How many shoppable procedure prices are published for Harlan County Health System?

Harlan County Health System in Alma, NE currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Harlan County Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Harlan County Health System's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 19 Beds · rural Updated: 2026-09-02

Harlan County Health System

717 Brown St, Alma, NE 68920 · 107 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.45×vs. Fair Market Price

Typical commercial prices here are +45% above the fair benchmark (1.45×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness95

Price Logic74

Peer Alignment60

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +75% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Harlan County Health System prices routine shoppable procedures at 3.0× Medicare (median 1.22× Fair BaseRate) while upper-quartile commercial rates jump +75% to 2.14× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#26 of 60 in NE · 41st State Percentile#2,553 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.74× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 70% 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)

Even at low-cost facilities (1.45× 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 1.22× Fair BaseRate (3.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.14×) jump +75% above the median procedure ratio (Q50 1.22×)
Unnegotiated chargemaster list prices average 7.7× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.0× Medicare

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

Back-Door Captive & ER0.33× Divergence

1.0× Medicare

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

Quantile Tail Spread+75% Upper Tail

Q25 0.74× · Q50 1.22× · Q75 2.14×

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

3.0× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

0.9× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Harlan County Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,845	$6,845	$8,223	0.8×
Total hip replacement CPT Code: `27130`	$6,180	$6,180	$13,413	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$5,494	$5,494	$19,087	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,957	$3,957	$448	8.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,871	$3,871	$511	7.6×
Rabies immune globulin HCPCS Code: `90375`	$3,655	$3,655	$322	11.4×
MRI, brain (no contrast) CPT Code: `70551`	$3,346	$3,346	$343	9.8×
Cataract surgery with lens implant CPT Code: `66984`	$3,242	$3,242	$2,540	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,986	$2,986	$303	9.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,900	$2,900	$1,021	2.8×
Total knee replacement CPT Code: `27447`	$2,820	$2,820	$13,523	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$3,301	$2,053	$338	6.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,838	$1,838	$169	10.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,806	$1,806	$168	10.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,978	$1,825	$258	7.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,785	$1,785	$167	10.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,738	$1,738	$583	3.0×
CT scan, pelvis CPT Code: `72192`	$1,704	$1,704	$163	10.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,653	$1,653	$242	6.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,158	$1,560	$369	4.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,566	$1,440	$160	9.0×
CT scan, sinuses CPT Code: `70486`	$1,426	$1,426	$166	8.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,212	$1,212	$272	4.5×
Breast lump removal CPT Code: `19120`	$1,122	$1,122	$3,875	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,052	$994	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,619	$837	$3,372	0.2×
Ultrasound, pelvis CPT Code: `76856`	$708	$708	$130	5.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$685	$685	$134	unverified
Blood transfusion CPT Code: `36430`	$627	$627	$498	1.3×
Inguinal hernia repair CPT Code: `49505`	$2,207	$605	$3,629	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$555	$555	$126	4.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$490	$490	$132	3.7×
X-ray, shoulder CPT Code: `73030`	$425	$425	$92	4.6×
X-ray, hand CPT Code: `73130`	$384	$384	$93	4.1×
X-ray, hip CPT Code: `73502`	$372	$372	$93	4.0×
Group therapy session CPT Code: `90853`	$382	$382	$100	3.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$359	$359	$148	2.4×
Family therapy session CPT Code: `90847`	$358	$358	$173	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$297	$297	$166	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$318	$318	$181	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$259	$259	$86	3.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$254	$254	$86	3.0×
X-ray, foot CPT Code: `73630`	$230	$268	$92	2.9×
X-ray, ankle CPT Code: `73610`	$368	$257	$93	2.8×
X-ray, chest (single view) CPT Code: `71045`	$246	$246	$92	2.7×
X-ray, pelvis CPT Code: `72170`	$270	$270	$110	2.5×
X-ray, lower back CPT Code: `72110`	$237	$237	$112	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,258	$232	$1,256	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$229	$177	$64	2.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$178	$178	$93	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$178	$178	$123	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,344	$183	$981	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$129	$154	$123	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,514	$173	$987	0.2×
X-ray, chest (two views) CPT Code: `71046`	$274	$137	$93	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$95	$109	$87	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$132	$130	$110	1.2×
Vaginal delivery (full package) CPT Code: `59400`	$124	$124	$2,680	0.0×
Occupational therapy (self-care training) CPT Code: `97535`	$98	$98	$38	2.6×
Physical therapy (gait training) CPT Code: `97116`	$85	$85	$33	2.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$96	$96	$38	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$90	$90	$38	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$89	$89	$40	2.2×
Orthotic fitting and training CPT Code: `97760`	$86	$86	$51	1.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$82	$82	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$498	$498	$347	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$273	$341	$140	unverified
Blood test, vitamin D CPT Code: `82306`	$196	$196	$31	6.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$130	$130	$11	11.8×
Blood test, basic metabolic panel CPT Code: `80048`	$104	$104	$9	11.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$127	$127	$56	2.3×
Drug screening test HCPCS Code: `G0480`	$146	$146	$116	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$98	$98	$14	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$72	$72	$14	5.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$86	$86	$18	4.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$89	$75	$35	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$94	$72	$34	2.1×
Prosthetic fitting and training CPT Code: `97761`	$79	$79	$45	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$82	$82	$111	0.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$81	$81	$8	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$76	$95	$37	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$46	$46	$3	15.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$46	$5	9.2×
Culture, blood CPT Code: `87040`	$157	$20	$11	1.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$120	$29	$20	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$110	$21	$16	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$105	$18	$14	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$97	$22	$19	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$43	$39	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$43	$43	$203	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	unverified
Blood test, potassium CPT Code: `84132`	$42	$42	$5	unverified
Blood test, sodium CPT Code: `84295`	$43	$43	$5	unverified
Culture, bacterial CPT Code: `87070`	$102	$11	$9	1.2×
Blood test, hemoglobin CPT Code: `85018`	$35	$35	$3	unverified
Blood test, lipase CPT Code: `83690`	$91	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$85	$9	$9	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$81	$14	$15	0.9×
Blood test, amylase CPT Code: `82150`	$72	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$69	$6	$7	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$61	$7	$10	0.7×
Blood test, calcium CPT Code: `82310`	$49	$3	$5	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$3	$5	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	0.3×
Blood antibody screen CPT Code: `86850`	$96	$12	$46	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$2	$4	unverified

Showing top 25 high-impact procedures of 107 total

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

Audit a Bill or Quote at Harlan County Health System (Zero PHI Required)

CMS CCN: 281300

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash $6,845

Insurer Median $6,845

1. Amount on Your Bill or Quote ($) Pre-filled with Harlan County Health 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 $1,711 Paying Cash

Self-Pay Cash Rate ($6,845) Beats Your Bill

Harlan County Health System's published 45 CFR § 180 self-pay cash rate is $6,845 (vs. $6,845 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$333 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($8,556) is $333 above the denoised Fair BaseRate ($8,223) and 1.5× the $5,676 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 Harlan County Health 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite70/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait103 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-02-28·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (25 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 Quality & Price Benchmark

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

Price Index: 0.99× regional baseline

Quality: 57/100 CMS composite

Median Household Income$70,536U.S. Census ACS

Local Uninsured Share8.4%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 82/100 · Corroborated CMS CCN 281300

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281300) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-02 · 32.30 MB

Validated Rate Rows3,050 (CMS v3.0.0)

File Integrity Digest35b87a1814c0e419e6bb…

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