How many shoppable procedure prices are published for Miami County Medical Center?

Miami County Medical Center in Paola, KS currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Miami County Medical Center's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 18 Beds · urban Updated: 4/8/2026

Miami County Medical Center

2100 Baptiste Dr, Paola, KS 66071 · 122 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.61×vs. Fair Market Price

Typical commercial prices here are 39% below the fair benchmark (0.61×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness100

Price Logic52

Peer Alignment49

Clean Billing78

Real Cash Discount89

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Miami County Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.68× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.87× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 103 in KS · 1st State Percentile#83 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 39% below peer Fair BaseRate (0.61×)
Self-pay cash beats commercial insurance on 55% of shoppable procedures (89/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 68% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.61× 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.
Captive ER (3.5×) & laboratory (2.1×) services average 1.67× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 0.87×) jump +28% above the median procedure ratio (Q50 0.68×)
Unnegotiated chargemaster list prices average 6.4× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.26× · Q50 0.68× · Q75 0.87×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.5× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

2.7× MedicareFair

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

55% Cash Edge · 89/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Miami County Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$4,888	$14,483	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$9,478	$14,148	$19,432	0.7×
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Total knee replacement CPT Code: `27447`	$6,697	$6,697	$13,523	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	—	$6,109	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,608	$5,828	$8,223	0.7×
Bunion correction surgery CPT Code: `28296`	—	—	$3,446	—
C-section delivery (full package) CPT Code: `59510`	—	—	$2,975	—
Trauma team activation HCPCS Code: `G0390`	$491	$2,145	$1,453	1.5×
Cataract surgery with lens implant CPT Code: `66984`	$1,924	$1,924	$2,540	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,543	$1,543	$3,372	0.5×
Breast lump removal CPT Code: `19120`	$1,188	$1,188	$3,875	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$554	$554	$448	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$282	$357	$855	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$748	$357	$1,021	0.3×
Inguinal hernia repair CPT Code: `49505`	$2,937	$375	$3,629	0.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$78	$180	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$78	$156	$181	0.9×
Blood transfusion CPT Code: `36430`	$164	$164	$498	0.3×
X-ray, shoulder CPT Code: `73030`	$113	$113	$92	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$943	$128	$981	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$2,264	$147	$1,256	0.1×
X-ray, foot CPT Code: `73630`	$99	$99	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$100	$100	$110	0.9×
Family therapy session CPT Code: `90847`	$78	$121	$173	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$226	$137	$272	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$80	$93	$123	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$78	$106	$166	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$536	$123	$583	0.2×
New patient office visit (30-44 min) CPT Code: `99203`	—	$85	$110	0.8×
Neurobehavioral status check CPT Code: `96116`	$196	$96	$231	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$630	$111	$511	0.2×
X-ray, chest (single view) CPT Code: `71045`	$81	$81	$92	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$531	$84	$303	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,731	$102	$987	0.1×
Vaginal delivery (full package) CPT Code: `59400`	$100	$100	$2,680	0.0×
Typhoid vaccine HCPCS Code: `90675`	$745	$339	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$328	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$211	$133	$140	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$102	$78	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$167	$96	$111	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$63	$63	$201	0.3×
Blood antibody screen CPT Code: `86850`	$53	$81	$46	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$36	$36	$6	6.0×
Blood test, basic metabolic panel CPT Code: `80048`	$35	$35	$9	3.9×
Culture, blood CPT Code: `87040`	$39	$39	$11	3.5×
Culture, bacterial CPT Code: `87070`	$21	$21	$9	2.3×
Speech therapy (group session) CPT Code: `92508`	$53	$36	$27	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$25	$25	$20	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$34	$41	$34	1.2×
Prosthetic fitting and training CPT Code: `97761`	$32	$46	$45	1.0×
Physical therapy (gait training) CPT Code: `97116`	$29	$33	$33	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$38	$38	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$35	$35	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$33	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$39	$35	$40	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$84	$40	$56	0.7×
Drug screening test HCPCS Code: `G0480`	$59	$59	$116	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$8	$8	$4	2.0×
Blood test, sodium CPT Code: `84295`	$8	$8	$5	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$29	$33	$35	0.9×
Psychological testing evaluation CPT Code: `96136`	$62	$33	$128	0.3×
Blood test, potassium CPT Code: `84132`	$7	$7	$5	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$25	$25	$18	1.4×
Orthotic fitting and training CPT Code: `97760`	$47	$48	$51	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$36	$35	$38	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$45	$60	$87	0.7×
Ultrasound, pelvis CPT Code: `76856`	$100	$53	$130	0.4×
CT scan, pelvis CPT Code: `72192`	$328	$53	$163	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	—	$72	$338	0.2×
Blood test, lipase CPT Code: `83690`	$30	$30	$7	4.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$23	$23	$14	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$46	$46	$93	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$100	$46	$126	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$111	$46	$132	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$155	$49	$148	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$348	$52	$167	0.3×
Blood test, amylase CPT Code: `82150`	$20	$20	$7	2.9×
Blood test, liver function panel CPT Code: `80076`	$18	$18	$9	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$20	$20	$16	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$17	$17	$14	1.2×
Blood test, vitamin D CPT Code: `82306`	$34	$34	$31	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$104	$37	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$226	$40	$134	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$405	$49	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$405	$49	$169	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$481	$42	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$211	$42	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$328	$62	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$285	$55	$242	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$504	$72	$343	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$844	$66	$369	0.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$15	$5	3.0×
Blood test, magnesium CPT Code: `83735`	$16	$16	$7	2.3×
Blood test, calcium CPT Code: `82310`	$9	$9	$5	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$51	$33	$37	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$29	$33	0.9×
Psychological testing by technician CPT Code: `96138`	$103	$34	$395	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$13	$7	$8	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$13	$12	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$13	$9	$11	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$12	$8	$10	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$30	$39	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$19	$12	$15	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$19	$25	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$17	$33	$48	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$17	$25	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$33	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$17	$33	$49	0.7×
Group therapy session CPT Code: `90853`	$41	$29	$100	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$3	$4	0.8×
Blood test, hemoglobin CPT Code: `85018`	$9	$2	$3	0.7×
X-ray, hip CPT Code: `73502`	$37	$20	$93	0.2×
X-ray, lower back CPT Code: `72110`	$100	$23	$112	0.2×
X-ray, chest (two views) CPT Code: `71046`	$91	$17	$93	0.2×
X-ray, hand CPT Code: `73130`	$99	$17	$93	0.2×
X-ray, ankle CPT Code: `73610`	$99	$17	$93	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$66	$10	$64	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$33	$33	$86	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.2%

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

CMS CCN: 170109

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $4,888

Insurer Median $14,483

1. Amount on Your Bill or Quote ($) Pre-filled with Miami County 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: $5,431 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,431

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.2% of gross = $5,431).

Step 2 · Cash vs. Insurance Arbitrage Save $19,552 Paying Cash

Self-Pay Cash Rate ($4,888) Beats Your Bill

Miami County Medical Center's published 45 CFR § 180 self-pay cash rate is $4,888 (vs. $14,483 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,353 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($24,440) is $5,353 above the denoised Fair BaseRate ($19,087) and 1.7× the $14,117 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: 481155548

Filing Period: 199504

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 (22.2% 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

Safety Composite68/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait143 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (76 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Miami County Medical Center.

Price Index: 0.46× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aha-Healthcare Preferred [503200050]

-47.8%

Alt Lucent Health Solutions [503202603]

-47.4%

Alt Lineco [5032000976]

-47.4%

Bright Health

+80.3%

WellCare

+97.6%

Median Household Income$88,000U.S. Census ACS

Local Uninsured Share6.5%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 73/100 · Corroborated CMS CCN 170109 EIN 481155548

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 170109) ↗ Verify IRS Form 990 (EIN 481155548) ↗ CMS HCRIS Cost Reports ↗

Published MRF File48-1155548_TheUniversityOfKansasHealthSystemPaolaCampus_standardcharges.csv

Publication / Vintage4/8/2026 · 4160.41 MB

Validated Rate Rows33,573 (CMS v3.0.0)

File Integrity Digest1282a421d3aa26e41347…

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