How many shoppable procedure prices are published for Memorial Health Care Systems?

Memorial Health Care Systems in Seward, NE currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Memorial Health Care Systems's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorial Health Care Systems's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is Memorial Health Care Systems's CMS Care Compare overall star rating?

CMS Care Compare assigns Memorial Health Care Systems an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 24 Beds · rural Updated: 2026-07-15

Memorial Health Care Systems

300 North Columbia Ave, Seward, NE 68434 · 96 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.80×vs. Fair Market Price

Typical commercial prices here are +80% above the fair benchmark (1.80×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness100

Price Logic78

Peer Alignment58

Clean Billing78

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.80× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Memorial Health Care Systems prices routine shoppable procedures at 3.0× Medicare (median 1.92× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.57× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#34 of 60 in NE · 55th State Percentile#2,961 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 16% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.0% AGB cap)

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 1.92× Fair BaseRate (3.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.57×) jump +34% above the median procedure ratio (Q50 1.92×)
Consolidated metro market (HHI 5,815) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.0× Medicare

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

Back-Door Captive & ER0.73× Divergence

2.2× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.19× · Q50 1.92× · Q75 2.57×

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

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.4× MedicareGood

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

16% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Memorial Health Care Systems

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,977	$17,977	$19,087	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,480	$13,480	$8,223	1.6×
Rabies immune globulin HCPCS Code: `90375`	$5,800	$5,800	$322	18.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,935	$4,935	$511	9.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,579	$4,579	$1,021	4.5×
MRI, brain (no contrast) CPT Code: `70551`	$4,040	$4,040	$343	11.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,855	$3,855	$448	8.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,405	$3,405	$303	11.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,070	$3,070	$169	18.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,970	$2,970	$168	17.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,940	$2,940	$583	5.0×
CT scan, pelvis CPT Code: `72192`	$2,887	$2,887	$163	17.7×
Total hip replacement CPT Code: `27130`	$2,543	$2,543	$13,413	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,449	$2,449	$242	10.1×
CT scan, sinuses CPT Code: `70486`	$2,329	$2,329	$166	14.0×
C-section delivery (full package) CPT Code: `59510`	$5,163	$2,298	$2,975	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,998	$1,998	$167	12.0×
Vaginal delivery (full package) CPT Code: `59400`	$4,690	$1,947	$2,680	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,940	$1,906	$338	5.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,835	$1,835	$272	6.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,655	$1,694	$258	6.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,410	$1,448	$369	3.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,014	$1,337	$160	8.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,288	$1,288	$6,109	0.2×
Blood transfusion CPT Code: `36430`	$1,095	$1,095	$498	2.2×
Breast lump removal CPT Code: `19120`	$1,030	$1,030	$3,875	0.3×
Ultrasound, pelvis CPT Code: `76856`	$959	$959	$130	7.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$949	$949	$134	7.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$772	$772	$126	6.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$737	$737	$132	5.6×
X-ray, lower back CPT Code: `72110`	$553	$553	$112	4.9×
Cataract surgery with lens implant CPT Code: `66984`	$1,108	$494	$2,540	0.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$457	$457	$148	3.1×
Inguinal hernia repair CPT Code: `49505`	$1,025	$461	$3,629	0.1×
X-ray, hip CPT Code: `73502`	$428	$428	$93	4.6×
X-ray, shoulder CPT Code: `73030`	$404	$404	$92	4.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$385	$385	$93	4.1×
X-ray, hand CPT Code: `73130`	$367	$367	$93	3.9×
Speech therapy (language evaluation) CPT Code: `92507`	$325	$325	$86	3.8×
X-ray, chest (single view) CPT Code: `71045`	$308	$308	$92	3.3×
X-ray, pelvis CPT Code: `72170`	$332	$332	$110	3.0×
X-ray, foot CPT Code: `73630`	$374	$249	$92	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$314	$231	$123	1.9×
Neurobehavioral status check CPT Code: `96116`	$256	$256	$231	1.1×
X-ray, ankle CPT Code: `73610`	$362	$239	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$270	$164	$64	2.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$170	$170	$201	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$758	$164	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$979	$179	$1,256	0.1×
Occupational therapy (self-care training) CPT Code: `97535`	$133	$133	$38	3.5×
Physical therapy (gait training) CPT Code: `97116`	$112	$112	$33	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$125	$125	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$126	$126	$40	3.1×
Prosthetic fitting and training CPT Code: `97761`	$119	$119	$45	2.6×
Orthotic fitting and training CPT Code: `97760`	$119	$119	$51	2.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$129	$129	$86	1.5×
X-ray, chest (two views) CPT Code: `71046`	$351	$127	$93	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$777	$124	$987	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$84	$84	$14	6.0×
Typhoid vaccine HCPCS Code: `90675`	$950	$950	$347	2.7×
Culture, blood CPT Code: `87040`	$291	$291	$11	26.5×
Blood test, vitamin D CPT Code: `82306`	$223	$223	$31	7.2×
Blood test, liver function panel CPT Code: `80076`	$182	$182	$9	20.2×
Culture, bacterial CPT Code: `87070`	$162	$162	$9	18.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$181	$181	$14	12.9×
Hepatitis C antibody test CPT Code: `86803`	$175	$175	$15	11.7×
Blood test, lipase CPT Code: `83690`	$141	$141	$7	20.1×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$146	$9	16.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$161	$161	$11	14.6×
Drug screening test HCPCS Code: `G0480`	$157	$157	$116	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$111	$111	$6	18.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$102	$102	$8	12.8×
Blood test, vitamin B12 CPT Code: `82607`	$124	$124	$16	7.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$129	$129	$19	6.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$129	$129	$20	6.5×
Blood test, magnesium CPT Code: `83735`	$98	$98	$7	14.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$98	$98	$10	9.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$115	$115	$18	6.4×
Blood antibody screen CPT Code: `86850`	$123	$123	$46	2.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$144	$144	$56	2.6×
Blood test, amylase CPT Code: `82150`	$111	$111	$7	15.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$114	$114	$14	8.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$68	$68	$3	22.7×
Hepatitis B vaccine HCPCS Code: `90744`	$93	$93	$37	2.5×
Blood test, hemoglobin CPT Code: `85018`	$54	$54	$3	18.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$63	$63	$4	15.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$60	$4	15.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$71	$71	$5	14.2×
Blood test, sodium CPT Code: `84295`	$69	$69	$5	13.8×
Blood test, calcium CPT Code: `82310`	$68	$68	$5	13.6×
Blood test, potassium CPT Code: `84132`	$64	$64	$5	12.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$55	$5	11.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$100	$70	$35	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$67	$34	2.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$63	$63	$35	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	0.3×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 57.0%

Audit a Bill or Quote at Memorial Health Care Systems (Zero PHI Required)

CMS CCN: 281339

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $17,977

Insurer Median $17,977

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial Health Care Systems’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: $10,247 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $10,247

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.0% of gross = $10,247).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $17,977

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Memorial Health Care Systems's published 45 CFR § 180 self-pay cash rate is $17,977 (vs. $17,977 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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)

EIN: 470375220

Filing Period: 195603

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 (57.0% 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

CMS Overall3/5 Stars (3/5)

Safety Composite71/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait97 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (84 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Memorial Health Care Systems.

Price Index: 1.81× regional baseline

Quality: 60/100 CMS composite

Median Household Income$81,122U.S. Census ACS

Local Uninsured Share5.0%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 67/100 · Caution CMS CCN 281339 EIN 470375220

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281339) ↗ Verify IRS Form 990 (EIN 470375220) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-15 · 24.35 MB

Validated Rate Rows3,452 (CMS v3.0.0)

File Integrity Digest4c712b65773056170778…

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