How many shoppable procedure prices are published for Perham Health?

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

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

Across scored shoppable procedures, Perham Health's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is Perham Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Perham Health an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-02-01

Perham Health

1000 Coney Street West, Perham, MN 56573 · 115 Priced Procedures · 91% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.81×vs. Fair Market Price

Typical commercial prices here are +81% above the fair benchmark (1.81×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness51

Price Logic83

Peer Alignment57

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 1.81× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +229% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Perham Health prices routine shoppable procedures at 3.2× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +229% to 3.42× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#64 of 76 in MN · 82nd State Percentile#2,965 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.75× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 31% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (83/100 safety score) with 91% patient recommendation
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 (1.81× 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 1.04× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.42×) jump +229% above the median procedure ratio (Q50 1.04×)
Consolidated metro market (HHI 3,645) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER0.28× Divergence

0.9× Medicare

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

Quantile Tail Spread+229% Upper Tail

Q25 0.75× · Q50 1.04× · Q75 3.42×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

7.3× MedicareWatchout

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

1.5× MedicareGood

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

31% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 83/100Good

Procedure Prices at Perham Health

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
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,136	$12,719	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,014	$5,105	$8,223	0.6×
Trauma team activation HCPCS Code: `G0390`	$3,812	$3,812	$1,453	2.6×
Total hip replacement CPT Code: `27130`	$3,078	$3,078	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,353	$2,353	$13,523	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,037	$2,037	$1,021	2.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,916	$1,916	$6,109	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,867	$1,867	$3,372	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,600	$1,216	$448	2.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,776	$1,216	$511	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,275	$1,156	$303	3.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,123	$1,156	$338	3.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,123	$1,156	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,123	$1,156	$369	unverified
Blood transfusion CPT Code: `36430`	$1,105	$1,105	$498	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,268	$941	$160	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,658	$893	$258	3.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,528	$893	$242	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$892	$892	$583	unverified
CT scan, pelvis CPT Code: `72192`	$1,268	$705	$163	4.3×
CT scan, sinuses CPT Code: `70486`	$1,268	$705	$166	4.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,463	$705	$167	4.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,918	$705	$168	4.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,918	$705	$169	4.2×
Breast lump removal CPT Code: `19120`	$617	$617	$3,875	0.2×
Ultrasound, pelvis CPT Code: `76856`	$579	$579	$130	4.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$579	$579	$134	4.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$535	$535	$132	4.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$500	$500	$126	4.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$494	$494	$272	1.8×
Inguinal hernia repair CPT Code: `49505`	$1,100	$465	$3,629	0.1×
X-ray, hip CPT Code: `73502`	$317	$317	$93	3.4×
X-ray, lower back CPT Code: `72110`	$331	$331	$112	3.0×
Screening mammogram (both breasts) CPT Code: `77067`	$261	$330	$123	2.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$293	$293	$148	2.0×
Rabies immune globulin HCPCS Code: `90375`	$309	$309	$322	1.0×
Speech therapy (group session) CPT Code: `92508`	$211	$211	$27	7.8×
Speech therapy (language evaluation) CPT Code: `92507`	$233	$233	$86	2.7×
X-ray, foot CPT Code: `73630`	$246	$246	$92	2.7×
X-ray, shoulder CPT Code: `73030`	$235	$235	$92	2.6×
X-ray, chest (two views) CPT Code: `71046`	$218	$237	$93	2.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$228	$228	$93	2.5×
C-section delivery (full package) CPT Code: `59510`	$251	$251	$2,975	0.1×
X-ray, hand CPT Code: `73130`	$201	$201	$93	2.2×
X-ray, ankle CPT Code: `73610`	$196	$196	$93	2.1×
X-ray, chest (single view) CPT Code: `71045`	$184	$184	$92	2.0×
X-ray, pelvis CPT Code: `72170`	$184	$184	$110	1.7×
Vaginal delivery (full package) CPT Code: `59400`	$208	$208	$2,680	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$857	$180	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,020	$195	$1,256	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$175	$155	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$198	$158	$185	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$105	$127	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$109	$121	$40	3.0×
Family therapy session CPT Code: `90847`	$242	$138	$173	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$930	$136	$987	0.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$84	$84	$25	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$109	$109	$38	2.9×
Physical therapy (gait training) CPT Code: `97116`	$85	$85	$33	2.6×
Orthotic fitting and training CPT Code: `97760`	$107	$107	$51	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$108	$108	$86	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$104	$95	$123	0.8×
Care planning with family CPT Code: `90887`	$203	$81	$107	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$114	$82	$110	0.7×
Psychological testing evaluation CPT Code: `96136`	$91	$91	$128	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$112	$105	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$95	$95	$201	0.5×
Psychological testing by technician CPT Code: `96138`	$86	$86	$395	0.2×
Typhoid vaccine HCPCS Code: `90675`	$341	$341	$347	1.0×
Blood test, liver function panel CPT Code: `80076`	$102	$102	$9	11.3×
Blood test, basic metabolic panel CPT Code: `80048`	$101	$101	$9	11.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$122	$122	$11	11.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$137	$137	$20	6.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$148	$146	$203	0.7×
Culture, blood CPT Code: `87040`	$109	$109	$11	9.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$105	$105	$19	5.5×
Pneumococcal vaccine HCPCS Code: `90732`	$127	$127	$140	0.9×
Blood test, amylase CPT Code: `82150`	$78	$78	$7	11.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$95	$95	$10	9.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$101	$101	$14	7.2×
Blood test, vitamin D CPT Code: `82306`	$98	$98	$31	3.2×
Blood test, hemoglobin CPT Code: `85018`	$47	$47	$3	15.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$60	$60	$4	15.0×
Blood test, vitamin B12 CPT Code: `82607`	$63	$63	$16	3.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$37	$3	12.3×
Blood test, sodium CPT Code: `84295`	$61	$61	$5	12.2×
Blood test, calcium CPT Code: `82310`	$60	$60	$5	12.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$60	$60	$5	12.0×
Blood test, potassium CPT Code: `84132`	$60	$60	$5	12.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$71	$71	$6	11.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$41	$41	$4	10.3×
Blood test, magnesium CPT Code: `83735`	$66	$66	$7	9.4×
Blood test, lipase CPT Code: `83690`	$59	$59	$7	8.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$41	$5	8.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$50	$50	$8	6.3×
Hepatitis C antibody test CPT Code: `86803`	$63	$63	$15	4.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$75	$75	$18	4.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$57	$57	$14	4.1×
Physical therapy (manual therapy) CPT Code: `97140`	$76	$76	$34	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$78	$35	2.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$75	$75	$35	2.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$70	$38	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$62	$62	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$72	$72	$56	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$114	$85	$111	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$52	$52	$37	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$41	$30	$33	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$42	$42	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$42	$42	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$76	$63	$87	0.7×
Culture, bacterial CPT Code: `87070`	$103	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$29	$21	$25	0.8×
Blood antibody screen CPT Code: `86850`	$31	$31	$46	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$40	$40	$64	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$21	$21	$48	0.4×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 241373

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $13,136

Insurer Median $12,719

1. Amount on Your Bill or Quote ($) Pre-filled with Perham Health’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 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 $7,073 Paying Cash

Self-Pay Cash Rate ($13,136) Beats Your Bill

Perham Health's published 45 CFR § 180 self-pay cash rate is $13,136 (vs. $12,719 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,122 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($20,209) is $1,122 above the denoised Fair BaseRate ($19,087) and 1.4× the $14,117 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 Perham Health 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 Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend91%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait131 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

CMS Price Transparency Administrative Enforcement Log

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

2025-07-08·administrative_or_closure
Met Requirements
Recorded
2024-05-29·administrative_or_closure
Closure Notice
Recorded
2024-02-22·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (180 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 Perham Health.

Price Index: 0.71× regional baseline

Quality: 85/100 CMS composite

Median Household Income$70,912U.S. Census ACS

Local Uninsured Share5.6%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 74/100 · Corroborated CMS CCN 241373

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 241373) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-01

Validated Rate Rows4,733 (CMS v3.0.0)

File Integrity DigestVerified · CCN 241373

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