How many shoppable procedure prices are published for Cox Barton County Hospital?

Cox Barton County Hospital in Lamar, MO currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cox Barton County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cox Barton County Hospital's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 4/24/2026

Cox Barton County Hospital

29 Nw 1St Lane, Lamar, MO 64759 · 101 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.10×vs. Fair Market Price

Typical commercial prices here are +110% above the fair benchmark (2.10×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness66

Price Logic41

Peer Alignment57

Clean Billing68

Real Cash Discount100

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 2.10× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +145% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Cox Barton County Hospital prices routine shoppable procedures at 3.7× Medicare (median 1.45× Fair BaseRate) while upper-quartile commercial rates jump +145% to 3.55× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#76 of 79 in MO · 94th State Percentile#3,136 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 81% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 4.6× markup over Medicare rates
Commercial insurance median sits at 1.45× Fair BaseRate (3.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.55×) jump +145% above the median procedure ratio (Q50 1.45×)
Unnegotiated chargemaster list prices average 10.5× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.7× Medicare

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

Back-Door Captive & ER0.30× Divergence

1.1× Medicare

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

Quantile Tail Spread+145% Upper Tail

Q25 1.00× · Q50 1.45× · Q75 3.55×

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

3.7× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

4.6× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

5.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

9.4× MedicareWatchout

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

1.7× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Cox Barton County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$23,161	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,501	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,813	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,578	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,839	$8,223	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$959	$1,996	$448	unverified
MRI, knee or other leg joint CPT Code: `73721`	$536	$1,491	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$541	$1,384	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$577	$1,401	$338	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$785	$1,257	$1,021	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$550	$1,161	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$886	$1,029	$303	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$448	$1,012	$167	unverified
CT scan, head (with contrast) CPT Code: `70460`	$512	$958	$242	4.0×
Injection procedure for pain management HCPCS Code: `G0260`	$858	$858	$855	unverified
CT scan, pelvis CPT Code: `72192`	$432	$829	$163	5.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$799	$799	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$761	$761	$583	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$447	$664	$160	4.2×
Blood transfusion CPT Code: `36430`	$513	$513	$498	unverified
Ultrasound, pelvis CPT Code: `76856`	$212	$468	$130	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,517	$402	$322	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$356	$356	$272	1.3×
X-ray, hip CPT Code: `73502`	$74	$213	$93	2.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$521	$181	$151	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$50	$128	$34	3.8×
Physical therapy (gait training) CPT Code: `97116`	$43	$117	$33	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$120	$35	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$46	$128	$38	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$47	$128	$40	3.2×
Prosthetic fitting and training CPT Code: `97761`	$44	$117	$45	2.6×
Orthotic fitting and training CPT Code: `97760`	$52	$120	$51	2.4×
X-ray, ankle CPT Code: `73610`	$86	$140	$93	1.5×
X-ray, hand CPT Code: `73130`	$93	$135	$93	1.5×
X-ray, foot CPT Code: `73630`	$84	$126	$92	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$124	$117	$86	1.4×
X-ray, chest (two views) CPT Code: `71046`	$80	$121	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$70	$142	$110	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$44	$135	$38	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$108	$108	$201	0.5×
Psychological testing by technician CPT Code: `96138`	$126	$126	$395	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$123	$123	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$122	$122	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$93	$93	$132	unverified
Typhoid vaccine HCPCS Code: `90675`	$376	$497	$347	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$125	$125	$11	11.4×
Pneumococcal vaccine HCPCS Code: `90732`	$235	$141	$140	1.0×
Culture, blood CPT Code: `87040`	$91	$91	$11	8.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$45	$111	$111	1.0×
Blood test, lipase CPT Code: `83690`	$61	$61	$7	8.7×
Blood test, amylase CPT Code: `82150`	$60	$60	$7	8.6×
Culture, bacterial CPT Code: `87070`	$73	$73	$9	8.1×
Blood test, basic metabolic panel CPT Code: `80048`	$71	$71	$9	7.9×
Blood test, liver function panel CPT Code: `80076`	$71	$71	$9	7.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$57	$56	$56	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$59	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$61	$61	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$83	$83	$15	unverified
Blood test, hemoglobin CPT Code: `85018`	$23	$23	$3	7.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$46	$6	7.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$70	$70	$123	0.6×
Drug screening test HCPCS Code: `G0480`	$79	$79	$116	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$19	$5	3.8×
Speech therapy (group session) CPT Code: `92508`	$42	$42	$27	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$52	$52	$38	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$9	$24	$25	1.0×
Blood antibody screen CPT Code: `86850`	$69	$42	$46	0.9×
X-ray, chest (single view) CPT Code: `71045`	$66	$66	$92	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$63	$63	$110	0.6×
CT scan, sinuses CPT Code: `70486`	$63	$63	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$64	$64	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$64	$64	$168	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$37	$3	12.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$32	$5	6.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$50	$50	$134	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$59	$59	$14	unverified
Blood test, vitamin D CPT Code: `82306`	$78	$78	$31	unverified
Blood test, vitamin B12 CPT Code: `82607`	$50	$50	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$57	$57	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$25	$4	6.3×
Hepatitis B vaccine HCPCS Code: `90744`	$25	$33	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$23	$34	$39	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$31	$31	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$31	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$31	$49	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$48	$48	$87	0.6×
Blood test, magnesium CPT Code: `83735`	$48	$48	$7	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$59	$59	$20	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$13	$13	$64	0.2×
X-ray, lower back CPT Code: `72110`	$17	$17	$112	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$12	$12	$93	0.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$37	$37	$126	unverified
X-ray, shoulder CPT Code: `73030`	$10	$10	$92	0.1×
Blood test, calcium CPT Code: `82310`	$30	$30	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$36	$10	unverified
Blood test, potassium CPT Code: `84132`	$28	$28	$5	unverified
Blood test, sodium CPT Code: `84295`	$29	$29	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$18	$18	$8	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$38	$38	$14	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$39	$39	$86	unverified

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.5%

Audit a Bill or Quote at Cox Barton County Hospital (Zero PHI Required)

CMS CCN: 261325

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,161

1. Amount on Your Bill or Quote ($) Pre-filled with Cox Barton County 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 501(r) AGB Cap: $28,065 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $28,065

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.5% of gross = $28,065).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Cox Barton County Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$24,811 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($55,586) is $24,811 above the denoised Fair BaseRate ($30,775) and 2.4× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 823300758

Filing Period: 201810

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait86 min

Left ER Before Seen0%

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

Source: CMS Hospital Care Compare (116 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cox Barton County Hospital.

Price Index: 1.10× regional baseline

Quality: 83/100 CMS composite

Median Household Income$49,503U.S. Census ACS

Local Uninsured Share10.9%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 64/100 · Caution CMS CCN 261325 EIN 823300758

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 261325) ↗ Verify IRS Form 990 (EIN 823300758) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/24/2026

Validated Rate Rows257 (CMS v3.0.0)

File Integrity DigestVerified · CCN 261325

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