How many shoppable procedure prices are published for Excelsior Springs Hospital?

Excelsior Springs Hospital in Excelsior Springs, MO currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Excelsior Springs Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Excelsior Springs Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2025-12-12

Excelsior Springs Hospital

1700 Rainbow Boulevard, Excelsior Springs, MO 64024 · 93 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.71×vs. Fair Market Price

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

56/100 · Caution

56/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness66

Price Logic71

Peer Alignment68

Clean Billing55

Real Cash Discount8

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +57% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Excelsior Springs Hospital prices routine shoppable procedures at 2.5× Medicare (median 1.78× Fair BaseRate) while upper-quartile commercial rates jump +57% to 2.80× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#71 of 79 in MO · 88th State Percentile#2,894 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.28× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 68% 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)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.78× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.80×) jump +57% above the median procedure ratio (Q50 1.78×)
Unnegotiated chargemaster list prices average 6.8× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER0.68× Divergence

1.7× Medicare

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

Quantile Tail Spread+57% Upper Tail

Q25 1.28× · Q50 1.78× · Q75 2.80×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

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

1.6× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Excelsior Springs Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 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`	$47,767	$47,767	$19,432	2.5×
Rabies immune globulin HCPCS Code: `90375`	$5,918	$5,918	$322	unverified
Total knee replacement CPT Code: `27447`	$2,637	$2,637	$13,523	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$3,548	$2,339	$1,256	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,847	$2,298	$583	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,705	$1,783	$987	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,723	$1,768	$981	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,252	$1,767	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,962	$1,261	$511	2.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,985	$1,078	$303	unverified
Family therapy session CPT Code: `90847`	$814	$814	$173	4.7×
CT scan, pelvis CPT Code: `72192`	$955	$744	$163	4.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,241	$741	$338	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$955	$629	$168	3.7×
CT scan, chest (no contrast) CPT Code: `71250`	$955	$597	$167	3.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$988	$581	$272	2.1×
CT scan, head (no contrast) CPT Code: `70450`	$929	$555	$160	3.5×
CT scan, sinuses CPT Code: `70486`	$929	$562	$166	3.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$955	$568	$169	3.4×
Blood transfusion CPT Code: `36430`	$699	$476	$498	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,241	$438	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,234	$417	$369	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$314	$314	$201	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$423	$273	$126	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$504	$292	$148	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,552	$286	$258	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$479	$273	$64	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$372	$225	$86	2.6×
X-ray, lower back CPT Code: `72110`	$271	$168	$112	1.5×
Ultrasound, pelvis CPT Code: `76856`	$478	$174	$130	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$465	$174	$132	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$465	$174	$134	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$202	$125	$40	3.1×
X-ray, chest (single view) CPT Code: `71045`	$199	$131	$92	1.4×
X-ray, foot CPT Code: `73630`	$199	$129	$92	1.4×
X-ray, hand CPT Code: `73130`	$199	$129	$93	1.4×
Physical therapy (gait training) CPT Code: `97116`	$161	$102	$33	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$185	$112	$38	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	$178	$107	$38	2.8×
X-ray, ankle CPT Code: `73610`	$203	$126	$93	1.4×
X-ray, shoulder CPT Code: `73030`	$203	$122	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$199	$121	$93	1.3×
X-ray, chest (two views) CPT Code: `71046`	$306	$119	$93	1.3×
X-ray, hip CPT Code: `73502`	$203	$119	$93	1.3×
Group therapy session CPT Code: `90853`	$204	$114	$100	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$426	$135	$123	1.1×
X-ray, pelvis CPT Code: `72170`	$279	$108	$110	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$985	$126	$181	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$161	$95	$35	2.7×
Physical therapy (manual therapy) CPT Code: `97140`	$148	$80	$34	2.4×
Orthotic fitting and training CPT Code: `97760`	$157	$91	$51	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$181	$96	$86	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$421	$111	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$480	$116	$123	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$339	$84	$87	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$549	$83	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,759	$1,759	$347	unverified
Blood antibody screen CPT Code: `86850`	$527	$527	$46	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$689	$411	$203	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$340	$340	$14	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$389	$307	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$435	$269	$56	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$184	$184	$11	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$133	$133	$3	unverified
Blood test, potassium CPT Code: `84132`	$154	$154	$5	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$122	$122	$39	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$92	$18	5.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$101	$101	$20	5.0×
Hepatitis B vaccine HCPCS Code: `90744`	$120	$102	$37	2.8×
Blood test, basic metabolic panel CPT Code: `80048`	$61	$61	$9	6.8×
Blood test, vitamin B12 CPT Code: `82607`	$63	$63	$16	3.9×
Blood test, lipase CPT Code: `83690`	$86	$86	$7	unverified
Blood test, sodium CPT Code: `84295`	$103	$103	$5	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$142	$84	$25	unverified
Blood test, magnesium CPT Code: `83735`	$49	$49	$7	7.0×
Culture, bacterial CPT Code: `87070`	$55	$55	$9	6.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	5.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$30	$5	6.0×
Blood test, liver function panel CPT Code: `80076`	$50	$50	$9	5.6×
Culture, blood CPT Code: `87040`	$55	$55	$11	5.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$56	$56	$4	unverified
Blood test, calcium CPT Code: `82310`	$27	$27	$5	5.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$38	$24	$14	1.7×
Blood test, hemoglobin CPT Code: `85018`	$47	$47	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$60	$60	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$28	$17	$6	2.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$29	$17	$8	2.1×
Hepatitis C antibody test CPT Code: `86803`	$63	$25	$15	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$6	$4	1.5×
Blood test, amylase CPT Code: `82150`	$17	$10	$7	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$79	$25	$19	1.3×
Blood test, vitamin D CPT Code: `82306`	$32	$22	$31	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$77	$22	$48	0.5×

Showing top 25 high-impact procedures of 93 total

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

Audit a Bill or Quote at Excelsior Springs Hospital (Zero PHI Required)

CMS CCN: 261322

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $47,767

Insurer Median $47,767

1. Amount on Your Bill or Quote ($) Pre-filled with Excelsior Springs 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: $47,767

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Excelsior Springs Hospital's published 45 CFR § 180 self-pay cash rate is $47,767 (vs. $47,767 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$28,335 Above Fair BaseRate

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

Your bill ($47,767) is $28,335 above the denoised Fair BaseRate ($19,432) and 3.4× 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 Excelsior Springs 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 Composite69/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)84%

Median ER Wait94 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (38 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 Quality & Price Benchmark

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

Price Index: 0.75× regional baseline

Quality: 55/100 CMS composite

Median Household Income$86,150U.S. Census ACS

Local Uninsured Share7.3%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 56/100 · Caution CMS CCN 261322

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 261322) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-12

Validated Rate Rows769 (CMS v3.0.0)

File Integrity DigestVerified · CCN 261322

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