Bowdle Hospital - Cah
8001 W 5Th Post Office Box 556, Bowdle, SD 57428 · 76 Priced Procedures
Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Bowdle Hospital - Cah prices shoppable and inpatient services (1.4× to 1.0× Medicare, divergence 0.71×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.64× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Commercial insurance median sits at 0.93× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.26×) jump +35% above the median procedure ratio (Q50 0.93×)
- Consolidated metro market (HHI 5,349) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Bowdle Hospital - Cah
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $3,910 | 2.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,646 | 2.6× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,675 | 12.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,694 | 2.9× |
| Ultrasound, pelvis CPT Code: 76856 | $1,247 | 9.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,262 | 4.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,218 | 9.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $958 | 7.3× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $891 | 9.6× |
| Blood transfusion CPT Code: 36430 | $734 | 1.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $730 | 1.4× |
| Screening mammogram (both breasts) CPT Code: 77067 | $654 | 5.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $447 | 1.3× |
| X-ray, chest (two views) CPT Code: 71046 | $471 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $393 | unverified |
| X-ray, pelvis CPT Code: 72170 | $342 | 3.1× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $306 | 4.8× |
| Speech therapy (language evaluation) CPT Code: 92507 | $308 | 3.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $315 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $315 | 0.9× |
| X-ray, hip CPT Code: 73502 | $332 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $225 | 6.6× |
| X-ray, shoulder CPT Code: 73030 | $238 | 2.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $235 | 1.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $228 | 0.5× |
Audit a Bill or Quote at Bowdle Hospital - Cah (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Bowdle Hospital - Cah's published 45 CFR § 180 self-pay cash rate is $3,910 (vs. $3,910 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($3,910) is $2,457 above the denoised Fair BaseRate ($1,453) and 2.9× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bowdle Hospital - Cah 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. 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 Bowdle Hospital - Cah.
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.