Community Hospital
P O Box 1328, 1301 East H St, McCook, NE 69001 · 108 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Aligned Regional Benchmark Peer
Community Hospital prices shoppable and inpatient services (2.1× to 1.6× Medicare, divergence 0.76×) in alignment with regional hospital peers (1.02× 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 0.63× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 72% of shoppable procedures (44/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 71% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (54.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.02× 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 0.98× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +31% above the median procedure ratio (Q50 0.98×)
- Unnegotiated chargemaster list prices average 6.8× Medicare (25¢ 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 Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,680 | 10.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,240 | 4.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,163 | 13.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,113 | 8.0× |
| C-section delivery (full package) CPT Code: 59510 | $3,689 | 1.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,639 | 10.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,350 | 1.3× |
| Trauma team activation HCPCS Code: G0390 | $2,763 | 1.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,451 | 14.5× |
| CT scan, pelvis CPT Code: 72192 | $2,406 | 14.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,374 | 14.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,380 | 14.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,392 | 4.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,351 | 9.7× |
| Total hip replacement CPT Code: 27130 | $2,117 | 0.2× |
| CT scan, sinuses CPT Code: 70486 | $1,943 | 11.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,954 | unverified |
| Total knee replacement CPT Code: 27447 | $1,833 | 0.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,737 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,485 | 4.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,371 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,139 | 4.2× |
| Group therapy session CPT Code: 90853 | $1,081 | 10.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $990 | 0.3× |
| Blood transfusion CPT Code: 36430 | $725 | 1.5× |
Audit a Bill or Quote at Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,818
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (54.2% of gross = $2,818).
Self-Pay Cash Rate ($4,680) Beats Your Bill
Community Hospital's published 45 CFR § 180 self-pay cash rate is $4,680 (vs. $4,680 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($5,201) is $4,753 above the denoised Fair BaseRate ($448) and 14.6× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (54.2% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-09-24·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (95 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 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.