How many shoppable procedure prices are published for Ottawa County Health Center?

Ottawa County Health Center in Minneapolis, KS currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ottawa County Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ottawa County Health Center's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-03-09

Ottawa County Health Center

215 E 8Th Street, Minneapolis, KS 67467 · 99 Priced Procedures · 93% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.64×vs. Fair Market Price

Typical commercial prices here are +64% above the fair benchmark (1.64×) even after accounting for local nurse/doctor wages and patient complexity.

53/100 · Caution

53/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness51

Price Logic61

Peer Alignment74

Clean Billing65

Real Cash Discount7

High-Markup · Check Safety

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Ottawa County Health Center prices routine shoppable procedures near 2.0× Medicare (p50 1.55×) while skewing captive emergency, lab, and upper-quartile codes to 2.2× Medicare (p75 2.07×, +34% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#71 of 103 in KS · 67th State Percentile#2,812 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.08× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 8% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 93% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (67.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.64× 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 (2.9×) & laboratory (2.8×) services average 1.10× higher multiples than routine shoppable care (2.0×)
Upper-quartile procedures (Q75 2.07×) jump +34% above the median procedure ratio (Q50 1.55×)
Consolidated metro market (HHI 8,278) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER1.10× Divergence

2.2× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 1.08× · Q50 1.55× · Q75 2.07×

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

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

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

1.1× MedicareGood

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

8% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Ottawa County Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 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`	$3,230	$3,230	$3,875	0.8×
C-section delivery (full package) CPT Code: `59510`	$3,480	$2,380	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$3,175	$2,145	$2,680	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,120	$1,532	$583	2.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,895	$1,364	$1,256	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,850	$1,321	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,820	$1,153	$987	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$850	$800	$448	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,272	$553	$338	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,190	$553	$369	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,115	$553	$511	1.1×
Blood transfusion CPT Code: `36430`	$1,654	$516	$498	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$800	$480	$160	3.0×
CT scan, pelvis CPT Code: `72192`	$800	$480	$163	2.9×
CT scan, sinuses CPT Code: `70486`	$800	$480	$166	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$800	$480	$167	2.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$800	$480	$168	2.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$800	$480	$169	2.8×
CT scan, head (with contrast) CPT Code: `70460`	$850	$480	$242	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$900	$480	$258	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$675	$481	$272	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$800	$480	$303	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$675	$481	$132	unverified
X-ray, lower back CPT Code: `72110`	$359	$248	$112	2.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$358	$241	$201	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$235	$164	$64	2.6×
X-ray, hip CPT Code: `73502`	$243	$173	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$228	$160	$93	1.7×
X-ray, chest (two views) CPT Code: `71046`	$210	$151	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$203	$140	$92	1.5×
X-ray, ankle CPT Code: `73610`	$203	$139	$93	1.5×
X-ray, hand CPT Code: `73130`	$198	$137	$93	1.5×
X-ray, foot CPT Code: `73630`	$197	$135	$92	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$215	$152	$134	1.1×
X-ray, chest (single view) CPT Code: `71045`	$168	$124	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$185	$126	$110	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$190	$131	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$175	$123	$130	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$145	$142	$166	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$250	$156	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$210	$152	$181	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$170	$170	$1,021	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$213	$122	$123	1.0×
Family therapy session CPT Code: `90847`	$145	$142	$173	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$123	$123	$25	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$107	$91	$86	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$89	$89	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$564	$564	$347	1.6×
Blood test, vitamin D CPT Code: `82306`	$309	$309	$31	10.0×
Pneumococcal vaccine HCPCS Code: `90732`	$332	$250	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$210	$210	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$125	$125	$111	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$83	$14	5.9×
Blood test, vitamin B12 CPT Code: `82607`	$84	$84	$16	5.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$96	$20	4.8×
Drug screening test HCPCS Code: `G0480`	$105	$105	$116	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$104	$104	$19	unverified
Blood antibody screen CPT Code: `86850`	$128	$108	$46	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$58	$10	5.8×
Blood test, magnesium CPT Code: `83735`	$39	$39	$7	5.6×
Culture, blood CPT Code: `87040`	$59	$59	$11	5.4×
Blood test, amylase CPT Code: `82150`	$37	$37	$7	5.3×
Culture, bacterial CPT Code: `87070`	$47	$47	$9	5.2×
Blood test, liver function panel CPT Code: `80076`	$46	$46	$9	5.1×
Hepatitis C antibody test CPT Code: `86803`	$67	$67	$15	4.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$64	$64	$18	3.6×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$72	$34	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$85	$71	$35	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$71	$40	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$20	$3	6.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$45	$45	$14	3.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$46	$45	$14	3.2×
Physical therapy (gait training) CPT Code: `97116`	$68	$57	$33	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$60	$38	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$112	$79	$56	1.4×
Prosthetic fitting and training CPT Code: `97761`	$68	$59	$45	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$140	$78	$110	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$25	$5	5.0×
Occupational therapy (self-care training) CPT Code: `97535`	$46	$45	$38	1.2×
Orthotic fitting and training CPT Code: `97760`	$54	$47	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$110	$71	$87	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$17	$5	3.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$9	$4	2.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$24	$18	$8	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$28	$20	$9	2.2×
Hepatitis B vaccine HCPCS Code: `90744`	$45	$42	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$70	$41	$39	1.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$37	$6	unverified
Blood test, calcium CPT Code: `82310`	$16	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$35	$23	$11	2.1×
Blood test, potassium CPT Code: `84132`	$13	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$16	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$8	$4	2.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$30	$25	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$23	$23	$49	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$22	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$21	$49	0.4×
Blood test, lipase CPT Code: `83690`	$43	$43	$7	unverified
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	unverified

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 67.4%

Audit a Bill or Quote at Ottawa County Health Center (Zero PHI Required)

CMS CCN: 171328

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $3,230

Insurer Median $3,230

1. Amount on Your Bill or Quote ($) Pre-filled with Ottawa County Health 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: $2,177 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,177

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (67.4% of gross = $2,177).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $3,230

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ottawa County Health Center's published 45 CFR § 180 self-pay cash rate is $3,230 (vs. $3,230 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: $3,875 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($3,875).

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)

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 (67.4% 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 Composite75/100

Would Recommend93%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait110 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 Ottawa County Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-10-28·administrative_or_closure
Closure Notice
Recorded
2025-09-18·warning_notice
Warning Notice
Recorded
2024-05-29·administrative_or_closure
Closure Notice
Recorded
2024-02-22·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (32 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

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

Price Index: 1.00× regional baseline

Quality: 62/100 CMS composite

Median Household Income$76,755U.S. Census ACS

Local Uninsured Share6.2%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 53/100 · Caution CMS CCN 171328

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 171328) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-09

Validated Rate Rows1,119 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171328

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