How many shoppable procedure prices are published for Phillips County Hospital?

Phillips County Hospital in Phillipsburg, KS currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Phillips County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Phillips County Hospital's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-08-04

Phillips County Hospital

1150 State Street, Phillipsburg, KS 67661 · 105 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.80×vs. Fair Market Price

Typical commercial prices here are +80% above the fair benchmark (1.80×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 44% of the Time

File Completeness85

Price Logic47

Peer Alignment79

Clean Billing60

Real Cash Discount93

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +31% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Phillips County Hospital prices routine shoppable procedures at 2.4× Medicare (median 1.70× Fair BaseRate) while upper-quartile commercial rates jump +31% to 2.22× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#82 of 103 in KS · 78th State Percentile#2,960 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.26× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 44% of shoppable procedures (93/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 76% 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 (1.80× 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 1.70× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.22×) jump +31% above the median procedure ratio (Q50 1.70×)
Unnegotiated chargemaster list prices average 3.7× Medicare (39¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.88× Divergence

2.1× Medicare

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

Quantile Tail Spread+31% Upper Tail

Q25 1.26× · Q50 1.70× · Q75 2.22×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.1× MedicareGood

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

44% Cash Edge · 93/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Phillips County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,042	$4,405	$3,372	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,102	$4,102	$6,109	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$3,937	$3,746	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	$2,539	$2,253	$3,446	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,676	$1,957	$583	3.4×
Inguinal hernia repair CPT Code: `49505`	$1,785	$1,785	$3,629	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,063	$874	$1,021	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$742	$820	$369	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$850	$776	$511	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$786	$739	$338	2.2×
MRI, brain (no contrast) CPT Code: `70551`	$786	$739	$343	2.2×
Colonoscopy with biopsy CPT Code: `45380`	$721	$721	$1,256	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$570	$660	$169	3.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$570	$660	$303	2.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$541	$610	$132	4.6×
CT scan, head (no contrast) CPT Code: `70450`	$549	$632	$160	4.0×
CT scan, chest (no contrast) CPT Code: `71250`	$549	$632	$167	3.8×
CT scan, pelvis CPT Code: `72192`	$561	$570	$163	3.5×
CT scan, sinuses CPT Code: `70486`	$561	$570	$166	3.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$561	$570	$168	3.4×
CT scan, head (with contrast) CPT Code: `70460`	$578	$580	$242	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$561	$570	$258	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$568	$574	$272	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$578	$580	$448	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$980	$471	$987	0.5×
Blood transfusion CPT Code: `36430`	$412	$412	$498	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,056	$423	$981	0.4×
Breast lump removal CPT Code: `19120`	$374	$374	$3,875	0.1×
X-ray, lower back CPT Code: `72110`	$424	$374	$112	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$336	$273	$134	2.0×
X-ray, chest (two views) CPT Code: `71046`	$304	$254	$93	unverified
X-ray, hip CPT Code: `73502`	$311	$270	$93	unverified
X-ray, shoulder CPT Code: `73030`	$293	$242	$92	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$232	$216	$93	2.3×
X-ray, foot CPT Code: `73630`	$231	$203	$92	2.2×
X-ray, ankle CPT Code: `73610`	$231	$205	$93	2.2×
X-ray, hand CPT Code: `73130`	$231	$204	$93	2.2×
Ultrasound, pelvis CPT Code: `76856`	$275	$228	$130	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$259	$219	$126	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	$184	$209	$123	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$250	$213	$181	1.2×
X-ray, chest (single view) CPT Code: `71045`	$200	$179	$92	1.9×
X-ray, pelvis CPT Code: `72170`	$200	$184	$110	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$201	$203	$185	1.1×
Group therapy session CPT Code: `90853`	$251	$162	$100	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$145	$163	$110	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$140	$160	$123	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$178	$166	$148	1.1×
Family therapy session CPT Code: `90847`	$234	$176	$173	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$127	$133	$87	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$208	$139	$166	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$82	$96	$25	3.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$83	$83	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$91	$92	$86	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$93	$93	$201	0.5×
Blood test, vitamin D CPT Code: `82306`	$274	$274	$31	8.8×
Typhoid vaccine HCPCS Code: `90675`	$280	$280	$347	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$204	$204	$140	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$196	$196	$203	1.0×
Blood antibody screen CPT Code: `86850`	$106	$112	$46	2.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$115	$133	$111	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$79	$79	$11	7.2×
Blood test, basic metabolic panel CPT Code: `80048`	$56	$56	$9	6.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$65	$65	$14	4.6×
Blood test, vitamin B12 CPT Code: `82607`	$68	$68	$16	4.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$30	$3	10.0×
Blood test, liver function panel CPT Code: `80076`	$50	$50	$9	5.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$65	$65	$14	4.6×
Hepatitis C antibody test CPT Code: `86803`	$65	$65	$15	4.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$82	$82	$20	4.1×
Physical therapy (manual therapy) CPT Code: `97140`	$57	$67	$34	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$58	$66	$35	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$59	$68	$38	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$90	$88	$56	1.6×
Physical therapy (gait training) CPT Code: `97116`	$54	$55	$33	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$58	$61	$38	1.6×
Prosthetic fitting and training CPT Code: `97761`	$58	$59	$45	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$26	$4	6.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$30	$5	6.0×
Blood test, lipase CPT Code: `83690`	$38	$38	$7	5.4×
Blood test, sodium CPT Code: `84295`	$27	$27	$5	5.4×
Blood test, calcium CPT Code: `82310`	$26	$26	$5	5.2×
Blood test, potassium CPT Code: `84132`	$26	$26	$5	5.2×
Blood test, amylase CPT Code: `82150`	$35	$35	$7	5.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$48	$10	4.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$72	$72	$19	3.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$37	$42	$14	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$56	$63	$40	1.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$30	$30	$6	5.0×
Orthotic fitting and training CPT Code: `97760`	$50	$51	$51	1.0×
Blood test, hemoglobin CPT Code: `85018`	$14	$14	$3	4.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$23	$5	4.6×
Blood test, magnesium CPT Code: `83735`	$32	$32	$7	4.6×
Culture, bacterial CPT Code: `87070`	$37	$37	$9	4.1×
Culture, blood CPT Code: `87040`	$45	$45	$11	4.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$32	$8	4.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$55	$55	$18	3.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$40	$25	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$49	$39	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$40	$41	$38	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$35	$40	$48	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$57	$29	$49	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$26	$49	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$29	$29	$86	0.3×

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Phillips County Hospital (Zero PHI Required)

CMS CCN: 171353

CPT 29881

Select Procedure to Audit:

Fair BaseRate™ $3,372

Medicare Rate $3,343

Self-Pay Cash $4,042

Insurer Median $4,405

1. Amount on Your Bill or Quote ($) Pre-filled with Phillips County 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 Save $713 Paying Cash

Self-Pay Cash Rate ($4,042) Beats Your Bill

Phillips County Hospital's published 45 CFR § 180 self-pay cash rate is $4,042 (vs. $4,405 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,383 Above Fair BaseRate

Negotiate Toward $3,372 Fair BaseRate ($3,343 Medicare)

Your bill ($4,755) is $1,383 above the denoised Fair BaseRate ($3,372) and 1.4× the $3,343 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Phillips County 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 Composite71/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait112 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-05-29·administrative_or_closure
Closure Notice
Recorded
2024-02-23·warning_notice
Warning Notice
Recorded
2023-02-02·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (30 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 Phillips County Hospital.

Price Index: 0.98× regional baseline

Quality: 58/100 CMS composite

Median Household Income$61,235U.S. Census ACS

Local Uninsured Share6.1%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 71/100 · Corroborated CMS CCN 171353

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171353) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-04 · 8.49 MB

Validated Rate Rows615 (CMS v3.0.0)

File Integrity Digeste3498c093df9406d23f2…

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