How many shoppable procedure prices are published for Northeast Regional Medical Center?

Northeast Regional Medical Center in Kirksville, MO currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northeast Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northeast Regional Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Northeast Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Northeast Regional Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 41 Beds · rural Updated: 2026-04-01

Northeast Regional Medical Center

315 S Osteopathy, Kirksville, MO 63501 · 100 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.25×vs. Fair Market Price

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

91/100 · Verified

91/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness95

Price Logic96

Peer Alignment73

Clean Billing90

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.25× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Northeast Regional Medical Center commands a 1.25× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#56 of 79 in MO · 69th State Percentile#2,135 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 55% patient recommendation (63/100 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)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 1.25× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.25× 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.
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.87× Divergence

1.3× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 1.19× · Q50 1.25× · Q75 1.30×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.6× MedicareGood

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

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 63/100Elevated

Procedure Prices at Northeast Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 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`	—	$24,466	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,295	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,205	$17,936	1.2×
Total knee replacement CPT Code: `27447`	$33,575	$15,712	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,819	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$16,562	$8,107	$6,109	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$12,524	$4,387	$3,372	1.3×
Inguinal hernia repair CPT Code: `49505`	$23,255	$4,385	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	$6,040	$4,007	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$3,735	$3,047	$2,540	1.2×
Trauma team activation HCPCS Code: `G0390`	$2,030	$2,030	$1,453	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$7,140	$1,985	$1,256	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,781	$1,539	$981	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$5,775	$1,535	$987	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	$878	$1,169	$855	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,547	$1,152	$1,021	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,214	$733	$583	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,224	$692	$448	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,221	$692	$511	1.4×
Blood transfusion CPT Code: `36430`	$2,140	$592	$498	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,739	$474	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,739	$474	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,739	$474	$369	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,821	$474	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,767	$348	$258	1.3×
Rabies immune globulin HCPCS Code: `90375`	$841	$350	$322	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$3,022	$348	$242	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,422	$320	$272	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$193	$294	$201	1.5×
Ultrasound, pelvis CPT Code: `76856`	$1,320	$207	$130	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,672	$207	$134	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,262	$207	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$2,821	$207	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$2,015	$207	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$3,022	$207	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,022	$207	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,022	$207	$169	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$959	$207	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,043	$207	$126	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$523	$172	$148	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$406	$172	$151	1.1×
X-ray, pelvis CPT Code: `72170`	$499	$140	$110	1.3×
X-ray, chest (single view) CPT Code: `71045`	$250	$117	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$884	$117	$92	1.3×
X-ray, foot CPT Code: `73630`	$595	$117	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$375	$117	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$616	$117	$93	1.3×
X-ray, hand CPT Code: `73130`	$534	$117	$93	1.3×
X-ray, hip CPT Code: `73502`	$402	$117	$93	1.3×
X-ray, ankle CPT Code: `73610`	$735	$117	$93	1.3×
X-ray, lower back CPT Code: `72110`	$874	$140	$112	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$237	$109	$86	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$166	$93	$86	1.1×
Typhoid vaccine HCPCS Code: `90675`	$763	$400	$347	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$229	$229	$56	4.1×
Pneumococcal vaccine HCPCS Code: `90732`	$387	$245	$140	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$197	$197	$111	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$155	$155	$39	4.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$39	$62	$35	1.8×
Blood antibody screen CPT Code: `86850`	$130	$70	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$31	$63	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$134	$63	$49	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$111	$79	$64	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$449	$79	$123	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$176	$50	$40	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$116	$74	$37	unverified
Physical therapy (gait training) CPT Code: `97116`	$176	$42	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$197	$46	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$176	$46	$38	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$237	$24	$20	1.2×
Blood test, vitamin D CPT Code: `82306`	$576	$37	$31	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$21	$49	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$197	$42	$35	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$62	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$154	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$192	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$93	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$83	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$114	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$166	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$182	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$271	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$175	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$237	$23	$19	1.2×
Blood test, calcium CPT Code: `82310`	$110	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$107	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$125	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$99	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$101	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$99	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$112	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$207	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$269	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$355	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$152	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$130	$8	$7	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$45	$28	$25	1.1×
Blood test, liver function panel CPT Code: `80076`	$184	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$51	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$5	$5	1.0×

Showing top 25 high-impact procedures of 100 total

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

Audit a Bill or Quote at Northeast Regional Medical Center (Zero PHI Required)

CMS CCN: 260022

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $24,466

1. Amount on Your Bill or Quote ($) Pre-filled with Northeast Regional Medical Center’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Northeast Regional 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.

Step 3 · Fair BaseRate Target +$39,631 Above Fair BaseRate

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

Your bill ($58,718) is $39,631 above the denoised Fair BaseRate ($19,087) and 4.2× 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)

EIN: 364395800

Public IRS & CMS ownership records classify Northeast Regional Medical Center 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 Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait147 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

CMS Price Transparency Administrative Enforcement Log

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

2025-04-01·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (317 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 Northeast Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Access

-46.2%

Immergrun

-45.1%

Aetna

+70.4%

Median Household Income$56,583U.S. Census ACS

Local Uninsured Share8.2%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 91/100 · Verified CMS CCN 260022 EIN 364395800

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 260022) ↗ Verify IRS Form 990 (EIN 364395800) ↗ CMS HCRIS Cost Reports ↗

Published MRF File364395800_northeast-regional-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 40.23 MB

Validated Rate Rows5,732 (CMS v3.0.0)

File Integrity Digest3bdf303cdf70a0e5d1bf…

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