York General Health Care Services
2222 Lincoln Ave, York, NE 68467 · 87 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +112% above the fair benchmark (2.12×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 2.12× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
York General Health Care Services prices routine shoppable procedures near 3.7× Medicare (p50 2.13×) while skewing captive emergency, lab, and upper-quartile codes to 4.2× Medicare (p75 2.91×, +37% 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 0.71× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 71% patient recommendation (73/100 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)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.6× markup over Medicare rates
- Captive ER (5.4×) & laboratory (7.2×) services average 1.14× higher multiples than routine shoppable care (3.7×)
- Upper-quartile procedures (Q75 2.91×) jump +37% above the median procedure ratio (Q50 2.13×)
- Unnegotiated chargemaster list prices average 9.3× Medicare (22¢ 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 York General Health Care Services
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,139 | 11.5× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,625 | 15.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,349 | 8.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,822 | 8.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,689 | 15.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,564 | 10.6× |
| CT scan, pelvis CPT Code: 72192 | $2,360 | 14.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,281 | 13.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,155 | 3.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,077 | 12.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,053 | 6.1× |
| CT scan, sinuses CPT Code: 70486 | $1,898 | 11.4× |
| Rabies immune globulin HCPCS Code: 90375 | $1,910 | 5.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,825 | 7.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,810 | 6.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,560 | 4.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,440 | unverified |
| Blood transfusion CPT Code: 36430 | $1,204 | 2.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $909 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $740 | 5.7× |
| X-ray, lower back CPT Code: 72110 | $612 | 5.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $526 | 4.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $513 | 3.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $471 | 0.5× |
| X-ray, hip CPT Code: 73502 | $440 | 4.7× |
Audit a Bill or Quote at York General Health Care Services (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,730
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 = $2,730).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
York General Health Care Services's published 45 CFR § 180 self-pay cash rate is $5,139 (vs. $5,139 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($5,139) is $4,691 above the denoised Fair BaseRate ($448) and 14.4× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (208 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 York General Health Care Services.
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.