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Hospital Profile Acute Care Hospital Government - Local 37 Beds · urban Updated: 4/16/2026

Northfield Hospital

2000 North Avenue, Northfield, MN 55057 · 89 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 4 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
2.18×vs. Fair Market Price
Position vs. 1.00× Fair Price+118% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +118% above the fair benchmark (2.18×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).78/100 · Corroborated
78/100Self-Pay Cash Beats Insurance 72% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic81Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment84Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing64Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score74/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait144 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 2.18× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +32% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Northfield Hospital prices routine shoppable procedures at 3.3× Medicare (median 2.30× Fair BaseRate) while upper-quartile commercial rates jump +32% to 3.04× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#71 of 76 in MN · 92nd State Percentile#3,161 of 3,385 in U.S. · 93rd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
  • 4-Star CMS clinical rating with 81% patient recommendation (74/100 safety score)
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (2.18× 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 2.30× Fair BaseRate (3.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 3.04×) jump +32% above the median procedure ratio (Q50 2.30×)
  • Unnegotiated chargemaster list prices average 12.2× Medicare (18¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
3.3× Medicare

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

Back-Door Captive & ER0.39× Divergence
1.3× Medicare

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

Quantile Tail Spread+32% Upper Tail
Q25 1.16× · Q50 2.30× · Q75 3.04×

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
3.3× MedicareElevated
Outpatient Surgery & ORBack-Door Captive
1.0× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.4× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
0.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
6.3× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.9× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
72% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 74/100Fair

Procedure Prices at Northfield Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Colonoscopy with biopsy
CPT Code: 45380
$3,254 unverified
Sleep study (overnight, in lab)
CPT Code: 95810
$3,106 unverified
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,674 unverified
Trauma team activation
HCPCS Code: G0390
$1,619 1.1×
MRI, brain (with and without contrast)
CPT Code: 70553
$1,258 2.5×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$1,258 unverified
Blood transfusion
CPT Code: 36430
$1,119 unverified
Ultrasound, leg veins (duplex)
CPT Code: 93970
$933 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$851 2.8×
MRI, lower back (no contrast)
CPT Code: 72148
$851 2.5×
MRI, brain (no contrast)
CPT Code: 70551
$851 2.5×
MRI, knee or other leg joint
CPT Code: 73721
$851 2.3×
Colonoscopy (diagnostic)
CPT Code: 45378
$784 unverified
Upper endoscopy with biopsy
CPT Code: 43239
$727 unverified
CT scan, head (with contrast)
CPT Code: 70460
$627 2.6×
CT scan, head (with and without contrast)
CPT Code: 70470
$627 2.4×
Diagnostic mammogram (both breasts)
CPT Code: 77066
$601 unverified
X-ray, lower back
CPT Code: 72110
$374 3.3×
Ultrasound, pelvis
CPT Code: 76856
$374 2.9×
Ultrasound, thyroid and neck
CPT Code: 76536
$374 2.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
$374 2.8×
CT scan, head (no contrast)
CPT Code: 70450
$374 2.3×
CT scan, pelvis
CPT Code: 72192
$374 2.3×
CT scan, sinuses
CPT Code: 70486
$374 2.3×
CT scan, chest (no contrast)
CPT Code: 71250
$374 2.2×
Showing top 25 high-impact procedures of 89 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Northfield Hospital (Zero PHI Required)

CMS CCN: 240014
CPT 45380
Fair BaseRate™ $1,256
Medicare Rate $1,223
Self-Pay Cash $1,361
Insurer Median $3,254
Pre-filled with Northfield Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $1,893 Paying Cash

Self-Pay Cash Rate ($1,361) Beats Your Bill

Northfield Hospital's published 45 CFR § 180 self-pay cash rate is $1,361 (vs. $3,254 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,998 Above Fair BaseRate

Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)

Your bill ($3,254) is $1,998 above the denoised Fair BaseRate ($1,256) and 2.7× the $1,223 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Northfield Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Recommend81%
Rated 9 or 10 (HCAHPS)81%
Median ER Wait144 min
Left ER Before Seen1%
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 (353 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.74× regional baseline
Quality: 71/100 CMS composite
Median Household Income$105,212U.S. Census ACS
Local Uninsured Share3.8%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 78/100 · Corroborated CMS CCN 240014

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage4/16/2026
Validated Rate Rows472 (CMS v3.0.0)
File Integrity DigestVerified · CCN 240014

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.