How many shoppable procedure prices are published for Medicine Lodge Memorial Hospital?

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

How do Medicine Lodge Memorial Hospital's commercial prices compare to the fair BaseRate?

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

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 22 Beds · rural Updated: 2026-08-05

Medicine Lodge Memorial Hospital

710 N Walnut Street, Medicine Lodge, KS 67104 · 92 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.63×vs. Fair Market Price

Typical commercial prices here are +63% above the fair benchmark (1.63×) even after accounting for local nurse/doctor wages and patient complexity.

57/100 · Caution

57/100Self-Pay Cash Beats Insurance 17% of the Time

File Completeness90

Price Logic48

Peer Alignment78

Clean Billing58

Real Cash Discount6

High-Markup · Check Safety

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Medicine Lodge Memorial Hospital prices shoppable and inpatient services (2.0× to 2.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.63× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#69 of 103 in KS · 66th State Percentile#2,803 of 3,385 in U.S. · 82nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 17% 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)

Even at low-cost facilities (1.63× 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 1.59× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.97×) jump +24% above the median procedure ratio (Q50 1.59×)
Unnegotiated chargemaster list prices average 3.6× Medicare (39¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

2.0× Medicare

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

Quantile Tail Spread+24% Upper Tail

Q25 1.13× · Q50 1.59× · Q75 1.97×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.9× MedicareGood

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

17% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Medicine Lodge Memorial 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
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,510	$3,791	$6,109	0.6×
Inguinal hernia repair CPT Code: `49505`	$3,355	$2,358	$3,629	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,060	$1,767	$583	3.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,430	$1,400	$1,256	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,727	$1,255	$981	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,764	$1,272	$1,021	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,507	$1,113	$987	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$687	$600	$369	1.6×
Breast lump removal CPT Code: `19120`	$625	$625	$3,875	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$727	$553	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$727	$553	$343	1.6×
Blood transfusion CPT Code: `36430`	$649	$565	$498	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$727	$553	$511	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$708	$481	$132	3.6×
CT scan, head (no contrast) CPT Code: `70450`	$633	$480	$160	3.0×
CT scan, pelvis CPT Code: `72192`	$633	$480	$163	2.9×
CT scan, sinuses CPT Code: `70486`	$633	$480	$166	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$650	$480	$167	2.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$633	$480	$168	2.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$839	$480	$169	2.8×
CT scan, head (with contrast) CPT Code: `70460`	$633	$480	$242	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$633	$480	$258	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$665	$481	$272	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$686	$480	$303	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$779	$480	$448	1.1×
Rabies immune globulin HCPCS Code: `90375`	$1,140	$370	$322	1.1×
X-ray, lower back CPT Code: `72110`	$439	$248	$112	2.2×
X-ray, hip CPT Code: `73502`	$274	$173	$93	1.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$187	$160	$87	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$221	$160	$93	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$214	$184	$123	1.5×
X-ray, chest (two views) CPT Code: `71046`	$274	$151	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$254	$140	$92	1.5×
X-ray, ankle CPT Code: `73610`	$253	$139	$93	1.5×
X-ray, hand CPT Code: `73130`	$253	$137	$93	1.5×
X-ray, foot CPT Code: `73630`	$253	$135	$92	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$457	$152	$134	1.1×
X-ray, chest (single view) CPT Code: `71045`	$219	$124	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$219	$133	$110	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$286	$133	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$290	$133	$130	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$126	$98	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$994	$994	$347	2.9×
Blood test, vitamin D CPT Code: `82306`	$297	$297	$31	9.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$138	$138	$19	7.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$92	$92	$20	4.6×
Pneumococcal vaccine HCPCS Code: `90732`	$115	$115	$140	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$74	$14	5.3×
Blood test, vitamin B12 CPT Code: `82607`	$81	$81	$16	5.1×
Hepatitis C antibody test CPT Code: `86803`	$67	$67	$15	4.5×
Blood antibody screen CPT Code: `86850`	$95	$89	$46	1.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$40	$40	$6	6.7×
Culture, bacterial CPT Code: `87070`	$55	$55	$9	6.1×
Speech therapy (language evaluation) CPT Code: `92507`	$100	$78	$86	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$30	$30	$5	6.0×
Blood test, lipase CPT Code: `83690`	$37	$37	$7	5.3×
Blood test, magnesium CPT Code: `83735`	$37	$37	$7	5.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$50	$10	5.0×
Blood test, liver function panel CPT Code: `80076`	$43	$43	$9	4.8×
Culture, blood CPT Code: `87040`	$52	$52	$11	4.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$56	$14	4.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$49	$49	$14	3.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$57	$57	$18	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$58	$34	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$62	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$65	$57	$35	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$67	$57	$40	1.4×
Physical therapy (gait training) CPT Code: `97116`	$61	$46	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$51	$38	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$99	$67	$56	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$65	$65	$64	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$58	$58	$201	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$18	$18	$3	6.0×
Blood test, calcium CPT Code: `82310`	$29	$29	$5	5.8×
Blood test, hemoglobin CPT Code: `85018`	$16	$16	$3	5.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$20	$4	5.0×
Blood test, amylase CPT Code: `82150`	$33	$33	$7	4.7×
Blood test, basic metabolic panel CPT Code: `80048`	$50	$20	$9	2.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$62	$23	$11	2.1×
Orthotic fitting and training CPT Code: `97760`	$70	$40	$51	0.8×
Blood test, potassium CPT Code: `84132`	$20	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$27	$10	$5	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$34	$38	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$13	$8	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$32	$28	$25	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$18	$18	$39	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$34	$20	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$20	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$20	$20	$49	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$35	$35	$86	0.4×

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 Medicine Lodge Memorial Hospital (Zero PHI Required)

CMS CCN: 171334

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $5,510

Insurer Median $3,791

1. Amount on Your Bill or Quote ($) Pre-filled with Medicine Lodge Memorial 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: $5,510

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Medicine Lodge Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $5,510 (vs. $3,791 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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 Medicine Lodge Memorial 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 Wait75 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Medicine Lodge Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-05-30·administrative_or_closure
Closure Notice
Recorded
2024-02-23·warning_notice
Warning Notice
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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Medicine Lodge Memorial Hospital.

Price Index: 0.97× regional baseline

Quality: 57/100 CMS composite

Median Household Income$57,615U.S. Census ACS

Local Uninsured Share6.9%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 57/100 · Caution CMS CCN 171334

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171334) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-05 · 16.12 MB

Validated Rate Rows992 (CMS v3.0.0)

File Integrity Digestf1ac5df13ee949193c1d…

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