Chadron Hospital
825 Centennial Drive, Chadron, NE 69337 · 91 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are +103% above the fair benchmark (2.03×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 2.03× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Chadron Hospital prices routine shoppable procedures at 3.5× Medicare (median 1.79× Fair BaseRate) while upper-quartile commercial rates jump +58% to 2.83× 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 1.17× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 76% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (95.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 1.79× Fair BaseRate (3.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.83×) jump +58% above the median procedure ratio (Q50 1.79×)
- Unnegotiated chargemaster list prices average 9.8× Medicare (28¢ 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 Chadron Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $40,600 | 2.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,902 | unverified |
| Breast lump removal CPT Code: 19120 | $3,680 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,581 | 8.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,348 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,157 | 10.4× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,962 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,339 | 1.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,266 | 2.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,107 | 4.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,857 | 5.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,736 | 5.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,644 | 1.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,611 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,576 | 6.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,454 | 3.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,246 | 7.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,267 | 7.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,236 | 7.4× |
| CT scan, pelvis CPT Code: 72192 | $1,185 | 7.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,167 | 4.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,156 | 2.0× |
| CT scan, sinuses CPT Code: 70486 | $971 | 5.8× |
| Trauma team activation HCPCS Code: G0390 | $906 | 0.6× |
| Injection procedure for pain management HCPCS Code: G0260 | $798 | 0.9× |
Audit a Bill or Quote at Chadron Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $55,100
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (95.0% of gross = $55,100).
Self-Pay Cash Rate ($40,600) Beats Your Bill
Chadron Hospital's published 45 CFR § 180 self-pay cash rate is $40,600 (vs. $40,600 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($58,000) is $38,568 above the denoised Fair BaseRate ($19,432) and 4.1× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (95.0% 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 (87 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 Chadron Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.