How many shoppable procedure prices are published for Community Memorial Healthcare, Inc.?

Community Memorial Healthcare, Inc. in Marysville, KS currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Community Memorial Healthcare, Inc.'s commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Community Memorial Healthcare, Inc.'s median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Community Memorial Healthcare, Inc.'s CMS Care Compare overall star rating?

CMS Care Compare assigns Community Memorial Healthcare, Inc. 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 Voluntary non-profit - Private 23 Beds · rural Updated: 2026-04-02

Community Memorial Healthcare, Inc.

708 N 18Th Street, Marysville, KS 66508 · 107 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.56×vs. Fair Market Price

Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness56

Price Logic57

Peer Alignment66

Clean Billing76

Real Cash Discount10

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.56× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Community Memorial Healthcare, Inc. prices routine shoppable procedures near 1.8× Medicare (p50 1.46×) while skewing captive emergency, lab, and upper-quartile codes to 2.1× Medicare (p75 1.99×, +36% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#61 of 103 in KS · 58th State Percentile#2,720 of 3,385 in U.S. · 80th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 70% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.56× 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 (2.6×) & laboratory (2.5×) services average 1.17× higher multiples than routine shoppable care (1.8×)
Upper-quartile procedures (Q75 1.99×) jump +36% above the median procedure ratio (Q50 1.46×)
Unnegotiated chargemaster list prices average 4.8× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER1.17× Divergence

2.1× Medicare

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

Quantile Tail Spread+36% Upper Tail

Q25 1.04× · Q50 1.46× · Q75 1.99×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

2.1× MedicareGood

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

7% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at Community Memorial Healthcare, Inc.

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$33,134	$22,152	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$11,339	$11,339	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,857	$6,857	$8,223	0.8×
C-section delivery (full package) CPT Code: `59510`	$4,593	$4,593	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$4,318	$4,318	$2,680	unverified
Total hip replacement CPT Code: `27130`	$3,330	$3,330	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$3,250	$3,250	$13,523	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$3,102	$2,706	$2,540	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,610	$1,610	$6,109	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,979	$1,532	$583	2.6×
Breast lump removal CPT Code: `19120`	$1,100	$1,100	$3,875	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,836	$1,056	$1,021	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,100	$602	$3,372	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,573	$553	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,893	$553	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,527	$553	$369	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,988	$553	$511	1.1×
Inguinal hernia repair CPT Code: `49505`	$1,392	$564	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$778	$516	$498	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$747	$481	$132	3.6×
CT scan, head (no contrast) CPT Code: `70450`	$992	$480	$160	3.0×
CT scan, pelvis CPT Code: `72192`	$1,384	$480	$163	2.9×
CT scan, sinuses CPT Code: `70486`	$2,272	$480	$166	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,453	$480	$167	2.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,573	$480	$168	2.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,573	$480	$169	2.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,082	$480	$242	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,254	$480	$258	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$894	$481	$272	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,723	$480	$303	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,086	$480	$448	1.1×
Rabies immune globulin HCPCS Code: `90375`	$5,623	$399	$322	1.2×
X-ray, lower back CPT Code: `72110`	$469	$248	$112	2.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,373	$244	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,154	$253	$1,256	0.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$738	$216	$151	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,186	$216	$987	0.2×
X-ray, hip CPT Code: `73502`	$355	$173	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$248	$160	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$220	$140	$92	1.5×
X-ray, ankle CPT Code: `73610`	$220	$139	$93	1.5×
X-ray, hand CPT Code: `73130`	$226	$137	$93	1.5×
X-ray, foot CPT Code: `73630`	$220	$135	$92	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$519	$152	$134	1.1×
X-ray, chest (single view) CPT Code: `71045`	$135	$124	$92	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$144	$144	$123	1.2×
Neurobehavioral status check CPT Code: `96116`	$145	$145	$231	0.6×
Trauma team activation HCPCS Code: `G0390`	$165	$165	$1,453	unverified
X-ray, chest (two views) CPT Code: `71046`	$117	$117	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$293	$126	$110	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$710	$131	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$519	$123	$130	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$230	$101	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$188	$112	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$252	$123	$148	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,168	$591	$347	1.7×
Blood test, vitamin D CPT Code: `82306`	$348	$348	$31	11.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$116	$116	$14	8.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$136	$136	$19	7.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$149	$132	$111	1.2×
Culture, bacterial CPT Code: `87070`	$94	$94	$9	10.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$90	$14	6.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$112	$112	$18	6.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$80	$10	8.0×
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	6.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$99	$99	$20	5.0×
Blood test, magnesium CPT Code: `83735`	$52	$52	$7	7.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$180	$77	$87	0.9×
Blood test, lipase CPT Code: `83690`	$47	$47	$7	6.7×
Blood test, liver function panel CPT Code: `80076`	$58	$58	$9	6.4×
Culture, blood CPT Code: `87040`	$58	$58	$11	5.3×
Blood test, vitamin B12 CPT Code: `82607`	$65	$65	$16	4.1×
Physical therapy (manual therapy) CPT Code: `97140`	$61	$58	$34	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$348	$67	$56	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$38	$6	6.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$57	$35	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$62	$57	$40	1.4×
Blood antibody screen CPT Code: `86850`	$56	$56	$46	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$127	$78	$86	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$73	$73	$25	unverified
Physical therapy (gait training) CPT Code: `97116`	$58	$46	$33	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$46	$46	$201	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$66	$66	$86	unverified
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	6.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$26	$5	5.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$62	$51	$38	1.3×
Prosthetic fitting and training CPT Code: `97761`	$61	$51	$45	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$22	$3	7.3×
Blood test, amylase CPT Code: `82150`	$21	$21	$7	3.0×
Orthotic fitting and training CPT Code: `97760`	$61	$40	$51	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	$9	$4	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$29	$20	$9	2.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$39	$31	$14	2.2×
Blood test, calcium CPT Code: `82310`	$36	$11	$5	2.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$83	$23	$11	2.1×
Blood test, potassium CPT Code: `84132`	$29	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$29	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$29	$13	$8	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$151	$25	$25	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$53	$34	$38	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$65	$27	$35	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$43	$13	$64	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$9	$9	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$9	$9	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	unverified

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.8%

Audit a Bill or Quote at Community Memorial Healthcare, Inc. (Zero PHI Required)

CMS CCN: 171363

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $33,134

Insurer Median $22,152

1. Amount on Your Bill or Quote ($) Pre-filled with Community Memorial Healthcare, Inc.’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: $16,819 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $16,819

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.8% of gross = $16,819).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $33,134

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Community Memorial Healthcare, Inc.'s published 45 CFR § 180 self-pay cash rate is $33,134 (vs. $22,152 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,702 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($33,134) is $13,702 above the denoised Fair BaseRate ($19,432) and 2.4× the $14,044 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: 480630224

Filing Period: 196011

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 (50.8% 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 Recommend70%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait106 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

CMS Price Transparency Administrative Enforcement Log

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

2025-12-30·administrative_or_closure
Closure Notice
Recorded
2025-09-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (129 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Community Memorial Healthcare, Inc..

Price Index: 0.82× regional baseline

Quality: 69/100 CMS composite

Median Household Income$70,828U.S. Census ACS

Local Uninsured Share5.0%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 54/100 · Caution CMS CCN 171363 EIN 480630224

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 171363) ↗ Verify IRS Form 990 (EIN 480630224) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-02

Validated Rate Rows445 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171363

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