How many shoppable procedure prices are published for William Newton Hospital?

William Newton Hospital in Winfield, KS currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do William Newton Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, William Newton Hospital's median negotiated commercial rate is 2.6× the regionally adjusted fair BaseRate benchmark.

What is William Newton Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns William Newton Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 23 Beds · rural Updated: 2026-06-18

William Newton Hospital

1300 East Fifth Avenue, Winfield, KS 67156 · 103 Priced Procedures

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.59×vs. Fair Market Price

Typical commercial prices here are +159% above the fair benchmark (2.59×) even after accounting for local nurse/doctor wages and patient complexity.

57/100 · Caution

57/100Self-Pay Cash Beats Insurance 17% of the Time

File Completeness90

Price Logic37

Peer Alignment68

Clean Billing80

Real Cash Discount6

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.59× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +40% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

William Newton Hospital prices routine shoppable procedures at 3.9× Medicare (median 2.50× Fair BaseRate) while upper-quartile commercial rates jump +40% to 3.51× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#100 of 103 in KS · 96th State Percentile#3,277 of 3,385 in U.S. · 96th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 17% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (68/100 safety score)
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 1.3× markup over Medicare rates
Commercial insurance median sits at 2.50× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.51×) jump +40% above the median procedure ratio (Q50 2.50×)
Consolidated metro market (HHI 5,395) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.9× Medicare

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

Back-Door Captive & ER0.21× Divergence

0.8× Medicare

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

Quantile Tail Spread+40% Upper Tail

Q25 1.20× · Q50 2.50× · Q75 3.51×

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

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.5× MedicareWatchout

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

2.7× MedicareFair

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

17% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at William Newton Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	$36,335	$10,421	$19,432	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,149	$7,943	$19,087	0.4×
Rabies immune globulin HCPCS Code: `90375`	$5,000	$5,000	$322	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,605	$4,605	$1,021	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,094	$4,094	$511	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,914	$3,495	$8,223	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,583	$2,583	$338	7.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,583	$2,583	$343	7.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,353	$2,353	$448	5.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,302	$2,302	$303	7.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,945	$1,945	$369	5.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,548	$1,548	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,408	$1,408	$168	8.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,337	$1,337	$6,109	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,240	$1,240	$258	4.8×
Blood transfusion CPT Code: `36430`	$1,418	$1,253	$498	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,205	$1,205	$242	5.0×
CT scan, pelvis CPT Code: `72192`	$1,158	$1,158	$163	7.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,149	$1,149	$167	6.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,119	$1,119	$160	7.0×
CT scan, sinuses CPT Code: `70486`	$1,243	$1,039	$166	6.3×
Breast lump removal CPT Code: `19120`	$1,008	$1,008	$3,875	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$918	$900	$272	3.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,030	$817	$583	1.4×
Bunion correction surgery CPT Code: `28296`	$2,664	$608	$3,446	0.2×
Ultrasound, pelvis CPT Code: `76856`	$540	$540	$130	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$445	$445	$86	5.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$470	$470	$134	3.5×
Inguinal hernia repair CPT Code: `49505`	$1,276	$457	$3,629	0.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$404	$404	$126	3.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$364	$364	$132	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$376	$376	$148	2.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$347	$347	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$320	$320	$86	3.7×
X-ray, lower back CPT Code: `72110`	$312	$312	$112	2.8×
X-ray, hip CPT Code: `73502`	$281	$281	$93	3.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,208	$300	$151	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,291	$285	$987	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$252	$238	$64	3.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$252	$252	$93	2.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$261	$261	$87	unverified
X-ray, chest (two views) CPT Code: `71046`	$224	$224	$93	2.4×
Screening mammogram (both breasts) CPT Code: `77067`	$216	$216	$123	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$169	$169	$14	12.1×
X-ray, shoulder CPT Code: `73030`	$188	$188	$92	2.0×
X-ray, foot CPT Code: `73630`	$281	$188	$92	2.0×
X-ray, ankle CPT Code: `73610`	$190	$190	$93	2.0×
X-ray, chest (single view) CPT Code: `71045`	$185	$181	$92	2.0×
X-ray, hand CPT Code: `73130`	$181	$174	$93	1.9×
X-ray, pelvis CPT Code: `72170`	$188	$188	$110	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$810	$177	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$976	$191	$1,256	0.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$135	$135	$38	3.6×
New patient office visit (30-44 min) CPT Code: `99203`	$198	$159	$110	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$114	$34	3.4×
Prosthetic fitting and training CPT Code: `97761`	$123	$123	$45	2.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$138	$137	$38	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$107	$107	$35	3.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$106	$105	$40	2.6×
Physical therapy (gait training) CPT Code: `97116`	$130	$130	$33	unverified
Orthotic fitting and training CPT Code: `97760`	$95	$95	$51	1.9×
Typhoid vaccine HCPCS Code: `90675`	$1,366	$1,366	$347	3.9×
Pneumococcal vaccine HCPCS Code: `90732`	$615	$615	$140	unverified
Blood test, vitamin D CPT Code: `82306`	$349	$349	$31	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$300	$300	$111	2.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$151	$140	$56	2.5×
Culture, blood CPT Code: `87040`	$103	$103	$11	9.4×
Hepatitis C antibody test CPT Code: `86803`	$118	$118	$15	7.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$108	$108	$19	5.7×
Blood test, magnesium CPT Code: `83735`	$133	$133	$7	unverified
Culture, bacterial CPT Code: `87070`	$112	$112	$9	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$70	$6	11.7×
Blood test, calcium CPT Code: `82310`	$50	$50	$5	10.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$107	$73	$25	2.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$72	$72	$35	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$72	$72	$38	1.9×
Colorectal cancer screening HCPCS Code: `G0010`	$77	$77	$49	1.6×
Drug screening test HCPCS Code: `G0480`	$72	$72	$116	0.6×
Blood test, lipase CPT Code: `83690`	$78	$78	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$40	$40	$4	10.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$40	$4	10.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, hemoglobin CPT Code: `85018`	$23	$23	$3	7.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$38	$5	7.6×
Blood test, liver function panel CPT Code: `80076`	$60	$60	$9	6.7×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$48	$10	4.8×
Flu vaccine injection HCPCS Code: `G0008`	$68	$58	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$68	$58	$49	1.2×
Speech therapy (group session) CPT Code: `92508`	$28	$28	$27	1.0×
Blood antibody screen CPT Code: `86850`	$65	$37	$46	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$55	$55	$201	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$53	$3	unverified
Blood test, amylase CPT Code: `82150`	$66	$66	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$71	$20	$16	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$59	$21	$20	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$53	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$37	$8	$9	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$35	$6	$8	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$36	$7	$11	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$8	$8	$14	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$6	$6	$18	unverified

Showing top 25 high-impact procedures of 103 total

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

Audit a Bill or Quote at William Newton Hospital (Zero PHI Required)

CMS CCN: 171383

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $36,335

Insurer Median $10,421

1. Amount on Your Bill or Quote ($) Pre-filled with William Newton 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 Published Cash: $36,335

Compare Prompt-Pay Cash Rate Against Remaining Deductible

William Newton Hospital's published 45 CFR § 180 self-pay cash rate is $36,335 (vs. $10,421 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$16,903 Above Fair BaseRate

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

Your bill ($36,335) is $16,903 above the denoised Fair BaseRate ($19,432) and 2.6× 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 William Newton 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

CMS Overall4/5 Stars (4/5)

Safety Composite68/100

Median ER Wait139 min

Left ER Before Seen1%

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 William Newton Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-06·administrative_or_closure
Closure Notice
Recorded
2025-05-05·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare. 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for William Newton Hospital.

Price Index: 1.08× regional baseline

Quality: 68/100 CMS composite

Median Household Income$58,263U.S. Census ACS

Local Uninsured Share8.2%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 57/100 · Caution CMS CCN 171383

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171383) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-18 · 41.33 MB

Validated Rate Rows1,464 (CMS v3.0.0)

File Integrity Digesta2fdfd2ecad2662454a0…

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