How many shoppable procedure prices are published for Community Medical Center, Inc?

Community Medical Center, Inc in Falls City, NE currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Community Medical Center, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Community Medical 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 24 Beds · rural Updated: 2026-06-22

Community Medical Center, Inc

P O Box 399, 3307 Bill Schock Boulevard, Falls City, NE 68355 · 89 Priced Procedures · 85% 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.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 80% of the Time

File Completeness100

Price Logic90

Peer Alignment69

Clean Billing75

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Community Medical Center, Inc prices shoppable and inpatient services (7.7× to 5.8× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

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 80% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 85% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (93.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (7.7× 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×)
Unnegotiated chargemaster list prices average 8.5× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

7.7× Medicare

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

Back-Door Captive & ER0.75× Divergence

5.8× 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

7.7× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.7× MedicareGood

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

80% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 82/100Good

Procedure Prices at Community Medical Center, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$47,135	$47,135	$19,432	2.4×
Inguinal hernia repair CPT Code: `49505`	$9,814	$9,814	$3,629	2.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,758	$6,758	$6,109	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,727	$5,727	$3,372	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$3,792	$3,792	$1,256	3.0×
Upper endoscopy with biopsy CPT Code: `43239`	$3,755	$3,755	$987	3.8×
Breast lump removal CPT Code: `19120`	$3,280	$3,280	$3,875	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$2,946	$2,946	$2,540	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,788	$2,788	$1,021	2.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,760	$2,760	$981	2.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,468	$2,468	$448	5.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,332	$2,332	$511	4.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,119	$2,119	$303	7.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,903	$1,903	$343	5.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,808	$1,808	$583	3.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,549	$1,549	$338	4.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,476	$1,476	$242	6.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,424	$1,424	$258	5.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,360	$1,360	$369	3.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,296	$1,296	$169	7.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,226	$1,226	$168	7.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,210	$1,210	$167	7.2×
CT scan, pelvis CPT Code: `72192`	$1,081	$1,081	$163	6.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,021	$1,021	$160	6.4×
Injection procedure for pain management HCPCS Code: `G0260`	$954	$954	$855	1.1×
CT scan, sinuses CPT Code: `70486`	$921	$921	$166	5.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$599	$599	$134	4.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$587	$587	$132	4.4×
Ultrasound, pelvis CPT Code: `76856`	$554	$554	$130	4.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$564	$564	$272	2.1×
Blood transfusion CPT Code: `36430`	$556	$556	$498	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$523	$523	$126	4.2×
X-ray, lower back CPT Code: `72110`	$365	$365	$112	3.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$300	$300	$148	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$259	$259	$123	2.1×
X-ray, hand CPT Code: `73130`	$226	$226	$93	2.4×
X-ray, shoulder CPT Code: `73030`	$211	$211	$92	2.3×
X-ray, foot CPT Code: `73630`	$206	$206	$92	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$205	$205	$93	2.2×
X-ray, ankle CPT Code: `73610`	$202	$202	$93	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$172	$172	$64	2.7×
Speech therapy (language evaluation) CPT Code: `92507`	$194	$194	$86	2.3×
X-ray, chest (two views) CPT Code: `71046`	$196	$196	$93	2.1×
X-ray, hip CPT Code: `73502`	$194	$194	$93	2.1×
X-ray, pelvis CPT Code: `72170`	$216	$216	$110	2.0×
X-ray, chest (single view) CPT Code: `71045`	$178	$178	$92	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$190	$190	$123	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$161	$161	$86	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$160	$160	$110	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$129	$129	$87	1.5×
Physical therapy (gait training) CPT Code: `97116`	$81	$81	$33	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$80	$80	$34	2.4×
Blood test, vitamin D CPT Code: `82306`	$196	$196	$31	6.3×
Culture, blood CPT Code: `87040`	$152	$152	$11	13.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$116	$116	$11	10.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$116	$116	$14	8.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$90	$8	11.3×
Blood test, liver function panel CPT Code: `80076`	$86	$86	$9	9.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$106	$106	$14	7.6×
Hepatitis C antibody test CPT Code: `86803`	$101	$101	$15	6.7×
Blood test, lipase CPT Code: `83690`	$70	$70	$7	10.0×
Culture, bacterial CPT Code: `87070`	$86	$86	$9	9.6×
Blood test, vitamin B12 CPT Code: `82607`	$94	$94	$16	5.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$96	$96	$18	5.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$55	$55	$14	3.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$77	$77	$35	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$75	$35	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$76	$38	2.0×
Blood antibody screen CPT Code: `86850`	$81	$81	$46	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$77	$77	$56	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$43	$3	14.3×
Blood test, hemoglobin CPT Code: `85018`	$38	$38	$3	12.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$45	$45	$4	11.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$43	$4	10.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$63	$63	$6	10.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$50	$5	10.0×
Blood test, amylase CPT Code: `82150`	$67	$67	$7	9.6×
Blood test, magnesium CPT Code: `83735`	$63	$63	$7	9.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$76	$76	$201	0.4×
Blood test, calcium CPT Code: `82310`	$43	$43	$5	8.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	8.6×
Blood test, potassium CPT Code: `84132`	$43	$43	$5	8.6×
Blood test, sodium CPT Code: `84295`	$43	$43	$5	8.6×
Blood test, basic metabolic panel CPT Code: `80048`	$67	$67	$9	7.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$67	$10	6.7×
Occupational therapy (self-care training) CPT Code: `97535`	$65	$65	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$66	$40	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$52	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$52	$49	1.1×

Showing top 25 high-impact procedures of 89 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 93.0%

Audit a Bill or Quote at Community Medical Center, Inc (Zero PHI Required)

CMS CCN: 281352

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $47,135

Insurer Median $47,135

1. Amount on Your Bill or Quote ($) Pre-filled with Community Medical 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: $66,403 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $66,403

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (93.0% of gross = $66,403).

Step 2 · Cash vs. Insurance Arbitrage Save $24,281 Paying Cash

Self-Pay Cash Rate ($47,135) Beats Your Bill

Community Medical Center, Inc's published 45 CFR § 180 self-pay cash rate is $47,135 (vs. $47,135 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$51,984 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($71,416) is $51,984 above the denoised Fair BaseRate ($19,432) and 5.1× the $14,044 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: 470421272

Filing Period: 195609

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 (93.0% 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.

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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)91%

Median ER Wait102 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (126 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.48× regional baseline

Quality: 84/100 CMS composite

Median Household Income$55,578U.S. Census ACS

Local Uninsured Share7.9%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 87/100 · Verified CMS CCN 281352 EIN 470421272

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281352) ↗ Verify IRS Form 990 (EIN 470421272) ↗ CMS HCRIS Cost Reports ↗

Published MRF File470421272_community-medical-center_standardcharges.json

Publication / Vintage2026-06-22 · 6.49 MB

Validated Rate Rows761 (CMS v3.0.0)

File Integrity Digestba6bacec039348ee75ca…

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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