How many shoppable procedure prices are published for Windom Area Health?

Windom Area Health in Windom, MN currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Windom Area Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Windom Area Health's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 18 Beds · rural Updated: 2026-02-03

Windom Area Health

2150 Hospital Drive, Po Box 339, Windom, MN 56101 · 104 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.60×vs. Fair Market Price

Typical commercial prices here are 40% below the fair benchmark (0.60×) after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness51

Price Logic77

Peer Alignment69

Clean Billing78

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

Windom Area Health maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.69× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.74× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 76 in MN · 3rd State Percentile#77 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 40% below peer Fair BaseRate (0.60×)
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 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)

Even at low-cost facilities (0.60× 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 0.69× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.60× 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.
Unnegotiated chargemaster list prices average 5.6× Medicare (24¢ 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 & ER0.80× Divergence

0.4× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.15× · Q50 0.69× · Q75 0.74×

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

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

0.6× MedicareGood

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

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Windom Area Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$10,416	$10,416	$6,109	1.7×
Total hip replacement CPT Code: `27130`	$9,469	$9,469	$13,413	0.7×
Total knee replacement CPT Code: `27447`	$9,469	$9,469	$13,523	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$4,166	$4,166	$2,540	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,907	$3,907	$448	8.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,408	$3,408	$303	11.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,774	$2,774	$1,021	2.7×
C-section delivery (full package) CPT Code: `59510`	$4,195	$2,360	$2,975	0.8×
Rabies immune globulin HCPCS Code: `90375`	$2,331	$2,331	$322	7.2×
Vaginal delivery (full package) CPT Code: `59400`	$4,068	$2,149	$2,680	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,710	$1,710	$511	3.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,280	$1,280	$343	3.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,285	$1,285	$369	3.5×
Trauma team activation HCPCS Code: `G0390`	$1,027	$1,027	$1,453	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$925	$925	$148	6.3×
CT scan, pelvis CPT Code: `72192`	$884	$884	$163	5.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$897	$897	$168	5.3×
CT scan, chest (no contrast) CPT Code: `71250`	$888	$888	$167	5.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$898	$898	$169	5.3×
CT scan, head (no contrast) CPT Code: `70450`	$772	$772	$160	4.8×
CT scan, sinuses CPT Code: `70486`	$780	$780	$166	4.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$755	$755	$583	1.3×
Inguinal hernia repair CPT Code: `49505`	$1,156	$475	$3,629	0.1×
Screening mammogram (both breasts) CPT Code: `77067`	$447	$447	$123	3.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$448	$448	$134	3.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$400	$400	$93	4.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$384	$384	$126	3.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$391	$391	$132	3.0×
Blood transfusion CPT Code: `36430`	$370	$370	$498	0.7×
Ultrasound, pelvis CPT Code: `76856`	$342	$342	$130	2.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$307	$307	$64	4.8×
Speech therapy (language evaluation) CPT Code: `92507`	$249	$249	$86	2.9×
X-ray, chest (two views) CPT Code: `71046`	$243	$243	$93	2.6×
X-ray, ankle CPT Code: `73610`	$228	$228	$93	2.5×
X-ray, lower back CPT Code: `72110`	$228	$228	$112	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$707	$169	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$2,445	$184	$1,256	0.1×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$122	$34	3.6×
X-ray, chest (single view) CPT Code: `71045`	$146	$146	$92	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$105	$105	$35	3.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$114	$38	3.0×
X-ray, foot CPT Code: `73630`	$121	$121	$92	1.3×
X-ray, hand CPT Code: `73130`	$122	$122	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$131	$131	$110	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$129	$129	$201	0.6×
Physical therapy (gait training) CPT Code: `97116`	$100	$100	$33	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$118	$118	$40	3.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$100	$38	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$98	$98	$38	2.6×
Orthotic fitting and training CPT Code: `97760`	$118	$118	$51	2.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$87	$87	$35	2.5×
Prosthetic fitting and training CPT Code: `97761`	$100	$100	$45	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$92	$92	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$260	$91	$123	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$114	$114	$272	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$105	$105	$338	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$2,011	$127	$987	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$89	$89	$258	0.3×
Typhoid vaccine HCPCS Code: `90675`	$576	$576	$347	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$94	$94	$4	23.5×
Blood test, amylase CPT Code: `82150`	$118	$118	$7	16.9×
Blood test, lipase CPT Code: `83690`	$75	$75	$7	10.7×
Culture, blood CPT Code: `87040`	$93	$93	$11	8.5×
Blood test, vitamin D CPT Code: `82306`	$97	$97	$31	3.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$106	$106	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$123	$123	$140	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$88	$88	$20	4.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	9.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$47	$5	9.4×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$49	$9	5.4×
Hepatitis C antibody test CPT Code: `86803`	$66	$66	$15	4.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	$58	$14	4.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$75	$75	$56	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$164	$62	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$208	$76	$110	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$77	$77	$185	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$74	$74	$242	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	$42	$3	14.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$53	$53	$5	10.6×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Blood test, magnesium CPT Code: `83735`	$30	$30	$7	4.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$37	$37	$10	3.7×
Blood test, vitamin B12 CPT Code: `82607`	$50	$50	$16	3.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$49	$49	$27	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$50	$37	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$53	$53	$181	0.3×
Culture, bacterial CPT Code: `87070`	$22	$22	$9	2.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$44	$44	$166	0.3×
Family therapy session CPT Code: `90847`	$35	$35	$173	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$6	$6	$4	1.5×
Blood test, calcium CPT Code: `82310`	$7	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$7	$7	$5	1.4×
Blood test, liver function panel CPT Code: `80076`	$11	$11	$9	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$9	$8	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$12	$11	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$21	$25	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$14	$14	$19	0.7×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$9	$9	$14	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$11	$11	$18	0.6×
X-ray, hip CPT Code: `73502`	$21	$21	$93	0.2×
X-ray, shoulder CPT Code: `73030`	$14	$14	$92	0.2×
Blood antibody screen CPT Code: `86850`	$7	$7	$46	0.2×
Group therapy session CPT Code: `90853`	$14	$14	$100	0.1×

Showing top 25 high-impact procedures of 104 total

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

Audit a Bill or Quote at Windom Area Health (Zero PHI Required)

CMS CCN: 241332

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $10,416

Insurer Median $10,416

1. Amount on Your Bill or Quote ($) Pre-filled with Windom Area Health’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 $4,902 Paying Cash

Self-Pay Cash Rate ($10,416) Beats Your Bill

Windom Area Health's published 45 CFR § 180 self-pay cash rate is $10,416 (vs. $10,416 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$9,209 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($15,318) is $9,209 above the denoised Fair BaseRate ($6,109) and 2.5× the $6,176 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 Windom Area Health 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 Recommend84%

Rated 9 or 10 (HCAHPS)87%

Median ER Wait108 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

CMS Price Transparency Administrative Enforcement Log

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

2026-02-09·administrative_or_closure
Closure Notice
Recorded
2025-11-05·cap_corrective_action
CAP Request
Recorded
2025-07-08·warning_notice
Warning Notice
Recorded
2024-09-24·administrative_or_closure
Closure Notice
Recorded
2024-06-20·cap_corrective_action
CAP Request
Recorded
2024-03-15·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (95 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 Windom Area Health.

Price Index: 0.63× regional baseline

Quality: 59/100 CMS composite

Median Household Income$68,239U.S. Census ACS

Local Uninsured Share5.4%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 74/100 · Corroborated CMS CCN 241332

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 241332) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-03

Validated Rate Rows5,491 (CMS v3.0.0)

File Integrity DigestVerified · CCN 241332

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