How many shoppable procedure prices are published for Friend Community Healthcare System?

Friend Community Healthcare System in Friend, NE currently has 54 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Rural Emergency Hospital Government - Local Updated: 2026-03-27

Friend Community Healthcare System

905 Second Street, Friend, NE 68359 · 54 Priced Procedures

CMS Overall Rating No CMS Rating

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.

24/100 · Quarantined

24/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness30

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Friend Community Healthcare System prices routine shoppable procedures near 6.4× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 12.3× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

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 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Captive ER (9.3×) & laboratory (14.7×) services average 1.92× higher multiples than routine shoppable care (6.4×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 11.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

6.4× Medicare

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

Back-Door Captive & ER1.92× Divergence

12.3× 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

6.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

6.9× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

9.3× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

14.7× MedicareWatchout

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

1.7× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Friend Community Healthcare System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 54 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$3,425	$3,425	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,574	$1,574	$987	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,269	$1,269	$583	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,161	$1,161	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$569	$569	$981	0.6×
Blood transfusion CPT Code: `36430`	$485	$485	$498	1.0×
Family therapy session CPT Code: `90847`	$220	$220	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$172	$172	$181	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$184	$184	$64	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$149	$149	$110	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$165	$165	$123	1.3×
Group therapy session CPT Code: `90853`	$128	$128	$100	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$146	$146	$166	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$146	$146	$185	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$165	$165	$25	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$187	$187	$201	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$132	$132	$87	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$439	$439	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$295	$295	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$232	$232	$111	unverified
Blood test, vitamin D CPT Code: `82306`	$160	$160	$31	unverified
Culture, blood CPT Code: `87040`	$169	$169	$11	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$163	$163	$37	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$105	$105	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$120	$120	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$96	$96	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$92	$92	$9	unverified
Blood test, calcium CPT Code: `82310`	$115	$115	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$114	$114	$16	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$137	$137	$56	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$90	$90	$14	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$82	$82	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$94	$94	$15	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$105	$105	$25	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$67	$67	$6	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$40	$3	unverified
Blood test, amylase CPT Code: `82150`	$60	$60	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$42	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$65	$65	$10	unverified
Blood test, lipase CPT Code: `83690`	$80	$80	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$87	$87	$19	unverified
Blood test, sodium CPT Code: `84295`	$89	$89	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$92	$18	unverified
Culture, bacterial CPT Code: `87070`	$86	$86	$9	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$83	$83	$39	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$55	$86	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$36	$4	unverified
Blood test, magnesium CPT Code: `83735`	$56	$56	$7	unverified
Blood antibody screen CPT Code: `86850`	$75	$75	$46	unverified
Blood test, potassium CPT Code: `84132`	$38	$38	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$51	$5	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$60	$60	$20	unverified

Showing top 25 high-impact procedures of 54 total

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

Audit a Bill or Quote at Friend Community Healthcare System (Zero PHI Required)

CMS CCN: 280779

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $3,425

Insurer Median $3,425

1. Amount on Your Bill or Quote ($) Pre-filled with Friend Community Healthcare System’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 Save $2,284 Paying Cash

Self-Pay Cash Rate ($3,425) Beats Your Bill

Friend Community Healthcare System's published 45 CFR § 180 self-pay cash rate is $3,425 (vs. $3,425 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,688 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($5,709) is $4,688 above the denoised Fair BaseRate ($1,021) and 6.5× the $877 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Friend Community Healthcare System 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 ↑

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 Friend Community Healthcare System.

Price Index: 0.64× regional baseline

Quality: 54/100 CMS composite

Median Household Income$77,027U.S. Census ACS

Local Uninsured Share9.7%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 24/100 · Quarantined CMS CCN 280779

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 280779) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-27

Validated Rate Rows0 (CMS v3.0.0)

File Integrity DigestVerified · CCN 280779

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