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

Citizens Medical Center in Colby, KS currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Citizens Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Citizens Medical Center 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 Voluntary non-profit - Private 23 Beds · rural Updated: 6/16/2026

Citizens Medical Center

100 E College Drive, Colby, KS 67701 · 112 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness56

Price Logic64

Peer Alignment67

Clean Billing35

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Citizens Medical Center prices routine shoppable procedures near 1.0× Medicare (p50 0.95×) while skewing captive emergency, lab, and upper-quartile codes to 2.1× Medicare (p75 1.08×, +14% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#31 of 103 in KS · 29th State Percentile#1,040 of 3,385 in U.S. · 30th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.8×) services average 2.10× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 8.5× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER2.10× Divergence

2.1× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.79× · Q50 0.95× · Q75 1.08×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.2× MedicareGood

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

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Citizens Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$5,682	$5,682	$13,523	unverified
Total hip replacement CPT Code: `27130`	$4,779	$4,779	$13,413	unverified
Inguinal hernia repair CPT Code: `49505`	$2,645	$4,069	$3,629	1.1×
Rabies immune globulin HCPCS Code: `90375`	$2,826	$2,826	$322	8.8×
C-section delivery (full package) CPT Code: `59510`	$2,678	$2,678	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$2,276	$2,276	$2,680	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$1,456	$2,229	$2,540	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,227	$2,227	$6,109	0.4×
Bunion correction surgery CPT Code: `28296`	$2,095	$2,095	$3,446	unverified
Breast lump removal CPT Code: `19120`	$1,845	$1,845	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,051	$1,145	$1,021	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,120	$1,120	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,009	$1,009	$981	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$775	$775	$3,372	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,702	$617	$583	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,665	$402	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,478	$402	$511	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$961	$333	$987	0.3×
X-ray, hip CPT Code: `73502`	$280	$280	$93	3.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$298	$298	$148	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$268	$268	$123	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$846	$272	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,258	$272	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,828	$272	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,677	$272	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,677	$272	$369	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$184	$184	$38	4.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$122	$188	$201	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,528	$200	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,804	$200	$258	0.8×
X-ray, ankle CPT Code: `73610`	$172	$172	$93	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$155	$155	$86	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$155	$155	$151	1.0×
Family therapy session CPT Code: `90847`	$121	$172	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$140	$172	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$159	$175	$185	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$147	$147	$40	3.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$158	$158	$123	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$130	$130	$110	1.2×
X-ray, pelvis CPT Code: `72170`	$186	$120	$110	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$102	$129	$166	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$85	$85	$25	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$102	$38	2.7×
Orthotic fitting and training CPT Code: `97760`	$106	$106	$51	2.1×
Prosthetic fitting and training CPT Code: `97761`	$90	$90	$45	2.0×
X-ray, chest (single view) CPT Code: `71045`	$152	$99	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$213	$99	$92	1.1×
X-ray, foot CPT Code: `73630`	$391	$99	$92	1.1×
X-ray, lower back CPT Code: `72110`	$321	$120	$112	1.1×
X-ray, chest (two views) CPT Code: `71046`	$199	$99	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$283	$99	$93	1.1×
X-ray, hand CPT Code: `73130`	$265	$99	$93	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$499	$120	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$597	$120	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$682	$120	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$549	$120	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,258	$120	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,154	$120	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,258	$120	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,258	$120	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,154	$120	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,258	$120	$169	0.7×
Group therapy session CPT Code: `90853`	$55	$85	$100	0.8×
Blood transfusion CPT Code: `36430`	$671	$89	$498	0.2×
Typhoid vaccine HCPCS Code: `90675`	$298	$298	$347	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$120	$120	$14	8.6×
Hepatitis C antibody test CPT Code: `86803`	$119	$119	$15	7.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$140	$140	$203	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$112	$112	$16	7.0×
Blood test, vitamin D CPT Code: `82306`	$135	$135	$31	4.4×
Blood test, calcium CPT Code: `82310`	$95	$95	$5	19.0×
Blood test, lipase CPT Code: `83690`	$86	$86	$7	12.3×
Blood test, liver function panel CPT Code: `80076`	$85	$85	$9	9.4×
Culture, bacterial CPT Code: `87070`	$85	$85	$9	9.4×
Culture, blood CPT Code: `87040`	$95	$95	$11	8.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$94	$94	$14	6.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$117	$117	$20	5.8×
Blood antibody screen CPT Code: `86850`	$79	$103	$46	2.2×
Pneumococcal vaccine HCPCS Code: `90732`	$99	$99	$140	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$60	$60	$6	10.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$31	$3	10.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	8.6×
Blood test, sodium CPT Code: `84295`	$43	$43	$5	8.6×
Blood test, magnesium CPT Code: `83735`	$59	$59	$7	8.4×
Blood test, amylase CPT Code: `82150`	$53	$53	$7	7.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$49	$49	$10	4.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$55	$55	$14	3.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$67	$67	$19	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	$72	$35	2.1×
Physical therapy (gait training) CPT Code: `97116`	$66	$66	$33	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$62	$34	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$69	$56	1.2×
Drug screening test HCPCS Code: `G0480`	$98	$83	$116	0.7×
Blood test, hemoglobin CPT Code: `85018`	$33	$33	$3	11.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$42	$5	8.4×
Flu vaccine injection HCPCS Code: `G0008`	$62	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$62	$52	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$110	$67	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$79	$79	$87	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$40	$25	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$441	$63	$86	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$44	$10	$4	2.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$43	$10	$4	2.5×
Blood test, basic metabolic panel CPT Code: `80048`	$104	$22	$9	2.4×
Blood test, potassium CPT Code: `84132`	$46	$11	$5	2.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$70	$35	$18	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$55	$55	$111	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$70	$23	$11	2.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$53	$13	$8	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$18	$18	$37	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$16	$16	$35	0.5×

Showing top 25 high-impact procedures of 112 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.9%

Audit a Bill or Quote at Citizens Medical Center (Zero PHI Required)

CMS CCN: 171362

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $5,682

Insurer Median $5,682

1. Amount on Your Bill or Quote ($) Pre-filled with Citizens 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 501(r) AGB Cap: $2,612 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,612

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.9% of gross = $2,612).

Step 2 · Cash vs. Insurance Arbitrage Save $3,060 Paying Cash

Self-Pay Cash Rate ($5,682) Beats Your Bill

Citizens Medical Center's published 45 CFR § 180 self-pay cash rate is $5,682 (vs. $5,682 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: $13,523 Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).

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)

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 (29.9% 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 Composite71/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait173 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

CMS Price Transparency Administrative Enforcement Log

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

2025-12-23·administrative_or_closure
Closure Notice
Recorded
2025-09-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (152 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 Citizens Medical Center.

Price Index: 0.64× regional baseline

Quality: 71/100 CMS composite

Median Household Income$73,575U.S. Census ACS

Local Uninsured Share12.4%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 64/100 · Caution CMS CCN 171362

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 171362) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage6/16/2026

Validated Rate Rows67 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171362

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