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States Procedures Methodology Search
Hospital Profile Critical Access Hospital Voluntary non-profit - Private 10 Beds · rural Updated: 2025-11-04

Garden County Health Services

1100 West 2Nd St, Oshkosh, NE 69154 · 91 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.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 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 match the fair market benchmark (1.00×) 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 77% of the Time
File Completeness51Provenance (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 Logic91Coherence (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 Alignment57Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing74Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash 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.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score76/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait149 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 FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Garden County Health Services concentrates commercial margin in outpatient surgical suites (10.5× Medicare) and specialty drug infusions (2.4× Medicare) relative to routine diagnostics (11.1×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

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 77% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (76/100 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 (83.0% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 10.5× markup over Medicare rates
  • Captive ER (12.2×) & laboratory (18.3×) services average 1.06× higher multiples than routine shoppable care (8.4×)
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 12.6× Medicare (27¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
8.4× Medicare

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

Back-Door Captive & ER1.06× Divergence
8.9× 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
8.4× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
10.5× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
11.1× MedicareWatchout
Back-Door Captive ER VisitsBack-Door Captive
12.2× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
18.3× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
77% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 76/100Fair

Procedure Prices at Garden County Health Services

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,249 8.3×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,079 9.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,717 12.3×
MRI, brain (no contrast)
CPT Code: 70551
 $3,254 9.5×
MRI, lower back (no contrast)
CPT Code: 72148
 $2,941 8.7×
Rabies immune globulin
HCPCS Code: 90375
 $2,532 7.9×
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,481 9.6×
CT scan, chest (no contrast)
CPT Code: 71250
 $2,325 13.9×
MRI, knee or other leg joint
CPT Code: 73721
 $2,332 6.3×
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,117 12.5×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,033 12.1×
CT scan, head (with contrast)
CPT Code: 70460
 $2,043 8.4×
CT scan, pelvis
CPT Code: 72192
 $1,994 12.2×
CT scan, sinuses
CPT Code: 70486
 $1,899 11.4×
CT scan, head (no contrast)
CPT Code: 70450
 $1,805 11.3×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,811 3.1×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,181 4.3×
Blood transfusion
CPT Code: 36430
 $825 1.7×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $724 5.4×
Ultrasound, pelvis
CPT Code: 76856
 $668 5.1×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $585 4.6×
Colonoscopy with biopsy
CPT Code: 45380
 $580 0.5×
X-ray, lower back
CPT Code: 72110
 $490 4.4×
Ultrasound, thyroid and neck
CPT Code: 76536
 $490 3.7×
Upper endoscopy with biopsy
CPT Code: 43239
 $503 0.5×
Showing top 25 high-impact procedures of 91 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 83.0%

Audit a Bill or Quote at Garden County Health Services (Zero PHI Required)

CMS CCN: 281310
CPT 70553
Fair BaseRate™ $511
Medicare Rate $356
Self-Pay Cash $4,249
Insurer Median $4,249
Pre-filled with Garden County Health Services’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: $5,186 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,186

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (83.0% of gross = $5,186).

Step 2 · Cash vs. Insurance Arbitrage Save $1,999 Paying Cash

Self-Pay Cash Rate ($4,249) Beats Your Bill

Garden County Health Services's published 45 CFR § 180 self-pay cash rate is $4,249 (vs. $4,249 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,737 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($6,248) is $5,737 above the denoised Fair BaseRate ($511) and 17.6× the $356 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)

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 (83.0% 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

Safety Composite76/100
Median ER Wait149 min

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Garden County Health Services. Prior administrative notices do not necessarily reflect current compliance status.

  • 2024-11-13·administrative_or_closure

    Closure Notice

    Recorded
  • 2024-07-16·cap_corrective_action

    CAP Request

    Recorded
  • 2023-05-16·administrative_or_closure

    Closure Notice

    Recorded
  • 2023-02-08·warning_notice

    Warning Notice

    Recorded

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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Garden County Health Services.

Price Index: 1.52× regional baseline
Quality: 54/100 CMS composite
Median Household Income$44,777U.S. Census ACS
Local Uninsured Share9.2%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 281310

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 281310) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2025-11-04
Validated Rate Rows684 (CMS v3.0.0)
File Integrity DigestVerified · CCN 281310

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