Trinity Kenmare Community Hospital
Po Box 697, Kenmare, ND 58746 · 106 Priced Procedures
Typical commercial prices here are 44% below the fair benchmark (0.56×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Trinity Kenmare Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.53× Fair BaseRate) and emergency/ancillary services (0.6× Medicare, p75 0.72× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 44% below peer Fair BaseRate (0.56×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (82/100 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 (19.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.56× 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.
- Commercial insurance median sits at 0.53× Fair BaseRate (0.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 0.72×) jump +36% above the median procedure ratio (Q50 0.53×)
- Consolidated metro market (HHI 9,994) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Trinity Kenmare Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $4,000 | 2.8× |
| Breast lump removal CPT Code: 19120 | $3,936 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,222 | 6.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,899 | 7.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,662 | 5.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,440 | 7.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,291 | 1.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,240 | 2.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,604 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,501 | 0.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,472 | 5.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,376 | 1.4× |
| CT scan, pelvis CPT Code: 72192 | $1,346 | 8.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,301 | 7.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,265 | 7.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,280 | 5.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,065 | 3.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $982 | 3.6× |
| Injection procedure for pain management HCPCS Code: G0260 | $962 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $925 | 1.6× |
| Blood transfusion CPT Code: 36430 | $579 | 1.2× |
| Psychological testing by technician CPT Code: 96138 | $538 | 1.4× |
| Rabies immune globulin HCPCS Code: 90375 | $478 | 1.5× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $416 | 2.8× |
| Screening mammogram (both breasts) CPT Code: 77067 | $344 | 2.8× |
Audit a Bill or Quote at Trinity Kenmare Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $954
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.1% of gross = $954).
Self-Pay Cash Rate ($4,000) Beats Your Bill
Trinity Kenmare Community Hospital's published 45 CFR § 180 self-pay cash rate is $4,000 (vs. $4,000 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($5,000) is $3,547 above the denoised Fair BaseRate ($1,453) and 3.7× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (19.1% 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 Trinity Kenmare Community 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.