How many shoppable procedure prices are published for Centracare- Rice Memorial Hospital?

Centracare- Rice Memorial Hospital in Willmar, MN currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Centracare- Rice Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Centracare- Rice Memorial Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Centracare- Rice Memorial Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Government - Local 81 Beds · rural Updated: 2026-06-08

Centracare- Rice Memorial Hospital

301 Becker Ave Sw, Willmar, MN 56201 · 110 Priced Procedures · 50% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.18×vs. Fair Market Price

Typical commercial prices here are +18% above the fair benchmark (1.18×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 12% of the Time

File Completeness66

Price Logic73

Peer Alignment67

Clean Billing84

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.18× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +53% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Centracare- Rice Memorial Hospital prices routine shoppable procedures at 1.5× Medicare (median 1.01× Fair BaseRate) while upper-quartile commercial rates jump +53% to 1.55× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#46 of 76 in MN · 59th State Percentile#1,938 of 3,385 in U.S. · 57th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 12% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (62/100 safety score) with 50% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.18× 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 1.01× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.55×) jump +53% above the median procedure ratio (Q50 1.01×)
Consolidated metro market (HHI 9,749) 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+53% Upper Tail

Q25 0.89× · Q50 1.01× · Q75 1.55×

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

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

1.3× MedicareGood

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

12% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 62/100Elevated

Procedure Prices at Centracare- Rice Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$33,707	$17,936	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,661	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,661	$19,432	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,661	$8,223	unverified
Bunion correction surgery CPT Code: `28296`	$8,814	$8,814	$3,446	2.6×
Total hip replacement CPT Code: `27130`	$5,843	$5,843	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$5,842	$5,842	$13,523	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,450	$5,450	$3,372	1.6×
Inguinal hernia repair CPT Code: `49505`	$4,914	$4,914	$3,629	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,588	$3,588	$369	9.7×
Trauma team activation HCPCS Code: `G0390`	$2,958	$2,664	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,375	$1,406	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,643	$1,230	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,970	$1,097	$981	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,915	$1,069	$6,109	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,189	$910	$1,021	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,239	$917	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,828	$917	$448	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,851	$788	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,378	$647	$583	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,590	$585	$303	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,775	$585	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,722	$585	$343	1.7×
X-ray, shoulder CPT Code: `73030`	$462	$462	$92	5.0×
X-ray, hip CPT Code: `73502`	$462	$462	$93	5.0×
X-ray, ankle CPT Code: `73610`	$456	$456	$93	4.9×
X-ray, foot CPT Code: `73630`	$435	$435	$92	4.7×
X-ray, hand CPT Code: `73130`	$417	$417	$93	4.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,198	$438	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,314	$438	$258	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	$486	$379	$123	3.1×
Speech therapy (language evaluation) CPT Code: `92507`	$284	$284	$86	3.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$813	$277	$272	1.0×
Rabies immune globulin HCPCS Code: `90375`	$10,032	$290	$322	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,011	$262	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$956	$262	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$1,016	$262	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,062	$262	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,073	$262	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,073	$262	$169	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$214	$256	$185	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$239	$231	$181	1.3×
Psychological testing by technician CPT Code: `96138`	$147	$229	$395	0.6×
Physical therapy (gait training) CPT Code: `97116`	$198	$198	$33	6.0×
Residential substance abuse treatment HCPCS Code: `H2035`	$214	$186	$88	2.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$190	$155	$35	4.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$321	$179	$123	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$524	$201	$148	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$168	$151	$110	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$389	$151	$132	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$151	$157	$166	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$123	$123	$38	3.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$305	$121	$87	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$534	$141	$134	1.1×
X-ray, chest (two views) CPT Code: `71046`	$225	$110	$93	1.2×
Ultrasound, pelvis CPT Code: `76856`	$445	$132	$130	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$145	$145	$201	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$99	$99	$38	2.6×
Family therapy session CPT Code: `90847`	$124	$124	$173	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$90	$90	$35	2.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$99	$99	$40	2.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$436	$107	$126	0.8×
Orthotic fitting and training CPT Code: `97760`	$81	$81	$51	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,390	$328	$347	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$71	$71	$8	8.9×
Blood test, basic metabolic panel CPT Code: `80048`	$62	$62	$9	6.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$70	$70	$11	6.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$71	$71	$18	3.9×
Physical therapy (manual therapy) CPT Code: `97140`	$74	$74	$34	2.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$44	$10	4.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$56	$14	4.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$61	$20	3.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$168	$53	$33	1.6×
X-ray, lower back CPT Code: `72110`	$274	$71	$112	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$222	$52	$93	0.6×
Blood transfusion CPT Code: `36430`	$837	$75	$498	0.2×
Psychological testing evaluation CPT Code: `96136`	$67	$67	$128	unverified
Hepatitis C antibody test CPT Code: `86803`	$38	$38	$15	2.5×
Flu vaccine injection HCPCS Code: `G0008`	$48	$48	$48	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$33	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$33	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$71	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$86	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$45	$15	$16	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$35	$49	0.7×
Blood test, liver function panel CPT Code: `80076`	$40	$8	$9	0.9×
X-ray, chest (single view) CPT Code: `71045`	$339	$31	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$216	$35	$110	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$35	$49	unverified
Blood test, lipase CPT Code: `83690`	$48	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$38	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$33	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$61	$19	$19	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$80	$39	$56	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$58	$86	0.7×
Blood test, sodium CPT Code: `84295`	$33	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$107	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$68	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$92	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$187	$31	$37	0.8×
Drug screening test HCPCS Code: `G0480`	$41	$41	$116	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$37	$2	$3	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$346	$20	$64	0.3×
Blood antibody screen CPT Code: `86850`	$82	$10	$46	0.2×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Centracare- Rice Memorial Hospital (Zero PHI Required)

CMS CCN: 240088

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $33,707

1. Amount on Your Bill or Quote ($) Pre-filled with Centracare- Rice Memorial Hospital’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 274% of 2026 FPL

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.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Centracare- Rice Memorial Hospital'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 +$62,961 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($80,897) is $62,961 above the denoised Fair BaseRate ($17,936) and 6.3× the $12,807 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Centracare- Rice Memorial 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.

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 Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend50%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait138 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 (351 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 Centracare- Rice Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 51/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Medica

-44.6%

Median Household Income$75,097U.S. Census ACS

Local Uninsured Share6.9%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 240088

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 240088) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-08

Validated Rate Rows380 (CMS v3.0.0)

File Integrity DigestVerified · CCN 240088

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