How many shoppable procedure prices are published for Nmc Health?

Nmc Health in Newton, KS currently has 86 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Nmc Health's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Nmc Health's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 76 Beds · urban Updated: 2026-05-26

Nmc Health

600 Medical Center Drive, Newton, KS 67114 · 86 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.25×vs. Fair Market Price

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 38% of the Time

File Completeness95

Price Logic74

Peer Alignment72

Clean Billing82

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.25× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,553), Nmc Health commands a 1.25× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#46 of 103 in KS · 43rd State Percentile#2,132 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 38% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 77% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (59.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.25× 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 (0.5×) & laboratory (1.4×) services average 1.54× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.63×) jump +35% above the median procedure ratio (Q50 1.21×)
Consolidated metro market (HHI 3,553) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.54× Divergence

2.0× Medicare

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

Quantile Tail Spread+35% Upper Tail

Q25 0.93× · Q50 1.21× · Q75 1.63×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.5× MedicareGood

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

38% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 70/100Fair

Procedure Prices at Nmc Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 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`	$27,258	$21,132	$19,432	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,655	$5,142	$6,109	0.8×
Breast lump removal CPT Code: `19120`	$5,482	$4,736	$3,875	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,926	$4,024	$3,372	1.2×
Inguinal hernia repair CPT Code: `49505`	$3,134	$3,045	$3,629	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,523	$1,018	$1,256	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,274	$791	$981	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,595	$771	$987	0.8×
Blood transfusion CPT Code: `36430`	$688	$558	$498	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,872	$514	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,469	$475	$448	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,747	$439	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,748	$439	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,142	$439	$369	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$384	$384	$86	4.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,700	$360	$258	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$629	$379	$272	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$920	$355	$583	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,140	$324	$242	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,469	$325	$303	1.1×
CT scan, sinuses CPT Code: `70486`	$1,095	$277	$166	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,140	$276	$167	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,140	$275	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,140	$276	$169	1.6×
CT scan, pelvis CPT Code: `72192`	$1,009	$265	$163	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,140	$229	$160	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$211	$161	$123	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$146	$186	$201	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$393	$147	$134	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$344	$159	$132	unverified
X-ray, chest (single view) CPT Code: `71045`	$195	$118	$92	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$215	$129	$123	1.0×
Ultrasound, pelvis CPT Code: `76856`	$300	$133	$130	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$173	$127	$126	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$237	$144	$148	1.0×
X-ray, foot CPT Code: `73630`	$325	$96	$92	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$103	$89	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$127	$108	$110	1.0×
X-ray, lower back CPT Code: `72110`	$222	$83	$112	0.7×
Blood test, vitamin D CPT Code: `82306`	$165	$165	$31	5.3×
Blood test, lipase CPT Code: `83690`	$99	$99	$7	14.1×
Hepatitis C antibody test CPT Code: `86803`	$122	$122	$15	8.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$113	$113	$14	8.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$120	$120	$19	6.3×
Blood test, vitamin B12 CPT Code: `82607`	$122	$122	$16	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$94	$94	$10	9.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$103	$14	unverified
Blood test, magnesium CPT Code: `83735`	$58	$58	$7	8.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$98	$51	$35	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$97	$51	$38	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$187	$76	$86	0.9×
X-ray, chest (two views) CPT Code: `71046`	$122	$74	$93	0.8×
Blood test, amylase CPT Code: `82150`	$41	$41	$7	5.9×
Physical therapy (manual therapy) CPT Code: `97140`	$97	$50	$34	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$149	$61	$93	0.7×
Blood test, liver function panel CPT Code: `80076`	$77	$77	$9	unverified
Culture, bacterial CPT Code: `87070`	$67	$21	$9	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$109	$36	$18	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$47	$55	$40	1.4×
Physical therapy (gait training) CPT Code: `97116`	$44	$45	$33	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$49	$33	$25	1.3×
Speech therapy (group session) CPT Code: `92508`	$95	$33	$27	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$47	$42	$38	1.1×
Orthotic fitting and training CPT Code: `97760`	$114	$56	$51	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$39	$40	$48	0.8×
X-ray, ankle CPT Code: `73610`	$220	$46	$93	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$144	$20	$11	1.8×
X-ray, hand CPT Code: `73130`	$220	$45	$93	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$63	$17	$9	1.9×
X-ray, shoulder CPT Code: `73030`	$234	$40	$92	0.4×
X-ray, hip CPT Code: `73502`	$33	$33	$93	0.4×
X-ray, pelvis CPT Code: `72170`	$42	$38	$110	0.3×
Blood antibody screen CPT Code: `86850`	$92	$14	$46	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$39	$5	unverified
Blood test, calcium CPT Code: `82310`	$55	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$10	$5	2.0×
Blood test, potassium CPT Code: `84132`	$36	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$43	$9	$5	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$13	$8	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$80	$29	$64	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$68	$8	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$8	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$25	$6	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$15	$6	unverified
Culture, blood CPT Code: `87040`	$85	$25	$11	unverified

Showing top 25 high-impact procedures of 86 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 59.3%

Audit a Bill or Quote at Nmc Health (Zero PHI Required)

CMS CCN: 170103

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $27,258

Insurer Median $21,132

1. Amount on Your Bill or Quote ($) Pre-filled with Nmc Health’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: $23,072 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $23,072

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (59.3% of gross = $23,072).

Step 2 · Cash vs. Insurance Arbitrage Save $11,682 Paying Cash

Self-Pay Cash Rate ($27,258) Beats Your Bill

Nmc Health's published 45 CFR § 180 self-pay cash rate is $27,258 (vs. $21,132 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$19,508 Above Fair BaseRate

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

Your bill ($38,940) is $19,508 above the denoised Fair BaseRate ($19,432) and 2.8× 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: 481040759

Filing Period: 198809

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 (59.3% 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 Recommend77%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait143 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

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 Nmc Health. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-25·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (321 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Nmc Health.

Price Index: 1.12× regional baseline

Quality: 66/100 CMS composite

Median Household Income$73,269U.S. Census ACS

Local Uninsured Share8.9%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 84/100 · Corroborated CMS CCN 170103 EIN 481040759

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 170103) ↗ Verify IRS Form 990 (EIN 481040759) ↗ CMS HCRIS Cost Reports ↗

Published MRF File481040759_nmc-health_standardcharges.json

Publication / Vintage2026-05-26 · 11.58 MB

Validated Rate Rows1,496 (CMS v3.0.0)

File Integrity Digestc04d28728a822d961af7…

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