Smith County Memorial Hospital
921 E. Highway 36, Smith Center, KS 66967 · 94 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here are +51% above the fair benchmark (1.51×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.51× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Smith County Memorial Hospital prices routine shoppable procedures near 1.8× Medicare (p50 1.41×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 1.95×, +38% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 8% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 83% patient recommendation (75/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.51× 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 (0.7×) & laboratory (0.9×) services average 1.06× higher multiples than routine shoppable care (1.8×)
- Upper-quartile procedures (Q75 1.95×) jump +38% above the median procedure ratio (Q50 1.41×)
- Unnegotiated chargemaster list prices average 3.9× Medicare (38¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Smith County Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $3,624 | 1.2× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,303 | 1.2× |
| Breast lump removal CPT Code: 19120 | $2,355 | 0.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,517 | 2.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,350 | 1.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,308 | 1.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,142 | 1.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,046 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $521 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $521 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $521 | 1.4× |
| Blood transfusion CPT Code: 36430 | $511 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $521 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $476 | 3.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $453 | 2.8× |
| CT scan, pelvis CPT Code: 72192 | $453 | 2.8× |
| CT scan, sinuses CPT Code: 70486 | $453 | 2.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $453 | 2.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $453 | 2.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $453 | 2.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $453 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $476 | 1.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $453 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $453 | 1.0× |
| Rabies immune globulin HCPCS Code: 90375 | $361 | 1.1× |
Audit a Bill or Quote at Smith County Memorial Hospital (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Smith County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $3,624 (vs. $3,624 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($3,624) is $649 above the denoised Fair BaseRate ($2,975) and 1.5× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Smith County Memorial 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Smith County Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-02-27·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (101 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Smith County Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.