How many shoppable procedure prices are published for Hospital District #1 of Rice County?

Hospital District #1 of Rice County in Lyons, KS currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hospital District #1 of Rice County's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hospital District #1 of Rice County's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-03-24

Hospital District #1 of Rice County

619 South Clark Avenue, Lyons, KS 67554 · 124 Priced Procedures · 95% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.24×vs. Fair Market Price

Typical commercial prices here are +24% above the fair benchmark (1.24×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness66

Price Logic48

Peer Alignment69

Clean Billing81

Real Cash Discount99

Regional Value Leader

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +98% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hospital District #1 of Rice County prices routine shoppable procedures at 2.4× Medicare (median 0.97× Fair BaseRate) while upper-quartile commercial rates jump +98% to 1.92× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#44 of 103 in KS · 41st State Percentile#2,105 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.68× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (76/100 safety score) with 95% 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)

Even at low-cost facilities (1.24× 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 0.97× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.92×) jump +98% above the median procedure ratio (Q50 0.97×)
Unnegotiated chargemaster list prices average 6.3× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.83× Divergence

2.0× Medicare

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

Quantile Tail Spread+98% Upper Tail

Q25 0.68× · Q50 0.97× · Q75 1.92×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.5× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

1.5× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 76/100Fair

Procedure Prices at Hospital District #1 of Rice County

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,299	$9,265	$6,109	unverified
Total hip replacement CPT Code: `27130`	—	$8,598	$13,413	0.6×
Total knee replacement CPT Code: `27447`	—	$8,620	$13,523	0.6×
Breast lump removal CPT Code: `19120`	$6,103	$6,000	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$5,624	$5,487	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,275	$3,372	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,614	$2,056	$511	unverified
Bunion correction surgery CPT Code: `28296`	—	$1,966	$3,446	0.6×
C-section delivery (full package) CPT Code: `59510`	$1,712	$1,808	$2,975	0.6×
Vaginal delivery (full package) CPT Code: `59400`	$1,827	$1,751	$2,680	0.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,678	$2,540	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,954	$1,537	$583	2.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,744	$1,372	$338	4.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,494	$1,390	$987	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,744	$1,372	$343	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,744	$1,372	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,744	$1,372	$168	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,744	$1,372	$369	unverified
CT scan, sinuses CPT Code: `70486`	$1,200	$1,194	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,209	$1,213	$167	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,210	$1,079	$1,256	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,238	$974	$242	4.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,241	$976	$258	3.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,238	$974	$448	2.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,093	$953	$981	1.0×
CT scan, pelvis CPT Code: `72192`	$1,238	$974	$163	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,163	$915	$160	5.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,163	$915	$303	3.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$874	$1,021	0.9×
Blood transfusion CPT Code: `36430`	$658	$675	$498	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$696	$855	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$613	$482	$132	3.7×
Rabies immune globulin HCPCS Code: `90375`	—	$395	$322	1.2×
Trauma team activation HCPCS Code: `G0390`	$338	$338	$1,453	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$391	$290	$272	1.1×
X-ray, lower back CPT Code: `72110`	$316	$249	$112	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$317	$250	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	$326	$257	$130	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$326	$257	$134	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$324	$257	$201	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$208	$151	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$210	$165	$64	2.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$224	$176	$93	1.9×
X-ray, hip CPT Code: `73502`	$221	$174	$93	1.9×
X-ray, chest (two views) CPT Code: `71046`	$192	$151	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$179	$141	$92	1.5×
X-ray, ankle CPT Code: `73610`	$178	$140	$93	1.5×
X-ray, pelvis CPT Code: `72170`	$169	$160	$110	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$205	$164	$123	1.3×
X-ray, chest (single view) CPT Code: `71045`	$158	$133	$92	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$135	$140	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$167	$133	$148	0.9×
Behavioral health assessment HCPCS Code: `H0001`	—	$141	$157	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$153	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$133	$181	0.7×
X-ray, hand CPT Code: `73130`	—	$81	$93	0.9×
X-ray, foot CPT Code: `73630`	—	$80	$92	0.9×
Family therapy session CPT Code: `90847`	—	$100	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$89	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$88	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$882	$882	$347	unverified
Blood test, vitamin D CPT Code: `82306`	$287	$287	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$125	$133	$140	0.9×
Culture, bacterial CPT Code: `87070`	$101	$101	$9	11.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$122	$122	$19	unverified
Blood test, amylase CPT Code: `82150`	$76	$76	$7	10.9×
Blood test, lipase CPT Code: `83690`	$74	$74	$7	10.6×
Blood test, magnesium CPT Code: `83735`	$66	$66	$7	9.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$84	$84	$11	7.6×
Blood test, liver function panel CPT Code: `80076`	$67	$67	$9	7.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$69	$10	6.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$72	$14	5.1×
Blood test, vitamin B12 CPT Code: `82607`	$77	$77	$16	4.8×
Blood antibody screen CPT Code: `86850`	$123	$97	$46	2.1×
New patient office visit (30-44 min) CPT Code: `99203`	$94	$78	$110	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$86	$90	$203	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$41	$5	8.2×
Culture, blood CPT Code: `87040`	$50	$50	$11	4.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	$58	$14	4.1×
Hepatitis C antibody test CPT Code: `86803`	$59	$59	$15	3.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$66	$66	$20	3.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$59	$59	$18	3.3×
Colorectal cancer screening HCPCS Code: `G0010`	—	$72	$49	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$55	$38	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$56	$48	$56	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$68	$68	$87	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	—	$63	$86	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$88	$71	$111	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$79	$71	$123	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$80	$80	$9	unverified
Psychological testing evaluation CPT Code: `96136`	—	$51	$128	0.4×
Blood test, hemoglobin CPT Code: `85018`	$22	$22	$3	7.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$18	$18	$3	6.0×
Blood test, sodium CPT Code: `84295`	$28	$28	$5	5.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$30	$30	$6	5.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$17	$4	4.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$17	$4	4.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$31	$31	$8	3.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$17	$5	3.4×
Blood test, calcium CPT Code: `82310`	$16	$16	$5	3.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$37	$35	$14	2.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$43	$34	$25	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$33	$25	1.3×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$32	$31	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$30	$31	$39	0.8×
Orthotic fitting and training CPT Code: `97760`	$51	$40	$51	0.8×
Blood test, potassium CPT Code: `84132`	$13	$10	$5	2.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$27	$35	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$25	$35	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$26	$38	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	$26	$38	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	—	$23	$34	0.7×
Physical therapy (gait training) CPT Code: `97116`	—	$22	$33	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$26	$40	0.7×
Prosthetic fitting and training CPT Code: `97761`	—	$25	$45	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	—	$18	$65	0.3×
Group therapy session CPT Code: `90853`	—	$27	$100	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$8	$8	$48	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$8	$8	$49	0.2×
Behavioral health day program HCPCS Code: `H2012`	—	$15	$100	0.1×
Psychological testing by technician CPT Code: `96138`	—	$30	$395	0.1×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$7	$16	unverified

Showing top 25 high-impact procedures of 124 total

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

Audit a Bill or Quote at Hospital District #1 of Rice County (Zero PHI Required)

CMS CCN: 171330

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $9,299

Insurer Median $9,265

1. Amount on Your Bill or Quote ($) Pre-filled with Hospital District #1 of Rice County’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 Save $3,099 Paying Cash

Self-Pay Cash Rate ($9,299) Beats Your Bill

Hospital District #1 of Rice County's published 45 CFR § 180 self-pay cash rate is $9,299 (vs. $9,265 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,289 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($12,398) is $6,289 above the denoised Fair BaseRate ($6,109) and 2.0× the $6,176 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 Hospital District #1 of Rice County 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 Composite76/100

Would Recommend95%

Rated 9 or 10 (HCAHPS)92%

Median ER Wait94 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (58 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 Hospital District #1 of Rice County.

Price Index: 0.96× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Wppa

-52.6%

Median Household Income$63,947U.S. Census ACS

Local Uninsured Share6.7%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 71/100 · Corroborated CMS CCN 171330

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 171330) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-24

Validated Rate Rows1,293 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171330

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