How many shoppable procedure prices are published for Harrison County Community Hospital?

Harrison County Community Hospital in Bethany, MO currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Harrison County Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Harrison County Community Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Harrison County Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Harrison County Community Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 15 Beds · rural Updated: 2025-09-10

Harrison County Community Hospital

2600 Miller Street, Bethany, MO 64424 · 120 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 57% of the Time

File Completeness100

Price Logic83

Peer Alignment65

Clean Billing83

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.88× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Harrison County Community Hospital prices routine shoppable procedures near 0.8× Medicare (p50 0.84×) while skewing captive emergency, lab, and upper-quartile codes to 1.3× Medicare (p75 1.14×, +36% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#10 of 79 in MO · 11th State Percentile#549 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 59% 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 (0.88× 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 (1.2×) & laboratory (0.4×) services average 1.63× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.14×) jump +36% above the median procedure ratio (Q50 0.84×)
Unnegotiated chargemaster list prices average 5.9× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.63× Divergence

1.3× Medicare

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

Quantile Tail Spread+36% Upper Tail

Q25 0.52× · Q50 0.84× · Q75 1.14×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

1.1× MedicareGood

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

57% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Harrison County Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 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`	$7,030	$7,030	$6,109	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$2,853	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,564	$2,680	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$784	$855	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,178	$615	$1,021	0.6×
Cataract surgery with lens implant CPT Code: `66984`	$2,470	$556	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,550	$575	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$3,348	$549	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$4,550	$560	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$455	$455	$498	0.9×
Breast lump removal CPT Code: `19120`	$2,990	$445	$3,875	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,853	$304	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,365	$323	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$1,180	$250	$322	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,138	$176	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$521	$181	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,755	$188	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,040	$199	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,008	$194	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,131	$205	$369	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$797	$194	$583	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$254	$194	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$419	$211	$1,256	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$143	$143	$64	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$169	$157	$148	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$257	$162	$185	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$125	$127	$123	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$181	$152	$181	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$153	$153	$201	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$569	$115	$134	0.9×
CT scan, pelvis CPT Code: `72192`	$959	$135	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$910	$135	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$975	$132	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,040	$131	$168	0.8×
CT scan, sinuses CPT Code: `70486`	$967	$129	$166	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,008	$151	$242	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$260	$145	$987	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$157	$103	$123	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$325	$108	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$429	$104	$130	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$117	$151	0.8×
Family therapy session CPT Code: `90847`	$297	$116	$173	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$138	$81	$86	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$94	$87	$110	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$432	$86	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$910	$109	$160	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$290	$103	$166	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$85	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$695	$296	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$163	$163	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$171	$171	$140	unverified
Drug screening test HCPCS Code: `G0480`	—	$144	$116	1.2×
Blood antibody screen CPT Code: `86850`	$102	$61	$46	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$74	$86	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$45	$35	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$91	$70	$87	0.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$33	$27	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$60	$23	$19	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$58	$24	$20	1.2×
Blood test, vitamin D CPT Code: `82306`	$39	$37	$31	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$33	$33	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$43	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$62	$48	$51	0.9×
Care planning with family CPT Code: `90887`	—	$66	$107	0.6×
X-ray, hip CPT Code: `73502`	$169	$47	$93	0.5×
X-ray, lower back CPT Code: `72110`	$273	$51	$112	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$17	$14	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$172	$39	$93	0.4×
Blood test, calcium CPT Code: `82310`	$31	$7	$5	1.4×
Blood test, lipase CPT Code: `83690`	$59	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$5	$4	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$28	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$20	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$65	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$56	$13	$11	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$37	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$35	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$65	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$34	$38	0.9×
Review of medical records for care CPT Code: `90889`	—	$59	$114	0.5×
X-ray, hand CPT Code: `73130`	$169	$37	$93	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$72	$8	$6	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$55	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$81	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$42	$11	$9	1.2×
Hepatitis C antibody test CPT Code: `86803`	$37	$18	$15	1.2×
Culture, blood CPT Code: `87040`	$52	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$33	$21	$18	1.2×
Physical therapy (gait training) CPT Code: `97116`	$68	$31	$33	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	$31	$35	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$31	$34	$39	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$65	$29	$34	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$78	$34	$56	0.6×
X-ray, ankle CPT Code: `73610`	$195	$36	$93	0.4×
Blood test, liver function panel CPT Code: `80076`	$81	$10	$9	1.1×
X-ray, shoulder CPT Code: `73030`	$151	$34	$92	0.4×
X-ray, foot CPT Code: `73630`	$169	$34	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$156	$34	$93	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$165	$34	$111	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$4	$3	1.3×
Blood test, sodium CPT Code: `84295`	$29	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$38	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$36	$8	$7	1.1×
Blood test, hemoglobin CPT Code: `85018`	$17	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$5	$5	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
Flu vaccine injection HCPCS Code: `G0008`	—	$23	$48	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$11	$25	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$21	$49	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$23	$11	$37	0.3×
X-ray, chest (single view) CPT Code: `71045`	$163	$26	$92	0.3×
Group therapy session CPT Code: `90853`	$280	$27	$100	0.3×
X-ray, pelvis CPT Code: `72170`	$140	$28	$110	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$25	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$33	$395	0.1×

Showing top 25 high-impact procedures of 120 total

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

Audit a Bill or Quote at Harrison County Community Hospital (Zero PHI Required)

CMS CCN: 261312

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $7,030

Insurer Median $7,030

1. Amount on Your Bill or Quote ($) Pre-filled with Harrison County Community 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 $3,785 Paying Cash

Self-Pay Cash Rate ($7,030) Beats Your Bill

Harrison County Community Hospital's published 45 CFR § 180 self-pay cash rate is $7,030 (vs. $7,030 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,706 Above Fair BaseRate

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

Your bill ($10,815) is $4,706 above the denoised Fair BaseRate ($6,109) and 1.8× 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)

EIN: 431530883

Public IRS & CMS ownership records classify Harrison County Community 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 Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait109 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (62 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 Harrison County Community Hospital.

Price Index: 0.96× regional baseline

Quality: 53/100 CMS composite

Median Household Income$53,364U.S. Census ACS

Local Uninsured Share7.7%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 86/100 · Verified CMS CCN 261312 EIN 431530883

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 261312) ↗ Verify IRS Form 990 (EIN 431530883) ↗ CMS HCRIS Cost Reports ↗

Published MRF File431530883_harrison-county-community-hospital-district_standardcharges.csv

Publication / Vintage2025-09-10 · 64.29 MB

Validated Rate Rows4,958 (CMS v3.0.0)

File Integrity Digestd1ecd8e8b862ee55ebd2…

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