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

Hays Medical Center in Hays, KS currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Hays Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Hays Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 121 Beds · rural Updated: 1/2/2025

Hays Medical Center

2220 Canterbury Drive, Hays, KS 67601 · 103 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.08×vs. Fair Market Price

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.

56/100 · Caution

56/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness88

Price Logic58

Peer Alignment61

Clean Billing58

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.08× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Hays Medical Center prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.08× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#38 of 103 in KS · 35th State Percentile#1,612 of 3,385 in U.S. · 47th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 65% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.08× 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.
Commercial insurance median sits at 0.99× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.33×) jump +34% above the median procedure ratio (Q50 0.99×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.85× · Q50 0.99× · Q75 1.33×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.1× MedicareGood

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

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Hays Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	—	$22,152	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,692	$19,087	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,962	$8,223	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,385	$5,385	$1,021	5.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,280	$5,280	$448	11.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,780	$4,780	$511	9.4×
Trauma team activation HCPCS Code: `G0390`	$4,430	$4,430	$1,453	3.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,010	$4,010	$303	13.2×
MRI, brain (no contrast) CPT Code: `70551`	$3,740	$3,740	$343	10.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,365	$3,365	$583	5.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,130	$3,130	$338	9.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,080	$3,080	$369	8.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,865	$2,865	$258	11.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,635	$2,635	$169	15.6×
CT scan, head (with contrast) CPT Code: `70460`	$2,620	$2,620	$242	10.8×
Cataract surgery with lens implant CPT Code: `66984`	$4,560	$2,472	$2,540	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$10,835	$2,484	$6,109	0.4×
Total knee replacement CPT Code: `27447`	$11,940	$2,472	$13,523	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$3,025	$2,459	$987	unverified
Breast lump removal CPT Code: `19120`	$2,419	$2,419	$3,875	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$2,340	$2,340	$160	14.6×
Inguinal hernia repair CPT Code: `49505`	$2,340	$2,340	$3,629	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,260	$2,260	$168	13.5×
CT scan, pelvis CPT Code: `72192`	$2,200	$2,200	$163	13.5×
CT scan, sinuses CPT Code: `70486`	$2,040	$2,040	$166	12.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,863	$1,863	$981	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,530	$1,530	$272	5.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,513	$1,513	$1,256	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,265	$1,265	$134	9.4×
Ultrasound, pelvis CPT Code: `76856`	$1,010	$1,010	$130	7.8×
X-ray, lower back CPT Code: `72110`	$880	$880	$112	7.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$905	$905	$132	6.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$820	$820	$126	6.5×
Injection procedure for pain management HCPCS Code: `G0260`	$720	$720	$855	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$590	$590	$93	6.3×
X-ray, shoulder CPT Code: `73030`	$535	$535	$92	5.8×
X-ray, hand CPT Code: `73130`	$500	$500	$93	5.4×
Blood transfusion CPT Code: `36430`	$795	$516	$498	1.0×
X-ray, foot CPT Code: `73630`	$490	$490	$92	5.3×
X-ray, ankle CPT Code: `73610`	$490	$490	$93	5.3×
X-ray, pelvis CPT Code: `72170`	$440	$440	$110	4.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$460	$460	$148	3.1×
CT scan, chest (no contrast) CPT Code: `71250`	$2,315	$458	$167	unverified
X-ray, hip CPT Code: `73502`	$430	$430	$93	4.6×
Screening mammogram (both breasts) CPT Code: `77067`	$335	$335	$123	2.7×
X-ray, chest (two views) CPT Code: `71046`	$306	$306	$93	3.3×
X-ray, chest (single view) CPT Code: `71045`	$251	$251	$92	2.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$163	$163	$185	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$1,265	$94	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$350	$113	$123	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$300	$86	$87	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$97	$97	$166	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$90	$90	$181	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$310	$310	$11	28.2×
Blood test, vitamin D CPT Code: `82306`	$280	$280	$31	9.0×
Blood test, basic metabolic panel CPT Code: `80048`	$240	$240	$9	26.7×
Blood test, liver function panel CPT Code: `80076`	$230	$230	$9	25.6×
Culture, blood CPT Code: `87040`	$230	$230	$11	20.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$230	$230	$14	16.4×
Culture, bacterial CPT Code: `87070`	$190	$190	$9	21.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$180	$180	$14	12.9×
Hepatitis C antibody test CPT Code: `86803`	$180	$180	$15	12.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$190	$190	$18	10.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$180	$180	$19	9.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$200	$200	$203	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$170	$170	$16	10.6×
Blood test, amylase CPT Code: `82150`	$140	$140	$7	20.0×
Blood test, lipase CPT Code: `83690`	$140	$140	$7	20.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$140	$140	$8	17.5×
Blood antibody screen CPT Code: `86850`	$150	$150	$46	3.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$110	$110	$6	18.3×
Blood test, magnesium CPT Code: `83735`	$110	$110	$7	15.7×
Pneumococcal vaccine HCPCS Code: `90732`	$130	$130	$140	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$110	$110	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$80	$80	$3	26.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$70	$70	$4	17.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$70	$70	$4	17.5×
Blood test, calcium CPT Code: `82310`	$80	$80	$5	16.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$80	$80	$5	16.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$80	$80	$5	16.0×
Speech therapy (language evaluation) CPT Code: `92507`	$320	$78	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$85	$85	$111	0.8×
Blood test, hemoglobin CPT Code: `85018`	$50	$50	$3	16.7×
Blood test, potassium CPT Code: `84132`	$70	$70	$5	14.0×
Blood test, sodium CPT Code: `84295`	$70	$70	$5	14.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$83	$83	$10	8.3×
Speech therapy (group session) CPT Code: `92508`	$170	$52	$27	1.9×
Flu vaccine injection HCPCS Code: `G0008`	$73	$73	$48	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$160	$51	$34	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$90	$54	$38	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$225	$49	$35	1.4×
Physical therapy (gait training) CPT Code: `97116`	$140	$46	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$300	$51	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$210	$49	$40	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$55	$55	$56	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$360	$70	$110	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$25	$25	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$140	$34	$38	0.9×
Orthotic fitting and training CPT Code: `97760`	$160	$40	$51	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$120	$27	$35	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$35	$49	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$39	$39	$64	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$280	$42	$201	0.2×

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.4%

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

CMS CCN: 170013

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $22,152

1. Amount on Your Bill or Quote ($) Pre-filled with Hays 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: $12,972 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,972

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.4% of gross = $12,972).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Hays Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$33,733 Above Fair BaseRate

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

Your bill ($53,165) is $33,733 above the denoised Fair BaseRate ($19,432) and 3.8× 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: 480559088

Filing Period: 200110

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 (24.4% 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 Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait114 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (739 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 Hays Medical Center.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Median Household Income$59,889U.S. Census ACS

Local Uninsured Share7.2%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 56/100 · Caution CMS CCN 170013 EIN 480559088

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 170013) ↗ Verify IRS Form 990 (EIN 480559088) ↗ CMS HCRIS Cost Reports ↗

Published MRF File480559088-Haysmed-standardcharges_010125.csv

Publication / Vintage1/2/2025 · 30.08 MB

Validated Rate Rows53 (CMS v2.0.0)

File Integrity Digest3d21c84d6e605bbb68db…

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