Ely - Bloomenson Community Hospital
328 West Conan Street, Ely, MN 55731 · 88 Priced Procedures · 84% Patient Recommendation
Typical commercial prices here are +173% above the fair benchmark (2.73×) 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
Ely - Bloomenson Community Hospital prices routine shoppable procedures at 4.8× Medicare (median 3.41× Fair BaseRate) while upper-quartile commercial rates jump +19% to 4.05× 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 2.20× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 84% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (56.3% 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 3.41× Fair BaseRate (4.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.05×) jump +19% above the median procedure ratio (Q50 3.41×)
- 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 Ely - Bloomenson Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,756 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,025 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,025 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,397 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,035 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,035 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,035 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,969 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,946 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,571 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,571 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,571 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,571 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,571 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,565 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,081 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,035 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $992 | 1.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $995 | 0.2× |
| Rabies immune globulin HCPCS Code: 90375 | $819 | 2.5× |
| Blood transfusion CPT Code: 36430 | $729 | 1.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $509 | 3.8× |
| Bunion correction surgery CPT Code: 28296 | $470 | 0.1× |
| Inguinal hernia repair CPT Code: 49505 | $465 | 0.1× |
| X-ray, chest (two views) CPT Code: 71046 | $483 | unverified |
Audit a Bill or Quote at Ely - Bloomenson Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,115
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (56.3% of gross = $2,115).
Self-Pay Cash Rate ($3,042) Beats Your Bill
Ely - Bloomenson Community Hospital's published 45 CFR § 180 self-pay cash rate is $3,042 (vs. $3,756 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($3,756) is $2,735 above the denoised Fair BaseRate ($1,021) and 4.3× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (56.3% 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 (52 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 Ely - Bloomenson Community 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.