How many shoppable procedure prices are published for Beatrice Community Hospital & Health Center, Inc?

Beatrice Community Hospital & Health Center, Inc in Beatrice, NE currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Beatrice Community Hospital & Health Center, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Beatrice Community Hospital & Health Center, Inc an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2025-11-07

Beatrice Community Hospital & Health Center, Inc

P O Box 278, 4800 Hospital Parkway, Beatrice, NE 68310 · 115 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 24% of the Time

File Completeness90

Price Logic79

Peer Alignment55

Clean Billing80

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Beatrice Community Hospital & Health Center, Inc concentrates commercial margin in outpatient surgical suites (6.9× Medicare) and specialty drug infusions (3.9× Medicare) relative to routine diagnostics (7.5×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in NEU.S. National Reference Pool

Advantage

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 24% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (93.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 6.9× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.7× 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×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

6.7× Medicare

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

Back-Door Captive & ER0.79× Divergence

5.3× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.7× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

6.9× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

7.5× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

6.3× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.4× MedicareWatchout

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

3.9× MedicareElevated

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

24% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Beatrice Community Hospital & Health Center, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$16,458	$16,458	$2,975	5.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,066	$12,066	$6,109	2.0×
Cataract surgery with lens implant CPT Code: `66984`	$10,045	$10,045	$2,540	4.0×
Vaginal delivery (full package) CPT Code: `59400`	$9,121	$9,121	$2,680	3.4×
Inguinal hernia repair CPT Code: `49505`	$6,844	$6,844	$3,629	1.9×
Breast lump removal CPT Code: `19120`	$5,534	$5,534	$3,875	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,900	$4,900	$448	10.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,388	$4,388	$1,021	4.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,200	$4,200	$303	13.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,900	$3,900	$511	7.6×
Upper endoscopy with biopsy CPT Code: `43239`	$3,859	$3,859	$987	3.9×
MRI, brain (no contrast) CPT Code: `70551`	$3,370	$3,370	$343	9.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,200	$3,200	$338	9.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,933	$2,933	$258	11.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,823	$2,823	$369	7.7×
CT scan, pelvis CPT Code: `72192`	$2,725	$2,725	$163	16.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,670	$2,670	$169	15.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,638	$2,638	$167	15.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,635	$2,635	$168	15.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,612	$2,612	$242	10.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,581	$2,581	$583	4.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,460	$2,460	$981	2.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,244	$2,244	$160	14.0×
Colonoscopy with biopsy CPT Code: `45380`	$2,191	$2,191	$1,256	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,170	$2,170	$3,372	0.6×
Injection procedure for pain management HCPCS Code: `G0260`	$2,024	$2,024	$855	2.4×
CT scan, sinuses CPT Code: `70486`	$1,932	$1,932	$166	11.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,543	$1,543	$272	5.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$946	$946	$134	7.1×
Ultrasound, pelvis CPT Code: `76856`	$841	$841	$130	6.5×
Blood transfusion CPT Code: `36430`	$856	$856	$498	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$706	$706	$126	5.6×
Rabies immune globulin HCPCS Code: `90375`	$672	$672	$322	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$592	$592	$132	4.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$604	$604	$148	4.1×
Mental health services (assessment) HCPCS Code: `H0031`	$550	$550	$140	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$423	$423	$123	3.4×
Speech therapy (language evaluation) CPT Code: `92507`	$314	$314	$86	3.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$333	$333	$185	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$300	$300	$123	2.4×
Speech therapy (group session) CPT Code: `92508`	$255	$255	$27	9.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$252	$252	$64	3.9×
New patient office visit (30-44 min) CPT Code: `99203`	$260	$260	$110	2.4×
Behavioral health outpatient services HCPCS Code: `H2015`	$227	$227	$16	14.2×
Family therapy session CPT Code: `90847`	$246	$246	$173	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$210	$210	$87	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$227	$227	$181	1.3×
X-ray, lower back CPT Code: `72110`	$200	$200	$112	1.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$207	$207	$166	1.2×
Neurobehavioral status check CPT Code: `96116`	$208	$208	$231	0.9×
X-ray, foot CPT Code: `73630`	$164	$164	$92	1.8×
X-ray, ankle CPT Code: `73610`	$164	$164	$93	1.8×
X-ray, shoulder CPT Code: `73030`	$159	$159	$92	1.7×
X-ray, hand CPT Code: `73130`	$159	$159	$93	1.7×
X-ray, hip CPT Code: `73502`	$143	$143	$93	1.5×
Psychological testing evaluation CPT Code: `96136`	$151	$151	$128	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$164	$164	$201	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$94	$94	$25	3.8×
Physical therapy (gait training) CPT Code: `97116`	$109	$109	$33	3.3×
Occupational therapy (self-care training) CPT Code: `97535`	$113	$113	$38	3.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$112	$38	2.9×
X-ray, chest (two views) CPT Code: `71046`	$131	$131	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$134	$134	$110	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$80	$14	5.7×
Physical therapy (manual therapy) CPT Code: `97140`	$100	$100	$34	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$99	$99	$35	2.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$102	$40	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$86	$86	$38	2.3×
Prosthetic fitting and training CPT Code: `97761`	$89	$89	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$97	$97	$51	1.9×
X-ray, chest (single view) CPT Code: `71045`	$109	$109	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$103	$103	$93	1.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$126	$126	$6	21.0×
Blood test, lipase CPT Code: `83690`	$140	$140	$7	20.0×
Blood test, liver function panel CPT Code: `80076`	$139	$139	$9	15.4×
Blood test, magnesium CPT Code: `83735`	$102	$102	$7	14.6×
Blood test, basic metabolic panel CPT Code: `80048`	$115	$115	$9	12.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$135	$135	$11	12.3×
Culture, bacterial CPT Code: `87070`	$108	$108	$9	12.0×
Culture, blood CPT Code: `87040`	$106	$106	$11	9.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$131	$131	$19	6.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$125	$125	$20	6.3×
Blood antibody screen CPT Code: `86850`	$128	$128	$46	2.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$97	$97	$8	12.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$120	$120	$14	8.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$121	$121	$18	6.7×
Blood test, amylase CPT Code: `82150`	$94	$94	$7	13.4×
Blood test, vitamin D CPT Code: `82306`	$99	$99	$31	3.2×
Typhoid vaccine HCPCS Code: `90675`	$120	$120	$347	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$58	$58	$3	19.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$57	$4	14.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$53	$53	$4	13.3×
Blood test, hemoglobin CPT Code: `85018`	$39	$39	$3	13.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$63	$63	$5	12.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$61	$61	$5	12.2×
Blood test, calcium CPT Code: `82310`	$60	$60	$5	12.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$82	$82	$10	8.2×
Blood test, potassium CPT Code: `84132`	$53	$53	$5	10.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$74	$14	5.3×
Hepatitis C antibody test CPT Code: `86803`	$75	$75	$15	5.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$75	$75	$33	2.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$75	$75	$49	1.5×
Blood test, sodium CPT Code: `84295`	$48	$48	$5	9.6×
Blood test, vitamin B12 CPT Code: `82607`	$68	$68	$16	4.3×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$46	$37	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$62	$62	$111	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$68	$68	$140	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$79	$79	$203	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$30	$25	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$37	$37	$39	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$49	$49	$56	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$30	$30	$48	0.6×
Care planning with family CPT Code: `90887`	$55	$55	$107	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$27	$27	$49	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$42	$42	$86	0.5×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 93.9%

Audit a Bill or Quote at Beatrice Community Hospital & Health Center, Inc (Zero PHI Required)

CMS CCN: 281364

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $16,458

Insurer Median $16,458

1. Amount on Your Bill or Quote ($) Pre-filled with Beatrice Community Hospital & Health Center, Inc’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 501(r) AGB Cap: $15,454 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,454

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (93.9% of gross = $15,454).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $16,458

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Beatrice Community Hospital & Health Center, Inc's published 45 CFR § 180 self-pay cash rate is $16,458 (vs. $16,458 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,483 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($16,458) is $13,483 above the denoised Fair BaseRate ($2,975) and 6.7× the $2,473 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 470379834

Filing Period: 194302

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (93.9% 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.

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 Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait93 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-05-10·administrative_or_closure
Closure Notice
Recorded
2024-02-01·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (174 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Beatrice Community Hospital & Health Center, Inc.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Median Household Income$64,426U.S. Census ACS

Local Uninsured Share5.2%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 65/100 · Caution CMS CCN 281364 EIN 470379834

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281364) ↗ Verify IRS Form 990 (EIN 470379834) ↗ CMS HCRIS Cost Reports ↗

Published MRF File470379834_beatrice-community-hospital_standardcharges.json

Publication / Vintage2025-11-07 · 12.14 MB

Validated Rate Rows1,726 (CMS v3.0.0)

File Integrity Digest09f84c69fe2907e64c41…

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.

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