Garrison Memorial Hospital
407 3Rd Ave Se, Garrison, ND 58540 · 60 Priced Procedures · 87% Patient Recommendation
Typical commercial prices here are +125% above the fair benchmark (2.25×) 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
Garrison Memorial Hospital prices routine shoppable procedures at 3.6× Medicare (median 1.98× Fair BaseRate) while upper-quartile commercial rates jump +68% to 3.33× 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 1.00× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 94% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (86/100 safety score) with 87% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (82.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 1.98× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.33×) jump +68% above the median procedure ratio (Q50 1.98×)
- Unnegotiated chargemaster list prices average 4.9× Medicare (35¢ 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 Garrison Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 60 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $17,556 | 1.3× |
| Total knee replacement CPT Code: 27447 | $17,556 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,356 | 4.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,084 | 5.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,006 | 4.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,842 | 5.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,437 | 4.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,187 | 3.9× |
| Trauma team activation HCPCS Code: G0390 | $1,153 | 0.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,076 | 6.4× |
| CT scan, sinuses CPT Code: 70486 | $995 | 6.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,005 | 6.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $981 | 5.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $780 | 4.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $768 | 2.8× |
| CT scan, pelvis CPT Code: 72192 | $696 | 4.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $583 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $470 | 3.5× |
| Blood transfusion CPT Code: 36430 | $480 | 1.0× |
| Screening mammogram (both breasts) CPT Code: 77067 | $391 | 3.2× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $414 | 3.1× |
| Ultrasound, pelvis CPT Code: 76856 | $394 | 3.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $415 | 2.8× |
| Rabies immune globulin HCPCS Code: 90375 | $413 | 1.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $276 | 2.2× |
Audit a Bill or Quote at Garrison Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $34,879
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (82.8% of gross = $34,879).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Garrison Memorial Hospital'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 ($42,134) is $28,721 above the denoised Fair BaseRate ($13,413) and 3.2× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (82.8% 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 Garrison Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-21·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (30 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 Garrison Memorial Hospital.
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.