How many shoppable procedure prices are published for Altru Hospital?

Altru Hospital in Grand Forks, ND currently has 140 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Altru Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Altru Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Altru Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Government - Local 198 Beds · rural Updated: 2026-03-01

Altru Hospital

1200 S Columbia Rd, Grand Forks, ND 58201 · 140 Priced Procedures · 54% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.71×vs. Fair Market Price

Typical commercial prices here are 29% below the fair benchmark (0.71×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 36% of the Time

File Completeness85

Price Logic92

Peer Alignment66

Clean Billing92

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.71× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Altru Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.73× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.85× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 23 in ND · 8th State Percentile#141 of 3,385 in U.S. · 4th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 29% below peer Fair BaseRate (0.71×)
Self-pay cash beats commercial insurance on 36% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (58/100 safety score) with 54% 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 (0.71× 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.
Captive ER (1.0×) & laboratory (0.9×) services average 1.29× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.85×) jump +16% above the median procedure ratio (Q50 0.73×)
Consolidated metro market (HHI 8,471) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.29× Divergence

0.9× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.40× · Q50 0.73× · Q75 0.85×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.1× MedicareGood

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

36% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 58/100Elevated

Procedure Prices at Altru Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 140 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$40,587	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,406	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,235	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,150	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,795	$8,223	1.2×
Total hip replacement CPT Code: `27130`	$9,318	$3,644	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$7,338	$3,644	$13,523	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,259	$2,496	$6,109	0.4×
C-section delivery (full package) CPT Code: `59510`	$4,835	$2,037	$2,975	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,654	$1,809	$3,372	0.5×
Bunion correction surgery CPT Code: `28296`	$3,331	$1,809	$3,446	0.5×
Inguinal hernia repair CPT Code: `49505`	$3,393	$1,809	$3,629	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$2,772	$1,530	$2,540	0.6×
Breast lump removal CPT Code: `19120`	$2,202	$1,530	$3,875	0.4×
Trauma team activation HCPCS Code: `G0390`	$4,002	$1,447	$1,453	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$4,349	$1,351	$2,680	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$939	$1,216	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,103	$1,216	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$957	$1,216	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$673	$1,037	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$850	$477	$1,021	0.5×
Blood transfusion CPT Code: `36430`	$670	$365	$498	0.7×
Behavioral health residential care HCPCS Code: `H0011`	—	$308	$364	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$267	$267	$201	1.3×
Rabies immune globulin HCPCS Code: `90375`	$587	$280	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,812	$193	$448	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,814	$189	$511	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$413	$174	$583	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$199	$165	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$164	$137	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$138	$140	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$257	$125	$185	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$308	$92	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$210	$114	$110	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$166	$117	$181	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$431	$133	$272	0.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$131	$269	0.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$117	$257	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$439	$136	$123	unverified
Family therapy session CPT Code: `90847`	$186	$90	$173	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$178	$81	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	$152	$101	$231	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$916	$102	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,105	$118	$343	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,408	$104	$303	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,230	$115	$338	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$991	$125	$369	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,205	$88	$242	0.4×
Typhoid vaccine HCPCS Code: `90675`	$355	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$162	$183	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$134	$119	$140	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$212	$72	$86	0.8×
Drug screening test HCPCS Code: `G0480`	—	$92	$116	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$74	$95	$111	unverified
Orthotic fitting and training CPT Code: `97760`	$112	$51	$51	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$76	$58	$86	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$401	$72	$132	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$517	$67	$134	0.5×
Ultrasound, pelvis CPT Code: `76856`	$225	$63	$130	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$67	$140	0.5×
CT scan, sinuses CPT Code: `70486`	$1,072	$78	$166	0.5×
CT scan, pelvis CPT Code: `72192`	$677	$74	$163	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,501	$75	$169	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$724	$74	$167	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,310	$74	$168	0.4×
Psychological testing by technician CPT Code: `96138`	—	$51	$395	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$116	$18	$14	1.3×
Physical therapy (gait training) CPT Code: `97116`	$119	$32	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$93	$38	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$124	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$124	$35	$38	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$242	$53	$126	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,238	$60	$160	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$90	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$30	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$28	$30	$37	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$171	$20	$25	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$107	$16	$20	0.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$21	$27	0.8×
Blood test, vitamin D CPT Code: `82306`	$141	$24	$31	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$46	$39	$56	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$59	$23	$35	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$31	$49	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	—	$34	$65	0.5×
Care planning with family CPT Code: `90887`	$174	$43	$107	0.4×
X-ray, hip CPT Code: `73502`	$437	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$147	$42	$112	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$157	$33	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$113	$31	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$117	$30	$93	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$3	$3	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$93	$9	$11	0.8×
Blood test, calcium CPT Code: `82310`	$29	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$55	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$43	$4	$5	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$48	$11	$14	0.8×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$33	$88	0.4×
X-ray, hand CPT Code: `73130`	$94	$33	$93	0.4×
Behavioral health assessment HCPCS Code: `H0001`	—	$49	$157	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$5	$6	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$60	$8	$10	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$134	$15	$19	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$99	$11	$14	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$76	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$73	$7	$9	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	$97	$7	$9	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$28	$30	$39	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$56	$12	$16	0.8×
X-ray, ankle CPT Code: `73610`	$96	$32	$93	0.3×
X-ray, foot CPT Code: `73630`	$92	$31	$92	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$3	$4	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$88	$6	$8	0.8×
Hepatitis C antibody test CPT Code: `86803`	$67	$11	$15	0.7×
Culture, blood CPT Code: `87040`	$123	$8	$11	0.7×
Blood test, amylase CPT Code: `82150`	$73	$5	$7	0.7×
Blood test, lipase CPT Code: `83690`	$87	$5	$7	0.7×
Blood test, magnesium CPT Code: `83735`	$42	$5	$7	0.7×
X-ray, chest (single view) CPT Code: `71045`	$93	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$87	$29	$110	0.3×
Blood test, hemoglobin CPT Code: `85018`	$32	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$19	$49	0.4×
Behavioral health day program HCPCS Code: `H2012`	—	$33	$100	0.3×
Group therapy session CPT Code: `90853`	$333	$31	$100	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$33	$128	0.3×
Speech therapy (group session) CPT Code: `92508`	$85	$35	$27	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$84	$37	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$121	$45	$45	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$3	$5	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$31	$19	$48	0.4×
Review of medical records for care CPT Code: `90889`	$98	$23	$114	0.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	$49	$43	$33	unverified
Behavioral health outpatient services HCPCS Code: `H2015`	—	$14	$16	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$9	$34	0.3×
Blood antibody screen CPT Code: `86850`	$74	$8	$46	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$148	$9	$64	0.1×
Community mental health services HCPCS Code: `H0038`	—	$17	$16	unverified

Showing top 25 high-impact procedures of 140 total

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

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

CMS CCN: 350019

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $40,587

1. Amount on Your Bill or Quote ($) Pre-filled with Altru Hospital’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 Altru Hospital'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 +$66,634 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($97,409) is $66,634 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 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 Altru 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 Overall2/5 Stars (2/5)

Safety Composite58/100

Would Recommend54%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait167 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2026-04-08·warning_notice
Warning Notice
Recorded
2025-08-12·administrative_or_closure
Met Requirements
Recorded
2024-02-07·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (857 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.55× regional baseline

Quality: 49/100 CMS composite

Median Household Income$68,450U.S. Census ACS

Local Uninsured Share4.9%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 87/100 · Verified CMS CCN 350019

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 350019) ↗ CMS HCRIS Cost Reports ↗

Published MRF File450310462altru-hospitalstandardcharges.csv

Publication / Vintage2026-03-01 · 41.22 MB

Validated Rate Rows894 (CMS v3.0.0)

File Integrity Digest1f7c9e643661c56db20c…

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