How many shoppable procedure prices are published for Kearney County Health Services Hospital?

Kearney County Health Services Hospital in Minden, NE currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kearney County Health Services Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kearney County Health Services Hospital's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 10 Beds · rural Updated: 2025-08-01

Kearney County Health Services Hospital

727 East 1St St, Minden, NE 68959 · 100 Priced Procedures · 94% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.08×vs. Fair Market Price

Typical commercial prices here are +108% above the fair benchmark (2.08×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness100

Price Logic48

Peer Alignment57

Clean Billing89

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 · +45% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Kearney County Health Services Hospital prices routine shoppable procedures at 3.6× Medicare (median 1.93× Fair BaseRate) while upper-quartile commercial rates jump +45% to 2.80× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#47 of 60 in NE · 76th State Percentile#3,125 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.14× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 94% 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 1.7× markup over Medicare rates
Commercial insurance median sits at 1.93× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.80×) jump +45% above the median procedure ratio (Q50 1.93×)
Consolidated metro market (HHI 5,065) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.6× Medicare

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

Back-Door Captive & ER0.47× Divergence

1.7× Medicare

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

Quantile Tail Spread+45% Upper Tail

Q25 1.14× · Q50 1.93× · Q75 2.80×

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

3.6× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.2× MedicareGood

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

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Kearney County Health Services Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$29,242	$29,242	$19,432	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,428	$6,433	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,947	$5,591	$3,372	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,964	$3,964	$448	8.8×
Inguinal hernia repair CPT Code: `49505`	$4,537	$3,746	$3,629	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,291	$3,291	$303	10.9×
Breast lump removal CPT Code: `19120`	$3,348	$3,026	$3,875	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$3,152	$2,744	$987	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,541	$2,428	$1,256	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,301	$2,383	$511	4.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,140	$2,267	$1,021	2.2×
MRI, brain (no contrast) CPT Code: `70551`	$2,922	$2,110	$343	6.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,290	$2,118	$981	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,794	$2,017	$338	6.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,182	$1,575	$369	4.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,146	$1,549	$258	6.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,991	$1,492	$583	2.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,029	$1,465	$169	8.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,003	$1,446	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,994	$1,440	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,887	$1,362	$163	8.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,874	$1,353	$242	5.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,740	$1,256	$160	7.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,142	$825	$272	3.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$723	$522	$134	3.9×
Blood transfusion CPT Code: `36430`	$607	$520	$498	1.0×
Ultrasound, pelvis CPT Code: `76856`	$665	$480	$130	3.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$559	$404	$126	3.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$511	$369	$132	2.8×
X-ray, lower back CPT Code: `72110`	$446	$322	$112	unverified
Group therapy session CPT Code: `90853`	$375	$271	$100	2.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$399	$288	$181	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	$243	$148	1.6×
Family therapy session CPT Code: `90847`	$264	$258	$173	1.5×
X-ray, shoulder CPT Code: `73030`	$290	$210	$92	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$288	$208	$93	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$297	$232	$123	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$242	$243	$166	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$251	$181	$64	2.8×
X-ray, chest (two views) CPT Code: `71046`	$282	$204	$93	2.2×
X-ray, hip CPT Code: `73502`	$282	$204	$93	2.2×
X-ray, foot CPT Code: `73630`	$276	$198	$92	2.2×
X-ray, hand CPT Code: `73130`	$268	$193	$93	2.1×
X-ray, ankle CPT Code: `73610`	$265	$190	$93	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$236	$170	$86	2.0×
X-ray, pelvis CPT Code: `72170`	$259	$187	$110	1.7×
X-ray, chest (single view) CPT Code: `71045`	$246	$186	$92	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$179	$127	$110	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$174	$123	$123	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$119	$86	$35	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$121	$85	$87	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$112	$81	$185	0.4×
Culture, blood CPT Code: `87040`	$169	$169	$11	15.4×
Blood test, basic metabolic panel CPT Code: `80048`	$120	$120	$9	13.3×
Blood test, liver function panel CPT Code: `80076`	$119	$119	$9	13.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$138	$11	12.5×
Blood test, lipase CPT Code: `83690`	$95	$95	$7	13.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$107	$107	$14	7.6×
Blood test, vitamin B12 CPT Code: `82607`	$119	$119	$16	7.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$104	$104	$14	7.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$108	$108	$19	5.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$99	$99	$18	5.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$94	$94	$20	4.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$57	$57	$5	11.4×
Blood test, amylase CPT Code: `82150`	$78	$78	$7	11.1×
Blood test, magnesium CPT Code: `83735`	$71	$71	$7	10.1×
Occupational therapy (self-care training) CPT Code: `97535`	$100	$72	$38	1.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$124	$96	$203	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$63	$35	1.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$80	$80	$6	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$48	$3	16.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$49	$49	$4	12.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$45	$45	$4	11.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Blood test, potassium CPT Code: `84132`	$46	$46	$5	9.2×
Blood test, calcium CPT Code: `82310`	$45	$45	$5	9.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$69	$69	$8	8.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Culture, bacterial CPT Code: `87070`	$46	$46	$9	5.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$67	$40	1.7×
Blood antibody screen CPT Code: `86850`	$86	$63	$46	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$77	$64	$140	0.5×
Blood test, hemoglobin CPT Code: `85018`	$24	$24	$3	8.0×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, vitamin D CPT Code: `82306`	$78	$57	$31	1.8×
Hepatitis C antibody test CPT Code: `86803`	$42	$30	$15	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$64	$46	$34	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$62	$48	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$54	$39	$33	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$22	$16	$14	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$29	$28	$37	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$34	$34	$56	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$29	$29	$49	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$24	$22	$39	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$29	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$21	$49	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$50	$36	$86	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$49	$45	$111	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$45	$45	$201	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$12	$25	0.5×

Showing top 25 high-impact procedures of 100 total

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

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

CMS CCN: 281306

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $29,242

Insurer Median $29,242

1. Amount on Your Bill or Quote ($) Pre-filled with Kearney County Health Services 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 Save $7,310 Paying Cash

Self-Pay Cash Rate ($29,242) Beats Your Bill

Kearney County Health Services Hospital's published 45 CFR § 180 self-pay cash rate is $29,242 (vs. $29,242 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$17,120 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($36,552) is $17,120 above the denoised Fair BaseRate ($19,432) and 2.6× the $14,044 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)

EIN: 476014070

Public IRS & CMS ownership records classify Kearney County Health Services 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

Safety Composite75/100

Would Recommend94%

Rated 9 or 10 (HCAHPS)91%

Median ER Wait129 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (36 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 Kearney County Health Services Hospital.

Price Index: 1.10× regional baseline

Quality: 62/100 CMS composite

Median Household Income$79,167U.S. Census ACS

Local Uninsured Share5.2%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 77/100 · Corroborated CMS CCN 281306 EIN 476014070

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281306) ↗ Verify IRS Form 990 (EIN 476014070) ↗ CMS HCRIS Cost Reports ↗

Published MRF File476014070_kearney-county-hospital_standardcharges.json

Publication / Vintage2025-08-01 · 18.09 MB

Validated Rate Rows2,499 (CMS v3.0.0)

File Integrity Digest6ed173823f811f7732ef…

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