How many shoppable procedure prices are published for Mary Lanning Healthcare?

Mary Lanning Healthcare in Hastings, NE currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mary Lanning Healthcare's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mary Lanning Healthcare's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Mary Lanning Healthcare's CMS Care Compare overall star rating?

CMS Care Compare assigns Mary Lanning Healthcare an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 106 Beds · rural Updated: 2026-09-21

Mary Lanning Healthcare

715 N St Joseph Ave, Hastings, NE 68901 · 122 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness90

Price Logic69

Peer Alignment63

Clean Billing82

Real Cash Discount44

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Mary Lanning Healthcare maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.93× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 60 in NE · 5th State Percentile#592 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (44/100 Cash Honesty)
2-Star CMS clinical rating with 67% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.89× 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.
Captive ER (0.6×) & laboratory (1.8×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 9,949) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.65× · Q50 0.93× · Q75 0.99×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.1× MedicareGood

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

28% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at Mary Lanning Healthcare

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$44,308	$24,477	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$36,021	$14,719	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$39,536	$14,616	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$79,403	$13,359	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$20,881	$5,907	$8,223	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,758	$4,758	$511	unverified
Total hip replacement CPT Code: `27130`	$4,027	$4,027	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$4,021	$4,021	$13,523	0.3×
C-section delivery (full package) CPT Code: `59510`	$5,630	$3,099	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$5,095	$2,773	$2,680	unverified
Trauma team activation HCPCS Code: `G0390`	$5,513	$1,384	$1,453	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,468	$898	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,800	$749	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$2,149	$724	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,182	$706	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$1,354	$559	$3,875	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,870	$362	$448	0.8×
X-ray, foot CPT Code: `73630`	$312	$312	$92	3.4×
X-ray, hand CPT Code: `73130`	$287	$287	$93	3.1×
X-ray, ankle CPT Code: `73610`	$279	$279	$93	3.0×
Rabies immune globulin HCPCS Code: `90375`	$767	$288	$322	0.9×
X-ray, pelvis CPT Code: `72170`	$253	$253	$110	2.3×
X-ray, chest (single view) CPT Code: `71045`	$225	$225	$92	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,572	$248	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,879	$248	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,871	$248	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,393	$248	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$4,590	$248	$369	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$915	$244	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,164	$264	$1,256	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$208	$208	$201	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,827	$218	$1,021	0.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$335	$186	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$323	$181	$181	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,507	$182	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,867	$182	$258	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,015	$184	$987	0.2×
Care planning with family CPT Code: `90887`	$167	$130	$107	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$563	$146	$148	1.0×
Family therapy session CPT Code: `90847`	$213	$152	$173	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$200	$123	$110	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$465	$118	$123	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,039	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$646	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,081	$109	$134	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$220	$124	$166	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$96	$96	$86	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,769	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,431	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,562	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,201	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,758	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,655	$109	$169	0.6×
Neurobehavioral status check CPT Code: `96116`	$180	$109	$231	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,759	$121	$583	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$246	$137	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$218	$85	$87	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$542	$109	$126	unverified
Typhoid vaccine HCPCS Code: `90675`	$677	$350	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$248	$150	$140	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$166	$166	$203	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$172	$112	$111	1.0×
Blood transfusion CPT Code: `36430`	$846	$76	$498	0.2×
Occupational therapy (self-care training) CPT Code: `97535`	$98	$48	$38	1.3×
Prosthetic fitting and training CPT Code: `97761`	$73	$50	$45	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$44	$40	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$98	$56	$56	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$392	$73	$86	0.8×
Orthotic fitting and training CPT Code: `97760`	$118	$69	$51	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$64	$19	$14	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$43	$35	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$98	$41	$38	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$50	$35	$33	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$60	$26	$25	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$75	$49	$49	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$118	$11	$11	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$100	$33	$34	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$43	$35	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$36	$39	0.9×
Group therapy session CPT Code: `90853`	$59	$40	$100	0.4×
Mental health services (assessment) HCPCS Code: `H0031`	$425	$42	$140	0.3×
Behavioral health assessment HCPCS Code: `H0001`	$266	$46	$157	0.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$132	$50	$38	unverified
Flu vaccine injection HCPCS Code: `G0008`	$75	$49	$48	unverified
Blood test, calcium CPT Code: `82310`	$64	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$76	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$82	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$62	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$63	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$153	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$52	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$61	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$78	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$67	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$156	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$92	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$89	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$125	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$108	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$85	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$295	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$96	$8	$9	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$32	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$60	$6	$7	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$29	$49	0.6×
Psychological testing evaluation CPT Code: `96136`	$87	$33	$128	0.3×
X-ray, hip CPT Code: `73502`	$225	$22	$93	0.2×
X-ray, lower back CPT Code: `72110`	$300	$22	$112	0.2×
X-ray, chest (two views) CPT Code: `71046`	$181	$18	$93	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$194	$18	$93	0.2×
Physical therapy (gait training) CPT Code: `97116`	$91	$43	$33	unverified
X-ray, shoulder CPT Code: `73030`	$310	$16	$92	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$78	$30	$20	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$49	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$29	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$85	$10	$46	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$263	$11	$64	0.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$111	$14	$14	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.6%

Audit a Bill or Quote at Mary Lanning Healthcare (Zero PHI Required)

CMS CCN: 280032

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $44,308

Insurer Median $24,477

1. Amount on Your Bill or Quote ($) Pre-filled with Mary Lanning Healthcare’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 501(r) AGB Cap: $17,014 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $17,014

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.6% of gross = $17,014).

Step 2 · Cash vs. Insurance Arbitrage Save $4,923 Paying Cash

Self-Pay Cash Rate ($44,308) Beats Your Bill

Mary Lanning Healthcare's published 45 CFR § 180 self-pay cash rate is $44,308 (vs. $24,477 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,456 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($49,231) is $18,456 above the denoised Fair BaseRate ($30,775) and 2.1× the $23,504 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 (34.6% 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

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait118 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-05-30·administrative_or_closure
Closure Notice
Recorded
2024-02-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (538 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mary Lanning Healthcare.

Price Index: 0.79× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

+211.0%

Median Household Income$65,680U.S. Census ACS

Local Uninsured Share5.4%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 71/100 · Corroborated CMS CCN 280032

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 280032) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-21 · 29.81 MB

Validated Rate Rows2,510 (CMS v3.0.0)

File Integrity Digestebe8b2fa974e3f526a7a…

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