Presentation Medical Center
213 Second Ave Ne, Rolla, ND 58367 · 99 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.
Aligned Regional Benchmark Peer
Presentation Medical Center prices shoppable and inpatient services (4.6× to 6.7× Medicare, divergence 1.46×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
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 61% of shoppable procedures (43/100 Cash Honesty)
- CMS clinical safety score (69/100 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 (80.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Captive ER (6.7×) & laboratory (8.6×) services average 1.46× higher multiples than routine shoppable care (4.6×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 5.8× Medicare (33¢ 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 Presentation Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Bunion correction surgery CPT Code: 28296 | $5,897 | 1.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,406 | 6.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,552 | 2.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,515 | 5.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,200 | 6.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,969 | 5.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,526 | 4.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,468 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,459 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,468 | 1.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,263 | 7.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,248 | 4.8× |
| Breast lump removal CPT Code: 19120 | $1,224 | 0.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,157 | 3.8× |
| Trauma team activation HCPCS Code: G0390 | $1,117 | 0.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,029 | 6.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,021 | 6.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,026 | 4.2× |
| CT scan, pelvis CPT Code: 72192 | $960 | 5.9× |
| CT scan, sinuses CPT Code: 70486 | $950 | 5.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $910 | 3.3× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $694 | 4.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $717 | 4.5× |
| Blood transfusion CPT Code: 36430 | $680 | 1.4× |
| Screening mammogram (both breasts) CPT Code: 77067 | $573 | 4.7× |
Audit a Bill or Quote at Presentation Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,255
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (80.2% of gross = $5,255).
Self-Pay Cash Rate ($5,897) Beats Your Bill
Presentation Medical Center's published 45 CFR § 180 self-pay cash rate is $5,897 (vs. $5,897 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,446 Fair BaseRate ($3,343 Medicare)
Your bill ($6,552) is $3,106 above the denoised Fair BaseRate ($3,446) and 2.0× the $3,343 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (80.2% 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 Presentation 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.