Bigfork Valley Hospital
258 Pine Tree Drive, Bigfork, MN 56628 · 103 Priced Procedures
Typical commercial prices here are +87% above the fair benchmark (1.87×) 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
Bigfork Valley Hospital prices routine shoppable procedures at 3.3× Medicare (median 1.67× Fair BaseRate) while upper-quartile commercial rates jump +63% to 2.72× 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 0.83× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (83/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.87× 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.
- Commercial insurance median sits at 1.67× Fair BaseRate (3.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.72×) jump +63% above the median procedure ratio (Q50 1.67×)
- Consolidated metro market (HHI 6,796) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Bigfork Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $7,713 | 0.6× |
| Total knee replacement CPT Code: 27447 | $7,614 | 0.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,798 | 0.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,491 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,235 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,218 | unverified |
| Bunion correction surgery CPT Code: 28296 | $2,785 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,697 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,533 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,546 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $2,330 | 0.9× |
| Breast lump removal CPT Code: 19120 | $2,146 | 0.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,025 | 6.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,946 | 5.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,855 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,791 | 5.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,584 | 2.7× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,452 | 1.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,414 | 5.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,394 | 1.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,295 | 7.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,256 | 7.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,200 | 7.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,197 | 4.9× |
| CT scan, pelvis CPT Code: 72192 | $1,167 | 7.2× |
Audit a Bill or Quote at Bigfork Valley Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($8,155) Beats Your Bill
Bigfork Valley Hospital's published 45 CFR § 180 self-pay cash rate is $8,155 (vs. $7,713 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bigfork Valley Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
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 Bigfork Valley Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-06·administrative_or_closure
Closure Notice
Recorded - 2024-11-26·warning_notice
Warning Notice
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 Bigfork Valley 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.