Olivia Hospital & Clinic
100 Healthy Way, Olivia, MN 56277 · 116 Priced Procedures · 78% Patient Recommendation
Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.03× fair market pricing.
Aligned Regional Benchmark Peer
Olivia Hospital & Clinic prices shoppable and inpatient services (2.3× to 1.1× Medicare, divergence 0.48×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 78% patient recommendation (65/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.03× 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 0.91× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.30×) jump +43% above the median procedure ratio (Q50 0.91×)
- Unnegotiated chargemaster list prices average 9.1× Medicare (19¢ 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 Olivia Hospital & Clinic
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $47,255 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,282 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,092 | unverified |
| Total knee replacement CPT Code: 27447 | $3,750 | 0.3× |
| Total hip replacement CPT Code: 27130 | $3,701 | 0.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,534 | 0.6× |
| C-section delivery (full package) CPT Code: 59510 | $2,850 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,669 | 2.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,594 | 1.0× |
| Rabies immune globulin HCPCS Code: 90375 | $2,312 | 7.2× |
| Trauma team activation HCPCS Code: G0390 | $1,759 | 1.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,700 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,216 | 2.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,216 | 2.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,156 | 3.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,156 | 3.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,156 | 3.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,156 | 3.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $941 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $893 | 3.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $893 | 3.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $905 | 3.3× |
| Blood transfusion CPT Code: 36430 | $831 | 1.7× |
| Bunion correction surgery CPT Code: 28296 | $839 | 0.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $789 | 0.8× |
Audit a Bill or Quote at Olivia Hospital & Clinic (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $20,256
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.5% of gross = $20,256).
Self-Pay Cash Rate ($31,860) Beats Your Bill
Olivia Hospital & Clinic's published 45 CFR § 180 self-pay cash rate is $31,860 (vs. $47,255 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($50,016) is $30,584 above the denoised Fair BaseRate ($19,432) and 3.6× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (40.5% 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 (46 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 Olivia Hospital & Clinic.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.