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Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-03-30

Salem Memorial District Hospital

Po Box 774, Salem, MO 65560 · 96 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
2.08×vs. Fair Market Price
Position vs. 1.00× Fair Price+108% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +108% above the fair benchmark (2.08×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).73/100 · Corroborated
73/100Self-Pay Cash Beats Insurance 73% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic70Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment67Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing68Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score68/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait135 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 2.08× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Salem Memorial District Hospital prices routine shoppable procedures near 2.2× Medicare (p50 1.99×) while skewing captive emergency, lab, and upper-quartile codes to 2.9× Medicare (p75 3.16×, +59% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#74 of 79 in MO · 92nd State Percentile#3,123 of 3,385 in U.S. · 92nd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.42× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 73% of shoppable procedures (99/100 Cash Honesty)
  • 4-Star CMS clinical rating with 67% patient recommendation (68/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (79.9% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
  • Captive ER (3.2×) & laboratory (3.7×) services average 1.32× higher multiples than routine shoppable care (2.2×)
  • Upper-quartile procedures (Q75 3.16×) jump +59% above the median procedure ratio (Q50 1.99×)
  • Unnegotiated chargemaster list prices average 8.3× Medicare (29¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
2.2× Medicare

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

Back-Door Captive & ER1.32× Divergence
2.9× Medicare

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

Quantile Tail Spread+59% Upper Tail
Q25 0.42× · Q50 1.99× · Q75 3.16×

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
2.2× MedicareFair
Outpatient Surgery & ORBack-Door Captive
1.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.4× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
3.2× MedicareElevated
Inpatient Lab & PathologyBack-Door Captive
3.7× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.3× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
73% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 68/100Fair

Procedure Prices at Salem Memorial District Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,607 8.1×
Rabies immune globulin
HCPCS Code: 90375
 $3,558 11.0×
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,130 6.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,953 9.7×
Colonoscopy with biopsy
CPT Code: 45380
 $2,530 2.0×
MRI, lower back (no contrast)
CPT Code: 72148
 $2,477 7.3×
MRI, brain (no contrast)
CPT Code: 70551
 $2,477 7.2×
MRI, knee or other leg joint
CPT Code: 73721
 $2,477 6.7×
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,032 7.9×
CT scan, head (with contrast)
CPT Code: 70460
 $1,941 8.0×
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,959 2.0×
Upper endoscopy with biopsy
CPT Code: 43239
 $1,943 2.0×
Hepatitis B immune globulin
HCPCS Code: 90371
 $1,529 10.1×
CT scan, head (no contrast)
CPT Code: 70450
 $1,516 9.5×
CT scan, pelvis
CPT Code: 72192
 $1,516 9.3×
CT scan, chest (no contrast)
CPT Code: 71250
 $1,516 9.1×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,362 8.1×
CT scan, sinuses
CPT Code: 70486
 $1,295 7.8×
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,217 7.2×
Ultrasound, pelvis
CPT Code: 76856
 $713 5.5×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $390 2.9×
Vaginal delivery (full package)
CPT Code: 59400
 $411 unverified
Ultrasound, thyroid and neck
CPT Code: 76536
 $361 2.7×
X-ray, lower back
CPT Code: 72110
 $306 2.7×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $325 2.6×
Showing top 25 high-impact procedures of 96 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 79.9%

Audit a Bill or Quote at Salem Memorial District Hospital (Zero PHI Required)

CMS CCN: 261318
CPT 74177
Fair BaseRate™ $448
Medicare Rate $356
Self-Pay Cash $3,607
Insurer Median $3,607
Pre-filled with Salem Memorial District Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $3,843 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,843

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (79.9% of gross = $3,843).

Step 2 · Cash vs. Insurance Arbitrage Save $1,202 Paying Cash

Self-Pay Cash Rate ($3,607) Beats Your Bill

Salem Memorial District Hospital's published 45 CFR § 180 self-pay cash rate is $3,607 (vs. $3,607 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,361 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($4,809) is $4,361 above the denoised Fair BaseRate ($448) and 13.5× the $356 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: 436110058
Filing Period: 199212
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 (79.9% 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 Overall4/5 Stars (4/5)
Safety Composite68/100
Would Recommend67%
Rated 9 or 10 (HCAHPS)70%
Median ER Wait135 min
Left ER Before Seen2%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Source: CMS Hospital Care Compare (37 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Salem Memorial District Hospital.

Price Index: 1.56× regional baseline
Quality: 67/100 CMS composite
Median Household Income$54,306U.S. Census ACS
Local Uninsured Share12.2%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 73/100 · Corroborated CMS CCN 261318 EIN 436110058

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 261318) ↗ Verify IRS Form 990 (EIN 436110058) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-03-30
Validated Rate Rows13,584 (CMS v3.0.0)
File Integrity DigestVerified · CCN 261318

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