How many shoppable procedure prices are published for Cuyuna Regional Medical Center?

Cuyuna Regional Medical Center in Crosby, MN currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cuyuna Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cuyuna Regional Medical Center's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Cuyuna Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Cuyuna Regional Medical Center 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 Government - Hospital District or Authority 25 Beds · rural Updated: 3/31/2026

Cuyuna Regional Medical Center

320 East Main Street, Crosby, MN 56441 · 120 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.11×vs. Fair Market Price

Typical commercial prices here are +111% above the fair benchmark (2.11×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 85% of the Time

File Completeness56

Price Logic67

Peer Alignment61

Clean Billing79

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.11× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +127% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Cuyuna Regional Medical Center prices routine shoppable procedures at 2.8× Medicare (median 1.56× Fair BaseRate) while upper-quartile commercial rates jump +127% to 3.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#70 of 76 in MN · 90th State Percentile#3,141 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 85% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 86% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.1% AGB cap)

Watchout

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 1.56× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.54×) jump +127% above the median procedure ratio (Q50 1.56×)
Consolidated metro market (HHI 6,048) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.8× Medicare

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

Back-Door Captive & ER0.61× Divergence

1.7× Medicare

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

Quantile Tail Spread+127% Upper Tail

Q25 0.85× · Q50 1.56× · Q75 3.54×

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

2.8× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.1× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

8.4× MedicareWatchout

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

0.9× MedicareGood

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

85% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Cuyuna Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 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`	$19,947	$20,061	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,994	$19,283	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,047	$7,739	$8,223	0.9×
Total knee replacement CPT Code: `27447`	$4,181	$4,839	$13,523	0.4×
Total hip replacement CPT Code: `27130`	$3,902	$4,516	$13,413	0.3×
Vaginal delivery (full package) CPT Code: `59400`	$3,099	$3,586	$2,680	1.3×
C-section delivery (full package) CPT Code: `59510`	$3,069	$3,552	$2,975	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,347	$2,716	$6,109	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,015	$2,332	$3,372	0.7×
Bunion correction surgery CPT Code: `28296`	$1,172	$1,357	$3,446	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,845	$1,193	$338	3.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,846	$1,193	$343	3.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,845	$1,193	$369	3.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,845	$1,193	$511	2.3×
Inguinal hernia repair CPT Code: `49505`	$1,051	$1,216	$3,629	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$919	$1,063	$583	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$938	$1,085	$272	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$645	$1,042	$855	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$846	$979	$1,256	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,628	$840	$160	5.3×
CT scan, pelvis CPT Code: `72192`	$1,968	$840	$163	5.2×
CT scan, sinuses CPT Code: `70486`	$1,682	$840	$166	5.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,008	$840	$168	5.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,676	$840	$169	5.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,628	$840	$242	3.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,787	$840	$258	3.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,576	$840	$303	2.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,576	$840	$448	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$722	$836	$981	0.9×
Breast lump removal CPT Code: `19120`	$743	$860	$3,875	0.2×
CT scan, chest (no contrast) CPT Code: `71250`	$407	$840	$167	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$540	$625	$987	0.6×
Ultrasound, pelvis CPT Code: `76856`	$583	$533	$130	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$456	$502	$134	3.7×
Trauma team activation HCPCS Code: `G0390`	$479	$479	$1,453	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$789	$502	$132	unverified
X-ray, chest (single view) CPT Code: `71045`	$198	$329	$92	3.6×
X-ray, foot CPT Code: `73630`	$318	$329	$92	3.6×
X-ray, chest (two views) CPT Code: `71046`	$237	$329	$93	3.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$280	$329	$93	3.5×
X-ray, hand CPT Code: `73130`	$296	$329	$93	3.5×
X-ray, hip CPT Code: `73502`	$237	$329	$93	3.5×
X-ray, ankle CPT Code: `73610`	$320	$329	$93	3.5×
X-ray, pelvis CPT Code: `72170`	$221	$329	$110	3.0×
X-ray, lower back CPT Code: `72110`	$633	$329	$112	2.9×
X-ray, shoulder CPT Code: `73030`	$359	$329	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$213	$281	$123	2.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$213	$281	$148	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$213	$281	$35	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$325	$236	$126	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$241	$190	$185	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$140	$163	$110	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$146	$137	$87	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$181	$160	$123	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$211	$158	$181	0.9×
Prosthetic fitting and training CPT Code: `97761`	$115	$115	$45	2.6×
Family therapy session CPT Code: `90847`	$174	$133	$173	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$109	$147	$40	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$86	$100	$25	4.0×
Physical therapy (gait training) CPT Code: `97116`	$30	$83	$33	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$92	$99	$64	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$82	$101	$86	1.2×
Care planning with family CPT Code: `90887`	$131	$107	$107	1.0×
Psychological testing evaluation CPT Code: `96136`	$83	$96	$128	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$143	$107	$166	0.6×
Blood transfusion CPT Code: `36430`	$80	$132	$498	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$92	$92	$1,021	unverified
Typhoid vaccine HCPCS Code: `90675`	$505	$584	$347	1.7×
Culture, blood CPT Code: `87040`	$186	$186	$11	16.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$174	$201	$203	1.0×
Blood antibody screen CPT Code: `86850`	$176	$203	$46	unverified
Blood test, amylase CPT Code: `82150`	$165	$165	$7	unverified
Blood test, liver function panel CPT Code: `80076`	$134	$134	$9	14.9×
Pneumococcal vaccine HCPCS Code: `90732`	$119	$137	$140	1.0×
Culture, bacterial CPT Code: `87070`	$108	$108	$9	12.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$103	$14	7.4×
Blood test, vitamin B12 CPT Code: `82607`	$111	$111	$16	6.9×
Blood test, sodium CPT Code: `84295`	$77	$77	$5	15.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$60	$4	15.0×
Blood test, calcium CPT Code: `82310`	$72	$72	$5	14.4×
Blood test, lipase CPT Code: `83690`	$65	$65	$7	9.3×
Blood test, magnesium CPT Code: `83735`	$65	$65	$7	9.3×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$74	$9	8.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$73	$73	$11	6.6×
Hepatitis C antibody test CPT Code: `86803`	$97	$97	$15	6.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$98	$98	$19	5.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$98	$98	$20	4.9×
Blood test, vitamin D CPT Code: `82306`	$92	$92	$31	3.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$79	$92	$39	2.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	$42	$3	14.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$51	$4	12.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$65	$6	10.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$53	$53	$5	10.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$65	$65	$14	4.6×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$64	$64	$27	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$43	$70	$35	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$68	$78	$111	0.7×
Blood test, potassium CPT Code: `84132`	$39	$39	$5	7.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$39	$5	7.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$47	$8	5.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$61	$61	$18	3.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$44	$72	$38	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$89	$59	$38	1.6×
Orthotic fitting and training CPT Code: `97760`	$48	$79	$51	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$38	$44	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$44	$44	$38	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$51	$59	$56	1.1×
Drug screening test HCPCS Code: `G0480`	$110	$77	$116	0.7×
Group therapy session CPT Code: `90853`	$75	$60	$100	0.6×
Blood test, hemoglobin CPT Code: `85018`	$67	$67	$3	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$35	$40	$37	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$39	$30	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$21	$25	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$27	$31	$86	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$15	$17	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$15	$15	$49	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$15	$15	$49	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$31	$40	$201	0.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$21	$21	$14	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.1%

Audit a Bill or Quote at Cuyuna Regional Medical Center (Zero PHI Required)

CMS CCN: 241353

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $19,947

Insurer Median $20,061

1. Amount on Your Bill or Quote ($) Pre-filled with Cuyuna Regional Medical Center’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: $14,157 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,157

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.1% of gross = $14,157).

Step 2 · Cash vs. Insurance Arbitrage Save $38,721 Paying Cash

Self-Pay Cash Rate ($19,947) Beats Your Bill

Cuyuna Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $19,947 (vs. $20,061 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$39,236 Above Fair BaseRate

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

Your bill ($58,668) is $39,236 above the denoised Fair BaseRate ($19,432) and 4.2× 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: 411724637

Filing Period: 199401

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 (24.1% 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 Composite75/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)84%

Median ER Wait100 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cuyuna Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-05·cap_corrective_action
CAP Request
Recorded
2026-01-28·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (430 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 Cuyuna Regional Medical Center.

Price Index: 0.93× regional baseline

Quality: 72/100 CMS composite

Median Household Income$71,343U.S. Census ACS

Local Uninsured Share5.7%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 71/100 · Corroborated CMS CCN 241353 EIN 411724637

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 241353) ↗ Verify IRS Form 990 (EIN 411724637) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/31/2026

Validated Rate Rows467 (CMS v3.0.0)

File Integrity DigestVerified · CCN 241353

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