$38	5.3×
Ultrasound, pelvis CPT Code: `76856`	$216	$216	$130	1.7×
X-ray, hand CPT Code: `73130`	$172	$172	$93	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$196	$196	$272	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$149	$149	$35	4.3×
Speech therapy (language evaluation) CPT Code: `92507`	$162	$162	$86	1.9×
X-ray, shoulder CPT Code: `73030`	$169	$169	$92	1.8×
X-ray, ankle CPT Code: `73610`	$170	$170	$93	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$134	$134	$38	3.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$159	$159	$93	1.7×
X-ray, chest (two views) CPT Code: `71046`	$154	$154	$93	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$123	$123	$40	3.1×
Orthotic fitting and training CPT Code: `97760`	$146	$146	$51	2.9×
X-ray, hip CPT Code: `73502`	$128	$128	$93	1.4×
Group therapy session CPT Code: `90853`	$131	$131	$100	1.3×
X-ray, foot CPT Code: `73630`	$116	$116	$92	1.3×
X-ray, lower back CPT Code: `72110`	$133	$133	$112	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$125	$125	$110	1.1×
X-ray, pelvis CPT Code: `72170`	$119	$119	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$132	$132	$123	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$91	$91	$34	2.7×
X-ray, chest (single view) CPT Code: `71045`	$98	$98	$92	1.1×
Psychological testing evaluation CPT Code: `96136`	$110	$110	$128	0.9×
Physical therapy (gait training) CPT Code: `97116`	$82	$82	$33	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$84	$84	$38	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$97	$97	$87	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$107	$107	$855	0.1×
Typhoid vaccine HCPCS Code: `90675`	$366	$366	$347	1.1×
Drug screening test HCPCS Code: `G0480`	$186	$186	$116	1.6×
Pneumococcal vaccine HCPCS Code: `90732`	$151	$151	$140	1.1×
Blood test, vitamin D CPT Code: `82306`	$100	$100	$31	3.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$113	$113	$203	0.6×
Hepatitis C antibody test CPT Code: `86803`	$85	$85	$15	5.7×
Blood test, lipase CPT Code: `83690`	$59	$59	$7	8.4×
Blood test, magnesium CPT Code: `83735`	$53	$53	$7	7.6×
Culture, bacterial CPT Code: `87070`	$57	$57	$9	6.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$71	$14	5.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$62	$62	$19	3.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$54	$54	$20	2.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$65	$65	$25	2.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$59	$59	$33	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$54	$35	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$75	$75	$111	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$47	$47	$37	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$49	$39	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$55	$55	$64	0.9×
Review of medical records for care CPT Code: `90889`	$50	$50	$114	0.4×
Neurobehavioral status check CPT Code: `96116`	$71	$71	$231	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$30	$3	10.0×
Blood test, amylase CPT Code: `82150`	$46	$46	$7	6.6×
Blood test, calcium CPT Code: `82310`	$19	$19	$5	3.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$15	$4	3.8×
Blood test, potassium CPT Code: `84132`	$18	$18	$5	3.6×
Blood test, sodium CPT Code: `84295`	$18	$18	$5	3.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$18	$5	3.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$38	$38	$11	3.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$34	$34	$10	3.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$47	$47	$14	3.4×
Blood test, basic metabolic panel CPT Code: `80048`	$30	$30	$9	3.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$20	$20	$6	3.3×
Culture, blood CPT Code: `87040`	$36	$36	$11	3.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$16	$5	3.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$25	$25	$8	3.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$33	$14	2.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$39	$39	$18	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$46	$46	$56	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$39	$39	$48	0.8×
Blood antibody screen CPT Code: `86850`	$34	$34	$46	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$25	$25	$49	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$34	$34	$86	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$36	$36	$201	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$50	$50	$2,540	0.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$14	$4	3.5×
Blood test, hemoglobin CPT Code: `85018`	$8	$8	$3	2.7×
Blood test, liver function panel CPT Code: `80076`	$20	$20	$9	2.2×
Blood test, vitamin B12 CPT Code: `82607`	$31	$31	$16	1.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$29	$49	0.6×

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 Schneck Medical Center (Zero PHI Required)

CMS CCN: 150065

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash Request Quote

Insurer Median $12,648

1. Amount on Your Bill or Quote ($) Pre-filled with Schneck Medical Center’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 Schneck Medical Center'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 +$22,132 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($30,355) is $22,132 above the denoised Fair BaseRate ($8,223) and 5.3× the $5,676 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 Schneck Medical Center 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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait151 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)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (304 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Schneck Medical Center.

Price Index: 1.00× regional baseline

Quality: 66/100 CMS composite

Median Household Income$70,208U.S. Census ACS

Local Uninsured Share9.2%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 44/100 · Quarantined CMS CCN 150065

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 150065) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/24/2024

Validated Rate Rows66 (CMS v2.0.0)

File Integrity DigestVerified · CCN 150065

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