How many shoppable procedure prices are published for Allen County Regional Hospital?

Allen County Regional Hospital in Iola, KS currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Allen County Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Allen County Regional Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Allen County Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Allen County Regional Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2025-12-31

Allen County Regional Hospital

3066 North Kentucky Street, Iola, KS 66749 · 98 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.66×vs. Fair Market Price

Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 51% of the Time

File Completeness85

Price Logic73

Peer Alignment68

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.66× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Allen County Regional Hospital prices routine shoppable procedures near 1.9× Medicare (p50 1.52×) while skewing captive emergency, lab, and upper-quartile codes to 2.1× Medicare (p75 2.16×, +42% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#76 of 103 in KS · 72nd State Percentile#2,837 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.12× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 51% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Captive ER (0.9×) & laboratory (1.7×) services average 1.11× higher multiples than routine shoppable care (1.9×)
Upper-quartile procedures (Q75 2.16×) jump +42% above the median procedure ratio (Q50 1.52×)
Unnegotiated chargemaster list prices average 8.6× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

2.1× Medicare

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

Quantile Tail Spread+42% Upper Tail

Q25 1.12× · Q50 1.52× · Q75 2.16×

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

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

0.8× MedicareGood

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

51% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 70/100Fair

Procedure Prices at Allen County Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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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`	$9,863	$9,863	$19,087	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,787	$3,787	$8,223	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$2,593	$2,706	$2,540	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,130	$1,911	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,891	$1,891	$322	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,293	$1,532	$583	2.6×
Colonoscopy with biopsy CPT Code: `45380`	$5,389	$1,364	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,722	$1,321	$981	1.3×
Breast lump removal CPT Code: `19120`	$1,245	$1,245	$3,875	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,020	$1,153	$987	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,728	$526	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,650	$526	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,928	$526	$369	1.4×
Blood transfusion CPT Code: `36430`	$586	$516	$498	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$504	$457	$132	3.5×
CT scan, pelvis CPT Code: `72192`	$1,200	$452	$163	2.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,133	$435	$160	2.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,258	$455	$169	2.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,258	$452	$168	2.7×
CT scan, sinuses CPT Code: `70486`	$1,035	$446	$166	2.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,288	$446	$167	2.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,313	$448	$242	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,613	$458	$258	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$660	$481	$272	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,926	$458	$303	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,058	$458	$448	1.0×
Trauma team activation HCPCS Code: `G0390`	$360	$360	$1,453	0.2×
X-ray, lower back CPT Code: `72110`	$337	$242	$112	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,225	$241	$855	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$2,064	$164	$64	2.6×
X-ray, hip CPT Code: `73502`	$192	$165	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$224	$152	$93	1.6×
X-ray, chest (two views) CPT Code: `71046`	$193	$143	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$262	$133	$92	1.4×
X-ray, ankle CPT Code: `73610`	$342	$132	$93	1.4×
X-ray, hand CPT Code: `73130`	$242	$130	$93	1.4×
X-ray, foot CPT Code: `73630`	$242	$128	$92	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$645	$147	$134	1.1×
X-ray, chest (single view) CPT Code: `71045`	$161	$120	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$179	$123	$110	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$471	$117	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$510	$120	$130	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$66	$101	$110	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$247	$123	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$197	$81	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$613	$516	$347	1.5×
Blood test, vitamin D CPT Code: `82306`	$164	$164	$31	5.3×
Culture, blood CPT Code: `87040`	$112	$112	$11	10.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$117	$117	$19	6.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$111	$111	$20	5.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$131	$131	$111	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$68	$68	$6	11.3×
Blood test, lipase CPT Code: `83690`	$71	$71	$7	10.1×
Hepatitis C antibody test CPT Code: `86803`	$93	$93	$15	6.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$83	$14	5.9×
Blood test, amylase CPT Code: `82150`	$52	$52	$7	7.4×
Blood test, liver function panel CPT Code: `80076`	$65	$65	$9	7.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$67	$10	6.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$77	$77	$14	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$76	$76	$16	4.8×
Blood antibody screen CPT Code: `86850`	$77	$87	$46	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$185	$78	$86	0.9×
Blood test, hemoglobin CPT Code: `85018`	$27	$27	$3	9.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$34	$5	6.8×
Blood test, magnesium CPT Code: `83735`	$43	$43	$7	6.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$42	$18	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$95	$31	$14	2.2×
Speech therapy (group session) CPT Code: `92508`	$53	$52	$27	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$68	$51	$34	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$166	$54	$38	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$49	$35	1.4×
Physical therapy (gait training) CPT Code: `97116`	$70	$46	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$82	$51	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$99	$49	$40	1.2×
Prosthetic fitting and training CPT Code: `97761`	$101	$51	$45	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$34	$38	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$116	$42	$201	0.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$66	$66	$56	unverified
Culture, bacterial CPT Code: `87070`	$127	$21	$9	2.3×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$40	$49	0.8×
Orthotic fitting and training CPT Code: `97760`	$103	$40	$51	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$46	$46	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$54	$54	$123	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$8	$3	2.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$9	$4	2.3×
Blood test, calcium CPT Code: `82310`	$37	$11	$5	2.2×
Blood test, basic metabolic panel CPT Code: `80048`	$79	$19	$9	2.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$101	$23	$11	2.1×
Flu vaccine injection HCPCS Code: `G0008`	$40	$40	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$40	$40	$49	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$10	$5	2.0×
Blood test, potassium CPT Code: `84132`	$40	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$38	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$13	$8	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$36	$27	$35	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$28	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$1	$1	$86	0.0×

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 53.9%

Audit a Bill or Quote at Allen County Regional Hospital (Zero PHI Required)

CMS CCN: 171373

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $9,863

Insurer Median $9,863

1. Amount on Your Bill or Quote ($) Pre-filled with Allen County 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 501(r) AGB Cap: $8,860 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,860

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.9% of gross = $8,860).

Step 2 · Cash vs. Insurance Arbitrage Save $6,575 Paying Cash

Self-Pay Cash Rate ($9,863) Beats Your Bill

Allen County Regional Hospital's published 45 CFR § 180 self-pay cash rate is $9,863 (vs. $9,863 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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: 843362602

Filing Period: 200203

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 (53.9% 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 Overall4/5 Stars (4/5)

Safety Composite70/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait114 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-11-25·administrative_or_closure
Closure Notice
Recorded
2025-11-10·cap_corrective_action
CAP Request
Recorded
2025-08-04·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (58 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

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

Price Index: 1.39× regional baseline

Quality: 70/100 CMS composite

Median Household Income$57,618U.S. Census ACS

Local Uninsured Share9.6%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 81/100 · Corroborated CMS CCN 171373 EIN 843362602

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171373) ↗ Verify IRS Form 990 (EIN 843362602) ↗ CMS HCRIS Cost Reports ↗

Published MRF File843362602_AllenCountyRegionalHospital_standardcharges.json

Publication / Vintage2025-12-31 · 239.20 MB

Validated Rate Rows7,325 (CMS v3.0.0)

File Integrity Digest4fc22c3e55eb1477adfa…

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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