How many shoppable procedure prices are published for Hamilton County Hospital?

Hamilton County Hospital in Syracuse, KS currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Hamilton County Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-05-28

Hamilton County Hospital

700 North Huser Street, Syracuse, KS 67878 · 92 Priced Procedures

CMS Overall Rating No CMS Rating

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.

48/100 · Quarantined

48/100Self-Pay Cash Beats Insurance 22% of the Time

File Completeness45

Price Logic44

Peer Alignment76

Clean Billing66

Real Cash Discount6

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +43% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hamilton County Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.42× Fair BaseRate) while upper-quartile commercial rates jump +43% to 2.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#60 of 103 in KS · 57th State Percentile#2,719 of 3,385 in U.S. · 80th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 22% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
Commercial insurance median sits at 1.42× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.03×) jump +43% above the median procedure ratio (Q50 1.42×)
Unnegotiated chargemaster list prices average 5.8× Medicare (33¢ 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 & ER1.00× Divergence

1.9× Medicare

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

Quantile Tail Spread+43% Upper Tail

Q25 1.05× · Q50 1.42× · Q75 2.03×

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

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.0× MedicareGood

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

22% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Hamilton County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,988	$1,441	$583	2.5×
Breast lump removal CPT Code: `19120`	$647	$647	$3,875	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,443	$495	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$969	$495	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,296	$495	$369	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,714	$495	$511	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$680	$452	$132	3.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,300	$430	$160	2.7×
CT scan, pelvis CPT Code: `72192`	$1,450	$430	$163	2.6×
CT scan, sinuses CPT Code: `70486`	$1,175	$430	$166	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,419	$430	$167	2.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,475	$430	$168	2.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,500	$430	$169	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,500	$430	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,475	$430	$258	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$654	$452	$272	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,275	$430	$303	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,275	$430	$448	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$407	$407	$1,256	0.3×
Rabies immune globulin HCPCS Code: `90375`	$323	$323	$322	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$265	$265	$981	0.3×
X-ray, lower back CPT Code: `72110`	$243	$233	$112	2.1×
X-ray, hip CPT Code: `73502`	$177	$163	$93	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$133	$133	$64	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$144	$144	$93	1.5×
X-ray, chest (two views) CPT Code: `71046`	$162	$142	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$205	$132	$92	1.4×
X-ray, ankle CPT Code: `73610`	$140	$131	$93	1.4×
X-ray, foot CPT Code: `73630`	$126	$127	$92	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$562	$143	$134	1.1×
Blood transfusion CPT Code: `36430`	$148	$148	$498	0.3×
X-ray, hand CPT Code: `73130`	$115	$115	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$109	$109	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$152	$119	$110	1.1×
Ultrasound, pelvis CPT Code: `76856`	$323	$116	$130	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$139	$139	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$141	$141	$86	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$244	$110	$126	0.9×
Blood test, vitamin D CPT Code: `82306`	$382	$382	$31	12.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$258	$212	$203	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$147	$147	$19	7.7×
Pneumococcal vaccine HCPCS Code: `90732`	$229	$152	$140	1.1×
Blood test, liver function panel CPT Code: `80076`	$113	$113	$9	12.6×
Blood test, lipase CPT Code: `83690`	$79	$79	$7	11.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$93	$93	$10	9.3×
Blood test, vitamin B12 CPT Code: `82607`	$100	$100	$16	6.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$200	$116	$111	1.0×
Drug screening test HCPCS Code: `G0480`	$115	$115	$116	1.0×
Blood test, hemoglobin CPT Code: `85018`	$45	$45	$3	15.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	9.5×
Blood test, magnesium CPT Code: `83735`	$64	$64	$7	9.1×
Hepatitis C antibody test CPT Code: `86803`	$76	$76	$15	5.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$44	$5	8.8×
Blood test, amylase CPT Code: `82150`	$56	$56	$7	8.0×
Culture, bacterial CPT Code: `87070`	$59	$59	$9	6.6×
Culture, blood CPT Code: `87040`	$65	$65	$11	5.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$52	$52	$14	3.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$115	$41	$18	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	$100	$48	$34	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$100	$48	$38	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$58	$58	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$58	$49	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	$59	$56	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$231	$73	$86	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$40	$40	$14	2.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$63	$29	$14	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$47	$35	1.3×
Physical therapy (gait training) CPT Code: `97116`	$93	$44	$33	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$159	$50	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$47	$40	1.2×
Prosthetic fitting and training CPT Code: `97761`	$100	$48	$45	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$12	$3	4.0×
Blood test, basic metabolic panel CPT Code: `80048`	$85	$18	$9	2.0×
Blood test, calcium CPT Code: `82310`	$50	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$8	$4	2.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$150	$21	$11	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$37	$39	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$103	$38	$87	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$131	$48	$110	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$159	$38	$123	unverified
Blood test, sodium CPT Code: `84295`	$51	$10	$5	2.0×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$35	$37	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$50	$8	$4	2.0×
Blood test, potassium CPT Code: `84132`	$42	$9	$5	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$51	$13	$8	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$50	$32	$38	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$20	$20	$25	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$15	$15	$20	0.8×
Blood antibody screen CPT Code: `86850`	$115	$20	$46	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$54	$31	$201	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$24	$24	$49	unverified

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 171322

CPT 93306

Select Procedure to Audit:

Fair BaseRate™ $583

Medicare Rate $558

Self-Pay Cash $1,988

Insurer Median $1,441

1. Amount on Your Bill or Quote ($) Pre-filled with Hamilton County 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $1,988

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Hamilton County Hospital's published 45 CFR § 180 self-pay cash rate is $1,988 (vs. $1,441 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,405 Above Fair BaseRate

Negotiate Toward $583 Fair BaseRate ($558 Medicare)

Your bill ($1,988) is $1,405 above the denoised Fair BaseRate ($583) and 3.6× the $558 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Hamilton County Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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

Safety Composite69/100

Median ER Wait102 min

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 Hamilton County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-11-13·administrative_or_closure
Closure Notice
Recorded
2024-08-08·warning_notice
Warning Notice
Recorded
2023-12-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. 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 Quality & Price Benchmark

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

Price Index: 1.10× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+88.3%

Median Household Income$61,929U.S. Census ACS

Local Uninsured Share23.2%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 48/100 · Quarantined CMS CCN 171322

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171322) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-05-28 · 6.98 MB

Validated Rate Rows551 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171322

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