How many shoppable procedure prices are published for Fillmore County Hospital?

Fillmore County Hospital in Geneva, NE currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Fillmore County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Fillmore County Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Fillmore County Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Fillmore County Hospital 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 Government - Local 20 Beds · rural Updated: 2026-04-23

Fillmore County Hospital

P O Box 193, 1900 F Street, Geneva, NE 68361 · 125 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness100

Price Logic93

Peer Alignment64

Clean Billing83

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.80× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Fillmore County Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.79× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 60 in NE · 3rd State Percentile#288 of 3,385 in U.S. · 8th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 80% patient recommendation (72/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.80× 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.
Captive ER (0.5×) & laboratory (0.5×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.95×) jump +20% above the median procedure ratio (Q50 0.79×)
Unnegotiated chargemaster list prices average 8.7× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 0.55× · Q50 0.79× · Q75 0.95×

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

0.7× MedicareGood

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

0.5× MedicareGood

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

1.1× MedicareGood

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

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Fillmore County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$5,252	$5,252	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$5,246	$5,246	$13,523	0.4×
C-section delivery (full package) CPT Code: `59510`	—	$2,266	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,060	$2,680	0.8×
Blood transfusion CPT Code: `36430`	$1,000	$1,000	$498	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$560	$1,021	0.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$487	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,168	$485	$3,372	0.1×
Bunion correction surgery CPT Code: `28296`	—	$472	$3,446	0.1×
Inguinal hernia repair CPT Code: `49505`	—	$455	$3,629	0.1×
Rabies immune globulin HCPCS Code: `90375`	—	$346	$322	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$367	$367	$64	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$338	$338	$201	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,800	$275	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,200	$291	$511	0.6×
Mental health services (assessment) HCPCS Code: `H0031`	—	$198	$140	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$170	$151	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,704	$158	$258	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$164	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,100	$178	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$3,460	$180	$343	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$3,400	$175	$338	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,700	$185	$369	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,538	$175	$583	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,560	$163	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$2,867	$183	$1,256	0.1×
Care planning with family CPT Code: `90887`	—	$134	$107	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$437	$142	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$400	$116	$123	0.9×
Behavioral health assessment HCPCS Code: `H0001`	$300	$127	$157	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$337	$139	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$290	$132	$181	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$97	$100	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$839	$104	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$2,184	$124	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,450	$126	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,600	$122	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,637	$119	$168	0.7×
CT scan, sinuses CPT Code: `70486`	$2,100	$117	$166	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,415	$136	$242	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$690	$98	$132	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$173	$88	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$2,150	$99	$160	0.6×
Family therapy session CPT Code: `90847`	$222	$100	$173	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,699	$122	$987	0.1×
Ultrasound, pelvis CPT Code: `76856`	$740	$94	$130	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$197	$89	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$97	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,137	$406	$347	1.2×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$137	$140	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$160	$203	0.8×
Mental health services (therapy) HCPCS Code: `H0032`	—	$72	$65	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$344	$72	$86	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$246	$90	$111	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$130	$74	$110	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$779	$78	$126	0.6×
Behavioral health outpatient services HCPCS Code: `H2015`	$25	$20	$16	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$40	$35	1.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$65	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$140	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$86	$10	$10	1.0×
Blood test, vitamin D CPT Code: `82306`	$170	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$32	$37	0.9×
Prosthetic fitting and training CPT Code: `97761`	$305	$38	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$121	$43	$51	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$133	$60	$87	0.7×
X-ray, hip CPT Code: `73502`	$379	$43	$93	0.5×
X-ray, lower back CPT Code: `72110`	$440	$47	$112	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$180	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$68	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$70	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$125	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$106	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$65	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$50	$4	$4	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$157	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$95	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$168	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$130	$13	$14	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$403	$35	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$150	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$159	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$121	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$33	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$112	$27	$33	0.8×
Speech therapy (group session) CPT Code: `92508`	—	$22	$27	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$162	$45	$56	0.8×
Review of medical records for care CPT Code: `90889`	—	$64	$114	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$105	$8	$8	1.0×
X-ray, hand CPT Code: `73130`	$370	$33	$93	0.4×
X-ray, ankle CPT Code: `73610`	$378	$32	$93	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$95	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$125	$9	$9	1.0×
Hepatitis C antibody test CPT Code: `86803`	$109	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$70	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$198	$10	$11	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$28	$33	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$32	$39	0.8×
Blood test, amylase CPT Code: `82150`	$90	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$120	$30	$38	0.8×
X-ray, shoulder CPT Code: `73030`	$396	$31	$92	0.3×
Blood test, potassium CPT Code: `84132`	$65	$5	$5	1.0×
X-ray, foot CPT Code: `73630`	$384	$30	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$394	$30	$93	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$53	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$110	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$112	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$45	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	—	$27	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$27	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	—	$27	$49	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$11	$34	0.3×
Blood antibody screen CPT Code: `86850`	$137	$14	$46	0.3×
X-ray, chest (single view) CPT Code: `71045`	$318	$23	$92	0.3×
Group therapy session CPT Code: `90853`	$57	$24	$100	0.2×
X-ray, pelvis CPT Code: `72170`	$268	$25	$110	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$22	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$31	$395	0.1×

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Fillmore County Hospital (Zero PHI Required)

CMS CCN: 281301

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $5,252

Insurer Median $5,252

1. Amount on Your Bill or Quote ($) Pre-filled with Fillmore County Hospital’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $5,252

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Fillmore County Hospital's published 45 CFR § 180 self-pay cash rate is $5,252 (vs. $5,252 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,413 Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).

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) For-Profit / Non-501(c)(3)

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

EIN: 470529089

Public IRS & CMS ownership records classify Fillmore County Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite72/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait109 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.8%

Source: CMS Hospital Care Compare (45 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Fillmore County Hospital.

Price Index: 0.76× regional baseline

Quality: 72/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

+99.7%

Blue Cross Blue Shield

+107.4%

Median Household Income$76,354U.S. Census ACS

Local Uninsured Share4.2%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 73/100 · Corroborated CMS CCN 281301 EIN 470529089

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281301) ↗ Verify IRS Form 990 (EIN 470529089) ↗ CMS HCRIS Cost Reports ↗

Published MRF File470529089_fillmore-county-hospital_standardcharges.csv

Publication / Vintage2026-04-23 · 45.04 MB

Validated Rate Rows2,443 (CMS v3.0.0)

File Integrity Digestf9ee05ffb280f2ecbd86…

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.

Submit MRF Update Correction Policy