How many shoppable procedure prices are published for Mercy Hospital Pittsburg, Inc?

Mercy Hospital Pittsburg, Inc in Pittsburg, KS currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy Hospital Pittsburg, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy Hospital Pittsburg, Inc's median negotiated commercial rate is 2.6× the regionally adjusted fair BaseRate benchmark.

What is Mercy Hospital Pittsburg, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercy Hospital Pittsburg, Inc 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 - Church 64 Beds · rural Updated: 6/9/2026

Mercy Hospital Pittsburg, Inc

1 Mt Carmel Way, Pittsburg, KS 66762 · 103 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.59×vs. Fair Market Price

Typical commercial prices here are +159% above the fair benchmark (2.59×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 71% of the Time

File Completeness95

Price Logic82

Peer Alignment68

Clean Billing87

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.59× fair market pricing.

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

Wide Procedure Spread · Upper-Quartile Skew Pricer

Mercy Hospital Pittsburg, Inc prices routine shoppable procedures at 1.1× Medicare (median 2.08× Fair BaseRate) while upper-quartile commercial rates jump +98% to 4.12× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#98 of 103 in KS · 94th State Percentile#3,275 of 3,385 in U.S. · 96th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.07× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 67% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
Commercial insurance median sits at 2.08× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 4.12×) jump +98% above the median procedure ratio (Q50 2.08×)
Consolidated metro market (HHI 8,580) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+98% Upper Tail

Q25 1.07× · Q50 2.08× · Q75 4.12×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.3× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.0× MedicareGood

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

71% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Mercy Hospital Pittsburg, Inc

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`	$33,334	$26,674	$19,432	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	—	$19,087	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,982	$8,868	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$15,251	$5,915	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$13,764	$3,503	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$12,372	$3,201	$3,372	unverified
Cataract surgery with lens implant CPT Code: `66984`	$6,967	$2,258	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,408	$1,700	$1,453	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,295	$1,517	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,711	$1,171	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$7,692	$887	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,145	$911	$1,021	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,443	$535	$583	0.9×
Blood transfusion CPT Code: `36430`	$1,226	$432	$498	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,791	$456	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,012	$456	$448	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,473	$312	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,811	$312	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$4,353	$312	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,868	$312	$303	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$536	$233	$272	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,030	$229	$258	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$188	$194	$151	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$159	$195	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,808	$179	$242	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$267	$142	$148	unverified
X-ray, hip CPT Code: `73502`	$304	$114	$93	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$158	$138	$123	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$115	$116	$110	1.1×
X-ray, pelvis CPT Code: `72170`	$212	$113	$110	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$200	$113	$123	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,643	$137	$160	0.9×
CT scan, sinuses CPT Code: `70486`	$1,860	$137	$166	unverified
X-ray, chest (single view) CPT Code: `71045`	$306	$114	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$337	$114	$93	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,836	$137	$167	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$395	$114	$93	unverified
X-ray, lower back CPT Code: `72110`	$522	$137	$112	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,836	$137	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,437	$137	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,676	$137	$163	unverified
X-ray, shoulder CPT Code: `73030`	$493	$114	$92	unverified
X-ray, hand CPT Code: `73130`	$386	$114	$93	unverified
X-ray, ankle CPT Code: `73610`	$445	$114	$93	unverified
X-ray, foot CPT Code: `73630`	$493	$114	$92	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$573	$137	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$753	$137	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$472	$131	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$499	$131	$130	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$166	$87	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$132	$94	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$809	$958	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$495	$586	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$405	$489	$111	unverified
Typhoid vaccine HCPCS Code: `90675`	$987	$367	$347	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$202	$229	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$120	$148	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$124	$145	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$83	$103	$25	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$237	$77	$64	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$47	$49	$38	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$52	$54	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$54	$49	1.1×
Orthotic fitting and training CPT Code: `97760`	$54	$47	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$54	$39	$45	0.9×
Physical therapy (gait training) CPT Code: `97116`	$43	$28	$33	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$46	$29	$35	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$43	$31	$38	0.8×
Blood antibody screen CPT Code: `86850`	$102	$51	$46	unverified
Blood test, liver function panel CPT Code: `80076`	$176	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$84	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$91	$7	$7	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$34	$21	$35	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$100	$9	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$144	$11	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$112	$14	$14	unverified
Blood test, vitamin D CPT Code: `82306`	$295	$30	$31	unverified
Blood test, calcium CPT Code: `82310`	$46	$5	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$5	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$108	$16	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$123	$14	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$4	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$85	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$124	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$83	$7	$7	unverified
Blood test, potassium CPT Code: `84132`	$44	$5	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$84	$19	$19	unverified
Blood test, sodium CPT Code: `84295`	$27	$5	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$17	$18	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$75	$34	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$73	$36	$38	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$4	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$26	$2	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$83	$8	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$61	$5	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$77	$6	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$112	$15	$15	unverified
Culture, blood CPT Code: `87040`	$185	$11	$11	unverified
Culture, bacterial CPT Code: `87070`	$116	$9	$9	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$16	$21	$49	unverified

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 46.0%

Audit a Bill or Quote at Mercy Hospital Pittsburg, Inc (Zero PHI Required)

CMS CCN: 170006

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $33,334

Insurer Median $26,674

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy Hospital Pittsburg, Inc’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: $23,591 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $23,591

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.0% of gross = $23,591).

Step 2 · Cash vs. Insurance Arbitrage Save $17,950 Paying Cash

Self-Pay Cash Rate ($33,334) Beats Your Bill

Mercy Hospital Pittsburg, Inc's published 45 CFR § 180 self-pay cash rate is $33,334 (vs. $26,674 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,852 Above Fair BaseRate

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

Your bill ($51,284) is $31,852 above the denoised Fair BaseRate ($19,432) and 3.7× 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: 480543778

Filing Period: 194603

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 (46.0% 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 Overall4/5 Stars (4/5)

Safety Composite70/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait133 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

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 Mercy Hospital Pittsburg, Inc. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (243 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Pittsburg, Inc.

Price Index: 1.15× regional baseline

Quality: 65/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Medica

-49.2%

Blue Cross Blue Shield

-40.2%

Median Household Income$50,311U.S. Census ACS

Local Uninsured Share11.4%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 86/100 · Verified CMS CCN 170006 EIN 480543778

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 170006) ↗ Verify IRS Form 990 (EIN 480543778) ↗ CMS HCRIS Cost Reports ↗

Published MRF File480543778_mercy-hospital-pittsburg-inc_standardcharges.zip!480543778_mercy-hospital-pittsburg-inc_standardcharges.csv

Publication / Vintage6/9/2026 · 9.77 MB

Validated Rate Rows7,001 (CMS v3.0.0)

File Integrity Digest6097939bdb0d912674bb…

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