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Hospital Profile Critical Access Hospital Voluntary non-profit - Church 15 Beds · rural Updated: 2026-02-28

CHI Health Plainview Hospital

P O Box 489, 704 North Third St, Plainview, NE 68769 · 106 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
2.05×vs. Fair Market Price
Position vs. 1.00× Fair Price+105% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +105% above the fair benchmark (2.05×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).74/100 · Corroborated
74/100Self-Pay Cash Beats Insurance 67% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic39Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment65Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing79Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount99Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score69/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait97 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

CHI Health Plainview Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.93× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.58× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#43 of 60 in NE · 70th State Percentile#3,104 of 3,385 in U.S. · 91st National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.40× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 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 (66.4% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (2.05× 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 1.93× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.58×) jump +34% above the median procedure ratio (Q50 1.93×)
  • Consolidated metro market (HHI 9,436) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
2.3× Medicare

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

Back-Door Captive & ER0.87× Divergence
2.0× Medicare

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

Quantile Tail Spread+34% Upper Tail
Q25 1.40× · Q50 1.93× · Q75 2.58×

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
2.3× MedicareFair
Outpatient Surgery & ORBack-Door Captive
0.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.6× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.2× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
67% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 69/100Fair

Procedure Prices at CHI Health Plainview 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.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Rabies immune globulin
HCPCS Code: 90375
$6,120 19.0×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$5,878 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$5,526 unverified
Sleep study (overnight, in lab)
CPT Code: 95810
$5,137 unverified
MRI, brain (no contrast)
CPT Code: 70551
$4,809 14.0×
MRI, brain (with and without contrast)
CPT Code: 70553
$4,453 8.7×
MRI, lower back (no contrast)
CPT Code: 72148
$3,919 11.6×
MRI, knee or other leg joint
CPT Code: 73721
$3,350 9.1×
Total knee replacement
CPT Code: 27447
$3,348 0.2×
CT scan, head (with and without contrast)
CPT Code: 70470
$3,204 12.4×
Trauma team activation
HCPCS Code: G0390
$2,751 1.9×
CT scan, pelvis
CPT Code: 72192
$2,700 16.6×
CT scan, chest (no contrast)
CPT Code: 71250
$2,670 unverified
CT scan, lower back (lumbar spine)
CPT Code: 72131
$2,639 15.7×
CT scan, head (with contrast)
CPT Code: 70460
$2,623 10.8×
CT scan, neck (cervical spine)
CPT Code: 72125
$2,597 15.4×
CT scan, sinuses
CPT Code: 70486
$2,352 14.2×
CT scan, head (no contrast)
CPT Code: 70450
$2,150 13.4×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$2,092 7.7×
Breast lump removal
CPT Code: 19120
$1,890 0.5×
Colonoscopy with biopsy
CPT Code: 45380
$1,817 1.4×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$1,709 0.3×
Colonoscopy (diagnostic)
CPT Code: 45378
$1,377 1.4×
Inguinal hernia repair
CPT Code: 49505
$1,357 0.4×
Upper endoscopy with biopsy
CPT Code: 43239
$1,067 1.1×
Showing top 25 high-impact procedures of 106 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 66.4%

Audit a Bill or Quote at CHI Health Plainview Hospital (Zero PHI Required)

CMS CCN: 281346
CPT 90375
Fair BaseRate™ $322
Medicare Rate $275
Self-Pay Cash $6,120
Insurer Median $6,120
Pre-filled with CHI Health Plainview Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $4,834 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,834

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (66.4% of gross = $4,834).

Step 2 · Cash vs. Insurance Arbitrage Save $1,165 Paying Cash

Self-Pay Cash Rate ($6,120) Beats Your Bill

CHI Health Plainview Hospital's published 45 CFR § 180 self-pay cash rate is $6,120 (vs. $6,120 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,963 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($7,285) is $6,963 above the denoised Fair BaseRate ($322) and 26.5× the $275 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: 470757164
Filing Period: 199302
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 (66.4% 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

Safety Composite69/100
Median ER Wait97 min
Left ER Before Seen0%
Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI Health Plainview Hospital.

Price Index: 1.00× regional baseline
Quality: 57/100 CMS composite
Median Household Income$75,938U.S. Census ACS
Local Uninsured Share6.2%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 74/100 · Corroborated CMS CCN 281346 EIN 470757164

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

Published MRF File470757164-1861765034_alegent-creighton-health_standardcharges.json
Publication / Vintage2026-02-28 · 207.37 MB
Validated Rate Rows6,517 (CMS v3.0.0)
File Integrity Digest6a1df2b10a20220f7795…

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.