Lifecare Medical Center
715 Delmore Drive, Roseau, MN 56751 · 118 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are 38% below the fair benchmark (0.62×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Lifecare Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.43× Fair BaseRate) and emergency/ancillary services (0.6× Medicare, p75 1.05× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
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 26% of shoppable procedures (45/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 69% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (48.1% AGB cap)
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 (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.05×) jump +144% above the median procedure ratio (Q50 0.43×)
- Unnegotiated chargemaster list prices average 5.7× Medicare (25¢ true HCRIS cost per $1 gross)
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 Lifecare Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $8,296 | 0.4× |
| C-section delivery (full package) CPT Code: 59510 | $7,069 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $6,364 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $4,386 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,924 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $3,330 | 0.4× |
| Trauma team activation HCPCS Code: G0390 | $2,993 | unverified |
| Bunion correction surgery CPT Code: 28296 | $1,725 | unverified |
| Breast lump removal CPT Code: 19120 | $1,340 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,117 | 1.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,032 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $920 | 0.2× |
| Blood transfusion CPT Code: 36430 | $895 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $795 | 2.5× |
| Mental health services (assessment) HCPCS Code: H0031 | $808 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $686 | 0.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $601 | 2.2× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $326 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $278 | 3.2× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $294 | 1.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $317 | 0.3× |
| Group therapy session CPT Code: 90853 | $317 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $289 | 0.3× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $277 | unverified |
| Family therapy session CPT Code: 90847 | $258 | unverified |
Audit a Bill or Quote at Lifecare Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $12,755
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.1% of gross = $12,755).
Self-Pay Cash Rate ($23,316) Beats Your Bill
Lifecare Medical Center's published 45 CFR § 180 self-pay cash rate is $23,316 (vs. $8,296 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($26,496) is $7,409 above the denoised Fair BaseRate ($19,087) and 1.9× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (48.1% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lifecare Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-02-23·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (82 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 Lifecare Medical Center.
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.