How many shoppable procedure prices are published for Lakewood Health System?

Lakewood Health System in Staples, MN currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lakewood Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lakewood Health System's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-04-22

Lakewood Health System

49725 County Road 83, Staples, MN 56479 · 115 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.62×vs. Fair Market Price

Typical commercial prices here are 38% below the fair benchmark (0.62×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness66

Price Logic69

Peer Alignment55

Clean Billing78

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.62× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Lakewood Health System maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.43× Fair BaseRate) and emergency/ancillary services (0.5× Medicare, p75 1.04× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 76 in MN · 5th State Percentile#87 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 38% below peer Fair BaseRate (0.62×)
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.62× 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 0.43× Fair BaseRate (0.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.04×) jump +142% above the median procedure ratio (Q50 0.43×)
Unnegotiated chargemaster list prices average 5.5× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER0.63× Divergence

0.5× Medicare

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

Quantile Tail Spread+142% Upper Tail

Q25 0.32× · Q50 0.43× · Q75 1.04×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.7× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Lakewood Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 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`	$38,751	$7,914	$19,432	0.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,092	$7,669	$19,087	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,532	$3,078	$8,223	0.4×
C-section delivery (full package) CPT Code: `59510`	$3,112	$2,471	$2,975	0.8×
Total hip replacement CPT Code: `27130`	$2,380	$2,380	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,339	$2,339	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	$2,752	$2,258	$2,680	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,912	$1,912	$1,021	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,240	$1,579	$583	unverified
Blood transfusion CPT Code: `36430`	$1,521	$1,521	$498	3.1×
Injection procedure for pain management HCPCS Code: `G0260`	$1,188	$1,188	$855	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,060	$1,060	$6,109	0.2×
Trauma team activation HCPCS Code: `G0390`	$833	$833	$1,453	0.6×
Bunion correction surgery CPT Code: `28296`	$1,172	$675	$3,446	0.2×
Breast lump removal CPT Code: `19120`	$673	$673	$3,875	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$831	$530	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,479	$500	$3,629	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$355	$355	$272	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$240	$240	$185	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,084	$250	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,216	$271	$1,256	0.2×
X-ray, hand CPT Code: `73130`	$211	$211	$93	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	$215	$215	$86	unverified
X-ray, shoulder CPT Code: `73030`	$186	$186	$92	2.0×
X-ray, foot CPT Code: `73630`	$182	$182	$92	2.0×
X-ray, ankle CPT Code: `73610`	$174	$174	$93	1.9×
X-ray, lower back CPT Code: `72110`	$157	$157	$112	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$168	$168	$181	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$960	$164	$511	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$964	$189	$987	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$143	$175	$64	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$107	$147	$123	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$82	$116	$35	3.3×
X-ray, chest (two views) CPT Code: `71046`	$109	$109	$93	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$96	$123	$110	1.1×
Care planning with family CPT Code: `90887`	$117	$117	$107	1.1×
Family therapy session CPT Code: `90847`	$140	$140	$173	0.8×
Neurobehavioral status check CPT Code: `96116`	$144	$144	$231	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$107	$34	3.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$711	$125	$303	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$99	$99	$86	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$70	$99	$87	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$99	$99	$93	1.1×
X-ray, hip CPT Code: `73502`	$90	$90	$93	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$115	$115	$166	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$81	$81	$38	2.1×
X-ray, pelvis CPT Code: `72170`	$88	$88	$110	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$572	$91	$258	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$761	$107	$338	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$537	$81	$242	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$749	$106	$343	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,026	$131	$448	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,349	$98	$369	0.3×
Typhoid vaccine HCPCS Code: `90675`	$596	$492	$347	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$219	$267	$140	unverified
Culture, blood CPT Code: `87040`	$123	$123	$11	11.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$142	$142	$18	7.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$123	$123	$19	6.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$174	$145	$111	1.3×
Blood test, amylase CPT Code: `82150`	$78	$78	$7	11.1×
Blood test, liver function panel CPT Code: `80076`	$100	$100	$9	11.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$102	$102	$11	9.3×
Blood test, lipase CPT Code: `83690`	$73	$73	$7	10.4×
Culture, bacterial CPT Code: `87070`	$92	$92	$9	10.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$44	$44	$4	11.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$69	$69	$8	8.6×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$68	$9	7.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$74	$14	5.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	$68	$14	4.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$81	$81	$20	4.0×
Blood test, vitamin D CPT Code: `82306`	$89	$89	$31	2.9×
Blood antibody screen CPT Code: `86850`	$85	$85	$46	1.8×
Drug screening test HCPCS Code: `G0480`	$95	$95	$116	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$95	$62	$37	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	$58	$56	1.0×
X-ray, chest (single view) CPT Code: `71045`	$63	$63	$92	0.7×
Psychological testing evaluation CPT Code: `96136`	$71	$71	$128	0.6×
CT scan, pelvis CPT Code: `72192`	$453	$78	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$496	$77	$167	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$76	$76	$201	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$78	$40	unverified
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	10.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$40	$4	10.0×
Blood test, calcium CPT Code: `82310`	$47	$47	$5	9.4×
Blood test, sodium CPT Code: `84295`	$47	$47	$5	9.4×
Blood test, vitamin B12 CPT Code: `82607`	$70	$70	$16	4.4×
Blood test, potassium CPT Code: `84132`	$42	$42	$5	8.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
Blood test, magnesium CPT Code: `83735`	$48	$48	$7	6.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$53	$53	$10	5.3×
Hepatitis C antibody test CPT Code: `86803`	$51	$51	$15	3.4×
Physical therapy (gait training) CPT Code: `97116`	$54	$54	$33	1.6×
Orthotic fitting and training CPT Code: `97760`	$53	$53	$51	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$193	$54	$123	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$517	$72	$168	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$534	$72	$169	0.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	8.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$113	$63	$148	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$301	$53	$134	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$439	$61	$160	0.4×
CT scan, sinuses CPT Code: `70486`	$436	$61	$166	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$25	$5	5.0×
Occupational therapy (self-care training) CPT Code: `97535`	$47	$47	$38	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$100	$45	$39	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$17	$28	$25	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$51	$34	$33	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$63	$31	$35	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$14	$22	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$14	$22	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$14	$21	$48	0.4×
Ultrasound, pelvis CPT Code: `76856`	$249	$45	$130	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$17	$3	5.7×
Group therapy session CPT Code: `90853`	$33	$33	$100	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$213	$38	$126	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$145	$37	$132	0.3×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 46.6%

Audit a Bill or Quote at Lakewood Health System (Zero PHI Required)

CMS CCN: 241329

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $38,751

Insurer Median $7,914

1. Amount on Your Bill or Quote ($) Pre-filled with Lakewood Health System’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: $29,113 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $29,113

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.6% of gross = $29,113).

Step 2 · Cash vs. Insurance Arbitrage Save $23,751 Paying Cash

Self-Pay Cash Rate ($38,751) Beats Your Bill

Lakewood Health System's published 45 CFR § 180 self-pay cash rate is $38,751 (vs. $7,914 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$43,070 Above Fair BaseRate

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

Your bill ($62,502) is $43,070 above the denoised Fair BaseRate ($19,432) and 4.5× 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: 411842965

Filing Period: 199702

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 (46.6% 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 Composite74/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait127 min

Left ER Before Seen0%

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 (179 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 Lakewood Health System.

Price Index: 0.59× regional baseline

Quality: 71/100 CMS composite

Median Household Income$63,039U.S. Census ACS

Local Uninsured Share9.4%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 73/100 · Corroborated CMS CCN 241329 EIN 411842965

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 241329) ↗ Verify IRS Form 990 (EIN 411842965) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-22

Validated Rate Rows2,331 (CMS v3.0.0)

File Integrity DigestVerified · CCN 241329

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