How many shoppable procedure prices are published for Memorial Hospital of Lafayette County?

Memorial Hospital of Lafayette County in Darlington, WI currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Memorial Hospital of Lafayette County's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorial Hospital of Lafayette County's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-02-04

Memorial Hospital of Lafayette County

211 Bev Anderson Dr, Darlington, WI 53530 · 96 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.64×vs. Fair Market Price

Typical commercial prices here are 36% below the fair benchmark (0.64×) after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 23% of the Time

File Completeness51

Price Logic68

Peer Alignment67

Clean Billing75

Real Cash Discount99

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Memorial Hospital of Lafayette County maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.61× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.91× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 99 in WI · 1st State Percentile#101 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 36% below peer Fair BaseRate (0.64×)
Self-pay cash beats commercial insurance on 23% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 81% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (47.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.64× 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 (0.4×) & laboratory (1.9×) services average 1.83× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 0.91×) jump +49% above the median procedure ratio (Q50 0.61×)
Unnegotiated chargemaster list prices average 6.2× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.83× Divergence

1.1× Medicare

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

Quantile Tail Spread+49% Upper Tail

Q25 0.24× · Q50 0.61× · Q75 0.91×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

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

0.5× MedicareGood

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

23% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Memorial Hospital of Lafayette County

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.

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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`	—	$17,679	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$11,896	$19,087	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$10,940	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,381	$8,223	0.9×
Total hip replacement CPT Code: `27130`	$4,350	$4,350	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$4,350	$4,350	$13,523	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,914	$3,914	$1,021	3.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,697	$2,975	0.9×
Trauma team activation HCPCS Code: `G0390`	$2,610	$2,610	$1,453	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,450	$2,680	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,318	$855	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,757	$1,757	$583	3.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,131	$1,131	$6,109	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,056	$1,056	$272	3.9×
Blood transfusion CPT Code: `36430`	$610	$610	$498	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$1,435	$581	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,740	$573	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$2,175	$555	$3,446	0.2×
X-ray, lower back CPT Code: `72110`	$522	$522	$112	4.7×
Inguinal hernia repair CPT Code: `49505`	$914	$536	$3,629	0.1×
Breast lump removal CPT Code: `19120`	—	$431	$3,875	0.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$326	$326	$93	3.5×
X-ray, shoulder CPT Code: `73030`	$320	$320	$92	3.5×
X-ray, hand CPT Code: `73130`	$305	$305	$93	3.3×
X-ray, hip CPT Code: `73502`	$305	$305	$93	3.3×
X-ray, chest (two views) CPT Code: `71046`	$282	$282	$93	3.0×
X-ray, foot CPT Code: `73630`	$261	$261	$92	2.8×
X-ray, ankle CPT Code: `73610`	$261	$261	$93	2.8×
X-ray, chest (single view) CPT Code: `71045`	$239	$239	$92	2.6×
X-ray, pelvis CPT Code: `72170`	$261	$261	$110	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$435	$192	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$478	$209	$1,256	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$174	$174	$64	2.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$164	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$148	$181	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$123	$151	0.8×
Rabies immune globulin HCPCS Code: `90375`	$497	$147	$322	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$478	$145	$987	0.1×
Family therapy session CPT Code: `90847`	—	$113	$173	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$261	$84	$86	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$80	$80	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$152	$104	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$282	$87	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$100	$166	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,914	$117	$511	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$87	$87	$201	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$87	$231	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,175	$89	$303	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,740	$93	$448	0.2×
Typhoid vaccine HCPCS Code: `90675`	$763	$275	$347	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$174	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$132	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$83	$105	$111	0.9×
Blood test, hemoglobin CPT Code: `85018`	$46	$46	$3	15.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$282	$70	$87	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$43	$4	10.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$43	$43	$5	8.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$149	$67	$56	1.2×
Care planning with family CPT Code: `90887`	—	$77	$107	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$82	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$103	$29	$25	1.2×
Prosthetic fitting and training CPT Code: `97761`	—	$46	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$130	$52	$51	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$522	$51	$148	0.3×
CT scan, pelvis CPT Code: `72192`	$1,566	$55	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,305	$55	$167	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$435	$39	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$802	$41	$134	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,740	$51	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$870	$51	$169	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,271	$43	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$1,435	$44	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,722	$65	$258	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,455	$58	$242	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,419	$76	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$3,045	$75	$343	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,610	$69	$369	0.2×
Blood test, calcium CPT Code: `82310`	$13	$13	$5	2.6×
Speech therapy (group session) CPT Code: `92508`	—	$27	$27	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$40	$40	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$87	$37	$38	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$37	$38	1.0×
Physical therapy (gait training) CPT Code: `97116`	$66	$32	$33	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$36	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$87	$32	$35	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$87	$30	$34	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$25	$33	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$15	$39	0.4×
Ultrasound, pelvis CPT Code: `76856`	$591	$35	$130	0.3×
Group therapy session CPT Code: `90853`	—	$26	$100	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$604	$30	$126	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$528	$29	$132	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$25	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$37	$395	0.1×

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 47.0%

Audit a Bill or Quote at Memorial Hospital of Lafayette County (Zero PHI Required)

CMS CCN: 521312

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $17,679

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial Hospital of Lafayette County’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: $19,942 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $19,942

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (47.0% of gross = $19,942).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Memorial Hospital of Lafayette County's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$22,998 Above Fair BaseRate

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

Your bill ($42,430) is $22,998 above the denoised Fair BaseRate ($19,432) and 3.0× 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) 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: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (47.0% 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

Safety Composite72/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait103 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

CMS Price Transparency Administrative Enforcement Log

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

2025-02-13·administrative_or_closure
Closure Notice
Recorded
2025-01-14·cap_corrective_action
CAP Request
Recorded
2024-10-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (53 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 Value & Quality Leader

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

Price Index: 0.72× regional baseline

Quality: 59/100 CMS composite

Median Household Income$72,091U.S. Census ACS

Local Uninsured Share10.7%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 70/100 · Corroborated CMS CCN 521312

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 521312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-04

Validated Rate Rows2,266 (CMS v3.0.0)

File Integrity DigestVerified · CCN 521312

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