How many shoppable procedure prices are published for Alomere Health?

Alomere Health in Alexandria, MN currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Alomere Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Alomere Health's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Alomere Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Alomere Health an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 99 Beds · rural Updated: 2026-04-01

Alomere Health

111 17Th Avenue East, Alexandria, MN 56308 · 141 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness66

Price Logic95

Peer Alignment66

Clean Billing88

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.16× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 9,441), Alomere Health commands a 1.16× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#44 of 76 in MN · 56th State Percentile#1,890 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 73% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.07× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.34×) jump +25% above the median procedure ratio (Q50 1.07×)
Consolidated metro market (HHI 9,441) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.1× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 1.00× · Q50 1.07× · Q75 1.34×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× 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

2.5× MedicareFair

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

1.2× MedicareGood

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

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Alomere Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,329	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,629	$19,087	0.8×
Total hip replacement CPT Code: `27130`	—	$14,576	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,576	$13,523	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,527	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,277	$17,936	0.7×
C-section delivery (full package) CPT Code: `59510`	—	$8,502	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$7,734	$2,680	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,863	$6,109	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,871	$8,223	0.7×
Breast lump removal CPT Code: `19120`	—	$4,445	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$4,065	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,715	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,715	$3,446	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,620	$2,540	1.0×
Trauma team activation HCPCS Code: `G0390`	$1,764	$1,582	$1,453	1.1×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,359	$1,256	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,103	$1,143	$1,021	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,030	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,008	$981	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$838	$855	1.0×
Behavioral health residential care HCPCS Code: `H0011`	—	$859	$364	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,230	$578	$583	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,216	$481	$448	1.1×
Blood transfusion CPT Code: `36430`	$700	$501	$498	1.0×
Psychological testing by technician CPT Code: `96138`	—	$507	$395	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,907	$475	$511	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$719	$384	$123	3.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$564	$331	$272	1.2×
Behavioral health day treatment HCPCS Code: `H0010`	—	$352	$343	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$324	$110	2.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$440	$301	$148	2.0×
Rabies immune globulin HCPCS Code: `90375`	$1,157	$308	$322	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,648	$303	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,616	$296	$338	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,537	$319	$369	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$322	$406	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$282	$185	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$272	$181	1.5×
Behavioral health assessment HCPCS Code: `H0001`	—	$289	$157	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$338	$261	$87	3.0×
Screening mammogram (both breasts) CPT Code: `77067`	$357	$247	$123	2.0×
Family therapy session CPT Code: `90847`	—	$233	$173	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$177	$249	$201	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,291	$249	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$938	$272	$303	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$245	$231	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$218	$166	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,122	$225	$242	0.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$149	$88	1.7×
Care planning with family CPT Code: `90887`	—	$170	$107	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$193	$165	$132	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$168	$139	$86	1.6×
Psychological testing evaluation CPT Code: `96136`	—	$151	$128	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$148	$158	$134	1.2×
Ultrasound, pelvis CPT Code: `76856`	$400	$152	$130	1.2×
CT scan, sinuses CPT Code: `70486`	$1,103	$174	$166	1.0×
CT scan, pelvis CPT Code: `72192`	$821	$167	$163	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$940	$167	$167	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,032	$168	$169	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$851	$167	$168	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$140	$135	$126	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,314	$148	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$954	$147	$160	0.9×
Group therapy session CPT Code: `90853`	—	$115	$100	1.1×
X-ray, hip CPT Code: `73502`	$215	$99	$93	1.1×
X-ray, lower back CPT Code: `72110`	$228	$119	$112	1.1×
Behavioral health day program HCPCS Code: `H2012`	—	$106	$100	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$246	$96	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$194	$111	$110	1.0×
Review of medical records for care CPT Code: `90889`	—	$115	$114	1.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$131	$269	0.5×
X-ray, chest (single view) CPT Code: `71045`	$184	$92	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$188	$92	$92	1.0×
X-ray, hand CPT Code: `73130`	$184	$93	$93	1.0×
X-ray, foot CPT Code: `73630`	$161	$92	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$214	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$190	$92	$93	1.0×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$117	$257	0.5×
Orthotic fitting and training CPT Code: `97760`	$56	$91	$51	1.8×
Prosthetic fitting and training CPT Code: `97761`	$52	$80	$45	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$364	$203	1.8×
Typhoid vaccine HCPCS Code: `90675`	$712	$355	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$335	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$160	$192	$111	1.7×
Drug screening test HCPCS Code: `G0480`	—	$126	$116	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$82	$79	$37	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$140	$100	$56	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$50	$25	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$66	$38	1.7×
Physical therapy (gait training) CPT Code: `97116`	$56	$57	$33	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$56	$68	$40	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$56	$63	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$56	$63	$38	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$56	$57	$35	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$80	$60	$39	1.5×
Blood antibody screen CPT Code: `86850`	$82	$59	$46	1.3×
Flu vaccine injection HCPCS Code: `G0008`	—	$56	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$56	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$56	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$173	$67	$64	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$64	$65	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$48	$58	$86	0.7×
Mental health services (assessment) HCPCS Code: `H0031`	—	$64	$140	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$62	$58	$25	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$29	$27	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$52	$27	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$56	$54	$34	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$74	$35	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$27	$14	1.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$28	$16	1.8×
Blood test, lipase CPT Code: `83690`	$43	$8	$7	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$123	$12	$11	1.1×
Behavioral health living support HCPCS Code: `H2019`	—	$37	$34	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$15	$14	1.1×
Blood test, vitamin D CPT Code: `82306`	$122	$33	$31	1.1×
Blood test, calcium CPT Code: `82310`	$28	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$28	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$56	$7	$6	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$81	$9	$8	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$11	$10	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$78	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$87	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$54	$17	$16	1.1×
Community mental health services HCPCS Code: `H0038`	—	$17	$16	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$84	$20	$19	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$77	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$58	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$49	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$55	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$28	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$28	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$93	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$37	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$114	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$61	$9	$9	1.0×

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.5%

Audit a Bill or Quote at Alomere Health (Zero PHI Required)

CMS CCN: 240030

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,329

1. Amount on Your Bill or Quote ($) Pre-filled with Alomere Health’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: $11,976 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $11,976

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.5% of gross = $11,976).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Alomere Health'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 +$27,615 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($58,390) is $27,615 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 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)

EIN: 331504259

Filing Period: 202506

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 (20.5% 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

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait134 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (375 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Alomere Health.

Price Index: 1.00× regional baseline

Quality: 69/100 CMS composite

Median Household Income$77,264U.S. Census ACS

Local Uninsured Share4.0%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 83/100 · Corroborated CMS CCN 240030 EIN 331504259

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 240030) ↗ Verify IRS Form 990 (EIN 331504259) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,110 (CMS v3.0.0)

File Integrity DigestVerified · CCN 240030

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