How many shoppable procedure prices are published for Helen Newberry Joy Hospital?

Helen Newberry Joy Hospital in Newberry, MI currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Helen Newberry Joy Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Helen Newberry Joy Hospital's median negotiated commercial rate is 0.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-09-02

Helen Newberry Joy Hospital

502 W Harrie St, Newberry, MI 49868 · 109 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.42×vs. Fair Market Price

Typical commercial prices here are 58% below the fair benchmark (0.42×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness100

Price Logic68

Peer Alignment56

Clean Billing81

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Helen Newberry Joy Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.31× Fair BaseRate) and emergency/ancillary services (1.3× Medicare, p75 0.68× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 91 in MI · 1st State Percentile#23 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 58% below peer Fair BaseRate (0.42×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 71% 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 (0.42× 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 (0.4×) & laboratory (0.5×) services average 2.60× higher multiples than routine shoppable care (0.5×)
Upper-quartile procedures (Q75 0.68×) jump +119% above the median procedure ratio (Q50 0.31×)
Unnegotiated chargemaster list prices average 6.2× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.5× Medicare

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

Back-Door Captive & ER2.60× Divergence

1.3× Medicare

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

Quantile Tail Spread+119% Upper Tail

Q25 0.23× · Q50 0.31× · Q75 0.68×

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

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

0.5× MedicareGood

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

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Helen Newberry Joy Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$5,319	$5,319	$19,087	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,212	$2,212	$6,109	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,906	$1,906	$583	3.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,600	$1,600	$1,021	1.6×
Trauma team activation HCPCS Code: `G0390`	$1,436	$1,436	$1,453	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$726	$726	$855	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$968	$576	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,250	$576	$3,629	0.2×
Bunion correction surgery CPT Code: `28296`	$840	$542	$3,446	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$467	$467	$272	1.7×
Blood transfusion CPT Code: `36430`	$468	$468	$498	0.9×
Breast lump removal CPT Code: `19120`	$880	$460	$3,875	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$822	$187	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$877	$202	$1,256	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$140	$140	$64	2.2×
X-ray, ankle CPT Code: `73610`	$163	$163	$93	1.8×
X-ray, foot CPT Code: `73630`	$160	$160	$92	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$135	$135	$86	1.6×
X-ray, lower back CPT Code: `72110`	$147	$147	$112	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$195	$155	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$187	$157	$185	0.8×
Family therapy session CPT Code: `90847`	$147	$118	$173	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,543	$119	$511	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$675	$140	$987	0.1×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$85	$34	2.5×
X-ray, hip CPT Code: `73502`	$110	$110	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$101	$101	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$118	$118	$110	1.1×
X-ray, chest (two views) CPT Code: `71046`	$87	$87	$93	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$229	$90	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$129	$105	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$118	$118	$201	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$82	$82	$35	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$992	$90	$303	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,208	$95	$448	0.2×
Typhoid vaccine HCPCS Code: `90675`	$316	$316	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$190	$190	$111	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$216	$193	$203	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$158	$158	$9	17.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$181	$181	$11	16.5×
Blood test, vitamin D CPT Code: `82306`	$161	$161	$31	5.2×
Culture, blood CPT Code: `87040`	$112	$112	$11	10.2×
Blood test, vitamin B12 CPT Code: `82607`	$129	$129	$16	8.1×
Hepatitis C antibody test CPT Code: `86803`	$108	$108	$15	7.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$123	$123	$19	6.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$123	$123	$20	6.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$103	$103	$18	5.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$99	$99	$27	3.7×
Blood test, lipase CPT Code: `83690`	$72	$72	$7	10.3×
Blood test, amylase CPT Code: `82150`	$64	$64	$7	9.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$86	$86	$10	8.6×
Blood test, liver function panel CPT Code: `80076`	$75	$75	$9	8.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$95	$95	$14	6.8×
Blood test, magnesium CPT Code: `83735`	$53	$53	$7	7.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$66	$66	$14	4.7×
Physical therapy (gait training) CPT Code: `97116`	$78	$78	$33	2.4×
X-ray, shoulder CPT Code: `73030`	$74	$74	$92	0.8×
X-ray, hand CPT Code: `73130`	$71	$71	$93	0.8×
Drug screening test HCPCS Code: `G0480`	$88	$88	$116	0.8×
X-ray, chest (single view) CPT Code: `71045`	$67	$67	$92	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$187	$61	$87	0.7×
Care planning with family CPT Code: `90887`	$132	$72	$107	0.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$36	$4	9.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
Culture, bacterial CPT Code: `87070`	$65	$65	$9	7.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$84	$84	$39	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$77	$77	$38	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$75	$75	$38	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$75	$40	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$232	$76	$110	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$37	$37	$5	7.4×
Blood test, sodium CPT Code: `84295`	$36	$36	$5	7.2×
Blood test, potassium CPT Code: `84132`	$29	$29	$5	5.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$46	$46	$8	5.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$40	$25	1.6×
Blood antibody screen CPT Code: `86850`	$54	$54	$46	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$69	$69	$140	0.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$32	$31	$33	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$35	$32	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$107	$40	$56	0.7×
Review of medical records for care CPT Code: `90889`	$59	$59	$114	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$48	$31	$35	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$43	$43	$86	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$152	$53	$148	0.4×
CT scan, pelvis CPT Code: `72192`	$651	$56	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$656	$56	$167	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$653	$53	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$653	$53	$169	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,151	$77	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,030	$77	$343	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$47	$47	$3	15.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,023	$71	$369	0.2×
Screening mammogram (both breasts) CPT Code: `77067`	$184	$40	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$281	$42	$134	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$648	$45	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$536	$45	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$868	$66	$258	0.3×
Blood test, calcium CPT Code: `82310`	$38	$38	$5	7.6×
Ultrasound, pelvis CPT Code: `76856`	$226	$37	$130	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$804	$59	$242	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$26	$4	6.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$22	$5	4.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$441	$31	$126	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$265	$30	$132	0.2×
Blood test, hemoglobin CPT Code: `85018`	$16	$3	$3	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$30	$23	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$30	$23	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$30	$23	$49	0.5×
Group therapy session CPT Code: `90853`	$40	$28	$100	0.3×

Showing top 25 high-impact procedures of 109 total

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

Audit a Bill or Quote at Helen Newberry Joy Hospital (Zero PHI Required)

CMS CCN: 231304

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $5,319

Insurer Median $5,319

1. Amount on Your Bill or Quote ($) Pre-filled with Helen Newberry Joy 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 $3,124 Paying Cash

Self-Pay Cash Rate ($5,319) Beats Your Bill

Helen Newberry Joy Hospital's published 45 CFR § 180 self-pay cash rate is $5,319 (vs. $5,319 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: $19,087 Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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 Helen Newberry Joy 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 Composite70/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait114 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (86 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 Helen Newberry Joy Hospital.

Price Index: 1.66× regional baseline

Quality: 57/100 CMS composite

Median Household Income$54,338U.S. Census ACS

Local Uninsured Share4.7%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 81/100 · Corroborated CMS CCN 231304

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 231304) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-02 · 23.32 MB

Validated Rate Rows2,713 (CMS v3.0.0)

File Integrity Digest1680f3294f9d1f4c9898…

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

Helen Newberry Joy Hospital

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Helen Newberry Joy Hospital

Audit a Bill or Quote at Helen Newberry Joy Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Self-Pay Cash Rate ($5,319) Beats Your Bill

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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