Sedgwick County Memorial Hospital
900 Cedar St, Julesburg, CO 80737 · 97 Priced Procedures
Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Sedgwick County Memorial Hospital prices routine shoppable procedures at 2.6× Medicare (median 1.30× Fair BaseRate) while upper-quartile commercial rates jump +47% to 1.91× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (69/100 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 (44.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 1.30× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.91×) jump +47% above the median procedure ratio (Q50 1.30×)
- Unnegotiated chargemaster list prices average 10.0× Medicare (19¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Sedgwick County Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, head (with and without contrast) CPT Code: 70470 | $7,366 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $5,419 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,604 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,214 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,222 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,536 | 1.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,508 | 0.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,364 | 4.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,364 | 4.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,364 | 3.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $945 | 5.9× |
| CT scan, pelvis CPT Code: 72192 | $945 | 5.8× |
| CT scan, sinuses CPT Code: 70486 | $945 | 5.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $945 | 5.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $945 | 5.6× |
| CT scan, chest (no contrast) CPT Code: 71250 | $902 | 5.4× |
| Inguinal hernia repair CPT Code: 49505 | $861 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $702 | 1.2× |
| Trauma team activation HCPCS Code: G0390 | $615 | 0.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $397 | 1.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $370 | 0.4× |
| Ultrasound, pelvis CPT Code: 76856 | $300 | 2.3× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $300 | 2.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $300 | 2.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $292 | 0.3× |
Audit a Bill or Quote at Sedgwick County Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,267
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.4% of gross = $3,267).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Sedgwick County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $7,366 (vs. $7,366 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $258 Fair BaseRate ($179 Medicare)
Your bill ($7,366) is $7,108 above the denoised Fair BaseRate ($258) and 41.2× the $179 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (44.4% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sedgwick County Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.