Trego County Lemke Memorial Hospital
320 N Thirteenth St, Wakeeney, KS 67672 · 84 Priced Procedures
Typical commercial prices here are +146% above the fair benchmark (2.46×) 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
Trego County Lemke Memorial Hospital prices routine shoppable procedures at 3.3× Medicare (median 2.42× Fair BaseRate) while upper-quartile commercial rates jump +24% to 3.01× 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 1.59× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 40% of shoppable procedures (88/100 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 (62.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 2.42× Fair BaseRate (3.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.01×) jump +24% above the median procedure ratio (Q50 2.42×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (35¢ 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 Trego County Lemke Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Inguinal hernia repair CPT Code: 49505 | $5,000 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,880 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,850 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $2,000 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,900 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,563 | 1.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $925 | 2.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $925 | 2.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $925 | 2.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $925 | 1.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $840 | 3.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $805 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $830 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $775 | 4.8× |
| CT scan, pelvis CPT Code: 72192 | $775 | 4.8× |
| CT scan, sinuses CPT Code: 70486 | $775 | 4.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $775 | 4.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $775 | 4.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $775 | 4.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $775 | 2.6× |
| Group therapy session CPT Code: 90853 | $735 | unverified |
| Blood transfusion CPT Code: 36430 | $700 | 1.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $625 | 4.7× |
| X-ray, lower back CPT Code: 72110 | $425 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $265 | 2.0× |
Audit a Bill or Quote at Trego County Lemke Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,100
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (62.0% of gross = $3,100).
Self-Pay Cash Rate ($4,250) Beats Your Bill
Trego County Lemke Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $4,250 (vs. $5,000 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,629 Fair BaseRate ($3,658 Medicare)
Your bill ($5,000) is $1,371 above the denoised Fair BaseRate ($3,629) and 1.4× the $3,658 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (62.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Trego County Lemke Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2023-03-08·administrative_or_closure
Met Requirements
Recorded
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 Trego County Lemke 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.