How many shoppable procedure prices are published for Terre Haute Regional Hospital?

Terre Haute Regional Hospital in Terre Haute, IN currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Terre Haute Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Terre Haute Regional Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Terre Haute Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Terre Haute Regional Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 141 Beds · urban Updated: 2024-10-01

Terre Haute Regional Hospital

3901 S Seventh St, Terre Haute, IN 47802 · 121 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Caution

70/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness73

Price Logic98

Peer Alignment68

Clean Billing87

Real Cash Discount6

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Terre Haute Regional Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.01× Fair BaseRate) while upper-quartile commercial rates jump +52% to 1.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#58 of 107 in IN · 53rd State Percentile#1,972 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 66% patient recommendation (67/100 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 1.7× markup over Medicare rates
Commercial insurance median sits at 1.01× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.54×) jump +52% above the median procedure ratio (Q50 1.01×)
Consolidated metro market (HHI 4,720) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.53× Divergence

1.0× Medicare

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

Quantile Tail Spread+52% Upper Tail

Q25 0.90× · Q50 1.01× · Q75 1.54×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.5× MedicareGood

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 67/100Fair

Procedure Prices at Terre Haute Regional Hospital

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
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,788	$30,775	1.0×
Trauma team activation HCPCS Code: `G0390`	$21,416	$21,416	$1,453	14.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,971	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,374	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$16,870	$13,413	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,853	$19,087	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$15,649	$6,109	2.6×
Total knee replacement CPT Code: `27447`	—	$15,455	$13,523	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$13,758	$2,975	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$13,070	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	—	$12,382	$3,629	3.4×
Bunion correction surgery CPT Code: `28296`	—	$12,382	$3,446	unverified
Breast lump removal CPT Code: `19120`	—	$12,125	$3,875	3.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,313	$9,313	$583	16.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,371	$8,223	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,972	$2,540	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$5,402	$1,256	4.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,699	$981	4.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$4,699	$987	4.8×
Blood transfusion CPT Code: `36430`	$3,356	$3,356	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$11,061	$2,238	$1,021	2.2×
New patient office visit (30-44 min) CPT Code: `99203`	$1,227	$1,227	$110	11.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,238	$1,238	$123	10.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$1,218	$1,218	$185	6.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$943	$943	$87	10.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$7,173	$821	$448	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$10,765	$830	$511	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,908	$762	$272	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$640	$640	$64	10.0×
Rabies immune globulin HCPCS Code: `90375`	$1,890	$510	$322	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$6,713	$514	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$6,713	$538	$369	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$6,713	$505	$338	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$448	$448	$201	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,427	$421	$258	1.6×
CT scan, sinuses CPT Code: `70486`	$4,491	$386	$166	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,107	$405	$303	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$4,587	$362	$167	2.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,851	$366	$169	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,926	$362	$168	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$4,644	$376	$242	1.6×
CT scan, pelvis CPT Code: `72192`	$4,559	$298	$163	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,004	$281	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,157	$282	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,795	$238	$126	1.9×
CT scan, head (no contrast) CPT Code: `70450`	$3,851	$247	$160	1.5×
Ultrasound, pelvis CPT Code: `76856`	$2,337	$264	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,245	$179	$148	1.2×
X-ray, hip CPT Code: `73502`	$760	$133	$93	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,530	$149	$151	1.0×
X-ray, chest (two views) CPT Code: `71046`	$628	$119	$93	1.3×
X-ray, lower back CPT Code: `72110`	$1,895	$142	$112	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$1,056	$137	$123	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$996	$104	$93	1.1×
X-ray, hand CPT Code: `73130`	$924	$104	$93	1.1×
X-ray, ankle CPT Code: `73610`	$978	$102	$93	1.1×
X-ray, foot CPT Code: `73630`	$1,006	$94	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$1,052	$93	$92	1.0×
X-ray, chest (single view) CPT Code: `71045`	$462	$91	$92	1.0×
Group therapy session CPT Code: `90853`	—	—	$100	—
Typhoid vaccine HCPCS Code: `90675`	$3,494	$369	$347	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$288	$288	$49	5.9×
Colorectal cancer screening HCPCS Code: `G0010`	$288	$288	$49	5.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$378	$183	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$763	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$132	$140	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$438	$73	$86	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$209	$94	$111	0.8×
X-ray, pelvis CPT Code: `72170`	$897	$71	$110	0.6×
Orthotic fitting and training CPT Code: `97760`	$205	$45	$51	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$69	$128	0.5×
Psychological testing by technician CPT Code: `96138`	—	$69	$395	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$76	$76	$86	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$38	$34	1.1×
Prosthetic fitting and training CPT Code: `97761`	$268	$40	$45	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$358	$14	$14	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$330	$35	$40	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$234	$40	$56	0.7×
Community mental health services HCPCS Code: `H0038`	—	$34	$16	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$284	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$323	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$200	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$474	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$342	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$514	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$289	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$658	$30	$31	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$402	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$237	$31	$38	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$204	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$144	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,093	$19	$19	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$428	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$322	$8	$9	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$116	$32	$37	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$203	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$512	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$705	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$543	$11	$11	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$361	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$248	$17	$18	0.9×
Speech therapy (group session) CPT Code: `92508`	$173	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$187	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$237	$32	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$401	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$377	$28	$35	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$299	$11	$14	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$373	$26	$34	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$29	$39	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$56	$24	$35	0.7×
Blood test, hemoglobin CPT Code: `85018`	$122	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$288	$21	$48	0.4×
Blood antibody screen CPT Code: `86850`	$527	$10	$46	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$371	$9	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$535	$11	$11	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$186	$5	$5	unverified
Blood test, sodium CPT Code: `84295`	$203	$5	$5	unverified
Culture, bacterial CPT Code: `87070`	$501	$9	$9	unverified

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 Terre Haute Regional Hospital (Zero PHI Required)

CMS CCN: 150046

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,788

1. Amount on Your Bill or Quote ($) Pre-filled with Terre Haute Regional 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 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 Terre Haute Regional Hospital'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 +$43,116 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($73,891) is $43,116 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 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)

EIN: 351461805

Public IRS & CMS ownership records classify Terre Haute Regional 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.

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 Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait138 min

Left ER Before Seen0%

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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Terre Haute Regional Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2025-04-11·administrative_or_closure
Met Requirements
Recorded
2023-11-01·administrative_or_closure
Closure Notice
Recorded
2023-07-10·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (423 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Terre Haute Regional Hospital.

Price Index: 1.23× regional baseline

Quality: 61/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+164.7%

Median Household Income$52,525U.S. Census ACS

Local Uninsured Share7.7%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 70/100 · Caution CMS CCN 150046 EIN 351461805

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150046) ↗ Verify IRS Form 990 (EIN 351461805) ↗ CMS HCRIS Cost Reports ↗

Published MRF File35-1461805_terre-haute-regional-hospital_standardcharges.json

Publication / Vintage2024-10-01 · 223.44 MB

Validated Rate Rows2,400 (CMS v2.2.0)

File Integrity Digest5b9d3aca8bb053038b7c…

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.

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