How many shoppable procedure prices are published for Lake View Memorial Hospital?

Lake View Memorial Hospital in Two Harbors, MN currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lake View Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lake View Memorial Hospital's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 2026-04-01

Lake View Memorial Hospital

325 Eleventh Ave, Two Harbors, MN 55616 · 131 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.09×vs. Fair Market Price

Typical commercial prices here are +109% above the fair benchmark (2.09×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness50

Price Logic100

Peer Alignment90

Clean Billing55

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Lake View Memorial Hospital prices shoppable and inpatient services (2.8× to 2.8× Medicare, divergence 1.00×) in alignment with regional hospital peers (2.09× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#67 of 76 in MN · 86th State Percentile#3,128 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 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 (23.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.09× 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 2.09× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (2.09× 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.
Unnegotiated chargemaster list prices average 3.8× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.8× Medicare

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

Back-Door Captive & ER1.00× Divergence

2.8× Medicare

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

Quantile Tail Spread+1% Upper Tail

Q25 2.04× · Q50 2.09× · Q75 2.12×

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

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

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

0.6× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Lake View Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 131 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$67,192	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$40,568	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$40,404	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$36,670	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,567	$8,223	1.6×
Total knee replacement CPT Code: `27447`	$10,823	$10,823	$13,523	0.8×
Total hip replacement CPT Code: `27130`	$10,561	$10,561	$13,413	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,423	$8,423	$6,109	1.4×
C-section delivery (full package) CPT Code: `59510`	$7,335	$7,335	$2,975	2.5×
Inguinal hernia repair CPT Code: `49505`	$7,034	$7,034	$3,629	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$6,192	$6,192	$2,680	2.3×
Cataract surgery with lens implant CPT Code: `66984`	$5,854	$5,854	$2,540	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,820	$5,820	$511	11.4×
Bunion correction surgery CPT Code: `28296`	$4,745	$4,745	$3,446	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,513	$4,513	$3,372	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,316	$4,316	$1,021	4.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,062	$4,062	$448	9.1×
MRI, lower back (no contrast) CPT Code: `72148`	$3,733	$3,733	$338	11.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,751	$3,751	$343	10.9×
Breast lump removal CPT Code: `19120`	$3,407	$3,407	$3,875	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$3,360	$3,360	$369	9.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,180	$3,180	$303	10.5×
Colonoscopy with biopsy CPT Code: `45380`	$2,690	$2,690	$1,256	2.1×
Trauma team activation HCPCS Code: `G0390`	$2,624	$2,624	$1,453	1.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,350	$2,350	$168	14.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,360	$2,360	$981	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,328	$2,328	$258	9.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,237	$2,237	$583	3.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,983	$1,983	$169	11.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,002	$2,002	$987	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,954	$1,954	$242	8.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,817	$1,817	$167	10.9×
CT scan, sinuses CPT Code: `70486`	$1,763	$1,763	$166	10.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,631	$1,631	$160	10.2×
CT scan, pelvis CPT Code: `72192`	$1,617	$1,617	$163	9.9×
Rabies immune globulin HCPCS Code: `90375`	$1,110	$1,110	$322	3.4×
Injection procedure for pain management HCPCS Code: `G0260`	$985	$985	$855	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$747	$747	$134	5.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$748	$748	$272	2.8×
Blood transfusion CPT Code: `36430`	$739	$739	$498	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$689	$689	$148	4.7×
Ultrasound, pelvis CPT Code: `76856`	$532	$532	$130	4.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$511	$511	$126	4.1×
Screening mammogram (both breasts) CPT Code: `77067`	$435	$435	$123	3.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$447	$447	$132	3.4×
Neurobehavioral status check CPT Code: `96116`	$451	$451	$231	2.0×
Behavioral health day treatment HCPCS Code: `H0010`	$391	$391	$343	1.1×
X-ray, lower back CPT Code: `72110`	$360	$360	$112	3.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$335	$335	$151	2.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$352	$352	$185	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$321	$321	$86	3.7×
X-ray, hip CPT Code: `73502`	$308	$308	$93	3.3×
Care planning with family CPT Code: `90887`	$303	$303	$107	2.8×
New patient office visit (30-44 min) CPT Code: `99203`	$293	$293	$110	2.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$306	$306	$123	2.5×
Family therapy session CPT Code: `90847`	$314	$314	$173	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$328	$328	$181	1.8×
X-ray, shoulder CPT Code: `73030`	$297	$297	$92	3.2×
X-ray, chest (two views) CPT Code: `71046`	$272	$272	$93	2.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$247	$247	$93	2.7×
X-ray, hand CPT Code: `73130`	$245	$245	$93	2.6×
X-ray, pelvis CPT Code: `72170`	$257	$257	$110	2.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$195	$195	$25	7.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$210	$210	$87	2.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$219	$219	$166	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$183	$183	$35	5.2×
X-ray, chest (single view) CPT Code: `71045`	$205	$205	$92	2.2×
X-ray, ankle CPT Code: `73610`	$207	$207	$93	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$176	$176	$38	4.6×
X-ray, foot CPT Code: `73630`	$200	$200	$92	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$165	$165	$64	2.6×
Physical therapy (gait training) CPT Code: `97116`	$123	$123	$33	3.7×
Physical therapy (manual therapy) CPT Code: `97140`	$123	$123	$34	3.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$123	$123	$35	3.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$123	$38	3.2×
Occupational therapy (self-care training) CPT Code: `97535`	$123	$123	$38	3.2×
Orthotic fitting and training CPT Code: `97760`	$137	$137	$51	2.7×
Psychological testing evaluation CPT Code: `96136`	$146	$146	$128	1.1×
Mental health services (assessment) HCPCS Code: `H0031`	$147	$147	$140	1.1×
Behavioral health assessment HCPCS Code: `H0001`	$141	$141	$157	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$95	$95	$14	6.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$99	$99	$33	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$107	$107	$40	2.7×
Prosthetic fitting and training CPT Code: `97761`	$117	$117	$45	2.6×
Speech therapy (group session) CPT Code: `92508`	$86	$86	$27	3.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$97	$97	$201	0.5×
Psychological testing by technician CPT Code: `96138`	$110	$110	$395	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$83	$83	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$744	$744	$347	2.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$346	$346	$111	3.1×
Drug screening test HCPCS Code: `G0480`	$289	$289	$116	2.5×
Blood test, vitamin D CPT Code: `82306`	$222	$222	$31	7.2×
Pneumococcal vaccine HCPCS Code: `90732`	$231	$231	$140	1.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$207	$207	$203	1.0×
Blood test, liver function panel CPT Code: `80076`	$129	$129	$9	14.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$144	$144	$11	13.1×
Hepatitis C antibody test CPT Code: `86803`	$146	$146	$15	9.7×
Blood test, basic metabolic panel CPT Code: `80048`	$117	$117	$9	13.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$136	$136	$14	9.7×
Blood test, vitamin B12 CPT Code: `82607`	$140	$140	$16	8.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$150	$150	$19	7.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$142	$142	$18	7.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$146	$146	$20	7.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$160	$160	$27	5.9×
Hepatitis B vaccine HCPCS Code: `90744`	$127	$127	$37	3.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$101	$101	$8	12.6×
Culture, bacterial CPT Code: `87070`	$98	$98	$9	10.9×
Culture, blood CPT Code: `87040`	$110	$110	$11	10.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$114	$114	$14	8.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$118	$118	$39	3.0×
Blood antibody screen CPT Code: `86850`	$119	$119	$46	2.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$55	$4	13.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$62	$5	12.4×
Blood test, lipase CPT Code: `83690`	$86	$86	$7	12.3×
Blood test, amylase CPT Code: `82150`	$78	$78	$7	11.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$51	$51	$3	17.0×
Blood test, calcium CPT Code: `82310`	$67	$67	$5	13.4×
Blood test, potassium CPT Code: `84132`	$55	$55	$5	11.0×
Blood test, magnesium CPT Code: `83735`	$67	$67	$7	9.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$87	$87	$10	8.7×
Blood test, hemoglobin CPT Code: `85018`	$45	$45	$3	15.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$59	$4	14.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$82	$82	$6	13.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$104	$104	$56	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$58	$58	$5	11.6×
Blood test, sodium CPT Code: `84295`	$54	$54	$5	10.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$69	$69	$25	2.8×
Colorectal cancer screening HCPCS Code: `G0010`	$61	$61	$49	1.2×
Group therapy session CPT Code: `90853`	$74	$74	$100	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$35	$35	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$35	$49	0.7×

Showing top 25 high-impact procedures of 131 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.1%

Audit a Bill or Quote at Lake View Memorial Hospital (Zero PHI Required)

CMS CCN: 241308

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $67,192

1. Amount on Your Bill or Quote ($) Pre-filled with Lake View 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 501(r) AGB Cap: $37,332 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $37,332

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.1% of gross = $37,332).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lake View 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 +$130,486 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($161,261) is $130,486 above the denoised Fair BaseRate ($30,775) and 6.9× the $23,504 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: 410786046

Filing Period: 196006

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: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (23.1% 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

Safety Composite73/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)85%

Median ER Wait133 min

Left ER Before Seen0%

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lake View Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-12·administrative_or_closure
Closure Notice
Recorded
2025-09-08·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (48 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lake View Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 60/100 CMS composite

Median Household Income$75,621U.S. Census ACS

Local Uninsured Share4.9%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 79/100 · Corroborated CMS CCN 241308 EIN 410786046

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (410786046_1023067642_aspirus-lake-view-hospital_standardcharges.json) Verify on CMS Medicare.gov (CCN 241308) ↗ Verify IRS Form 990 (EIN 410786046) ↗ CMS HCRIS Cost Reports ↗

Published MRF File410786046_1023067642_aspirus-lake-view-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 146.12 MB

Validated Rate Rows7 (CMS v3.0.0)

File Integrity DigestVerified · CCN 241308

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.

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