How many shoppable procedure prices are published for Lmh?

Lmh in Lawrence, KS currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lmh's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lmh's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Lmh's CMS Care Compare overall star rating?

CMS Care Compare assigns Lmh an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 110 Beds · rural Updated: 2026-03-23

Lmh

325 Maine Street, Lawrence, KS 66044 · 93 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness66

Price Logic79

Peer Alignment74

Clean Billing79

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.92× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Lmh maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.98× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#21 of 103 in KS · 19th State Percentile#775 of 3,385 in U.S. · 22nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (72/100 safety score)
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 (0.92× 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 0.92× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.80× · Q50 0.92× · Q75 0.98×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

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

1.2× MedicareGood

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

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Lmh

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$2,404	$3,975	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,409	$865	$1,021	0.8×
Trauma team activation HCPCS Code: `G0390`	$842	$842	$1,453	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$733	$550	$583	0.9×
Blood transfusion CPT Code: `36430`	$581	$451	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,513	$328	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,385	$351	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$3,254	$285	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$66	$222	$201	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,377	$223	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,116	$236	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,062	$236	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,679	$244	$369	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$162	$247	$123	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$321	$206	$272	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$749	$141	$151	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$770	$164	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$871	$164	$258	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$113	$89	$87	1.0×
X-ray, shoulder CPT Code: `73030`	$207	$88	$92	1.0×
X-ray, hand CPT Code: `73130`	$168	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$123	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$168	$88	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$92	$91	$110	0.8×
Ultrasound, pelvis CPT Code: `76856`	$333	$106	$130	0.8×
X-ray, lower back CPT Code: `72110`	$300	$91	$112	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$115	$83	$110	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$272	$91	$126	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$230	$91	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$412	$91	$134	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$692	$105	$167	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$669	$98	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$697	$98	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$155	$98	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$905	$98	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$905	$98	$169	0.6×
X-ray, chest (single view) CPT Code: `71045`	$108	$88	$92	unverified
X-ray, foot CPT Code: `73630`	$176	$88	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	$728	$326	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$211	$169	$140	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$346	$122	$203	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$20	$48	$48	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$150	$60	$64	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$33	$76	$86	0.9×
X-ray, chest (two views) CPT Code: `71046`	$147	$75	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$203	$75	$93	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$84	$49	$56	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$55	$74	$86	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$47	$48	$49	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$172	$72	$111	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$62	$20	$20	1.0×
Prosthetic fitting and training CPT Code: `97761`	$42	$39	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$44	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$33	$32	$38	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$31	$38	0.8×
Blood antibody screen CPT Code: `86850`	$45	$52	$46	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$67	$54	$37	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$56	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$99	$11	$11	1.0×
Blood test, lipase CPT Code: `83690`	$61	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$42	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$30	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$62	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$69	$30	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$51	$44	$51	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$55	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$32	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$79	$14	$14	1.0×
Blood test, sodium CPT Code: `84295`	$30	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$75	$15	$15	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$45	$36	$25	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$4	$4	1.0×
Culture, bacterial CPT Code: `87070`	$60	$9	$9	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$30	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$8	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$59	$10	$11	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$21	$9	$10	0.9×
Blood test, liver function panel CPT Code: `80076`	$66	$8	$9	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$85	$16	$18	0.9×
Physical therapy (gait training) CPT Code: `97116`	$50	$28	$33	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$48	$33	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$43	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$28	$35	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$31	$39	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$60	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$19	$2	$3	0.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$34	$10	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$32	$5	unverified

Showing top 25 high-impact procedures of 93 total

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

Audit a Bill or Quote at Lmh (Zero PHI Required)

CMS CCN: 170137

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $2,404

Insurer Median $3,975

1. Amount on Your Bill or Quote ($) Pre-filled with Lmh’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 $7,211 Paying Cash

Self-Pay Cash Rate ($2,404) Beats Your Bill

Lmh's published 45 CFR § 180 self-pay cash rate is $2,404 (vs. $3,975 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,740 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($9,615) is $5,740 above the denoised Fair BaseRate ($3,875) and 2.4× the $4,000 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 Lmh 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

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait216 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (686 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 Lmh.

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-50.9%

Median Household Income$68,756U.S. Census ACS

Local Uninsured Share7.8%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 79/100 · Corroborated CMS CCN 170137

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 170137) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows2,820 (CMS v3.0.0)

File Integrity DigestVerified · CCN 170137

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

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