Decatur Health
810 W Columbia Street, Oberlin, KS 67749 · 83 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +156% above the fair benchmark (2.56×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Decatur Health prices routine shoppable procedures at 3.5× Medicare (median 2.46× Fair BaseRate) while upper-quartile commercial rates jump +20% to 2.94× 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 2.10× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 16% of shoppable procedures (44/100 Cash Honesty)
- CMS clinical safety score (78/100 safety score) with 73% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.4× markup over Medicare rates
- Commercial insurance median sits at 2.46× Fair BaseRate (3.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.94×) jump +20% above the median procedure ratio (Q50 2.46×)
- Unnegotiated chargemaster list prices average 5.0× Medicare (31¢ true HCRIS cost per $1 gross)
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 Decatur Health
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,409 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,084 | 2.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,072 | 2.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $920 | 3.6× |
| Blood transfusion CPT Code: 36430 | $931 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $881 | 2.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $853 | 2.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $865 | 2.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $853 | 1.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $853 | unverified |
| CT scan, sinuses CPT Code: 70486 | $853 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $853 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $853 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $853 | unverified |
| CT scan, pelvis CPT Code: 72192 | $853 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $803 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $756 | unverified |
| X-ray, lower back CPT Code: 72110 | $401 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $362 | 2.9× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $354 | 2.4× |
| Screening mammogram (both breasts) CPT Code: 77067 | $363 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $272 | 2.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $273 | 2.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $298 | unverified |
| X-ray, pelvis CPT Code: 72170 | $265 | unverified |
Audit a Bill or Quote at Decatur Health (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,828
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.3% of gross = $1,828).
Self-Pay Cash Rate ($2,561) Beats Your Bill
Decatur Health's published 45 CFR § 180 self-pay cash rate is $2,561 (vs. $2,409 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $583 Fair BaseRate ($558 Medicare)
Your bill ($2,845) is $2,262 above the denoised Fair BaseRate ($583) and 5.1× the $558 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (64.3% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Decatur Health. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-03-07·administrative_or_closure
Met Requirements
Recorded - 2023-05-01·administrative_or_closure
Closure Notice
Recorded - 2023-01-23·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (29 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 Decatur Health.
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.