How many shoppable procedure prices are published for Woodlawn Hospital?

Woodlawn Hospital in Rochester, IN currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

What is Woodlawn Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Woodlawn Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-09-22

Woodlawn Hospital

1400 E 9Th St, Rochester, IN 46975 · 109 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.81×vs. Fair Market Price

Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 23% of the Time

File Completeness90

Price Logic72

Peer Alignment73

Clean Billing89

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.81× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Woodlawn Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.87× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#26 of 107 in IN · 23rd State Percentile#308 of 3,385 in U.S. · 9th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 19% below peer Fair BaseRate (0.81×)
Self-pay cash beats commercial insurance on 23% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (62/100 safety score) with 75% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.81× 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 (3.4×) & laboratory (3.6×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Even at low-cost facilities (0.81× 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 10.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 0.41× · Q50 0.87× · Q75 0.97×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.4× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

0.6× MedicareGood

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

23% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 62/100Elevated

Procedure Prices at Woodlawn Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$22,554	$25,253	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$41,796	$25,076	$19,432	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,999	$10,135	$8,223	1.2×
Total knee replacement CPT Code: `27447`	$6,429	$6,429	$13,523	0.5×
Total hip replacement CPT Code: `27130`	$5,999	$5,999	$13,413	0.4×
C-section delivery (full package) CPT Code: `59510`	$4,425	$2,305	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$3,572	$2,085	$2,680	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,286	$1,714	$855	2.0×
Blood transfusion CPT Code: `36430`	$1,134	$1,512	$498	3.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,519	$1,519	$583	2.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,463	$1,463	$6,109	0.2×
Breast lump removal CPT Code: `19120`	$1,061	$1,061	$3,875	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,856	$913	$1,021	0.9×
Rabies immune globulin HCPCS Code: `90375`	$6,737	$715	$322	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,636	$474	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$1,802	$467	$3,629	0.1×
X-ray, shoulder CPT Code: `73030`	$436	$436	$92	4.7×
X-ray, hip CPT Code: `73502`	$381	$381	$93	4.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$375	$375	$93	4.0×
X-ray, pelvis CPT Code: `72170`	$346	$346	$110	3.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$302	$302	$201	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,306	$190	$272	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,692	$194	$511	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$155	$155	$64	2.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,625	$162	$448	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,109	$166	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,187	$180	$1,256	0.1×
Upper endoscopy with biopsy CPT Code: `43239`	$903	$145	$987	0.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$131	$131	$35	unverified
CT scan, sinuses CPT Code: `70486`	$1,558	$104	$166	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$3,884	$129	$369	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$128	$128	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$124	$124	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$144	$144	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$139	$139	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$140	$140	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$155	$155	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$157	$157	$51	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$226	$102	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$243	$108	$123	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,684	$98	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,910	$99	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,978	$98	$168	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,180	$97	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,693	$119	$343	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,449	$117	$338	0.3×
Prosthetic fitting and training CPT Code: `97761`	$120	$120	$45	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$468	$84	$148	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,863	$90	$303	0.3×
Typhoid vaccine HCPCS Code: `90675`	$1,541	$456	$347	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$306	$201	$203	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$139	$88	$56	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$259	$98	$111	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$221	$123	$140	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$78	$104	$37	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$56	$56	$14	4.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$165	$71	$87	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$47	$62	$86	0.7×
X-ray, chest (single view) CPT Code: `71045`	$272	$62	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$348	$62	$93	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$298	$69	$123	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,021	$70	$134	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$769	$66	$132	0.5×
Ultrasound, pelvis CPT Code: `76856`	$852	$63	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$758	$55	$126	0.4×
CT scan, pelvis CPT Code: `72192`	$1,623	$67	$163	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,534	$57	$160	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,849	$78	$242	0.3×
Neurobehavioral status check CPT Code: `96116`	$133	$71	$231	0.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$78	$78	$39	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$53	$38	$25	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$119	$14	$14	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$39	$39	$49	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$279	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$194	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$65	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$75	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$85	$10	$10	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$144	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$153	$13	$14	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$34	$34	$49	0.7×
Blood test, lipase CPT Code: `83690`	$136	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$66	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$56	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$53	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$120	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$105	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$162	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$159	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$223	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$117	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$151	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$207	$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`	$174	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$115	$6	$7	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$53	$27	$33	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$81	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$48	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$96	$14	$25	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	0.5×
Blood antibody screen CPT Code: `86850`	$120	$10	$46	0.2×
X-ray, lower back CPT Code: `72110`	$598	$23	$112	0.2×
X-ray, ankle CPT Code: `73610`	$426	$18	$93	0.2×
X-ray, hand CPT Code: `73130`	$417	$17	$93	0.2×
X-ray, foot CPT Code: `73630`	$417	$16	$92	0.2×

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.9%

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

CMS CCN: 151313

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $22,554

Insurer Median $25,253

1. Amount on Your Bill or Quote ($) Pre-filled with Woodlawn 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: $7,500 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,500

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.9% of gross = $7,500).

Step 2 · Cash vs. Insurance Arbitrage Save $7,518 Paying Cash

Self-Pay Cash Rate ($22,554) Beats Your Bill

Woodlawn Hospital's published 45 CFR § 180 self-pay cash rate is $22,554 (vs. $25,253 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$10,985 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($30,072) is $10,985 above the denoised Fair BaseRate ($19,087) and 2.1× the $14,117 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: 351171815

Filing Period: 197612

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 (24.9% 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

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)75%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-04-04·administrative_or_closure
Met Requirements
Recorded
2023-11-13·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (68 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 Quality & Price Benchmark

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

Price Index: 1.06× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

+71.7%

Median Household Income$62,878U.S. Census ACS

Local Uninsured Share9.9%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 84/100 · Corroborated CMS CCN 151313 EIN 351171815

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 151313) ↗ Verify IRS Form 990 (EIN 351171815) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-22 · 46.46 MB

Validated Rate Rows3,484 (CMS v3.0.0)

File Integrity Digesta6e4ff26ec2e5c0d956e…

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