How many shoppable procedure prices are published for Bucyrus Community Hospital?

Bucyrus Community Hospital in Bucyrus, OH currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Bucyrus Community Hospital's median negotiated commercial rate is 2.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural

Bucyrus Community Hospital

629 North Sandusky Avenue, Bucyrus, OH 44820 · 98 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.69×vs. Fair Market Price

Typical commercial prices here are +169% above the fair benchmark (2.69×) even after accounting for local nurse/doctor wages and patient complexity.

34/100 · Quarantined

34/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness90

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount83

High-Markup · Check Safety

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Bucyrus Community Hospital prices routine shoppable procedures near 3.6× Medicare (p50 2.36×) while skewing captive emergency, lab, and upper-quartile codes to 5.9× Medicare (p75 4.00×, +69% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#136 of 137 in OH · 98th State Percentile#3,294 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (83/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 70% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.4×) services average 1.64× higher multiples than routine shoppable care (3.6×)
Upper-quartile procedures (Q75 4.00×) jump +69% above the median procedure ratio (Q50 2.36×)
Consolidated metro market (HHI 5,507) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.6× Medicare

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

Back-Door Captive & ER1.64× Divergence

5.9× Medicare

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

Quantile Tail Spread+69% Upper Tail

Q25 1.16× · Q50 2.36× · Q75 4.00×

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

3.6× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.3× MedicareGood

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

0% Cash Edge · 83/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Bucyrus Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$68,594	$26,340	$13,413	2.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$38,079	$14,622	$3,372	4.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$36,778	$14,123	$6,109	2.3×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Inguinal hernia repair CPT Code: `49505`	$31,643	$12,151	$3,629	3.3×
Bunion correction surgery CPT Code: `28296`	$25,597	$9,829	$3,446	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$3,933	$3,518	$30,775	unverified
Cataract surgery with lens implant CPT Code: `66984`	$7,484	$2,933	$2,540	unverified
Breast lump removal CPT Code: `19120`	$6,355	$2,491	$3,875	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,410	$2,175	$1,256	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,436	$2,188	$1,021	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,017	$1,981	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$4,006	$1,976	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,980	$1,963	$448	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,353	$1,822	$981	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,643	$1,797	$369	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$3,516	$1,771	$987	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,313	$1,634	$343	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,698	$1,331	$168	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,700	$1,331	$303	unverified
CT scan, sinuses CPT Code: `70486`	$2,493	$1,230	$166	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,248	$1,109	$258	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,122	$1,046	$167	unverified
CT scan, pelvis CPT Code: `72192`	$2,049	$1,010	$163	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,957	$965	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,681	$866	$160	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,678	$823	$583	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,460	$799	$242	unverified
Blood transfusion CPT Code: `36430`	$783	$766	$498	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,517	$748	$855	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,532	$755	$272	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,085	$535	$134	unverified
X-ray, ankle CPT Code: `73610`	$902	$445	$93	4.8×
X-ray, foot CPT Code: `73630`	$849	$419	$92	4.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$789	$389	$126	unverified
X-ray, lower back CPT Code: `72110`	$660	$325	$112	unverified
Ultrasound, pelvis CPT Code: `76856`	$624	$325	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$663	$327	$148	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$499	$246	$93	2.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$545	$269	$132	2.0×
X-ray, shoulder CPT Code: `73030`	$392	$193	$92	2.1×
X-ray, hand CPT Code: `73130`	$364	$179	$93	1.9×
Speech therapy (group session) CPT Code: `92508`	$115	$134	$27	5.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$140	$35	4.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$135	$40	3.4×
Prosthetic fitting and training CPT Code: `97761`	$114	$133	$45	3.0×
Orthotic fitting and training CPT Code: `97760`	$139	$144	$51	2.8×
X-ray, hip CPT Code: `73502`	$308	$152	$93	1.6×
X-ray, chest (two views) CPT Code: `71046`	$288	$142	$93	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$218	$130	$86	1.5×
X-ray, chest (single view) CPT Code: `71045`	$275	$136	$92	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$116	$87	1.3×
X-ray, pelvis CPT Code: `72170`	$263	$131	$110	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$108	$116	$110	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$138	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$199	$146	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$145	$144	$38	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$128	$116	$123	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$95	$87	$35	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$166	$82	$64	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$182	$102	$123	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$81	$201	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$514	$254	$140	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$376	$185	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$268	$132	$9	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$199	$98	$9	unverified
Blood test, vitamin B12 CPT Code: `82607`	$184	$91	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$208	$103	$18	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$81	$55	$14	3.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$43	$14	3.1×
Physical therapy (gait training) CPT Code: `97116`	$109	$61	$33	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$88	$57	$38	1.5×
Blood antibody screen CPT Code: `86850`	$109	$58	$46	1.3×
Drug screening test HCPCS Code: `G0480`	$81	$59	$116	0.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$136	$67	$10	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$166	$82	$19	unverified
Hepatitis C antibody test CPT Code: `86803`	$90	$48	$15	3.2×
Blood test, vitamin D CPT Code: `82306`	$92	$47	$31	1.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$21	$3	7.0×
Blood test, amylase CPT Code: `82150`	$77	$38	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$105	$52	$8	unverified
Culture, blood CPT Code: `87040`	$120	$59	$11	unverified
Culture, bacterial CPT Code: `87070`	$123	$61	$9	unverified
Flu vaccine injection HCPCS Code: `G0008`	$21	$26	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$26	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$26	$49	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$39	$86	0.5×
Blood test, calcium CPT Code: `82310`	$42	$23	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$24	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$25	$4	unverified
Blood test, lipase CPT Code: `83690`	$78	$39	$7	unverified
Blood test, magnesium CPT Code: `83735`	$70	$34	$7	unverified
Blood test, potassium CPT Code: `84132`	$31	$21	$5	unverified
Blood test, sodium CPT Code: `84295`	$27	$20	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$21	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$37	$19	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$25	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$66	$33	$6	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.7%

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

CMS CCN: 361316

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $68,594

Insurer Median $26,340

1. Amount on Your Bill or Quote ($) Pre-filled with Bucyrus 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 501(r) AGB Cap: $27,978 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,978

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.7% of gross = $27,978).

Step 2 · Cash vs. Insurance Arbitrage Save $12,104 Paying Cash

Self-Pay Cash Rate ($68,594) Beats Your Bill

Bucyrus Community Hospital's published 45 CFR § 180 self-pay cash rate is $68,594 (vs. $26,340 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$67,285 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($80,698) is $67,285 above the denoised Fair BaseRate ($13,413) and 6.2× the $13,117 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)

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: cbsa_nonprofit_median

Illustrative National Nonprofit Peer Median (34.7% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Composite70/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait110 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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bucyrus Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-14·administrative_or_closure
Closure Notice
Recorded
2025-09-05·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (50 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

Median Household Income$55,477U.S. Census ACS

Local Uninsured Share6.3%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 34/100 · Quarantined CMS CCN 361316

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 361316) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf_unnamed

Publication / Vintage2026-10 · 47.23 MB

Validated Rate Rows0 (CMS v2024)

File Integrity Digestb157d2251cd4bcdce534…

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