How many shoppable procedure prices are published for Phelps Memorial Health Center?

Phelps Memorial Health Center in Holdrege, NE currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Phelps Memorial Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Phelps Memorial Health Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Phelps Memorial Health Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-02-16

Phelps Memorial Health Center

1215 Tibbals St, Holdrege, NE 68949 · 109 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.28×vs. Fair Market Price

Typical commercial prices here are +28% above the fair benchmark (1.28×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness50

Price Logic72

Peer Alignment56

Clean Billing86

Real Cash Discount44

Regional Value Leader

5-Star CMS clinical quality rating paired with 1.28× fair market pricing.

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

Wide Procedure Spread · Upper-Quartile Skew Pricer

Phelps Memorial Health Center prices routine shoppable procedures at 2.6× Medicare (median 1.15× Fair BaseRate) while upper-quartile commercial rates jump +75% to 2.01× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#18 of 60 in NE · 28th State Percentile#2,205 of 3,385 in U.S. · 65th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.28× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 37% of shoppable procedures (44/100 Cash Honesty)
4-Star CMS clinical rating with 83% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.15× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.01×) jump +75% above the median procedure ratio (Q50 1.15×)
Unnegotiated chargemaster list prices average 6.0× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.35× Divergence

0.9× Medicare

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

Quantile Tail Spread+75% Upper Tail

Q25 0.28× · Q50 1.15× · Q75 2.01×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.8× 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

1.4× MedicareGood

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

1.3× MedicareGood

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

37% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 82/100Good

Procedure Prices at Phelps Memorial Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 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`	$23,422	$12,102	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$29,949	$12,017	$19,432	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,084	$6,084	$303	20.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,434	$5,434	$448	12.1×
Total knee replacement CPT Code: `27447`	$5,161	$5,161	$13,523	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,791	$4,857	$8,223	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,784	$4,784	$511	9.4×
MRI, brain (no contrast) CPT Code: `70551`	$4,135	$4,135	$343	12.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,107	$4,107	$1,021	4.0×
Total hip replacement CPT Code: `27130`	$3,076	$3,076	$13,413	0.2×
C-section delivery (full package) CPT Code: `59510`	$4,344	$2,905	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$5,235	$2,630	$2,680	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,583	$2,583	$169	15.3×
CT scan, pelvis CPT Code: `72192`	$2,554	$2,554	$163	15.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,553	$2,553	$167	15.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,543	$2,543	$168	15.1×
CT scan, head (with contrast) CPT Code: `70460`	$2,463	$2,463	$242	10.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,417	$2,417	$583	4.1×
CT scan, sinuses CPT Code: `70486`	$2,085	$2,085	$166	12.6×
MRI, lower back (no contrast) CPT Code: `72148`	$4,080	$1,954	$338	5.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,891	$1,737	$258	6.7×
Trauma team activation HCPCS Code: `G0390`	$1,670	$1,670	$1,453	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,499	$1,499	$272	5.5×
MRI, knee or other leg joint CPT Code: `73721`	$4,004	$1,485	$369	4.0×
CT scan, head (no contrast) CPT Code: `70450`	$2,291	$1,371	$160	8.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,085	$1,085	$6,109	0.2×
Blood transfusion CPT Code: `36430`	$1,013	$1,013	$498	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$953	$953	$134	7.1×
Ultrasound, pelvis CPT Code: `76856`	$877	$877	$130	6.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$795	$795	$126	6.3×
Bunion correction surgery CPT Code: `28296`	$2,030	$737	$3,446	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$666	$666	$132	5.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,245	$562	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,338	$542	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$1,408	$531	$3,875	0.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$495	$495	$148	3.3×
Rabies immune globulin HCPCS Code: `90375`	$491	$491	$322	1.5×
X-ray, hand CPT Code: `73130`	$419	$419	$93	4.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$414	$414	$93	4.5×
X-ray, hip CPT Code: `73502`	$411	$411	$93	unverified
X-ray, shoulder CPT Code: `73030`	$336	$336	$92	3.7×
X-ray, pelvis CPT Code: `72170`	$348	$348	$110	3.2×
Speech therapy (language evaluation) CPT Code: `92507`	$309	$309	$86	3.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,433	$275	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,040	$298	$1,256	0.2×
X-ray, lower back CPT Code: `72110`	$317	$317	$112	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$243	$243	$25	9.7×
X-ray, foot CPT Code: `73630`	$579	$255	$92	2.8×
X-ray, ankle CPT Code: `73610`	$546	$245	$93	2.6×
Screening mammogram (both breasts) CPT Code: `77067`	$294	$236	$123	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$182	$182	$40	4.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$299	$201	$185	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,728	$207	$987	0.2×
X-ray, chest (single view) CPT Code: `71045`	$173	$173	$92	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$209	$159	$123	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$160	$160	$201	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$134	$134	$38	3.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$147	$109	$87	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$206	$133	$110	1.2×
Physical therapy (gait training) CPT Code: `97116`	$107	$107	$33	3.2×
Occupational therapy (self-care training) CPT Code: `97535`	$123	$123	$38	3.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$96	$96	$14	6.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$113	$113	$38	3.0×
Orthotic fitting and training CPT Code: `97760`	$106	$106	$51	2.1×
X-ray, chest (two views) CPT Code: `71046`	$374	$130	$93	1.4×
Psychological testing evaluation CPT Code: `96136`	$91	$91	$128	0.7×
Typhoid vaccine HCPCS Code: `90675`	$447	$447	$347	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$218	$218	$140	1.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$117	$117	$203	0.6×
Blood test, amylase CPT Code: `82150`	$61	$61	$7	8.7×
Culture, bacterial CPT Code: `87070`	$76	$76	$9	8.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$68	$68	$25	2.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$86	$86	$39	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$123	$68	$34	2.0×
Hepatitis B vaccine HCPCS Code: `90744`	$53	$53	$37	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$70	$70	$56	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$76	$76	$111	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$49	$49	$19	2.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$112	$71	$35	2.0×
Blood test, vitamin D CPT Code: `82306`	$62	$62	$31	2.0×
Flu vaccine injection HCPCS Code: `G0008`	$41	$41	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$41	$49	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$56	$56	$86	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$10	$3	3.3×
Blood test, calcium CPT Code: `82310`	$15	$15	$5	3.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$15	$5	3.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$12	$4	3.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$12	$4	3.0×
Blood test, potassium CPT Code: `84132`	$14	$14	$5	2.8×
Blood test, sodium CPT Code: `84295`	$14	$14	$5	2.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$16	$16	$6	2.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$29	$29	$11	2.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$21	$21	$8	2.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$13	$5	2.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$36	$36	$14	2.6×
Blood test, lipase CPT Code: `83690`	$18	$18	$7	2.6×
Blood test, magnesium CPT Code: `83735`	$18	$18	$7	2.6×
Blood test, vitamin B12 CPT Code: `82607`	$41	$41	$16	2.6×
Blood test, basic metabolic panel CPT Code: `80048`	$23	$23	$9	2.6×
Culture, blood CPT Code: `87040`	$28	$28	$11	2.5×
Hepatitis C antibody test CPT Code: `86803`	$38	$38	$15	2.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$35	$35	$14	2.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$25	$25	$10	2.5×
Blood test, liver function panel CPT Code: `80076`	$22	$22	$9	2.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$43	$43	$18	2.4×
Blood test, hemoglobin CPT Code: `85018`	$7	$7	$3	2.3×
Colorectal cancer screening HCPCS Code: `G0010`	$29	$29	$49	0.6×
Blood antibody screen CPT Code: `86850`	$25	$25	$46	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$20	$20	$64	0.3×

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 53.1%

Audit a Bill or Quote at Phelps Memorial Health Center (Zero PHI Required)

CMS CCN: 281362

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $23,422

Insurer Median $12,102

1. Amount on Your Bill or Quote ($) Pre-filled with Phelps Memorial Health Center’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: $13,830 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,830

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.1% of gross = $13,830).

Step 2 · Cash vs. Insurance Arbitrage Save $2,603 Paying Cash

Self-Pay Cash Rate ($23,422) Beats Your Bill

Phelps Memorial Health Center's published 45 CFR § 180 self-pay cash rate is $23,422 (vs. $12,102 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,938 Above Fair BaseRate

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

Your bill ($26,025) is $6,938 above the denoised Fair BaseRate ($19,087) and 1.8× the $14,117 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)

EIN: 470481628

Filing Period: 196306

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 (53.1% 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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait84 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 Phelps Memorial Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-27·administrative_or_closure
Met Requirements
Recorded
2023-02-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (303 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 Phelps Memorial Health Center.

Price Index: 0.69× regional baseline

Quality: 84/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

+77.8%

Median Household Income$65,988U.S. Census ACS

Local Uninsured Share5.8%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 62/100 · Caution CMS CCN 281362 EIN 470481628

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 281362) ↗ Verify IRS Form 990 (EIN 470481628) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-02-16 · 43.24 MB

Validated Rate Rows2,815 (CMS v3.0.0)

File Integrity DigestVerified · CCN 281362

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