Clara Barton Hospital
250 W 9Th Street, Hoisington, KS 67544 · 91 Priced Procedures · 87% Patient Recommendation
Typical commercial prices here are +55% above the fair benchmark (1.55×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.55× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Clara Barton Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.41× Fair BaseRate) while upper-quartile commercial rates jump +45% to 2.04× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 75% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 87% patient recommendation (61/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (80.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
- Commercial insurance median sits at 1.41× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.04×) jump +45% above the median procedure ratio (Q50 1.41×)
- Consolidated metro market (HHI 4,998) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Clara Barton Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $21,718 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $15,888 | 0.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,627 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,517 | 2.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $521 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $521 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $521 | 1.4× |
| Blood transfusion CPT Code: 36430 | $511 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $521 | 1.0× |
| CT scan, sinuses CPT Code: 70486 | $453 | 2.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $453 | 2.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $453 | 2.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $453 | 2.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $453 | 1.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $453 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $476 | 1.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $453 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $453 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $453 | unverified |
| CT scan, pelvis CPT Code: 72192 | $453 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $476 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $361 | 1.1× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $264 | 10.6× |
| X-ray, lower back CPT Code: 72110 | $246 | 2.2× |
| X-ray, hip CPT Code: 73502 | $172 | 1.8× |
Audit a Bill or Quote at Clara Barton Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $29,818
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (80.0% of gross = $29,818).
Self-Pay Cash Rate ($26,091) Beats Your Bill
Clara Barton Hospital's published 45 CFR § 180 self-pay cash rate is $26,091 (vs. $21,718 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($37,273) is $17,841 above the denoised Fair BaseRate ($19,432) and 2.7× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (80.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (98 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Clara Barton Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.