Jennie M Melham Memorial Medical Center
145 Memorial Drive, Broken Bow, NE 68822 · 11 Priced Procedures · 70% Patient Recommendation
Typical commercial prices here are +215% above the fair benchmark (3.15×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 3.15× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Jennie M Melham Memorial Medical Center prices routine shoppable procedures near 5.1× Medicare (p50 2.77×) while skewing captive emergency, lab, and upper-quartile codes to 6.4× Medicare (p75 4.23×, +53% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.11× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 4-Star CMS clinical rating with 70% patient recommendation (70/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 6.4× markup over Medicare rates
- Captive ER (7.4×) & laboratory (6.7×) services average 1.25× higher multiples than routine shoppable care (5.1×)
- Upper-quartile procedures (Q75 4.23×) jump +53% above the median procedure ratio (Q50 2.77×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Jennie M Melham Memorial Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 11 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, lower back (no contrast) CPT Code: 72148 | $2,053 | 6.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,825 | 7.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,560 | 4.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,440 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $248 | 2.0× |
| X-ray, ankle CPT Code: 73610 | $257 | unverified |
| X-ray, foot CPT Code: 73630 | $268 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $177 | 2.8× |
| X-ray, chest (two views) CPT Code: 71046 | $137 | 1.5× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $75 | 2.1× |
| Physical therapy (manual therapy) CPT Code: 97140 | $72 | 2.1× |
Audit a Bill or Quote at Jennie M Melham Memorial Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,787
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,787).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Jennie M Melham Memorial Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $338 Fair BaseRate ($244 Medicare)
Your bill ($4,927) is $4,589 above the denoised Fair BaseRate ($338) and 20.2× the $244 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)
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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Jennie M Melham Memorial Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-22·administrative_or_closure
Closure Notice
Recorded - 2025-02-19·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (48 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jennie M Melham Memorial Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.