Lisbon Area Health Services
905 Main St, Lisbon, ND 58054 · 68 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Lisbon Area Health Services concentrates commercial margin in outpatient surgical suites (10.1× Medicare) and specialty drug infusions (2.9× Medicare) relative to routine diagnostics (9.5×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 10.1× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (8.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 11.5× Medicare (14¢ 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 Lisbon Area Health Services
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $4,802 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,725 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,601 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,461 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,006 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,880 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,818 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,580 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,548 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,534 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,418 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,301 | 4.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,277 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,170 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,137 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $946 | unverified |
| Blood transfusion CPT Code: 36430 | $760 | 1.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $689 | 2.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $680 | 1.2× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $662 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $586 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $521 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $452 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $422 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $339 | 2.7× |
Audit a Bill or Quote at Lisbon Area Health Services (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $899
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.5% of gross = $899).
Self-Pay Cash Rate ($4,802) Beats Your Bill
Lisbon Area Health Services's published 45 CFR § 180 self-pay cash rate is $4,802 (vs. $4,802 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($8,574) is $8,252 above the denoised Fair BaseRate ($322) and 31.2× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (10.5% 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
Source: CMS Hospital Care Compare. 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 Lisbon Area Health Services.
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.