Cook Hospital
10 Se Fifth St, Cook, MN 55723 · 90 Priced Procedures
Typical commercial prices here are +111% above the fair benchmark (2.11×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 3,037), Cook Hospital commands a 2.11× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.33× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 19% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.11× 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 2.55× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 3,037) 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 Cook Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Upper endoscopy with biopsy CPT Code: 43239 | $2,594 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,615 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,974 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,905 | 1.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,579 | 2.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,376 | 3.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,376 | 2.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $877 | 2.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $877 | 2.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $877 | 2.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $877 | 2.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $821 | 3.0× |
| Blood transfusion CPT Code: 36430 | $766 | 1.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $657 | 2.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $657 | 2.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $608 | 4.5× |
| Screening mammogram (both breasts) CPT Code: 77067 | $568 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $496 | 3.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $468 | 3.7× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $424 | 2.9× |
| Ultrasound, pelvis CPT Code: 76856 | $397 | 3.1× |
| Rabies immune globulin HCPCS Code: 90375 | $421 | 1.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $393 | 2.5× |
| CT scan, pelvis CPT Code: 72192 | $393 | 2.4× |
| CT scan, sinuses CPT Code: 70486 | $393 | 2.4× |
Audit a Bill or Quote at Cook Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,453
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.0% of gross = $1,453).
Self-Pay Cash Rate ($1,845) Beats Your Bill
Cook Hospital's published 45 CFR § 180 self-pay cash rate is $1,845 (vs. $2,594 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $987 Fair BaseRate ($927 Medicare)
Your bill ($2,795) is $1,808 above the denoised Fair BaseRate ($987) and 3.0× the $927 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (52.0% 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
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 Cook 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.