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MADISON COUNTY HEALTH CARE SYSTEM

Winterset, IA · CCN 161326 · Rates published

2,342 distinct procedures filed
30 distinct payers
104,288 rate rows
2026-06-05 last MRF observed

103,315 of 104,288 rate rows are consumer-grade (99.1%)

973 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 297
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 252
exceeds 10× this hospital's gross charge — excluded from medians 249
per-diem day rate — not a per-procedure price 125
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21
exceeds 3× this hospital's gross charge for a DRG stay — excluded 18
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMadisonCountyIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.madisonhealth.com/financial-assistance/patient-billing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint c26da89271d9aaac… · 49,804,866 bytes · first seen 2026-07-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
8984704_1
CDM
Operating Room Services - General Classification 29 $23,663.33 $55,031.00 $35,770.15 nat. median
$35,770

1.0× median
62362
HCPCS
Insertion Of Programmable Spinal Canal Drug Infusion Pump 29 $63.50 $55,031.00 $23,663.33 nat. median
$16,486

1.4× median
63685
HCPCS
Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 29 $63.50 $62,109.74 $23,663.33 nat. median
$21,025

1.1× median
871
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 22 $9,949.00 $36,390.38 $18,903.10 nat. median
$19,136

1.0× median
27245
HCPCS
Treatment Of Broken Neck Of Thigh Bone With Bone Implant 29 $6,710.26 $27,394.00 $17,806.10 nat. median
$4,394

outlier · 4.1×
23474
HCPCS
Revision Of Total Shoulder Repair, Total Shoulder 29 $63.50 $35,719.00 $15,359.17 nat. median
$8,763

1.8× median
23470
HCPCS
Partial Replacement Of Shoulder Joint 29 $63.50 $35,719.00 $15,359.17 nat. median
$12,438

1.2× median
24366
HCPCS
Joint Repair (arthroplasty) Forearm Bone On The Thumb Side (radius) At The Elbow… 29 $63.50 $35,719.00 $15,359.17 nat. median
$11,969

1.3× median
23472
HCPCS
Prosthetic Repair Of Shoulder Joint, Total Shoulder 29 $63.50 $35,719.00 $15,359.17 nat. median
$16,588

0.9× median
23473
HCPCS
Revision Of Total Shoulder Repair 29 $63.50 $35,719.00 $15,359.17 nat. median
$12,749

1.2× median
22514
HCPCS
Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 29 $63.50 $21,513.00 $13,983.45 nat. median
$8,313

1.7× median
22513
HCPCS
Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 29 $63.50 $21,513.00 $13,983.45 nat. median
$8,294

1.7× median
25448
HCPCS
Replacement Of Joint Between Wrist And Fingers Using Tendon Or Stitches 29 $744.41 $26,208.00 $11,269.44 nat. median
$4,312

outlier · 2.6×
28100
HCPCS
Removal Of Cyst Or Growth Of Heel Or Ankle Bone 29 $7,316.02 $17,014.00 $11,059.10 nat. median
$3,387

outlier · 3.3×
178
MS_DRG
Respiratory Infections And Inflammations With Cc 22 $5,755.50 $19,799.05 $10,935.45 nat. median
$10,806

1.0× median
872
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 22 $5,735.75 $20,231.77 $10,897.93 nat. median
$11,029

1.0× median
555
MS_DRG
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 23 $5,612.00 $32,959.00 $10,662.80 nat. median
$13,763

0.8× median
30465
HCPCS
Repair Of Nasal Passage 29 $5,604.19 $13,033.00 $10,582.59 nat. median
$6,110

1.7× median
19318
HCPCS
Breast Reduction 29 $4,959.62 $14,760.53 $10,380.60 nat. median
$6,868

1.5× median
58662
HCPCS
Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 29 $6,246.61 $14,527.00 $10,118.83 nat. median
$6,034

1.7× median
195
MS_DRG
Simple Pneumonia And Pleurisy Without Cc/mcc 22 $5,245.25 $12,426.44 $9,965.98 nat. median
$7,228

1.4× median
28810
HCPCS
Amputation Of Toe And Midfoot Bone 29 $4,687.43 $10,901.00 $9,738.28 nat. median
$3,382

outlier · 2.9×
62350
HCPCS
Insertion, Revision, Or Repositioning Of Spinal Canal Tube For Medication Admini… 29 $63.50 $21,513.00 $9,250.59 nat. median
$6,404

1.4× median
58670
HCPCS
Destruction Of Fallopian Tubes Using An Endoscope 29 $4,938.55 $11,485.00 $9,126.52 nat. median
$5,654

1.6× median
49653
HCPCS
Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 29 $5,602.47 $13,029.00 $9,126.52 nat. median
$5,374

1.7× median
28299
HCPCS
Correction Of Bunion With 2 Areas Of Realignment 29 $4,292.26 $9,982.00 $8,983.80 nat. median
$6,823

1.3× median
28297
HCPCS
Correction Of Bunion With Forefoot And Midfoot Bone Fusion 29 $4,292.26 $9,982.00 $8,983.80 nat. median
$7,413

1.2× median
292
MS_DRG
Heart Failure And Shock With Cc 23 $4,559.50 $22,160.00 $8,663.05 nat. median
$9,526

0.9× median
28298
HCPCS
Correction Of Bunion With Alignment Correction Of Big Toe 29 $4,099.19 $9,738.28 $8,579.70 nat. median
$6,697

1.3× median
8578888_1
CDM
Operating Room Services - General Classification 29 $5,609.78 $13,046.00 $8,479.90 nat. median
$8,480

1.0× median
27696
HCPCS
Primary Repair Of Disruption Of Both Ankle Ligaments 29 $4,039.42 $9,723.96 $8,454.60 nat. median
$6,816

1.2× median
194
MS_DRG
Simple Pneumonia And Pleurisy With Cc 23 $4,354.50 $26,097.00 $8,273.55 nat. median
$9,038

0.9× median
92
MS_DRG
Other Disorders Of Nervous System With Cc 22 $4,178.50 $22,188.39 $7,939.15 nat. median
$11,231

0.7× median
22515
HCPCS
Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 29 $63.50 $28,550.57 $7,927.75 nat. median
$5,290

1.5× median
309
MS_DRG
Cardiac Arrhythmia And Conduction Disorders With Cc 23 $4,156.00 $21,353.00 $7,896.40 nat. median
$8,373

0.9× median
27428
HCPCS
Reconstruction Ligaments Inside Knee Joint 29 $63.50 $17,364.00 $7,466.52 nat. median
$11,589

0.6× median
63650
HCPCS
Insertion Of Spinal Neurostimulator Electrode Array Through Skin 29 $349.63 $17,330.00 $7,451.90 nat. median
$7,255

1.0× median
64555
HCPCS
Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin 29 $63.50 $17,330.00 $7,451.90 nat. median
$6,833

1.1× median
947
MS_DRG
Signs And Symptoms With Mcc 22 $3,918.46 $21,019.59 $7,445.07 nat. median
$12,594

0.6× median
26556
HCPCS
Transfer Of Toe And Joint To Finger 29 $63.50 $10,070.00 $7,441.00 nat. median
$6,794

1.1× median
49507
HCPCS
Repair Of Trapped Groin Hernia (5 Years Or Older) 29 $4,182.61 $9,727.00 $7,398.34 nat. median
$3,900

1.9× median
28725
HCPCS
Fusion Of Foot Below Ankle 29 $63.50 $17,165.00 $7,380.95 nat. median
$10,559

0.7× median
63688
HCPCS
Removal Or Revision Of Spinal Neurostimulator Generator Or Receiver 29 $63.50 $16,844.00 $7,242.92 nat. median
$3,665

2.0× median
22869
HCPCS
Placement Of Stabilizing Device To Lower Spine Level 29 $63.50 $16,844.00 $7,242.92 nat. median
$12,288

0.6× median
63663
HCPCS
Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 29 $63.50 $16,844.00 $7,242.92 nat. median
$6,699

1.1× median
63664
HCPCS
Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance 29 $63.50 $62,109.74 $7,242.92 nat. median
$11,753

0.6× median
40842
HCPCS
Repair To Increase Depth On Side Of Mouth 29 $3,930.63 $9,141.00 $7,239.43 nat. median
$5,649

1.3× median
14301
HCPCS
Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 29 $3,173.40 $7,380.00 $6,642.00 nat. median
$3,767

1.8× median
14041
HCPCS
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 29 $3,173.40 $7,380.00 $6,642.00 nat. median
$2,230

outlier · 3.0×
14021
HCPCS
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm 29 $3,173.40 $7,380.00 $6,642.00 nat. median
$2,239

outlier · 3.0×

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