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Hospital Profile Critical Access Hospitals Government - Local

Sullivan County Community Hospital

2200 N SECTION ST, Sullivan, IN 47882

CMS Overall Rating No CMS Rating
Factual Overview

Sullivan County Community Hospital is a Critical Access Hospitals (Government - Local) operating in Sullivan, IN. Mapped commercial insurance prices across 89 procedures average 3.28x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 392

Patient Experience

Recommendation Rate: 72% High Patient Rating: 82% ER Wait Time (Med): 154 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 89 codes Avg Markup vs Medicare: 3.28x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Total hip replacement
CPT Code: 27130
 $2,238 Calc
Total knee replacement
CPT Code: 27447
 $2,206 Calc
Bunion correction surgery
CPT Code: 28296
 $966 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $958 Calc
Blood transfusion
CPT Code: 36430
 $573 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $3,989 Calc
C-section delivery (full package)
CPT Code: 59510
 $4,427 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,644 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,122 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,888 Calc
CT scan, sinuses
CPT Code: 70486
 $1,845 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,581 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,592 Calc
X-ray, chest (single view)
CPT Code: 71045
 $149 Calc
X-ray, chest (two views)
CPT Code: 71046
 $251 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,642 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $263 Calc
X-ray, lower back
CPT Code: 72110
 $395 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,644 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,641 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,575 Calc
X-ray, pelvis
CPT Code: 72170
 $263 Calc
CT scan, pelvis
CPT Code: 72192
 $1,984 Calc
X-ray, shoulder
CPT Code: 73030
 $263 Calc
X-ray, hand
CPT Code: 73130
 $263 Calc
X-ray, hip
CPT Code: 73502
 $276 Calc
X-ray, ankle
CPT Code: 73610
 $251 Calc
X-ray, foot
CPT Code: 73630
 $263 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,579 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,343 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,081 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $745 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,083 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $758 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,041 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $702 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $420 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $176 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $200 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $113 Calc
Blood test, liver function panel
CPT Code: 80076
 $177 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $71 Calc
Blood test, amylase
CPT Code: 82150
 $66 Calc
Blood test, vitamin D
CPT Code: 82306
 $227 Calc
Blood test, calcium
CPT Code: 82310
 $69 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $68 Calc
Blood test, vitamin B12
CPT Code: 82607
 $98 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $97 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $72 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $77 Calc
Blood test, lipase
CPT Code: 83690
 $141 Calc
Blood test, magnesium
CPT Code: 83735
 $91 Calc
Blood test, potassium
CPT Code: 84132
 $68 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $108 Calc
Blood test, sodium
CPT Code: 84295
 $68 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $130 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $68 Calc
Blood test, hemoglobin
CPT Code: 85018
 $29 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $80 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $55 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $79 Calc
Hepatitis C antibody test
CPT Code: 86803
 $25 Calc
Blood antibody screen
CPT Code: 86850
 $261 Calc
Culture, blood
CPT Code: 87040
 $133 Calc
Culture, bacterial
CPT Code: 87070
 $106 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $357 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $170 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $250 Calc
Family therapy session
CPT Code: 90847
 $206 Calc
Group therapy session
CPT Code: 90853
 $55 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $142 Calc
Speech therapy (group session)
CPT Code: 92508
 $70 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $126 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $274 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,488 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,095 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $52 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,211 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $86 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $69 Calc
Physical therapy (gait training)
CPT Code: 97116
 $73 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $85 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $69 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $69 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $76 Calc
Orthotic fitting and training
CPT Code: 97760
 $86 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $161 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $157 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $204 Calc