How many shoppable procedure prices are published for Norton Sound Regional Hospital?

Norton Sound Regional Hospital in Nome, AK currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Norton Sound Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Norton Sound Regional Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Tribal 18 Beds · rural Updated: 2026-02-19

Norton Sound Regional Hospital

1000 Greg Kruschek Avenue (P O Box 966), Nome, AK 99762 · 104 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.71×vs. Fair Market Price

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 94% of the Time

File Completeness50

Price Logic85

Peer Alignment56

Clean Billing74

Real Cash Discount100

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

Norton Sound Regional Hospital prices routine shoppable procedures near 1.4× Medicare (p50 1.78×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 2.27×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#5 of 9 in AK · 44th State Percentile#2,889 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.58× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 94% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (88.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.71× 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 (0.5×) & laboratory (1.8×) services average 1.29× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 2.27×) jump +28% above the median procedure ratio (Q50 1.78×)
Unnegotiated chargemaster list prices average 14.6× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER1.29× Divergence

1.8× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.58× · Q50 1.78× · Q75 2.27×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.6× MedicareGood

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

94% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Norton Sound Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$3,460	$3,460	$511	6.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,054	$3,054	$448	6.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,732	$2,732	$303	9.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,545	$2,545	$343	7.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,327	$2,327	$338	6.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,107	$2,107	$369	5.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,080	$2,080	$258	8.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,607	$1,607	$242	6.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,546	$1,546	$169	9.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,506	$1,506	$160	9.4×
CT scan, pelvis CPT Code: `72192`	$1,515	$1,515	$163	9.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,528	$1,528	$167	9.1×
CT scan, sinuses CPT Code: `70486`	$1,503	$1,503	$166	9.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,483	$1,483	$168	8.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,037	$1,037	$272	3.8×
Rabies immune globulin HCPCS Code: `90375`	$705	$705	$322	2.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,745	$724	$1,256	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$671	$671	$134	5.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,156	$669	$981	0.7×
Ultrasound, pelvis CPT Code: `76856`	$615	$615	$130	4.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$605	$605	$132	4.6×
Neurobehavioral status check CPT Code: `96116`	$538	$538	$231	2.3×
Cataract surgery with lens implant CPT Code: `66984`	$549	$549	$2,540	0.2×
X-ray, lower back CPT Code: `72110`	$514	$514	$112	4.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$494	$494	$126	3.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,854	$499	$987	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$408	$443	$185	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$254	$441	$181	unverified
X-ray, ankle CPT Code: `73610`	$410	$410	$93	4.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$403	$403	$93	4.3×
X-ray, foot CPT Code: `73630`	$390	$390	$92	4.2×
X-ray, shoulder CPT Code: `73030`	$378	$378	$92	4.1×
X-ray, hand CPT Code: `73130`	$375	$375	$93	4.0×
X-ray, chest (two views) CPT Code: `71046`	$372	$372	$93	4.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$385	$385	$148	2.6×
Mental health services (assessment) HCPCS Code: `H0031`	$353	$353	$140	2.5×
X-ray, chest (single view) CPT Code: `71045`	$318	$318	$92	3.5×
X-ray, hip CPT Code: `73502`	$307	$307	$93	3.3×
X-ray, pelvis CPT Code: `72170`	$283	$283	$110	2.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$242	$279	$123	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$178	$295	$166	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$281	$281	$201	1.4×
Blood transfusion CPT Code: `36430`	$272	$272	$498	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$236	$236	$86	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$634	$260	$583	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$159	$268	$110	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$206	$206	$34	6.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$202	$202	$86	2.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$227	$227	$151	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$164	$181	$87	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$192	$192	$123	1.6×
Behavioral health assessment HCPCS Code: `H0001`	$175	$175	$157	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$125	$125	$38	3.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$145	$145	$64	2.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$115	$115	$35	3.3×
Family therapy session CPT Code: `90847`	$135	$135	$173	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$80	$14	5.7×
Physical therapy (gait training) CPT Code: `97116`	$88	$88	$33	2.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$88	$35	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$90	$90	$38	2.4×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$80	$38	2.1×
Orthotic fitting and training CPT Code: `97760`	$99	$99	$51	1.9×
Psychological testing evaluation CPT Code: `96136`	$142	$88	$128	0.7×
Typhoid vaccine HCPCS Code: `90675`	$332	$332	$347	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$189	$189	$9	21.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$200	$200	$11	18.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$168	$168	$14	12.0×
Hepatitis C antibody test CPT Code: `86803`	$173	$173	$15	11.5×
Culture, blood CPT Code: `87040`	$146	$146	$11	13.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$158	$158	$18	8.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$145	$145	$19	7.6×
Blood test, vitamin D CPT Code: `82306`	$170	$170	$31	5.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$118	$118	$6	19.7×
Blood test, amylase CPT Code: `82150`	$120	$120	$7	17.1×
Blood test, liver function panel CPT Code: `80076`	$132	$132	$9	14.7×
Culture, bacterial CPT Code: `87070`	$124	$124	$9	13.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$122	$122	$10	12.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$130	$130	$14	9.3×
Flu vaccine injection HCPCS Code: `G0008`	$136	$136	$48	2.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$76	$76	$3	25.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$93	$93	$5	18.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$90	$90	$5	18.0×
Blood test, calcium CPT Code: `82310`	$84	$84	$5	16.8×
Blood test, lipase CPT Code: `83690`	$84	$84	$7	12.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$95	$8	11.9×
Blood test, vitamin B12 CPT Code: `82607`	$109	$109	$16	6.8×
Blood antibody screen CPT Code: `86850`	$103	$103	$46	2.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$108	$108	$49	2.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$55	$4	13.8×
Blood test, potassium CPT Code: `84132`	$62	$62	$5	12.4×
Blood test, magnesium CPT Code: `83735`	$77	$77	$7	11.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$78	$40	1.9×
Blood test, hemoglobin CPT Code: `85018`	$47	$47	$3	15.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$59	$4	14.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$82	$82	$203	0.4×
Blood test, sodium CPT Code: `84295`	$54	$54	$5	10.8×
Speech therapy (group session) CPT Code: `92508`	$69	$69	$27	2.6×
Prosthetic fitting and training CPT Code: `97761`	$76	$76	$45	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$81	$81	$49	1.7×
Group therapy session CPT Code: `90853`	$67	$67	$100	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$40	$40	$56	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$50	$50	$111	0.5×
Psychological testing by technician CPT Code: `96138`	$60	$60	$395	0.2×
Behavioral health living support HCPCS Code: `H2019`	$16	$16	$34	0.5×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 88.7%

Audit a Bill or Quote at Norton Sound Regional Hospital (Zero PHI Required)

CMS CCN: 021308

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $3,460

Insurer Median $3,460

1. Amount on Your Bill or Quote ($) Pre-filled with Norton Sound Regional 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: $6,137 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,137

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (88.7% of gross = $6,137).

Step 2 · Cash vs. Insurance Arbitrage Save $3,460 Paying Cash

Self-Pay Cash Rate ($3,460) Beats Your Bill

Norton Sound Regional Hospital's published 45 CFR § 180 self-pay cash rate is $3,460 (vs. $3,460 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,409 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($6,920) is $6,409 above the denoised Fair BaseRate ($511) and 19.4× 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)

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 (88.7% 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 Composite65/100

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2023-08-25·administrative_or_closure
Closure Notice
Recorded
2023-06-23·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.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Norton Sound Regional Hospital.

Price Index: 2.99× regional baseline

Quality: 54/100 CMS composite

Median Household Income$76,643U.S. Census ACS

Local Uninsured Share15.0%Regional ACS estimate

200% FPL (1 Person)$39,900Common free-care ceiling

400% FPL (Family of 4)$160,760Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 021308

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

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 021308) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-02-19 · 1.80 MB

Validated Rate Rows159 (CMS v3.0.0)

File Integrity DigestVerified · CCN 021308

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