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

Rooks County Health Center in Plainville, KS currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Rooks County Health Center's median negotiated commercial rate is 2.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 22 Beds · rural Updated: 2026-03-27

Rooks County Health Center

1210 North Washington, Plainville, KS 67663 · 91 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.68×vs. Fair Market Price

Typical commercial prices here are +168% above the fair benchmark (2.68×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness51

Price Logic51

Peer Alignment75

Clean Billing69

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +46% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Rooks County Health Center prices routine shoppable procedures at 3.9× Medicare (median 2.39× Fair BaseRate) while upper-quartile commercial rates jump +46% to 3.48× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#102 of 103 in KS · 98th State Percentile#3,293 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 84% 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)

Outpatient surgery & OR suites carry a 4.9× markup over Medicare rates
Commercial insurance median sits at 2.39× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.48×) jump +46% above the median procedure ratio (Q50 2.39×)
Unnegotiated chargemaster list prices average 6.7× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.9× Medicare

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

Back-Door Captive & ER0.31× Divergence

1.2× Medicare

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

Quantile Tail Spread+46% Upper Tail

Q25 1.92× · Q50 2.39× · Q75 3.48×

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

3.9× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

4.9× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

5.7× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.2× MedicareWatchout

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

2.1× MedicareGood

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

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Rooks 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 91 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`	$28,747	$16,286	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$11,665	$12,800	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,594	$7,594	$8,223	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,300	$2,816	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,804	$1,969	$583	3.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,884	$1,892	$1,021	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,812	$1,484	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,812	$1,484	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,895	$1,503	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,656	$1,344	$303	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,510	$1,283	$369	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,514	$1,250	$258	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,223	$1,223	$322	3.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,454	$1,210	$242	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,317	$1,118	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,217	$1,052	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,142	$1,002	$168	6.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,142	$1,002	$169	5.9×
CT scan, pelvis CPT Code: `72192`	$1,073	$956	$163	5.9×
Blood transfusion CPT Code: `36430`	$642	$848	$498	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$764	$750	$272	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$604	$643	$132	4.9×
CT scan, chest (no contrast) CPT Code: `71250`	$592	$635	$167	3.8×
Trauma team activation HCPCS Code: `G0390`	$542	$542	$1,453	0.4×
Ultrasound, pelvis CPT Code: `76856`	$526	$417	$130	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$526	$426	$134	3.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$526	$417	$126	unverified
X-ray, hip CPT Code: `73502`	$448	$385	$93	unverified
X-ray, lower back CPT Code: `72110`	$291	$318	$112	2.8×
Screening mammogram (both breasts) CPT Code: `77067`	$277	$328	$123	2.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$350	$295	$148	2.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$196	$213	$64	3.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$222	$228	$93	2.5×
X-ray, chest (two views) CPT Code: `71046`	$262	$250	$93	unverified
X-ray, shoulder CPT Code: `73030`	$222	$218	$92	2.4×
X-ray, chest (single view) CPT Code: `71045`	$223	$211	$92	2.3×
X-ray, hand CPT Code: `73130`	$179	$188	$93	2.0×
X-ray, foot CPT Code: `73630`	$176	$185	$92	2.0×
X-ray, ankle CPT Code: `73610`	$176	$187	$93	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$128	$169	$86	2.0×
X-ray, pelvis CPT Code: `72170`	$157	$171	$110	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$133	$112	$123	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$111	$111	$201	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$122	$112	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$78	$81	$34	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$80	$35	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$80	$40	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$175	$82	$110	0.7×
Typhoid vaccine HCPCS Code: `90675`	$757	$757	$347	2.2×
Blood test, vitamin D CPT Code: `82306`	$278	$278	$31	9.0×
Hepatitis C antibody test CPT Code: `86803`	$140	$140	$15	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$143	$143	$49	unverified
Culture, blood CPT Code: `87040`	$89	$89	$11	8.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$100	$100	$14	7.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$78	$78	$14	5.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$98	$98	$19	5.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$98	$98	$20	4.9×
Drug screening test HCPCS Code: `G0480`	$104	$106	$116	0.9×
Blood test, lipase CPT Code: `83690`	$69	$69	$7	9.9×
Physical therapy (gait training) CPT Code: `97116`	$72	$71	$33	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$78	$38	2.1×
Blood antibody screen CPT Code: `86850`	$71	$93	$46	2.0×
Flu vaccine injection HCPCS Code: `G0008`	$112	$92	$48	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$88	$88	$10	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$34	$3	11.3×
Blood test, calcium CPT Code: `82310`	$48	$48	$5	9.6×
Blood test, amylase CPT Code: `82150`	$57	$57	$7	8.1×
Blood test, vitamin B12 CPT Code: `82607`	$79	$79	$16	4.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	9.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	9.5×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	8.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$37	$4	9.3×
Blood test, liver function panel CPT Code: `80076`	$49	$49	$9	5.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$58	$58	$18	3.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$35	$35	$11	3.2×
Speech therapy (group session) CPT Code: `92508`	$47	$57	$27	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$78	$69	$38	1.8×
Orthotic fitting and training CPT Code: `97760`	$78	$72	$51	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$73	$67	$56	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$105	$77	$87	0.9×
Blood test, magnesium CPT Code: `83735`	$64	$64	$7	unverified
Blood test, potassium CPT Code: `84132`	$38	$38	$5	7.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$28	$5	5.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$23	$8	2.9×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$25	$9	2.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$84	$35	$49	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$26	$26	$39	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$39	$39	$86	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$47	$5	unverified
Blood test, sodium CPT Code: `84295`	$45	$45	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$28	$28	$3	unverified

Showing top 25 high-impact procedures of 91 total

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

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

CMS CCN: 171311

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $28,747

Insurer Median $16,286

1. Amount on Your Bill or Quote ($) Pre-filled with Rooks 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 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 $9,583 Paying Cash

Self-Pay Cash Rate ($28,747) Beats Your Bill

Rooks County Health Center's published 45 CFR § 180 self-pay cash rate is $28,747 (vs. $16,286 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,898 Above Fair BaseRate

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

Your bill ($38,330) is $18,898 above the denoised Fair BaseRate ($19,432) and 2.7× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Rooks County Health Center 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 Composite73/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait86 min

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 Rooks County Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-04-03·administrative_or_closure
Met Requirements
Recorded
2023-07-17·administrative_or_closure
Closure Notice
Recorded
2023-03-28·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (49 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 Rooks County Health Center.

Price Index: 1.52× regional baseline

Quality: 57/100 CMS composite

Median Household Income$61,596U.S. Census ACS

Local Uninsured Share5.0%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 67/100 · Caution CMS CCN 171311

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 171311) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-27

Validated Rate Rows762 (CMS v3.0.0)

File Integrity DigestVerified · CCN 171311

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