Sanford Luverne Medical Center
1600 N Kniss Avenue P O Box 1019, Luverne, MN 56156 · 108 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here are +55% above the fair benchmark (1.55×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Sanford Luverne Medical Center prices routine shoppable procedures at 2.1× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +143% to 2.53× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 56% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 75% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (63.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.55× 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 (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.53×) jump +143% above the median procedure ratio (Q50 1.04×)
- Consolidated metro market (HHI 4,332) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Sanford Luverne Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $13,510 | 1.0× |
| Total knee replacement CPT Code: 27447 | $13,510 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,126 | 1.0× |
| Breast lump removal CPT Code: 19120 | $4,021 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,706 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,407 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,407 | 1.0× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,395 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,057 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,810 | 1.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,703 | 1.7× |
| Trauma team activation HCPCS Code: G0390 | $1,389 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,275 | 2.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,068 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $912 | 2.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $912 | 1.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $867 | 2.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $867 | 2.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $867 | 2.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $867 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $818 | 2.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $727 | 0.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $705 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $670 | 2.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $670 | 2.6× |
Audit a Bill or Quote at Sanford Luverne Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $20,434
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (63.0% of gross = $20,434).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Sanford Luverne Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($32,424) is $19,011 above the denoised Fair BaseRate ($13,413) and 2.5× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (63.0% 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 Sanford Luverne Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-09·administrative_or_closure
Met Requirements
Recorded - 2024-03-11·administrative_or_closure
Closure Notice
Recorded - 2023-12-01·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (80 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 Sanford Luverne 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.