Putnam County Memorial Hospital
1926 Oak Street, Po Box 389, Unionville, MO 63565 · 91 Priced Procedures
Typical commercial prices here are +22% above the fair benchmark (1.22×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Putnam County Memorial Hospital prices shoppable and inpatient services (2.7× to 1.3× Medicare, divergence 0.48×) in alignment with regional hospital peers (1.22× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 15% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
- Commercial insurance median sits at 1.27× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 7.8× Medicare (16¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Putnam County Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,101 | unverified |
| Breast lump removal CPT Code: 19120 | $1,834 | 0.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,840 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,220 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,178 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,102 | 3.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,104 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,052 | 3.1× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,051 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,048 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,047 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,008 | unverified |
| CT scan, sinuses CPT Code: 70486 | $923 | unverified |
| CT scan, pelvis CPT Code: 72192 | $879 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $705 | 4.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $406 | 3.0× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $427 | 2.1× |
| Ultrasound, pelvis CPT Code: 76856 | $372 | 2.9× |
| Blood transfusion CPT Code: 36430 | $396 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $378 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $341 | 1.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $306 | 2.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $278 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $229 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $229 | unverified |
Audit a Bill or Quote at Putnam County Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($3,038) Beats Your Bill
Putnam County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $3,038 (vs. $2,101 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($4,340) is $3,892 above the denoised Fair BaseRate ($448) and 12.2× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Putnam County Memorial 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Putnam County Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-02-28·administrative_or_closure
Closure Notice
Recorded - 2024-12-03·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Putnam County Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.