How many shoppable procedure prices are published for Astera Health?

Astera Health in Wadena, MN currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Astera Health's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Astera Health an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 18 Beds · rural Updated: 2/20/2026

Astera Health

421 11Th Street Nw, Wadena, MN 56482 · 109 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.62×vs. Fair Market Price

Typical commercial prices here are 38% below the fair benchmark (0.62×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness100

Price Logic63

Peer Alignment45

Clean Billing76

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.62× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Astera Health prices routine shoppable procedures near 0.8× Medicare (p50 0.61×) while skewing captive emergency, lab, and upper-quartile codes to 2.7× Medicare (p75 0.81×, +33% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#7 of 76 in MN · 7th State Percentile#89 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 38% below peer Fair BaseRate (0.62×)
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 70% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.62× 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 (0.9×) & laboratory (1.0×) services average 3.38× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.81×) jump +33% above the median procedure ratio (Q50 0.61×)
Consolidated metro market (HHI 3,645) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER3.38× Divergence

2.7× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 0.33× · Q50 0.61× · Q75 0.81×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.7× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Astera Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$66,263	$66,263	$19,432	3.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$20,914	$20,914	$19,087	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,859	$11,859	$8,223	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$7,523	$7,523	$2,540	3.0×
Total hip replacement CPT Code: `27130`	$2,759	$2,759	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,755	$2,755	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$2,638	$2,638	$1,453	1.8×
C-section delivery (full package) CPT Code: `59510`	$5,685	$2,360	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$5,113	$2,149	$2,680	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,681	$1,681	$855	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,477	$1,477	$583	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,423	$1,423	$6,109	0.2×
Blood transfusion CPT Code: `36430`	$1,284	$1,284	$498	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,152	$1,152	$151	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$1,119	$1,119	$35	32.0×
Bunion correction surgery CPT Code: `28296`	$1,894	$847	$3,446	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$557	$557	$86	6.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,179	$513	$3,372	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,481	$477	$1,021	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,130	$475	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$1,124	$484	$3,875	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$928	$411	$1,256	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$806	$357	$987	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,684	$300	$448	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$728	$323	$981	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$303	$303	$86	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,633	$245	$511	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$233	$233	$166	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$111	$158	$35	4.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,370	$172	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,252	$182	$303	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$145	$34	4.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$304	$158	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$291	$153	$181	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$166	$166	$201	0.8×
Prosthetic fitting and training CPT Code: `97761`	$122	$122	$45	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$259	$126	$123	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$211	$126	$148	0.9×
CT scan, pelvis CPT Code: `72192`	$955	$132	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$832	$132	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$943	$129	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$944	$129	$169	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,069	$147	$242	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$526	$147	$272	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,022	$154	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,017	$151	$343	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,039	$156	$369	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$164	$164	$64	unverified
Physical therapy (gait training) CPT Code: `97116`	$120	$120	$33	3.6×
Occupational therapy (self-care training) CPT Code: `97535`	$122	$122	$38	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$122	$122	$40	3.0×
Orthotic fitting and training CPT Code: `97760`	$117	$117	$51	2.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$432	$102	$123	0.8×
CT scan, sinuses CPT Code: `70486`	$802	$118	$166	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$121	$121	$38	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$310	$85	$110	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$420	$91	$134	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$276	$87	$132	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$779	$98	$160	0.6×
Typhoid vaccine HCPCS Code: `90675`	$628	$628	$347	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$333	$394	$111	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$225	$272	$140	1.9×
Culture, blood CPT Code: `87040`	$148	$148	$11	13.5×
Blood antibody screen CPT Code: `86850`	$110	$146	$46	3.2×
Culture, bacterial CPT Code: `87070`	$113	$113	$9	12.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$120	$120	$11	10.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$109	$14	7.8×
Blood test, amylase CPT Code: `82150`	$83	$83	$7	11.9×
Blood test, lipase CPT Code: `83690`	$79	$79	$7	11.3×
Blood test, liver function panel CPT Code: `80076`	$95	$95	$9	10.6×
Blood test, basic metabolic panel CPT Code: `80048`	$89	$89	$9	9.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$96	$96	$19	5.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$120	$120	$18	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	$86	$8	10.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$52	$52	$4	13.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$76	$6	12.7×
Blood test, calcium CPT Code: `82310`	$59	$59	$5	11.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$84	$84	$14	6.0×
Hepatitis C antibody test CPT Code: `86803`	$75	$75	$15	5.0×
Blood test, vitamin D CPT Code: `82306`	$83	$83	$31	2.7×
Ultrasound, pelvis CPT Code: `76856`	$366	$79	$130	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$430	$72	$126	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$45	$3	15.0×
Blood test, hemoglobin CPT Code: `85018`	$38	$38	$3	12.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$49	$49	$4	12.3×
Blood test, sodium CPT Code: `84295`	$54	$54	$5	10.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$50	$5	10.0×
Blood test, potassium CPT Code: `84132`	$50	$50	$5	10.0×
Blood test, magnesium CPT Code: `83735`	$64	$64	$7	9.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$42	$5	8.4×
Blood test, vitamin B12 CPT Code: `82607`	$63	$63	$16	3.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$79	$79	$38	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$63	$37	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$83	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$115	$79	$56	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$288	$69	$87	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$74	$31	$33	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$21	$25	0.8×
X-ray, hip CPT Code: `73502`	$201	$38	$93	0.4×
X-ray, lower back CPT Code: `72110`	$188	$41	$112	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$147	$30	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$143	$28	$93	0.3×
X-ray, hand CPT Code: `73130`	$158	$28	$93	0.3×
X-ray, ankle CPT Code: `73610`	$149	$27	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$159	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$158	$26	$92	0.3×
X-ray, chest (single view) CPT Code: `71045`	$128	$20	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$137	$21	$110	0.2×

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.0%

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

CMS CCN: 241354

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $66,263

Insurer Median $66,263

1. Amount on Your Bill or Quote ($) Pre-filled with Astera 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: $38,198 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38,198

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.0% of gross = $38,198).

Step 2 · Cash vs. Insurance Arbitrage Save $29,231 Paying Cash

Self-Pay Cash Rate ($66,263) Beats Your Bill

Astera Health's published 45 CFR § 180 self-pay cash rate is $66,263 (vs. $66,263 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$76,062 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($95,494) is $76,062 above the denoised Fair BaseRate ($19,432) and 6.8× the $14,044 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: 410713913

Filing Period: 193705

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 (40.0% 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.

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 Composite70/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait134 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Source: CMS Hospital Care Compare (133 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 Quality & Price Benchmark

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

Price Index: 1.29× regional baseline

Quality: 68/100 CMS composite

Median Household Income$70,912U.S. Census ACS

Local Uninsured Share5.6%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 77/100 · Corroborated CMS CCN 241354 EIN 410713913

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 241354) ↗ Verify IRS Form 990 (EIN 410713913) ↗ CMS HCRIS Cost Reports ↗

Published MRF File410713913_astera-health_standardcharges.csv

Publication / Vintage2/20/2026 · 88.08 MB

Validated Rate Rows6,379 (CMS v3.0.0)

File Integrity Digeste585ab8a3794007bd402…

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