Cambridge Medical Center
701 South Dellwood Avenue, Cambridge, MN 55008 · 121 Priced Procedures · 66% Patient Recommendation
Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.56× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Cambridge Medical Center maintains elevated commercial insurance contracts (1.56× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 62% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.21× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 66% patient recommendation (63/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (51.0% 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 1.68× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.99×) jump +18% above the median procedure ratio (Q50 1.68×)
- Unnegotiated chargemaster list prices average 7.1× Medicare (24¢ 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 Cambridge Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $26,193 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $26,009 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $22,333 | 1.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,512 | unverified |
| Breast lump removal CPT Code: 19120 | $3,822 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,081 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,558 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,407 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $890 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $668 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $682 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $703 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $666 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $591 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $555 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $438 | 1.6× |
| Blood transfusion CPT Code: 36430 | $432 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $445 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $446 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $392 | 1.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $385 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $376 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $332 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $325 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $331 | unverified |
Audit a Bill or Quote at Cambridge Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $32,092
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (51.0% of gross = $32,092).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Cambridge Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($62,863) is $43,776 above the denoised Fair BaseRate ($19,087) and 4.5× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (51.0% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (389 completed HCAHPS patient surveys). 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 Cambridge Medical Center.
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.